Question 1

An accepted way to transport large used or contaminated items to the decontamination area after a case is finished is to:

Accepted Answer

A)  wrap them in dry towels and carefully carry them to the decontamination area. 
B)  find an unused prep table and slowly roll them to the appropriate area. 
C)  place them on an open case cart,with heavy items or instruments on the bottom shelf,with a plastic drape,and roll to the appropriate area. 
D)  rinse the used items in the scrub sink then carry them in plastic bags to the decontamination area. 
A)  wrap them in dry towels and carefully carry them to the decontamination area. 
B)  find an unused prep table and slowly roll them to the appropriate area. 
C)  place them on an open case cart,with heavy items or instruments on the bottom shelf,with a plastic drape,and roll to the appropriate area. 
D)  rinse the used items in the scrub sink then carry them in plastic bags to the decontamination area. C

Question 2

It is necessary to wash your hands after removing gloves.

Accepted Answer

A) True 
 B)False  True

Question 3

When cleaning up instruments after a surgical procedure,place unloaded knife handles and such instruments as scissors and those with sharp tips separate from other instruments so that processing personnel may identify them easily.

Accepted Answer

A) True 
 B)False  True

Question 4

Per AORN standards,a utility area should be cleaned once a week.

Accepted Answer

A) True 
 B)False

Question 5

If a patient is rolled into the OR and the case is canceled for some reason before the procedure has begun,the tables and supplies can be reused for another case or patient.

Accepted Answer

A) True 
 B)False

Question 6

Which activity is incorrect for the scrub person to perform?

Accepted Answer

A)  Discarding contaminated waste 
B)  Disposing of sharps safely 
C)  Pulling drapes off patient 
D)  Removing tissue and blood from instruments 
A)  Discarding contaminated waste 
B)  Disposing of sharps safely 
C)  Pulling drapes off patient 
D)  Removing tissue and blood from instruments

Question 7

As long as the instrument and prep tables are within the confines of the OR,it does not particularly matter where they are placed.

Accepted Answer

A) True 
 B)False

Question 8

What areas of the sterile field are considered contaminated?

Accepted Answer

A)  Just the areas with blood on them 
B)  The area nearest to the incision 
C)  The surrounding sterile field and all areas that are in contact with blood or bodily fluids 
D)  The center of the surgical incision 
A)  Just the areas with blood on them 
B)  The area nearest to the incision 
C)  The surrounding sterile field and all areas that are in contact with blood or bodily fluids 
D)  The center of the surgical incision

Question 9

As long as the OR doors are shut,it is acceptable to open supplies for a case then leave the room unattended to go to lunch.

Accepted Answer

A) True 
 B)False

Question 10

What does "turnover time" include?

Accepted Answer

A)  Cleanup time including a short break for the scrub person 
B)  Cleaning up after one procedure and setting up for the next 
C)  The amount of time needed to call up a report and transfer the patient to PACU 
D)  The time period when the patient is awakened from anesthesia and placed on the stretcher to go to PACU 
A)  Cleanup time including a short break for the scrub person 
B)  Cleaning up after one procedure and setting up for the next 
C)  The amount of time needed to call up a report and transfer the patient to PACU 
D)  The time period when the patient is awakened from anesthesia and placed on the stretcher to go to PACU

Question 11

Which is a reason for preoperative staff to recycle surgical supplies in the OR?

Accepted Answer

A)  To satisfy the environmental friendly staff members within the perioperative setting 
B)  To save the facility money 
C)  To reduce pollution 
D)  To decrease the workload of the preoperative nursing staff 
A)  To satisfy the environmental friendly staff members within the perioperative setting 
B)  To save the facility money 
C)  To reduce pollution 
D)  To decrease the workload of the preoperative nursing staff

Question 12

Before the first procedure of the day,what does the scrub person or circulator need to damp-dust in the OR before bringing supplies in for the first case of the day?

Accepted Answer

A)  OR overhead lights and furniture 
B)  OR scrub sinks 
C)  Sterilizer interior wall surface 
D)  Air filter grill cover 
A)  OR overhead lights and furniture 
B)  OR scrub sinks 
C)  Sterilizer interior wall surface 
D)  Air filter grill cover

Question 13

Every patient is considered a potential contaminant.

Accepted Answer

A) True 
 B)False

Question 14

Name a type of transmissible disease that results in prions being found in neurologic tissue that can exist on surfaces in the OR.

Accepted Answer

A)  Whooping cough 
B)  Tuberculosis 
C)  Influenza 
D)  Cruetzfeldt-Jakob 
A)  Whooping cough 
B)  Tuberculosis 
C)  Influenza 
D)  Cruetzfeldt-Jakob

Question 15

Which is an example of trash that is infectious waste in the OR?

Accepted Answer

A)  Dust cover of surgical instrument peel pack 
B)  Surgical gloves used in procedure 
C)  Surgical documentation paperwork 
D)  Biological indicator in unused sterile instrument tray 
A)  Dust cover of surgical instrument peel pack 
B)  Surgical gloves used in procedure 
C)  Surgical documentation paperwork 
D)  Biological indicator in unused sterile instrument tray

Question 16

What is instrumental in the destruction of microorganisms during the cleaning process of items such as furniture in the OR?

Accepted Answer

A)  Mechanical friction or "elbow grease" 
B)  The time of day the cleaning is performed 
C)  The type of cleaning towel used to clean the item 
D)  The type of water used to rinse the item dueling the cleaning process 
A)  Mechanical friction or "elbow grease" 
B)  The time of day the cleaning is performed 
C)  The type of cleaning towel used to clean the item 
D)  The type of water used to rinse the item dueling the cleaning process

Question 17

The furniture in the OR should be cleaned at least once a week.

Accepted Answer

A) True 
 B)False

Question 18

Which item used on the sterile field is considered sharps?

Accepted Answer

A)  Hemostats 
B)  Knife blades 
C)  Solution basin 
D)  Suture packet 
A)  Hemostats 
B)  Knife blades 
C)  Solution basin 
D)  Suture packet

Question 19

If sterile supplies for a case were opened at 1:00 PM with the room under surveillance,and the case did not begin until 3:30 PM,the sterile items would be contaminated because of the 2-hour delay of the case.

Accepted Answer

A) True 
 B)False

Question 20

Instruments may be placed in the sterilizer immediately after a case in order to save time in between cases and to decrease turnover time.

Accepted Answer

A) True 
 B)False

Exam 12: Care of the Perioperative Environment

An accepted way to transport large used or contaminated items to the decontamination area after a case is finished is to:

It is necessary to wash your hands after removing gloves.

When cleaning up instruments after a surgical procedure,place unloaded knife handles and such instruments as scissors and those with sharp tips separate from other instruments so that processing personnel may identify them easily.

Per AORN standards,a utility area should be cleaned once a week.

If a patient is rolled into the OR and the case is canceled for some reason before the procedure has begun,the tables and supplies can be reused for another case or patient.

Which activity is incorrect for the scrub person to perform?

As long as the instrument and prep tables are within the confines of the OR,it does not particularly matter where they are placed.

What areas of the sterile field are considered contaminated?

As long as the OR doors are shut,it is acceptable to open supplies for a case then leave the room unattended to go to lunch.

What does "turnover time" include?

Which is a reason for preoperative staff to recycle surgical supplies in the OR?

Before the first procedure of the day,what does the scrub person or circulator need to damp-dust in the OR before bringing supplies in for the first case of the day?

Every patient is considered a potential contaminant.

Name a type of transmissible disease that results in prions being found in neurologic tissue that can exist on surfaces in the OR.

Which is an example of trash that is infectious waste in the OR?

What is instrumental in the destruction of microorganisms during the cleaning process of items such as furniture in the OR?

The furniture in the OR should be cleaned at least once a week.

Which item used on the sterile field is considered sharps?

If sterile supplies for a case were opened at 1:00 PM with the room under surveillance,and the case did not begin until 3:30 PM,the sterile items would be contaminated because of the 2-hour delay of the case.

Instruments may be placed in the sterilizer immediately after a case in order to save time in between cases and to decrease turnover time.

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions, implants, and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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