Question 1

What is not a valid function of a clip applier?

Accepted Answer

A)  Used as an end-to-end anastomosis connector 
B)  Used to mark tissue 
C)  To occlude blood vessels 
D)  To close or occlude small lumens of tubes 
A)  Used as an end-to-end anastomosis connector 
B)  Used to mark tissue 
C)  To occlude blood vessels 
D)  To close or occlude small lumens of tubes A

Question 2

When using any type of power equipment,what must be checked before handing up any instrument?

Accepted Answer

A)  Make sure the instrument is in "on" mode and ready to be used. 
B)  The instrument must be in "off" mode. 
C)  Check to make sure the instrument is in the "safety" mode. 
D)  Make sure the instrument is unassembled and in the "on" mode. 
A)  Make sure the instrument is in "on" mode and ready to be used. 
B)  The instrument must be in "off" mode. 
C)  Check to make sure the instrument is in the "safety" mode. 
D)  Make sure the instrument is unassembled and in the "on" mode. C

Question 3

An instrument's box lock is the:

Accepted Answer

A)  hinge point of surgical instruments. 
B)  case they are kept in to prevent damage. 
C)  protective tip that delicate instruments are given. 
D)  set of two rings that the user's fingers are inserted into. 
A)  hinge point of surgical instruments. 
B)  case they are kept in to prevent damage. 
C)  protective tip that delicate instruments are given. 
D)  set of two rings that the user's fingers are inserted into. A

Question 4

In order to protect an instrument from damage or breakage,the tip protectors should be left on the instrument and kept on the field until the instrument is handed back.

Accepted Answer

A) True 
 B)False

Question 5

Which statement regarding handing instruments at the sterile field is incorrect?

Accepted Answer

A)  Handle instruments individually. 
B)  Pass instruments firmly and decisively. 
C)  Pass instruments directly over the incisional area. 
D)  Anticipate the surgeon's needs before being asked for an instrument. 
A)  Handle instruments individually. 
B)  Pass instruments firmly and decisively. 
C)  Pass instruments directly over the incisional area. 
D)  Anticipate the surgeon's needs before being asked for an instrument.

Question 6

What type of needle holder's jaws eliminate twisting and turning of the suture?

Accepted Answer

A)  Smooth jaws 
B)  Crosshatched 
C)  Webster 
D)  Tungsten carbide 
A)  Smooth jaws 
B)  Crosshatched 
C)  Webster 
D)  Tungsten carbide

Question 7

Which is the most commonly used instrument to clamp blood vessels?

Accepted Answer

A)  Lahey forceps 
B)  Tenaculum 
C)  Hemostat 
D)  Rongeur 
A)  Lahey forceps 
B)  Tenaculum 
C)  Hemostat 
D)  Rongeur

Question 8

All power equipment used on the sterile field should not be cleaned until the end of the procedure so as not to dislodge the blade being used.

Accepted Answer

A) True 
 B)False

Question 9

Which type of metal is best suited for making microsurgical instruments?

Accepted Answer

A)  Titanium 
B)  Stainless steel 
C)  Brass 
D)  Vitallium 
A)  Titanium 
B)  Stainless steel 
C)  Brass 
D)  Vitallium

Question 10

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Accepted Answer

A) True 
 B)False

Question 11

Which is an example of a cutting instrument?

Accepted Answer

A)  Kelly clamp,Allis forceps 
B)  Jaw-tipped scissors,scalpel 
C)  Forceps,hemostat 
D)  Uterine sound,bayonet forceps 
A)  Kelly clamp,Allis forceps 
B)  Jaw-tipped scissors,scalpel 
C)  Forceps,hemostat 
D)  Uterine sound,bayonet forceps

Question 12

The maximum length of most microinstruments is 4 inches (100 mm).

Accepted Answer

A) True 
 B)False

Question 13

Which is a responsibility of the circulating nurse prior to the start of a procedure?

Accepted Answer

A)  Drape the Mayo stand and back table 
B)  Inspect sterile instruments for imperfections and condition 
C)  Count instruments 
D)  Assemble the scalpel blade in the proper handle 
A)  Drape the Mayo stand and back table 
B)  Inspect sterile instruments for imperfections and condition 
C)  Count instruments 
D)  Assemble the scalpel blade in the proper handle

Question 14

Wait until the end of the procedure to wipe and clean instruments of blood or bodily fluids.

Accepted Answer

A) True 
 B)False

Question 15

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

Accepted Answer

A)  Ice packs 
B)  Saline solution in a syringe 
C)  Antibiotic soaked sponges 
D)  Frozen 4×4 sponges 
A)  Ice packs 
B)  Saline solution in a syringe 
C)  Antibiotic soaked sponges 
D)  Frozen 4×4 sponges

Question 16

It is acceptable to use a hemostat to load a blade onto a knife handle.

Accepted Answer

A) True 
 B)False

Question 17

Stainless steel instruments can be fabricated before passivation with which type of dull,nonreflective finish?

Accepted Answer

A)  Ebony 
B)  Anodized 
C)  Mirror 
D)  Tungsten carbide 
A)  Ebony 
B)  Anodized 
C)  Mirror 
D)  Tungsten carbide

Question 18

What type of suctioning is done using a syringe and needle?

Accepted Answer

A)  Suctioning with a Yankauer 
B)  Aspiration 
C)  Autotransfusion 
D)  Using a Poole suction device 
A)  Suctioning with a Yankauer 
B)  Aspiration 
C)  Autotransfusion 
D)  Using a Poole suction device

Question 19

A number 10,11,or 15 blade is the most commonly used blade to make initial skin incisions.

Accepted Answer

A) True 
 B)False

Question 20

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

Accepted Answer

A) True 
 B)False

Exam 19: Surgical Instrumentation

What is not a valid function of a clip applier?

When using any type of power equipment,what must be checked before handing up any instrument?

An instrument's box lock is the:

In order to protect an instrument from damage or breakage,the tip protectors should be left on the instrument and kept on the field until the instrument is handed back.

Which statement regarding handing instruments at the sterile field is incorrect?

What type of needle holder's jaws eliminate twisting and turning of the suture?

Which is the most commonly used instrument to clamp blood vessels?

All power equipment used on the sterile field should not be cleaned until the end of the procedure so as not to dislodge the blade being used.

Which type of metal is best suited for making microsurgical instruments?

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Which is an example of a cutting instrument?

The maximum length of most microinstruments is 4 inches (100 mm).

Which is a responsibility of the circulating nurse prior to the start of a procedure?

Wait until the end of the procedure to wipe and clean instruments of blood or bodily fluids.

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

It is acceptable to use a hemostat to load a blade onto a knife handle.

Stainless steel instruments can be fabricated before passivation with which type of dull,nonreflective finish?

What type of suctioning is done using a syringe and needle?

A number 10,11,or 15 blade is the most commonly used blade to make initial skin incisions.

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

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

Care of the Perioperative Environment

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

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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