Question 1

Counted sharps must not be taken from the OR during the surgical procedure.

Accepted Answer

A) True 
 B)False  True

Question 2

The ____________________ (scrub person or circulating nurse)keeps the instrument count sheets and verifies the instruments on the sterile field so that the baseline count is identical to the closing count.

Accepted Answer

circulating nurse
The circulating nurse is able to record the presence of the instruments at the beginning and at the end of the case.

Question 3

When opening blades onto a sterile field,where is the best place to lay them?

Accepted Answer

A)  On a sterile metal basin 
B)  Near other sutures to keep all sharps together 
C)  On top of gloves or a gown so that the scrub person will notice them 
D)  On the working end of the sterile field 
A)  On a sterile metal basin 
B)  Near other sutures to keep all sharps together 
C)  On top of gloves or a gown so that the scrub person will notice them 
D)  On the working end of the sterile field D

Question 4

What level of movement of the upper extremity involves the opening of a peel-pack package?

Accepted Answer

A)  Class 1 
B)  Class 2 
C)  Class 3 
D)  Class 4 
A)  Class 1 
B)  Class 2 
C)  Class 3 
D)  Class 4

Question 5

Surgical team members need to work a case quickly and precisely primarily to maintain the OR schedule and finish the case before the next case is scheduled to start.

Accepted Answer

A) True 
 B)False

Question 6

It is acceptable to open sterile supplies into a rigid container because all the edges are sterile.

Accepted Answer

A) True 
 B)False

Question 7

As a sterile team member draping an unsterile table with a separate drape,you would unfold the drape outward toward the opposite side away from yourself first,then toward yourself.

Accepted Answer

A) True 
 B)False

Question 8

The two best ways to load a knife blade onto a handle are by using a heavy needle holder or simply by hand.

Accepted Answer

A) True 
 B)False

Question 9

Where should the needle counter be placed on the sterile field?

Accepted Answer

A)  The Mayo stand 
B)  The back table 
C)  The edge of the drape 
D)  Nearest to the sterile field 
A)  The Mayo stand 
B)  The back table 
C)  The edge of the drape 
D)  Nearest to the sterile field

Question 10

The splash basin is a popular item used during the case to hold fluids for washing powder off the surgical team's gloves and also to hold irrigation fluid that will be used to irrigate the surgical wound.

Accepted Answer

A) True 
 B)False

Question 11

Who is responsible for doing the initial count?

Accepted Answer

A)  Circulating nurse 
B)  Anesthesia provider 
C)  Sterile processing staff 
D)  Surgeon 
A)  Circulating nurse 
B)  Anesthesia provider 
C)  Sterile processing staff 
D)  Surgeon

Question 12

A minimum of two people is needed to transfer an anesthetized patient from the OR table to the stretcher using a roller device.

Accepted Answer

A) True 
 B)False

Question 13

Which is a reason the instrument table and Mayo stand must remain sterile until the patient has left the room?

Accepted Answer

A)  To ensure instruments remain sterile in case of hemorrhage 
B)  To increase turnover time 
C)  To ensure instruments have adequate time to dry 
D)  To adequately use the entire time allotted for the procedure 
A)  To ensure instruments remain sterile in case of hemorrhage 
B)  To increase turnover time 
C)  To ensure instruments have adequate time to dry 
D)  To adequately use the entire time allotted for the procedure

Question 14

Once the initial skin incision has been made,the scalpel must be removed from the field to avoid injuring the patient or a surgical team member.

Accepted Answer

A) True 
 B)False

Question 15

The correct way for the scrub person to receive a local medication on the field is:

Accepted Answer

A)  to use a sterile syringe and hypodermic needle and draw up the drug offered from the circulating nurse. 
B)  to place a cup near the edge of the sterile table and have the circulator pour the drug from the container after removing the lid. 
C)  to have the circulating nurse draw up the drug in the syringe and dispense the drug after the needle is removed from the syringe. 
D)  to wrap the drug vial in a sterile drape and have the scrub person draw it up themselves. 
A)  to use a sterile syringe and hypodermic needle and draw up the drug offered from the circulating nurse. 
B)  to place a cup near the edge of the sterile table and have the circulator pour the drug from the container after removing the lid. 
C)  to have the circulating nurse draw up the drug in the syringe and dispense the drug after the needle is removed from the syringe. 
D)  to wrap the drug vial in a sterile drape and have the scrub person draw it up themselves.

Question 16

Instrument counts are recommended for all surgical procedures.

Accepted Answer

A) True 
 B)False

Question 17

Which is not an example of the economical use of supplies in the OR?

Accepted Answer

A)  Combining contaminated trash with noncontaminated trash 
B)  Turning off lights when not needed 
C)  Opening sutures only as needed 
D)  Pouring just enough antiseptic solution for the skin prep 
A)  Combining contaminated trash with noncontaminated trash 
B)  Turning off lights when not needed 
C)  Opening sutures only as needed 
D)  Pouring just enough antiseptic solution for the skin prep

Question 18

When is the baseline count done?

Accepted Answer

A)  As the tray is being assembled 
B)  During the setup before the procedure 
C)  During the procedure 
D)  When the incision is being closed 
A)  As the tray is being assembled 
B)  During the setup before the procedure 
C)  During the procedure 
D)  When the incision is being closed

Question 19

The circulating nurse must remain at the patient's side during the induction of general anesthesia.

Accepted Answer

A) True 
 B)False

Question 20

The temperature of irrigation solution should be between 110° F and 115° F so that the patient's tissues will not be burned.

Accepted Answer

A) True 
 B)False

Exam 25: Coordinated Roles of the Scrub Person and the Circulating Nurse

Counted sharps must not be taken from the OR during the surgical procedure.

The ____________________ (scrub person or circulating nurse)keeps the instrument count sheets and verifies the instruments on the sterile field so that the baseline count is identical to the closing count.

When opening blades onto a sterile field,where is the best place to lay them?

What level of movement of the upper extremity involves the opening of a peel-pack package?

Surgical team members need to work a case quickly and precisely primarily to maintain the OR schedule and finish the case before the next case is scheduled to start.

It is acceptable to open sterile supplies into a rigid container because all the edges are sterile.

As a sterile team member draping an unsterile table with a separate drape,you would unfold the drape outward toward the opposite side away from yourself first,then toward yourself.

The two best ways to load a knife blade onto a handle are by using a heavy needle holder or simply by hand.

Where should the needle counter be placed on the sterile field?

The splash basin is a popular item used during the case to hold fluids for washing powder off the surgical team's gloves and also to hold irrigation fluid that will be used to irrigate the surgical wound.

Who is responsible for doing the initial count?

A minimum of two people is needed to transfer an anesthetized patient from the OR table to the stretcher using a roller device.

Which is a reason the instrument table and Mayo stand must remain sterile until the patient has left the room?

Once the initial skin incision has been made,the scalpel must be removed from the field to avoid injuring the patient or a surgical team member.

The correct way for the scrub person to receive a local medication on the field is:

Instrument counts are recommended for all surgical procedures.

Which is not an example of the economical use of supplies in the OR?

When is the baseline count done?

The circulating nurse must remain at the patient's side during the induction of general anesthesia.

The temperature of irrigation solution should be between 110° F and 115° F so that the patient's tissues will not be burned.

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

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

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

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