Question 1

The nurse should anticipate the needs of the surgeon and try to stay one step ahead.

Accepted Answer

A) True 
 B)False

Question 2

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ____________________,and the inner wrap is considered the ____________________.

Accepted Answer

dust cover,sterile barrier
When opening

Question 3

Where is an optimal location to place the dispersive electrode pad for use with an ESU?

Accepted Answer

A)  Over scar tissue 
B)  Over a hairy area 
C)  Over a large muscle mass 
D)  Over a bony prominence 
A)  Over scar tissue 
B)  Over a hairy area 
C)  Over a large muscle mass 
D)  Over a bony prominence

Question 4

Which is a responsibility of the circulating nurse as the patient enters the room for a surgical procedure?

Accepted Answer

A)  Ask the patient for insurance information. 
B)  Introduce yourself to patient. 
C)  Ask the patient to remove street clothes and place them under stretcher. 
D)  Ask patient to sign the consent form. 
A)  Ask the patient for insurance information. 
B)  Introduce yourself to patient. 
C)  Ask the patient to remove street clothes and place them under stretcher. 
D)  Ask patient to sign the consent form.

Question 5

If the countable items count results in an incorrect count,the circulating nurse is responsible only for informing the surgeon.

Accepted Answer

A) True 
 B)False

Question 6

The surgeon and assistants should never take their towels from the primary sterile field.

Accepted Answer

A) True 
 B)False

Question 7

The paper band on a pack of x-ray detectable laparotomy tapes or sponges should not be broken after they are counted.

Accepted Answer

A) True 
 B)False

Question 8

If a sterile towel is used to pack a wound during a case for use as a retractor,the circulating nurse does not have to be told because it is not radiographically detectable and it is not a countable item.

Accepted Answer

A) True 
 B)False

Question 9

Small sutures do not need to be accounted for at the end of a procedure because they probably will not show up on a radiograph if the suture count is not correct.

Accepted Answer

A) True 
 B)False

Question 10

Which area is counted first during the first closing count?

Accepted Answer

A)  Field 
B)  Garbage 
C)  Table 
D)  Floor 
A)  Field 
B)  Garbage 
C)  Table 
D)  Floor

Question 11

When does the "timeout" occur during a surgical procedure?

Accepted Answer

A)  After the incision has been made 
B)  While the patient is being intubated 
C)  Prior to the incision being made with the surgeon present in the room 
D)  When the patient is in PACU 
A)  After the incision has been made 
B)  While the patient is being intubated 
C)  Prior to the incision being made with the surgeon present in the room 
D)  When the patient is in PACU

Question 12

Which is an unacceptable method of transferring sterile items to the sterile field?

Accepted Answer

A)  Reaching over the sterile field and shaking the item from its package 
B)  Placing the item on the edge of the sterile field with the inside of the wrapper everted over your hand 
C)  Flipping small,rigid items onto the sterile field 
D)  Exposing the contents so that the scrub person can remove the item from the wrapper 
A)  Reaching over the sterile field and shaking the item from its package 
B)  Placing the item on the edge of the sterile field with the inside of the wrapper everted over your hand 
C)  Flipping small,rigid items onto the sterile field 
D)  Exposing the contents so that the scrub person can remove the item from the wrapper

Question 13

Where should the safety belt be placed on a patient?

Accepted Answer

A)  Over the patient's chest 
B)  Over the patient's abdomen 
C)  Over the patient's thighs 
D)  On the patient's knees 
A)  Over the patient's chest 
B)  Over the patient's abdomen 
C)  Over the patient's thighs 
D)  On the patient's knees

Question 14

A scrub person should not gown and glove from the main field,but rather use a separate surface to place an open gown and gloves after scrubbing.

Accepted Answer

A) True 
 B)False

Question 15

What principle is not associated with motion economy?

Accepted Answer

A)  Make each movement purposeful 
B)  Work quietly and quickly 
C)  Keep the work areas orderly 
D)  Use asymmetric motions 
A)  Make each movement purposeful 
B)  Work quietly and quickly 
C)  Keep the work areas orderly 
D)  Use asymmetric motions

Question 16

If a surgeon is working deep within the peritoneal cavity,what is the best choice of sponge to hand up?

Accepted Answer

A)  A Ray-Tec sponge 
B)  A laparotomy tape 
C)  A pattie 
D)  2×2 gauze sponge 
A)  A Ray-Tec sponge 
B)  A laparotomy tape 
C)  A pattie 
D)  2×2 gauze sponge

Question 17

Sponges and tapes that have been counted and bagged can be tied and thrown into the trash and removed from the room after being bagged.

Accepted Answer

A) True 
 B)False

Question 18

Which is a type of syringe used for injection?

Accepted Answer

A)  Asepto 
B)  Luer-Lok 
C)  Tapered bulb syringe 
D)  Toomey 
A)  Asepto 
B)  Luer-Lok 
C)  Tapered bulb syringe 
D)  Toomey

Question 19

Which is a piece of standard equipment needed for a surgical procedure?

Accepted Answer

A)  Electrosurgical unit (ESU) 
B)  Flat-screen computer 
C)  Document shredder 
D)  Steam sterilizer 
A)  Electrosurgical unit (ESU) 
B)  Flat-screen computer 
C)  Document shredder 
D)  Steam sterilizer

Question 20

What instrument should be immediately handed up after a suture ligature is passed to the surgeon?

Accepted Answer

A)  A Kelly clamp 
B)  ESU pencil 
C)  Scissors 
D)  Mahoney dilator 
A)  A Kelly clamp 
B)  ESU pencil 
C)  Scissors 
D)  Mahoney dilator

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

The nurse should anticipate the needs of the surgeon and try to stay one step ahead.

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ____________________,and the inner wrap is considered the ____________________.

Where is an optimal location to place the dispersive electrode pad for use with an ESU?

Which is a responsibility of the circulating nurse as the patient enters the room for a surgical procedure?

If the countable items count results in an incorrect count,the circulating nurse is responsible only for informing the surgeon.

The surgeon and assistants should never take their towels from the primary sterile field.

The paper band on a pack of x-ray detectable laparotomy tapes or sponges should not be broken after they are counted.

If a sterile towel is used to pack a wound during a case for use as a retractor,the circulating nurse does not have to be told because it is not radiographically detectable and it is not a countable item.

Small sutures do not need to be accounted for at the end of a procedure because they probably will not show up on a radiograph if the suture count is not correct.

Which area is counted first during the first closing count?

When does the "timeout" occur during a surgical procedure?

Which is an unacceptable method of transferring sterile items to the sterile field?

Where should the safety belt be placed on a patient?

A scrub person should not gown and glove from the main field,but rather use a separate surface to place an open gown and gloves after scrubbing.

What principle is not associated with motion economy?

If a surgeon is working deep within the peritoneal cavity,what is the best choice of sponge to hand up?

Sponges and tapes that have been counted and bagged can be tied and thrown into the trash and removed from the room after being bagged.

Which is a type of syringe used for injection?

Which is a piece of standard equipment needed for a surgical procedure?

What instrument should be immediately handed up after a suture ligature is passed to the surgeon?

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

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

Filters

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ,and the inner wrap is considered the .