MULTIPLE CHOICE
1. The containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.
A. wrapped basin C. basic pack
B. instrument tray D. surgical drape
Download Complete Test Bank Here Test Bank For Surgical Technology 8th Edition By Kotcher Fuller
ANS: C
The basic pack containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.
PTS: 1 DIF: 2 REF: p. 420
2. Using a approach to all setups improves efficiency.
A. nonstressful C. surgical
B. educated D. methodical
ANS: D
Using a methodical approach to all setups improves efficiency and greatly decreases stress and errors in the learning phase.
PTS: 1 DIF: 2 REF: p. 421
3. Before organizing and preparing supplies during setup, the sterile area.
A. dry top C. decrease the size of
B. increase the size of D. remove supplies from
ANS: B
Before organizing and preparing supplies, increase the size of the sterile area. PTS: 1 DIF: 2 REF: p. 421
4. Avoid shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increases the chance of and is not productive.
A. injury C. contamination
B. confusion D. missing items
ANS: C
Avoid shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increases the chance of contamination and is not productive.
PTS: 1 DIF: 2 REF: p. 422
5. You may have up to 10 trays on a complex case. This is why it is important to think about what you need, locate it among all the supplies, and then put it in a specific place. If instrument trays must be stacked, place the ones on the bottom.
A. least-used C. empty
B. heavier D. large
ANS: B
Heavier trays are stacked on the bottom.
PTS: 1 DIF: 2 REF: p. 423
6. are usually distributed after the case is underway or just before the case begins.
A. Sutures C. Irrigation and soaking solutions
B. Medications D. Dressings
ANS: C
Irrigation and soaking solutions are usually distributed after the case is underway or before the case begins.
PTS: 1 DIF: 2 REF: p. 423
7. The sponge, sharps, and instrument count is performed .
A. during the time out C. at the circulator’s convenience
B. during the setup D. after incision is made
ANS: B
Counts are performed during the setup, per protocol.
PTS: 1 DIF: 2 REF: p. 424
8. is/are responsible for ensuring that no item is left in a patient.
A. Licensed professionals only C. The surgeon
B. The certified surgical technologist D. All team members
ANS: D
All team members are responsible for ensuring that no item is left in a patient. The scrubbed technologist or nurse and circulator normally perform the count together. In turn, they report the count
to the surgeon, whether it is correct or incorrect.
PTS: 1 DIF: 2 REF: p. 425
9. The count is performed by two people. Professional standard for counts as published by AORN requires a and another health care worker such as the surgical technologist to perform the count.
A. circulator C. surgical assistant
B. surgeon D. licensed practical nurse
ANS: A
The scrubbed technologist or nurse and circulator normally perform the count together.
PTS: 1 DIF: 2 REF: p. 425
10. Inadequate lighting increases . The surgical technologist adjusts lights as needed.
A. the procedure length C. the risk of error
B. tension in the surgical suite D. patient’s time under anesthesia
ANS: C
Inadequate lighting increases the risk of surgery errors. The surgical technologist adjusts lights as needed. Overhead lights produce a small, shadowless beam that spreads peripherally to focus on a large or small area as needed.
PTS: 1 DIF: 2 REF: p. 428
11. Every surgical sponge is sewn or impregnated with a that helps identify its location in the wound in case it is retained or lost.
A. thin steel wire C. wide blue thread
B. radiopaque strip D. luminescent thread
ANS: B
All sponges used in a surgical procedure must be radiopaque (detectable by x-ray). PTS: 1 DIF: 2 REF: p. 427
12. The name comes from manufactured in the 1940s and 1950s, when sponges were not square, but long and rectangular; hence the name tape.
A. Ray-tecs C. laparotomy sponges
B. cottonoids D. tonsil sponges
ANS: C
Today we occasionally refer to laparotomy sponges as “lap tapes.” The name comes from laparotomy sponges manufactured in the 1940s and 1950s, when sponges were not square, but long and rectangular; hence the name tape.
PTS: 1 DIF: 2 REF: p. 438
13. During the surgical procedure, all instruments are passed unless the surgeon requests otherwise.
A. in their closed (locked) position
B. in an open position
C. in the same condition they were returned
D. by laying them on the surgical drape
ANS: A
During the surgical procedure, all instruments are passed in the closed position unless the surgeon requests otherwise.
PTS: 1 DIF: 2 REF: p. 430
14. All sharps should be passed with . If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner.
A. the technique requested on surgeon’s preference card
B. care
C. the left hand
D. a neutral zone (no-hands) technique
ANS: D
All sharps should be passed with a neutral zone technique. If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner. The neutral
zone is a physical location on the sterile field designated and understood by the surgical team as a
physical space (basin or magnetic board) where sharps are placed and retrieved. PTS: 1 DIF: 2 REF: p. 431
15. Gentle handling of tissues and prevention of drying, heating, hemorrhage, and trauma reduce inflammation and lead to .
A. less scar tissue C. less blood loss
B. faster recovery D. less postoperative pain
ANS: B
Gentle handling of tissues and prevention of drying, heating, hemorrhage, and trauma reduce inflammation and lead to faster recovery.
PTS: 1 DIF: 2 REF: p. 433
16. The surgical technologist must keep track of the amount of used in the wound so that estimated blood loss can be calculated.
A. lap sponges C. irrigation fluid
B. Ray-tecs D. local anesthetic
ANS: C
The surgical technologist must keep track of the amount of irrigation fluid used in the wound so that estimated blood loss can be calculated.
PTS: 1 DIF: 2 REF: p. 423
17. carries responsibility for the specimen’s protection, preservation, and accurate identification.
A. The circulator C. Every person who handles a specimen
B. The surgeon D. The certified surgical technologist
ANS: C
The scrubbed surgical technologist is directly responsible for receiving and handling specimens on the surgical field. The surgeon communicates information about the exact site and tissue of origin, and the orientation of margins for malignancy (ifapplicable), to the scrubbed technologist and nurse circulator.
PTS: 1 DIF: 2 REF: p. 434
18. Two types of are commonly taken during surgery. These are aerobic and anaerobic.
A. biopsies C. images
B. x-rays D. bacterial cultures
ANS: D
Two types of bacterial cultures are commonly taken during surgery: aerobic and anaerobic. Each requires a designated type of transfer tube. Anaerobic sampling can be performed with a needle and syringe or using a Dacron swab as described earlier.
PTS: 1 DIF: 2 REF: p. 436
19. Any tissue or item removed from the patient’s body during surgery is and is maintained in a specific way on the surgical field to prevent loss or damage.
A. always saved for the patient C. biohazard waste
B. counted D. a specimen
ANS: D
Any tissue or item removed from the patient’s body during surgery is a specimen and is maintained in a specific way on the surgical field to prevent loss or damage.
PTS: 1 DIF: 2 REF: pp. 433-434
20. The is responsible for maintaining an organized and safe surgical field.
A. scrub person C. surgeon
B. CST-CFA D. anesthesia provider
ANS: A
The scrub person is responsible for maintaining an organized and safe surgical field. PTS: 1 DIF: 2 REF: p. 415 | p. 426
21. The process preceded by patient verification process detailed by the Joint Commission is called .
A. assignment board B. TIMEOUT
ANS: B
The surgical TIMEOUT (universal protocol) has been developed in response to the high rate of wrong site and wrong patient surgeries. The protocol is specific, precise, and mandatory in all accredited health facilities.
PTS: 1 DIF: 1 REF: p. 439
22. When the microorganisms have colonized, they are examined for type and sensitivity to specific antibiotics. This procedure is called a .
A. culture B. frozen section
ANS: A
When the microorganisms have colonized, they are examined for type and sensitivity to specific antibiotics. This procedure is called a culture.
PTS: 1 DIF: 1 REF: p. 436
23. A time-related set of procedures in which sterile supplies are distributed and arranged on the sterile table is referred to as case .
A. setup B. planning
ANS: A
A time related set of procedures in which sterile supplies are distributed and arranged on the sterile table is referred to as a case setup.
PTS: 1 DIF: 1 REF: p. 420
24. Any objects that can penetrate the skin and have the potential for causing injury and infection are referred to as .
A. implants B. sharps
ANS: B
Any objects that can penetrate the skin and have the potential for causing injury and infection are
referred to as sharps.
PTS: 1 DIF: 1 REF: p. 426
25. Removal of a sample of tissue for pathological analysis is called a .
A. culture B. biopsy
ANS: B
Tissue biopsy is the removal of tissue or cells for gross identification and microscopic analysis. Microscopic analysis results in a definitive diagnosis, such as malignancy, or is used to determine the nature of an abnormality. Biopsy is performed during endoscopic, image-guided surgery, or as part of an open procedure.
PTS: 1 DIF: 1 REF: p. 435
26. A tissue implant derived from another person, animal, or the patient is called a(n)
.
A. graft B. implant
ANS: A
A tissue implant derived from another person, animal, or the patient is called a graft. An implant used to replace or augment existing tissue. A graft may be obtained from the patient, another person, an
animal source, or synthetic or biosynthetic materials.
PTS: 1 DIF: 1 REF: p. 418
27. A method used for gathering supplies for a case is referred to as a(n) system.
A. assignment board B. case cart
ANS: B
A method used for gathering supplies for a case is referred to as a case cart system.
PTS: 1 DIF: 1 REF: p. 419
28. A(n) is a database containing each surgeon’s particular routines for a specific instruments for a particular surgery.
A. surgeon’s preference card B. assignment board
ANS: A
A surgeon’s preference card is a database containing each surgeon’s particular routines for a specific instruments for a particular surgery.
PTS: 1 DIF: 2 REF: p. 423
29. Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case is part of .
A. preparing the room B. terminal cleaning
ANS: A
Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case is part of preparing the room.
PTS: 1 DIF: 1 REF: p. 420
30. are not brought to the Mayo stand until the superficial wound layers are closed and the final sponge counts have been completed.
A. Dressings B. Moist Ray-tecs
ANS: A
Dressings are not brought to the Mayo stand until the superficial wound layers have been closed and the final sponge counts have been completed.
PTS: 1 DIF: 1 REF: pp. 437-438
MATCHING
Choose from the terms listed and match them with their most correct description. You will use the same answer more than once.
A. Surgical technologist C. Surgeon
B. Circulator/registered nurse
1. The wound is then closed according to his or her protocol.
2. Must keep track of all counted items throughout a surgical procedure. He or she must know what kind and how many items are inside the patient at any point during the procedure.
3. Responsible for maintaining an organized and safe surgical field
4. Receives the specimen from the sterile field in a designated container
5. Handling and passing instruments are important tasks of this person.
6. When blood loss must be estimated, he or she may be required to weigh each sponge.
7. Anesthesia begins only after he or she has arrived and is ready to scrub.
8. The anesthesia care provider and this person focus on preparing the patient for anesthesia.
9. If the count is incorrect, this person is notified and the count repeated.
10. Sharps are opened during the setup. This person opens the outer package and the scrubbed technologist removes them and places them in a sharps holder.
|
1. |
ANS: |
C |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
2. |
ANS: |
A |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
3. |
ANS: |
A |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
4. |
ANS: |
B |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
5. |
ANS: |
A |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
6. |
ANS: |
B |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
7. |
ANS: |
C |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
8. |
ANS: |
B |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
9. |
ANS: |
C |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
|
10. |
ANS: |
B |
PTS: |
1 |
DIF: |
3 |
REF: |
pp. 415-416 |
Choose from the terms listed and match them with their most correct description. You will use the same answer more than once.
A. Preoperative C. Intraoperative
B. Postoperative
11. The patient is transferred to PACU (postanesthesia recovery unit).
12. The scrub and circulator open the case
13. The patient arrives from the holding area and is transferred to the operating bed.
14. The scrub person gowns and gloves and immediately sets up sterile supplies.
15. The first sponge, sharps, and instrument count is performed.
16. Specimens are documented and transported to a designated area for pick up.
17. The patient is positioned for surgery.
18. The circulator continues to distribute sterile supplies as needed.
19. The scrub person performs hand antisepsis or scrub.
20. The surgical suite is cleaned and decontaminated for the next case.
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