Following a triple bypass surgery, a patient goes into cardiac arrest. Which of the following is the primary responsibility of the surgical technologist?
A. Remove sharps from sterile field.
B. Retrieve the automated external defibrillator.
C. Remain in gown and gloves to preserve the sterile field.
D. Assist the surgeon in delivering chest compressions.
C. Remain in gown and gloves to preserve the sterile field.
After a completion of a CABG, the circulating nurse states “Dressings are on and we have another case to follow. Go ahead and clean up your table.” Which of the following statement is the best reaction?
A. “I’ll breakdown; I have a knife handle loaded.”
B. “Agreed, the patient dressings are on.”
C. “I will once the patient is out.”
D. “Agreed, it will allow for a quick turnover.”
C. “I will once the patient is out.”
After a final count is performed following an abdominal aortic aneurysm, which of the following should the surgical technologist do immediately after dressing the wound?
A. Dispose of sharps in an approved container.
B. Place a wet towel over all instruments with box locks open, place in a leak-proof container and transport to decontamination.
C. Gather unused supplies to be returned in the supply room.
D. Wait to break down the set up until the patient has been transported to the ICU.
D. Wait to break down the set up until the patient has been transported to the ICU.
The patient has just had an anterior cervical discectomy and fusion. After the patient coughs hard; the incision sight starts to expand quickly. The patient is now having trouble breathing. Which of the following has the patient most likely developed?
A. pneumothorax
B. hematoma
C. pulmonary embolism
D. blood clot
B. hematoma
- Place the options below in the correct order for removal of surgical drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Towels and towel clips are removed.
B. The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape.
C. The surgical technologist holds the dressing in place while anesthesia releases the clamps.
D. The drape is rolled as it is removed, containing any biohazardous material or disposable items.
E. The drape is placed in the linen or waste receptacle as needed.
F. The surgical technologist holds the dressing in place while anesthesia releases the clamps., The drape is rolled as it is removed, containing any biohazardous material or disposable items., The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape., The drape is placed in the linen or waste receptacle as needed., Towels and towel clips are removed.
F. The surgical technologist holds the dressing in place while anesthesia releases the clamps., The drape is rolled as it is removed, containing any biohazardous material or disposable items., The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape., The drape is placed in the linen or waste receptacle as needed., Towels and towel clips are removed.
Alcohol prep solutions destroy microorganisms through desiccation. Therefore, it would not be used on which prep area?
A. mucous membranes
B. abdomen
C. neck
D. scrotum
A. mucous membranes
A surgical technologist is preparing to do a surgical skin prep for an abdominal procedure. Place the locations below in the correct order of preparation. (Click and drag the options in the left column to their correct position in the right column.)
A. sides of the body
B. groin
C. incision site
D. outward
E. incision site, outward, sides of the body, groin
E. incision site, outward, sides of the body, groin
When removing PPE, it is important to remove
A. gown before gloves.
B. gloves before gown.
C. eye protection after mask.
D. mask after eye protection.
A. gown before gloves.
When performing a bowel resection, it is appropriate for the surgical technologist to change gloves
A. when the surgeon begins to suture the anastomosis.
B. prior to the anastomosis to ensure an uncontaminated suture line.
C. after the final suture has been placed and the anastomosis is complete.
D. when the diseased section of the colon has been isolated and clamped.
C. after the final suture has been placed and the anastomosis is complete.
The surgical technologist is double gloved for the procedure. A puncture happens to the technologist’s outer glove with a sharp Senn. After passing off the Senn retractor, the best course of action is to
A. remove the outer glove, presenting the hand palm up and check the inner glove for any punctures.
B. have the circulator grasp both gloves just above the wrists and reglove using the closed glove technique.
C. have the circulator remove both gloves, presenting the palm up and reglove using the open technique.
D. use the open glove technique to place a sterile glove over the punctured glove.
A. remove the outer glove, presenting the hand palm up and check the inner glove for any punctures.
When moving the anesthetized patient from the table to the stretcher, which of the following individuals decides when the patient is ready for moving?
A. circulator
B. surgeon
C. anesthesiologist
D. surgical technologist
C. anesthesiologist
When the patient is being transferred from the OR table after surgery, the movement should be
A. swift but cautious in order to get to the Recovery Room as quickly as possible.
B. performed with the comfort of the patient as the primary concern.
C. gentle and rapid so that the patient does not wake up.
D. gentle and slow in order to prevent circulation depression.
B. performed with the comfort of the patient as the primary concern.
Which member of the surgical team guides and directs the move when transferring a patient from the OR table to the stretcher?
A. surgeon
B. circulating nurse
C. surgical technologist
D. anesthesiologist
D. anesthesiologist
Which of the following is the responsibility of the surgical technologist when transferring a patient from the OR table to a stretcher?
A. Lock the wheels prior to transfer.
B. Hold the patient’s head when transferring.
C. Begin breaking down the back table.
D. Assess the patient for skin tears after the transfer.
A. Lock the wheels prior to transfer.
Which of the following is the appropriate number of staff required when moving the patient from the operating table to the stretcher?
A. two
B. four
C. five
D. seven
B. four
When transferring an adult patient from the gurney to the operating room table, which of the following is the minimum number of personnel required for a safe transfer?
A. two
B. three
C. four
D. one
C. four
The surgical procedure is complete and dressings are on the patient. Place the steps below in the correct order for removing the drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Place the drapes in a biohazard bag.
B. Remove instruments and equipment.
C. Wrap the drapes toward inside containing blood or fluid.
D. Pull the drapes away from the patient starting from head to feet.
Remove instruments and equipment., Pull the drapes away from the patient starting from head to feet., Wrap the drapes toward inside containing blood or fluid., Place the drapes in a biohazard bag.
Place the steps below in the proper sequence for removing drapes after a surgery? (Click and drag the options in the left column to their correct position in the right column.)
A. Remove the towels and towel clips.
B. Place the drape in the linen or waste receptacle.
C. Roll the drape as it is removed.
D. Remove outer gloves.
E. Hold the dressing in place and ask anesthesia to release the drape.
Remove outer gloves., Hold the dressing in place and ask anesthesia to release the drape., Roll the drape as it is removed., Place the drape in the linen or waste receptacle., Remove the towels and towel clips.
Place the options below in the correct order for removing and discarding patient drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Remove the incision towels and clips.
B. Switch hands and continue to roll the drape over the incision area.
C. Stabilize the dressings with a towel.
D. Roll the drape downward to contain blood and other waste.
E. Place the drape in a designated receptacle.
Stabilize the dressings with a towel., Roll the drape downward to contain blood and other waste., Switch hands and continue to roll the drape over the incision area., Place the drape in a designated receptacle., Remove the incision towels and clips.
- Place the options below in the correct order for removing and discarding drapes postoperatively. (Click and drag the options in the left column to their correct position in the right column.)
A. Remove any equipment, instruments, cords and tubing.
B. Pull drapes slowly away from the head proceeding downward.
C. Place drapes in proper disposal bag.
D. Apply appropriate wound dressing.
Remove any equipment, instruments, cords and tubing., Apply appropriate wound dressing., Pull drapes slowly away from the head proceeding downward., Place drapes in proper disposal bag.
Which of the following is the first priority during an environmental cleaning of the surgical suite?
A. wearing correct PPE
B. cleaning all surfaces in OR
C. removing contaminated waste
D. unlocking the OR table
A. wearing correct PPE
Which of the following sharps go on magnetic board or sharps holder when breaking down the back table after a procedure?
A. harmonic scalpel tip
B. clip applier
C. knife blade
D. trocars
C. knife blade
Which of the following is the proper method to transfer soiled instruments from the OR to the Sterile Processing Department?
A. clamps open, soaking in a basin of water
B. instruments with multiple parts sent assembled
C. instruments locked and off the stringer
D. clamps locked, soaking in a basin of saline
A. clamps open, soaking in a basin of water
Once surgical instruments are broken down and placed back in the case cart, which of the following locations should they be taken to?
A. a sub-sterile room
B. an instrument storage area
C. a decontamination area
D. a sterile processing area
C. a decontamination area
Which of the following solutions is best for presoaking instruments in the OR at the end of a procedure?
A. sterile water
B. isopropyl alcohol
C. enzymatic detergent
D. hydrogen peroxide
A. sterile water
Place the steps below in the correct order for processing instruments in decontamination received from the OR. (Click and drag the options in the left column to their correct position in the right column.)
A. Scrub off bio burden.
B. Open all box locks and ratchets.
C. Check for sharps.
D. Rinse the instruments.
E. Put the instruments in the washer.
C. Check for sharps.
B. Open all box locks and ratchets.
A. Scrub off bio burden.
D. Rinse the instruments.
E. Put the instruments in the washer.
A brain biopsy was performed to rule out Creutzfeldt-Jakob Disease (CJD). Which of the following is the most effective way to prevent cross contamination?
A. Process the instruments with ethylene oxide.
B. Process the instruments with dry heat.
C. Use disposable instruments.
D. Decontaminate with glutaraldehyde.
C. Use disposable instruments.
When breaking down the back table, which of the following solutions is used to clean your instruments? (Select the two (2) correct answers.)
A. saline
B. sterile water
C. alcohol
D. enzymatic solution
E. Hibiclens
B. sterile water
D. enzymatic solution
Which of the following actions should the surgical technologist take for soiled instruments prior to transportation to the decontamination area? (Select the three (3) correct answers.)
A. Cameras, light cables, pneumatic drills and other delicate equipment should all be transported separate in one basin filled with saline to avoid biofilm buildup.
B. During surgery, instruments exposed to blood and body tissue are periodically wiped free to prevent caking and drying.
C. Water is avoided for cleaning or soaking instruments because it causes pitting, rusting, and corrosion.
D. Sharp instruments are separated out to prevent injury.
B. During surgery, instruments exposed to blood and body tissue are periodically wiped free to prevent caking and drying.
D. Sharp instruments are separated out to prevent injury.
E. Instruments can be placed in a separate basin with the heaviest ones at the bottom and lighter ones on top.
Place the surgical technologist post-procedural duties in the correct event sequence. (Click and drag the options in the left column to their correct position in the right column.)
Transport instruments to the decontamination area.
Maintain field sterility until patient has left the OR.
Separate instruments and break down the sterile field.
Assist with room turnover.
Maintain field sterility until patient has left the OR., Separate instruments and break down the sterile field., Transport instruments to the decontamination area., Assist with room turnover.
When breaking down the sterile field for turnover the surgical technologist should first
A. place instruments in the case cart.
B. place sharps in the sharps container.
C. place linen in the hamper.
D. remove the case cart.
B. place sharps in the sharps container.
When performing a room turnover the OR walls and ceiling should be cleaned and disinfected
A. after every invasive procedure.
B. only if contaminated by evident bioburden.
C. from bottom to top.
D. only during scheduled terminal cleaning every twenty four hours.
B. only if contaminated by evident bioburden.
Which of the following items in the OR suite should be cleaned after a laparoscopic cholecystectomy is performed? (Select the three (3) correct answers.)
A. walls
B. horizontal furniture
C. light fixtures
D. shelves
E. wheels or casters
B. horizontal furniture
C. light fixtures
E. wheels or casters
Which of the following positions should a patient be placed in following a tonsillectomy in order to prevent post-operative aspiration?
A. Trendelenberg
B. lateral
C. Kraske
D. supine
B. lateral
The surgeon has requested a flammable skin glue for the incision closure. How can the surgical technologist best prevent an accidental fire from happening in the operating room?
A. Moisten the area around the incision with sterile saline before applying the glue.
B. Hand the surgeon the glue only after the incision has been cleaned.
C. Remove the tip from the Bovie so it will not be activated inadvertently.
D. Remove all the sterile draping towels before applying the skin glue.
C. Remove the tip from the Bovie so it will not be activated inadvertently.
After the incision was closed and the drapes were pulled off, the surgical technologist noticed a rash on skin with bumps and hives around the adhesive tape used to cover the dressing. Which of the following actions should the technologist take once the physician diagnoses the problem?
A. Remove the adhesive tape, rinse the skin and choose another type of dressing.
B. Reactivate the intermittent compression device on the lower extremities.
C. Note the allergy on the patient’s chart and armband.
D. Re-exposed the wound to lavage with chilled saline.
A. Remove the adhesive tape, rinse the skin and choose another type of dressing.
During a post-operative emergency in the operating room, the surgical technologist’s primary role is to
A. assist with CPR.
B. back up and remain sterile.
C. call a code blue.
D. retrieve the crash cart.
B. back up and remain sterile.
A patient delivered a baby an hour ago. She develops excessive bleeding and is sent to the OR. Which of the following instrument sets should the surgical technologist expect to prepare?
A. hysteroscopy and hysterectomy
B. hysterectomy and D&C
C. D&C and laparotomy
D. laparotomy and hysteroscopy
B. hysterectomy and D&C
The surgical Time Out is a federally mandated process that should take place
A. after all supplies needed for the case have been added to the sterile filed.
B. directly before the post-operative phase of the case begins.
C. during the anesthesia induction phase.
D. directly before the operative phase of the case begins.
B. directly before the post-operative phase of the case begins.
Which of the following duties are commonly delegated to the surgical technologist by the surgeon? (Select the three (3) correct answers.)
A. cutting tissue
B. suturing
C. holding retractors
D. sponging or suctioning
E. cutting suture
C. holding retractors
D. sponging or suctioning
E. cutting suture
The surgeon has requested a quick turnover of the room for a case to follow. The circulating nurse has requested that the floor be mopped to facilitate the surgeons’ request. The surgical technologist should mop
A. around the bed only if visibly soiled.
B. the entire room regardless of what is visibly soiled.
C. a 2 foot by 2 foot perimeter around the bed and where visibly soiled.
D. a 4 foot by 4 foot perimeter around the bed and where visibly soiled.
D. a 4 foot by 4 foot perimeter around the bed and where visibly soiled.
After a procedure the patient is waking up and begins to aspirate. The anesthesia provider is having trouble reintubating. Which of the following procedures should the surgical technologist be prepared for?
A. nasal intubation
B. laryngoscopy
C. flexible bronchoscopy
D. tracheostomy
D. tracheostomy
Which of the following are items that must be verified by the surgical technologist when receiving an implant during a total knee arthroplasty? (Select the three (3) correct answers.)
A. manufacturer
B. expiration
C. lot number
D. size
E. laterality
B. expiration
D. size
E. laterality
Which of the following positions should the box lock and sharp tip of an instrument be in before it is sent to decontamination?
A. locked and tip down
B. open and tip up
C. locked and tip up
D. open and tip down
D. open and tip down
After placing a dressing on the patient, the surgical technologist moved the Mayo away from the operating bed, removed the sterile drapes, and proceeded to clean the patient. While cleaning the patient, the technologist noticed the dressing was soaked with blood. The technologist removed the dressing and noticed there was blood gushing out of the wound. Which of the following should the technologist do? (Select the three (3) correct answers.)
A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
D. Apply suction to the wound.
E. Prepare another back table.
A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
A cardiovascular surgeon is performing an arteriovenous fistula and informs the team that he will need the microscope because of the patient’s anatomy. Which of the following is the correct way for the surgical technologist to handle the preference card?
A. Ask the circulator to add in the notes section of the preference card to have a microscope available for this procedure.
B. Add the microscope to the equipment section of the preference card.
C. Ask the circulator to add in the notes section of the preference card to always have a microscope in the room.
D. Add the microscope to the preference card immediately.
A. Ask the circulator to add in the notes section of the preference card to have a microscope available for this procedure.
The surgical technologist is opening the sterile operating room pack for a revision total knee. He picks up the tibial cutting device and notices that it came up assembled in the tray with the wrong size jig on. Which of the following actions should the surgical technologist take?
A. Tell the surgeon and let him adjust accordingly.
B. Call the rep and tell him that he assembled the device incorrectly.
C. Let the circulating nurse know and get the entire pan flashed.
D. Switch the jig and keep setting up.
C. Let the circulating nurse know and get the entire pan flashed.
How often should a DART test be performed in a sterile processing department?
A. quarterly
B. monthly
C. daily
D. weekly
C. daily
Which of the following should the surgical technologist do when transferring a patient from the operating room table to the stretcher?
A. Assist with the patient’s airway.
B. Assist with moving the patient’s head.
C. Assist with holding the patient’s feet.
D. Secure the patient’s IV.
C. Assist with holding the patient’s feet.
Which of the following should be used as a disinfectant for an EGD scope?
A. isopropyl alcohol
B. sodium hypochlorite
C. hydrogen peroxide
D. glutaraldehyde
D. glutaraldehyde
Which of the following sutures must be kept in the package or kept wet to prevent the suture material from drying out?
A. gut
B. PDS
C. Maxon
D. coated Vicryl
A. gut
Which of the following should be on the sterile field for an open intraoperative cholangiogram?
A. radiopaque contrast medium and sterile saline
B. lidocaine and sterile water
C. sterile water and sterile saline
D. radiopaque contrast medium and lidocaine
A. radiopaque contrast medium and sterile saline
Which of the following is a special consideration for a geriatric patient in surgery?
A. physical injury and loss of body heat
B. surgical bed extender attachments
C. voiding before surgery and catheterization
D. fluid intake and output
A. physical injury and loss of body heat
Which of the following procedures requires a Frazier suction?
A. hysterectomy
B. cholecystectomy
C. myringotomy
D. appendectomy
C. myringotomy
When passing a loaded needle driver, where should the suture be when the surgeon has control of the driver?
A. draped over the back of the surgeon’s hand
B. clamped in the locked ratchet to avoid knotting
C. draped in the surgeon’s hand
D. left in the suture packet and slowly fed out
A. draped over the back of the surgeon’s hand
When removing the drapes from the patient it is important to
A. secure the dressings prior to removal of the drapes.
B. remove drapes prior to the placement of the dressing material to keep the dressing clean.
C. ensure that the drapes are removed by keeping the drape inverted to contain the bioburden.
D. remove outer gloves prior to drape removal in order to facilitate the placement of a clean dressing.
C. ensure that the drapes are removed by keeping the drape inverted to contain the bioburden.
The patient has been prepped with an alcohol based prep solution that requires three minutes to dry. After waiting the three minutes and then draping, the surgical technologist notices the umbilicus has a pooling of the prep solution. Which of the following should the technologist do?
A. Use a sponge to soak up the solution, pass it off the field, and proceed with the case.
B. Use a sponge to soak up the solution, pass it off the field, and then re-drape.
C. Pass off the Bovie and suction, then soak up the solution in a sponge.
D. Wait three more minutes before passing off the Bovie and connect it for use.
A. Use a sponge to soak up the solution, pass it off the field, and proceed with the case.
Which of the following is needed for a cholangiography?
A. harmonic scalpel
B. grounding pad
C. lead gloves
D. X-ray protective gowns
D. X-ray protective gowns
Which of the following is an acceptable temperature for an adult orthopedic operating room to be kept at?
A. 73° Fahrenheit
B. 65° Fahrenheit
C. 68° Fahrenheit
D. 60° Fahrenheit
C. 68° Fahrenheit
Which of the following drain systems needs a reservoir bulb?
A. TLS
B. Hemovac
C. Jackson-Pratt
D. Penrose
C. Jackson-Pratt
Which of the following is a correct suture cutting technique?
A. Use the tip of the scissors and turn the scissors at a 90-degree angle.
B. Use the tip of the scissors and turn the scissors at a 45-degree angle.
C. Turn the scissors at a 90-degree angle and use the center edges of the scissors.
D. Turn the scissors at a 45-degree angle and use the center edges of the scissors.
B. Use the tip of the scissors and turn the scissors at a 45-degree angle.
Which of the following is correct technique when assisting with dressings after an ORIF of a right leg?
A. Wrap pin incisions with Xeroform.
B. Place the plaster splints in warm water.
C. Trim the external fixator pins to an equal length.
D. Cut plaster splints the length of the toes to the knee.
A. Wrap pin incisions with Xeroform.
Which of the following documentation must be included when flash sterilizing instruments? (Select the three (3) correct answers.)
A. load number
B. flash duration
C. tray the instrument came from
D. sterilizer number
E. temperature
A. load number
D. sterilizer number
E. temperature
The surgeon wants to tuck the left arm for a laparoscopic cholecystectomy. Extra padding is needed for the elbow to protect the
A. median nerve.
B. radial nerve.
C. brachial nerve.
D. ulnar nerve.
D. ulnar nerve.
Which of the following is the most important safety consideration when using an ESU hand piece?
A. Avoid ESU burns of the skin.
B. Do not use ESU near the patient’s mouth.
C. Remove jewelry.
D. Select an appropriate sized Bovie tip.
A. Avoid ESU burns of the skin.
Which of the following is the minimal information to be verified during a surgical time out? (Select the three (3) correct answers.)
A. correct patient
B. correct start time
C. correct procedure
D. correct surgical team personnel
E. correct site
A. correct patient
C. correct procedure
E. correct site
During a laparoscopic cholecystectomy, the resident accidently knicks the small bowel with the laparoscopic shears. The primary physician decides to open the abdomen. Which of the following instrumentation is the best choice for this scenario?
A. major instrument set and Mayfield retractor
B. major vascular set and Mayfield retractor
C. major vascular set and Bookwalter retractor
D. major instrument set and Bookwalter retractor
D. major instrument set and Bookwalter retractor
A laparoscopic cholecystectomy has been converted to an open. Which of the following drains should the surgical technologist have available?
A. Foley
B. TLS
C. T-tube
D. Jackson Pratt
C. T-tube
The surgical technologist opens instrumentation, and before placing on the back table, notices the casket has water in the bottom of it. Which of the following should the surgical technologist do?
A. Check to make sure the Bowie-Dick test was passed.
B. Have the instruments reprocessed.
C. Check the indicator before placing the instrument on the back table.
D. Discard the setup.
B. Have the instruments reprocessed.
In the postoperative phase of the instrument cycle, decontamination begins in the OR by placing
A. soiled instruments in a basin of 0.9% saline.
B. soiled instruments in a basin of water.
C. unsoiled instruments in a basin of 0.9% saline.
D. unsoiled instruments in a basin of water.
B. soiled instruments in a basin of water.
Which of the following is normally the suture of choice for a vascular anastomosis?
A. polypropylene
B. polyglactin 910
C. poliglecaprone 25
D. silk
A. polypropylene
Which of the following must be on the medication label on the sterile field? (Select the three (3) correct answers.)
A. strength
B. time received on the field
C. expiration date
D. manufacturer name
E. drug name
A. strength
C. expiration date
E. drug name
The circulating nurse properly gives the surgical technologist 5,000 units of heparin, mixed in 500 mL’s of normal saline. At the end of the procedure there are 200 mL’s left. How much heparinized saline used will be reported to the nurse?
A. 500 mL
B. 3,000 units
C. 4,800 units
D. 300 Ml
D. 300 Ml
Which of the following information should be on the surgeon’s preference card? (Select the three (3) correct answers.)
A. prep solution
B. patient H&P
C. available start times
D. types of dressing
E. positioning
A. prep solution
D. types of dressing
E. positioning
Which of the following retractors should the surgical technologist have available during closure of a C-section?
A. Weitlaner
B. Deaver
C. Richardson
D. Harrington
C. Richardson
For a total knee arthroplasty, the recommended dressing is
A. a wet to dry dressing.
B. Tegaderm.
C. a compression dressing.
D. plaster casting.
C. a compression dressing.
The physician has adjusted the lights after draping the patient. The surgical technologist realizes neither of the light handles are in place. Which of the following should the surgical technologist do?
A. Have the nurse open new light handles and gloves for the surgeon. Reglove the surgeon and replace the light handles.
B. Have the nurse open new gloves for the surgeon. He can reglove himself using the open glove technique.
C. Have the nurse open new gloves and drapes. Reglove the surgeon and re-drape the patient.
D. Have the nurse open new gloves and remove the surgeon’s gloves. Re-glove the surgeon.
D. Have the nurse open new gloves and remove the surgeon’s gloves. Re-glove the surgeon.
Which of the following is the proper temperature range and time for sterilization using a flash sterilizer on metal items with a lumen?
A. 270⁰F-275⁰F, 10 minutes
B. 220⁰F-230⁰F, 10 minutes
C. 220⁰F-230⁰F, 4 minutes
D. 270⁰F-275⁰F, 4 minutes
A. 270⁰F-275⁰F, 10 minutes
Which of the following self-retaining retractors is used for a total hip arthroplasty?
A. Bookwalter
B. Charnley
C. Alexis
D. Balfour
B. Charnley
Which of the following are applications of thrombin during a laminectomy procedure? (Select the two (2) correct answers.)
A. mixed with sterile water
B. poured
C. injected
D. I.V.
E. sprayed
B. poured
E. sprayed
A patient is not positioned with a safety strap for a procedure. The nurse steps away and the patient falls off the operating room table. This would be categorized as
A. battery.
B. negligence.
C. respondent superior.
D. malice.
B. negligence.
The surgical technologist is opening a double peel pouched instrument for a tonsillectomy. When the outer packaging is peeled away, the technologist’s hand comes in contact with the corner of the inner pouch. The appropriate action at this point is to
A. discard the package and retrieve a new instrument.
B. remove the inner pouch and transfer the the instrument to the field utilizing proper sterile technique.
C. continue opening the instrument to the field.
D. confirm that parameters for sterility have been met and open the instrument to the field.
B. remove the inner pouch and transfer the the instrument to the field utilizing proper sterile technique.
Which of the following supplies will the surgical technologist need in order to collect specimens during a D&C? (Select the three (3) correct answers.)
A. gauze
B. skin marker
C. containers
D. perineal pad
E. Telfa
B. skin marker
C. containers
E. Telfa
If initial preoperative sponge counts are incorrect, which of the following should the surgical technologist do?
A. Tear down the case setup and start over.
B. Remove the entire package from the room, get a new pack, and start again.
C. Document any adjustments on the count sheet and continue with the case.
D. Continue with the case and notify the surgeon.
B. Remove the entire package from the room, get a new pack, and start again.
Which of the following should be reported as a sentinel event?
A. lost needle left in patient
B. a missing instrument in a tray
C. surgeon cursing and offending other members of the team
D. nine Raytecs in a ten pack found on initial count
A. lost needle left in patient
A surgical technologist is called in to relieve another surgical technologist for a lunch break. Which of the following is the next step that the relieving surgical technologist must take?
A. Perform an instrument, supply and equipment check.
B. Perform a time out.
C. Perform an intra-operative count.
D. Sign off on the count on the patients’ peri-operative record.
C. Perform an intra-operative count.
During a diagnostic laparoscopy the surgical technologist notices the surgeon about to cut the fallopian tube to remove the ovary. The technologist knows this is not part of the consent the patient signed. Which of the following actions should the technologist take?
A. Keep moving forward as the surgeon is ultimately responsible.
B. Distract the surgeon long enough for the nurse to see what he is doing and question him about his intentions.
C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent allows for this procedure.
D. Take the instrument from the surgeon to protect the patient.
C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent allows for this procedure.
During a case set up the circulator opened the surgeon’s instrument tray and noticed that the inner chemical indicator was missing. The outer tamper-proof seal did turn color. Which of the following should the surgical technologist do?
A. Proceed with the case because the outer tamper-proof seal indicates the tray was properly sterilized.
B. Ask the surgeon if he is willing to proceed with the case based on the outer indicator alone.
C. Remove the tray and open a new one.
D. Double glove, reach into the instrument pan, and attempt to locate the missing indicator.
C. Remove the tray and open a new one.