Surgical Tech - Chaps 10 & 12 Test answers

During lateral positioning: a. A pillow is placed between the legs b. A sandbag is placed between the knees c. A rolled towel is placed under the bottom leg d. A sheet is folded flat between the legs

a. A pillow is placed between the legs

Proper body ergonomics include all Except: a. Do not bend at the knees when lifting a heavy object b. When you need to reach upward, never twist your body or balance on one foot c. Pushing an object is the preferred method of moving objects rather than pulling d. Musculoskeletal injury can result from stress, lack of balance, repetitive motion, and overexertion

a. Do not bend at the knees when lifting a heavy object

Which suction tip is meant to be used during abdominal surgery when large amounts of irrigation is being used? a. Poole b. Yankauer c. Frasier d. Tonsil

a. Poole

Anitembolism devices or SCDs are placed on the patient's legs prior to surgery to: a. Prevent thromboembolism b. Prevent cramping c. Provide protection from metal parts of the OR table d. Assis tin the range of motion

a. Prevent thromboembolism

Why must the electrocautery tip be kept clean? a. To ensure electrical contact effectiveness b. To avoid fire via accidental drape ignition c. To prevent burn injuries to staff d. To prevent circuit overload

a. To ensure electrical contact effectiveness

A self-retaining retractor is a: a. Weitlaner b. Lincoln c. Hibbs d. Deaver

a. Weitlaner

All apply to a lateral position EXCEPT: a. Padding, axillary rolls, and chest rolls are used to improve respirations b. A mayo stand should not be used to support the upper arm c. Lower leg is bent and upper leg is straight with a pillow in between d. Blood pressure should be measured from the lower arm

b. A mayo stand should not be used to support the upper arm d. Blood pressure should be measured from the lower arm

When opening a wrapper, the circulator should open the top flap? a. Toward self b. Away from self c. After the sides d. Over the sterile field

b. Away from self

While a surgical case is in progress: a. Doors remain open so staff can easily move in or out b. Doors should remain closed c. Doors remain open to circulate air d. Doors may be opened or closed

b. Doors should remain closed

What specimen is collected and sent to pathology for immediate results (20 minutes) to determine if the area of diseased cells has been fully removed? a. Permanent Specimen b. Frozen Specimen c. Node removal d. None of the above

b. Frozen Specimen

When flipping a sterile item onto the field, the circulator may: a. Lean over the sterile field to shake item out of package b. Project item without reaching over the sterile field c. Shake them into a sterile basin stand d. Lean over sterile line pack and drop item onto it

b. Project item without reaching over the sterile field

On thing the surgical technologist must make sure happens before handing local or scalpel to the surgeon is: a. Neutral Zone b. Time Out c. Know Hand Signals d. Have an open lap up on the field

b. Time Out

As grossly soiled instruments are returned to the scrub, they should be: a. Placed in a basin of sterile saline to soak off debris b. Wiped off with a sponge moistened with water or soaked in a basin of stile distilled water c. Wiped off with a dry sponge d. Discarded so that the circulator can clean them thoroughly

b. Wiped off with a sponge moistened with water or soaked in a basin of stile distilled water

What is the most commonly used syringe? a. 3cc b. 5cc c. 10cc d. 20cc

c. 10cc

The brushstroke method of scrubbing prescribes the number of strokes required. Indicate the number for each; nails, hands, (back and palm), and arms a. 40, 30, 30, 30 b. 40, 40, 20, 20 c. 30, 20, 20, 20 d. 30, 20, 10, 10

c. 30, 20, 20, 20

When moving the patient from the operating (OR) table, who is responsible for guarding the head and neck from injury? a. Circulating nurse b. Scrub nurse c. Anesthesiologist d. Surgical technician

c. Anesthesiologist

Final counts are started when: a. The patient leaves the room b. Before incision c. At the start of the skin closing d. Just after incision is made

c. At the start of the skin closing

How should sterile personnel pass each other? a. Right to left b. They should never pass each other c. Back to back, front to front d. It does not really matter because gowns that wrap around are used

c. Back to back, front to front

If the patient is in a supine position, the circulator must always: a. Place a pillow is between the knees b. Place a pillow under the knees c. Confirm that ankles and legs are not crossed pad the thoracic area adequately d. Pad the thoracic area adequately

c. Confirm that ankles and legs are not crossed pad the thoracic area adequately

What kind of retractor is generally used in areas near viable nerves or blood vessels? a. Sharp rakes b. Skin hooks c. Dull rakes d. Tonsil

c. Dull rakes

When using a patient roller, how many people are necessary to move the patient safely and efficiently? a. Two b. Three c. Four d. Five

c. Four

While counting the surgical technologist will complete counts from: a. Foot to head b. Surgical technologist's own choice on how the want to count c. Head to toe d. None of the above

c. Head to toe

Intravenous (IV) lines and fluids should be: a. Lower than the patient's body b. Level with the patient's arm c. Higher than the patient's body d. It really does not matter

c. Higher than the patient's body

Which statement regarding the scrub procedure is NOT true? a. It reduces the microbial count b. It leaves an antimicrobial residue c. It renders the skin sterile d. It removes skin oil

c. It renders the skin sterile

When removing a patient from lithotomy position: a. Lower the legs separately b. Lower the legs quickly c. Lower the legs together d. Lower stirrups, then remove legs

c. Lower the legs together

A Mayfield head rest would be used for which type of surgery? a. Ophthalmic b. Gynecological c. Neurological d. Urological

c. Neurological

All of the following help to maintain normothermia during surgery EXCEPT: a. Warm the OR until the prep is performed and dries b. Blankets from the warmer are used c. SCD is applied d. Fluid warmers are used to warm IV solutions

c. SCD is applied

Which of the following conditions is NOT an acceptable aseptic technique? a. Surgical tech stands on a platform or standing stool b. Surgical tech keeps hands below shoulder level c. Surgical tech folds arms with hands at axillae d. Surgical tech hands are at or above waist level

c. Surgical tech folds arms with hands at axillae

A fire requires three main components. Which is NOT considered a component? a. Oxygen b. Fuel c. Temperature d. Source of ignition

c. Temperature

Each time the electrosurgical unit is used what does the surgical technologist need to check: a. Switch is not in the "on" position b. Placed back on the mayo stand c. Tip is clean of charred tissue d. None of the above

c. Tip is clean of charred tissue

Foley that allows for balloon inflation and drainage of urine: a. Straight b. Red Rubber c. Two-Way d. Three-Way

c. Two-Way

When are instruments counted? a. Instruments are counted every case b. Only at the RN's request c. When cavity is entered d. At surgeon's request

c. When cavity is entered

An asepto holds a total of _____ mL of fluid? a. 30mL b. 60mL c. 90mL d. 120mL

d. 120mL

Scrubbing technique ends: a. 2 in below the elbow b. Just below the elbow c. At the elbow d. 2 in above the elbow

d. 2 in above the elbow

Laps contain____ sponges in a pack while Raytec are packaged in _____ per pack. a. 2, 4 b. 3, 6 c. 4, 8 d. 5, 10

d. 5, 10

A grounded pad is not required for the electrocautery in: a. The cutting current setting b. A coagulation current setting c. A monopolar unit d. A bipolar unit

d. A bipolar unit

The sterile component of the electrosurgical unit (ESU) is the: a. Grounding pad b. Generator c. Foot pedal d. Active electrode

d. Active electrode

Active drains include: a. Stryker b. Hemovac c. GI decompression d. All of the above

d. All of the above

An arterial line can be inserted into the: a. Radial artery b. Brachial artery c. Femoral artery d. All of the above

d. All of the above

When positioning the patient for a procedure, which of the following provides maximum patient safety and maximum surgical site exposure? a. Patient's body does not touch metal on table b. Equipment, Mayo stand, or personnel are not resting on the patient c. Bony prominences are padded d. All of the above

d. All of the above

Which factor is important to consider for positioning the aging patient? a. Skeletal changes b. Limited range of motion of joints c. Tissue fragility d. All of the above

d. All of the above

Which statement regarding OR attire is true? a. Head caps and hoods must be worn to reduce contamination from hair and dander to the field b. Long sleeve, nonsterile cover jackets are worn by nonsterile personnel to prevent contamination by bacterial shedding of their arms c. The scrub suit is worn by both sterile and non-sterile personnel d. All of the above

d. All of the above

All of the following pertain to drains EXCEPT: a. Drain fluids and air from the wound b. Can be active c. Can be passive d. Are never removed from the patient

d. Are never removed from the patient

All of the following instruments have teeth EXCEPT: a. Allis b. Heaney c. Kocher d. Babcock

d. Babcock

A tourniquet is used in the OR to: a. Prevent nerve damage b. Minimize blood loss during the surgical procedure c. Provide a bloodless field and better visualization of the surgical site d. Both B and C

d. Both B and C

Which condition is MOST acceptable when using electrosurgery? a. Ground pad placed on scar or hairy area b. Ground pad placed on patient's forearm c. Ground pad placed on skin over metal implant d. Ground pad placed close to operative site

d. Ground pad placed close to operative site

Gowns are considered sterile only from: a. Waist to neck level in front and back and the sleeves b. Waist to shoulders, front and back, and the sleeves c. Neck to thighs in front and the sleeves d. Only in front from elbow to cuffs

d. Only in front from elbow to cuffs

Ulnar nerve damage could result from: a. Poor placement of legs in stirrups b. Hyperextension of the arm c. Using mattress pads of varying thickness d. Placing an arm on an unpadded table edge

d. Placing an arm on an unpadded table edge

Which statement is false regarding the positioning on the OR table? a. Elbow should not rest against the metal table b. Feet should be uncrossed c. Pillows provide support and comfort to prevent strain d. Safety strap is 4 inches below knee

d. Safety strap is 4 inches below knee