Practice test Blackboard #1

which of the following is applied as a nonadherent dressing

adaptic

which of the following is a fenestrated drape

a drape with an opening that allows exposure of the operative site

during a laminectomy, disc material is removed with

a pituitary rongeur

which of the following wound is MOST likely in the inflammatory phase of wound healing

an abdominal incision, 20 minutes post-closure

during which of the following surgeries is a Mecca;s diverticulum typically discovered

appendectomy

between each surgical procedure, decontamination of walls involves washing

areas that have been splashed with blood or debris

which of the following is the MOST important consideration when cutting suture

avoiding the knot

which of the following instruments is used for placement of cottoned strips during a craniotomy

bayonet forceps

which of the following items should be used to transport a patient in traction

bed

which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup

resectoscope

hair removed during preparation for cranial surgery should be

saved because it is personal property

which of the following retractors should the surgical technologist have available to provide exposure to the patellar tendon which harvesting the graft for an ACL repair

senn

a Balfour is used in which of the following procedures

sigmoid resection

immediately before a hemorrhoidectomy, which of the following procedures might be performed not the patient in the operating room

sigmoidoscopy

wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid

skin injuries

when entering the abdominal curb, which of the following BEST describes then order of contact with the layers of tissue

skin, subcutaneous, fascia, muscle, peritoneum

which of the following pathogens would MOST likely cause a post-operative SSI

staphylococcus aureus

a patient undergoing a blood transfusion is having a hemolytic reaction. which of the following actions should the healthcare providers take first

stop the transfusion

what type of incisions is typically used for an open cholecystectomy

subcostal

which of the following suturing technique features short lateral stitches that are taken beneath the epithelial layer of skin

subcuticular

to prevent contamination at the end of a surgical procedure, which foot the following should be removed LAST by the surgical technologist in the scrub role

surgical gloves

sponges that have been added to the sterile field after a procedure has begun should be counted by the

surgical technologist in the scrub role and the circulator

a surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how it can be corrected

the absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. the tray should be reprocessed with loosely wrapped new towels

why is the right kidney typically several centimeters lower than the left kidney

the liver rests superior and anterior to the right kidney

which of the following procedures for obtaining an informed consent form is appropriate

the patent is asked to sign the consent form after the surgeon has explained the procedure

which of the filling is associated with secondary intention wound healing

tissue granulation

A #12KB on a #7KH is MOST commonly used for what type of surgery

tonsillectomy

which of the following is used to stabilize a fractured finger

Kirschner wires

a physician prescribed 50 milligrams of dermerol. the Demerol is supplied in 100mg/mL. How many mL of Demerol should be given

0.5 mL

during the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar

25 or 26-gauge stainless steel wire

which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments

3 minutes

how much 0.25% bupivicaine (marcaine) should be mixed with 1 mL of 1.0% lidocaine (xylocaine) to make the solution equal strength of both medications

4.0 mL

when inflating a 5-cc balloon on a Foley Catheter, which of the following would be the MOST appropriate choice

8-10 mL of sterile water

which of the following retractors is used for a c-section

De Lee

which of the following is MOST likely to be in place while transferring a patient from the operating room table to the stretched

Foley catheter

on the way into the operating room, a terminally ill patient tells the nurse, "no matter what happens, it will be okay" which of the five stages of grief is the patient MOST likely in

acceptance

a sterile item used with an electrosurgical unit is the

active electrode

during an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected

Penrose

a lung resection is performed, which of the following BEST describes the placement of the collection until once it is hooked up to the drainage tubing

below the level of the insertion tube

during a C-section, A surgical technologist passes the surgeon a pair of metzenbaum scissors and Russian forceps. Which of the following anatomical parts is dissected off the uterus and gently retracted prior to uterine incision

bladder

a Stamey needle is used for which of the following types of surgery

bladder suspension

the primary purpose of a local anesthetic is to

block peripheral nerve receptors

which of the following surgical needle is MOST appropriately used in a liver resection

blunt

the parathyroid gland regulates

calcium

which of the following types of sponges is used directly on the structures of the brain

cottonoid

a perforate is used for which of the following procedures

craniotomy

anterior and posterior knee stability is influenced by the dynamics of the

cruciate ligaments

when assessing with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers

cuticular and subcuticular

as a surgical technologist begins to prep a female patient for foley catheterization, a bulge in the vaginal wall is noticed. Which of the following would cause this bulge

cystocele

Mannitol (osmitrol) is used in neurosurgical procedures to

decrease intracranial pressure

which of the following terms best described a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occurred

determination of death

a surgical technologist is explaining the steps of the ESU circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the

dispersive (inactive) electrode

a Surgical Technologist sees a neighbor being admitted. How should teh surgical technologist respond

do not acknowledge the neighbor unless greeted first

what is the desired effect of atropine sulfate when used as a preoperative medication

drying of secretions

what advantage to hand-held retractors have over self-retaining retractors

dynamic adjustability

which of the following should be visualized on an x-ray to determine if a long bone is still growing

epiphyseal plate

when applying a pneumatic tourniquet preoperatively, which of the following items is used to force blood from an extremity

esmarch bandage

which of the following is used to oxygenated and circulate blood

extracorporeal bypass

following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following ayers will be sutured next

fascia

during a craniotomy, which of the following types of bone is entered

flat

which of the following is the opening in the occipital bone through which the spinal cord passes

foramen magnum

in order to remove a portion of a kidney, the surgeon must enter which of the following

gerota's fascia

at the conclusion of a surgical case, how would the surgical technologist in the scrub role aid in reducing bioburden on instruments as the first step in the sterilization cycle

hand cleaning

during craniotomy, removal of the bone flap is followed by

incision of the dura mater

a Surgical technologist is assigned to a room where the patient happens to be his neighbor. to protect patient confidentially, the technologist should indicate that he knows the patient and

request to be removed from the room

if a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply

res ipsa loquitur

a specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it

is sent to pathology immediately

which of the following procedures uses a trocar

laparoscopy

which of the following is the correct position for dilation and curettage

lithotomy

surgical loupes are used to

magnify the surgical field

a patient undergoing a procedure while under general anesthesia begins to experience muscle rigidity, followed by tachycardia, metabolic and respiratory acidosis, and cardiac dysyhthmias. Which of the following is the patient experiencing

malignante hyperthermia

which of the following is MOST likely to be used to stabilize a cervical fracture

mayfield clamp

which of the following procedures require an incision in the suprasternal notch

mediastinoscopy

in preparation for cranial aneurysm, which of the following pieces of equipment would MOST likely be used

microscope

during dissection of the cystic duct in an open cholecystectomy, which of the following instruments is necessary

mixter clamp

which of the following is the MOST serious complication of a strangulated hernia

necrosis

which of the following layers are transected when a subcostal flank incision is used for a nephrectomy

oblique muscles

ratcheted instruments should be

opened for washing and sterilizing

aerobic organisms are BEST characterized as

oxygen-requiring

when two individuals in sterile attire pass one another in the sterile field, they should

pass back-to-back

an effective packaging material used for a Balfour to be steam sterilized

permits penetration by the sterilant

removing a cataract by ultrasonic vibrations and aspiration is called

phacoemlusification

the PRIMARY consideration in selecting an appropriate anesthetic agent is the

physiologic condition of the patient

instruments the come in contact with the appendiceal stump during an appendectomy should be

placed in a separate basin

which of the following is the MOSt effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses

pledget

which of the following lies between the lung and the chest wall

pleura

which of the following may be used when applying a sterile dressing to a skin graft site

pressure dressing

an apoendectomy incision closed using suture is considered to be which of the following types of wound closure

primary intention

which of the following statements regarding surgical scrubbing is NOT true

prolonged a scrub beyond the standard scrub length is effective in decreasing microbe count

which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure

propofol

to help prevent toxicity and vascular event in a patient where polymethylmethacylate (OMMA) is used which of the following devices should a surgical technologies have available

pulse lavage

which of the following techniques is NOT acceptable for draping the patient

readjust the drapes as necessary after placement

which of the following structures is serrated first when a paramedic incision is performed

rectus abdominus

a laparotomy drape has been placed on a patient, and unprepped skin on the operative site is exposed. Which of the following is the BEST next step

remove drapes and re-drape

following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take

remove sterile drapes, remove gowns and gloves, and don a pair of unsterile gloves to aid in the postoperative patient

which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps

used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container

a marshall-Marchetti-Krnant (MMK) requires which of the following skin preparations

vaginal

A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should the specimen be prepared to be passed to the circulator

wrap it in a Telfa pad