12536280
Descripción
Test por Melissa ALfaro, actualizado hace más de 1 año
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Creado por Melissa ALfaro
hace alrededor de 6 años
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Pregunta 1
Pregunta
When working with electrical equipment, the perioperative nurse must:
Respuesta
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ensure that the active electrocautery is switched on
-
ensure that warming therapy devices are used at appropriate settings
-
ensure that users are educated in the safe use of all electrical equipment
-
never place the hose of a patient warmer directly under the patient's blanket
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ensure that the laser electrodes are discharged after each use
Pregunta 2
Pregunta
Chlorhexadine gluconate (CHG) is an antimicrobial skin agent used
Respuesta
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above the neck.
-
for topical skin application only below the neck
-
for vaginal or mucous membrane preps
-
in the brain or meninges.
Pregunta 3
Pregunta
[blank_start]x[blank_end] agents are effective in removing resident microorganisms.
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mechanical
-
chemical
-
biochemical
-
hydrostatic
Pregunta 4
Pregunta
Which of the following are desired characteristics of antimicrobial agents?
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broad spectrum
-
high log reduction capability
-
effective for long periods of time
-
high toxicity
-
low toxicity
Pregunta 5
Pregunta
Which of the following statements is correct regarding hair removal from a surgical patient?
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Hair should be removed from the surgical site before any procedure.
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Hair should be removed from the surgical site by using clippers or razors
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Hair should be removed from the surgical site only when the hair is so thick it will interfere with the procedure
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All of the above
Pregunta 6
Pregunta
What does AORN's Guidelines for Preoperative Patient Skin Antisepsis recommend for prepping areas with high microbial counts ?
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Prep them first
-
Prep them last
-
Prep them during the procedure
-
Prep them whenever necessary
Pregunta 7
Pregunta
Which of the following should be avoided during hair removal?
Respuesta
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Use of clippers
-
Clipping of hair against the grain of hair growth
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Nicking or cutting the skin
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Removal of loose hair from prepped areas
Pregunta 8
Pregunta
Which of the following observations are critical when doing skin antisepsis on pediatric patients?
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Take measures to prevent the loss of body heat
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The relatively small bodies of pediatric patients require smaller amounts of antimicrobial agents
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children are not sensitive to chemical agents
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the whole body must be prepped irrespective of the operative site
Pregunta 9
Pregunta
Which actions should be perioperative nurse take in prepping an extremity when a tourniquet is used?
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Drape the tourniquet with a cloth towel to keep solution from going under the tourniquet
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Start prepping at the level of the tourniquet
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Start the prep at the incision site and extend both distally and proximally to include the entire extremity
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use an assistive device to support the extremity during the prep
-
use an impervious drape to protect the tourniquet
Pregunta 10
Pregunta
Which of the following statements are true about iodophor paints and iodophor scrubs?
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A paint has a detergent additive, a scrub does not
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a scrub has a detergent additive a paint does not
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a scrub is followed by a paint in a two-step prep
-
a pain is following by a scrub in a two-step prep
Pregunta 11
Pregunta
Perioperative nursing documentation of the skin prep procedure should include which of the following components?
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Antiseptic agent used
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area prepped
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hair removal if needed
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name of person holding the limb if applicable
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name of the person performing the prep
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placement of blotting towels
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preoperative assessment of the skin at operative site.
Pregunta 12
Pregunta
Components of the electrosurgical circuit include:
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Active electrode, dispersive electrode, generator
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dispersive electrode, fiber, generator
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active electrode, dispersive electrode, generator, scratch pad
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dispersive electrode, fiber, generator, key.
Pregunta 13
Pregunta
To reduce the possibility of an injury or burn, which of the following most accurately describes where the perioperative RN should place the dispersive electrode?
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As far from the operative site as feasible
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directly on the operative site
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as close to the operative site as possible
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anywhere it will be easy to access
Pregunta 14
Pregunta
Which statement best describes the path for bipolar surgical current?
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Current leaves the generator, is applied to tissue using a pencil device, is collected in the dispersive pad, and returns to the generator
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Current leaves the generator, is applied to tissue using a pencil device and returns to the generator
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Current leaves the generator is applied to tissue using a two-poled instrument and returns to the generator
Pregunta 15
Pregunta
If the surgeon continuously asks for higher power settings, what is the first action that the perioperative RN should take?
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Get another ESU unit immediately
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Check the circuitry for possible disruption
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Switch to a bipolar generator and electrode
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Change the active electrode and dispersive electrode
Pregunta 16
Pregunta
Alternate pathway burns can occur because of improper placement of the dispersive electrode. The dispersive electrode should not be applied on which of the following
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Hairy skin surfaces
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Burn tissue
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Tattoo sites
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Well-perfused muscle
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Areas proximal to tourniquet application
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Bony prominences
Pregunta 17
Pregunta
When using argon-enhanced coagulation (AEC) there is a risk of
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electrosurgical injuries
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carbon dioxide purge
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gas emboli
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decreased insufflator pressure
Pregunta 18
Pregunta
The term local exhaust ventilation (LEV) is used to describe the process of evacuation smoke from the surgical site. Which of the following are considered LEV?
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Central suction system with 0.1 micrometer in-line filter
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Central suction system with HEPA in-line filter
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High filtration surgical masks
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N95 respirators
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Smoke evacuator unit
Pregunta 19
Pregunta
Which precautions should be taken for a patient who has an implantable electronic device (IED)?
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All team members should be informed about the IED
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Insist that the surgeon use bipolar current instead of monopolar current
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There should be continuous EKG monitoring
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The active and dispersive electrode should be located as close together as possible.
Pregunta 20
Pregunta
According to the AORN Guideline for Safe Use of Energy-Generating Devices, which of the following are recommended components of documentation when using an ESU?
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ESU brand name
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Name of the person applying the dispersive pad
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patient's skin condition after removing the dispersive pad
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patient's skin condition before applying the dispersive pad
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serial number or biomedical number of the ESU
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use of a safety holster
Pregunta 21
Pregunta
During laparoscopic surgery, perioperative RNs can reduce the chances of capacitive-coupling injuries by:
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using a combination of insulated and noninsulated instruments
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using coagulation waveform and a high setting
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using metal and plastic cannulas together
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using the lowest power setting and the low-voltage cutting waveform
Pregunta 22
Pregunta
The purposes of performing a surgical hand scrub include
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To accomplish personal hygiene
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to kill the microorganisms
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to reduce the resident microbial count to a minimum
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to inhibit rapid rebound growth of microorganisms
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to remove soil, debris and transient organisms
Pregunta 23
Pregunta
After the surgical hand scrub, the scrub person should keep the fingers pointed in which direction to allow water to drip off away from the attire?
Respuesta
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downwards
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upwards
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straight
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curled towards the palm
Pregunta 24
Pregunta
3. What actions can the RN circulator take to assist the scrub personnel during gowning?
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touch only the ties, Velcro, or snaps to secure the back of the gown at the neck and the waist
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Don the sterile gloves before fastening the gown to prevent contamination from the gown flaps
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Grasp the tie 4 to 6 inches from the tag and pull
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Adjust the gown by grasping the bottom edge and pulling down to eliminate any blousing
Pregunta 25
Pregunta
Because skin is a major source of contamination in the surgical environment, which of the following statements is true?
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hand hygiene is only necessary before providing care to a patient
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hand hygiene should be considered effective only if you are using an antimicrobial solution
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hand lotions with petroleum as an ingredient are acceptable for use with gloves
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health care personnel who have cuts on their hands should not provide direct patient care.
Pregunta 26
Pregunta
You have just finished a surgical procedure and are removing your gown and gloves. place steps in order:
1. [blank_start]wash hands with soap and water[blank_end]
2. [blank_start]remove and discard the gloves using[blank_end] a glove-to-glove and skin-to-skin technique
3. pull the gown [blank_start]downward[blank_end] from the shoulders and off the arms
4. [blank_start]fold the contaminated side of gown[blank_end] to the inside, roll it up, and discard it.
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wash hands with soap and water
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remove and discard the gloves using
-
downward
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fold the contaminated side of gown
Pregunta 27
Pregunta
Which of the following statements are correct?
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the closed glove method is used for subsequent gloving
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the open glove method is used for the initial donning of sterile gown and gloves
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the open method is used for subsequent gloving
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the open glove method is used while performing sterile procedures when a gown is not worn.
Pregunta 28
Pregunta
The surgical hand scrub controls resident microorganisms by:
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the mechanical action of scrubbing
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the chemical action of microbial agents used
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the temperature of the water combined with chemical action
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none of the above
Pregunta 29
Pregunta
Which of the following statements are true in relation to scrubbing for the first procedure of the day:
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clean under your fingernails using a brush
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consider your hands and arms as two dimensional to ensure covering all aspects
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First, wash your hands under running water with soap
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Use an approved antimicrobial scrub agent on wet hands and arms
Pregunta 30
Pregunta
Where should the scrub persons sterile gown be opened?
Respuesta
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as far away from the instrument tray as possible
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in the back corner of the instrument table
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on a separate mayo stand
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on top of the gloves for the scrub person
Pregunta 31
Pregunta
Correct surgical attire for the restricted areas include:
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facility identification on a lanyard
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head covering that covers all hair
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long-sleeved jacket with the sleeves pushed up
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scrub top tucked into scrub pants and a warm up jacket
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a lab coat when leaving the department
Pregunta 32
Pregunta
To ensure proper handling of surgical specimens, which unique identifiers are most important for the perioperative nurse to use to verify the patient's identity before the patient enters the OR?
Respuesta
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Lab test to be performed
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Patient's MRN
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Patient's medical diagnosis
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Spelling of the patient's name
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Surgeon's name
Pregunta 33
Pregunta
Which of following are recommended guidelines for preserving a bullet collected as forensic evidence
Respuesta
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Do not drop bullet into metal basin or bowl
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Rinse the bullet with saline or water if requested by local authorites
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Handle as little as possible
-
Remove the specimen with hard steel forceps
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Wrap the bullet in cotton or tissue paper and mark the specimen
Pregunta 34
Pregunta
What is the rationale for wearing gloves when handling or transporting surgical specimens?
Respuesta
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to avoid exposure to biohazardous substances
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to avoid imprints on the specimen
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to prevent contamination of the specimen
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to prevent misdiagnosis
Pregunta 35
Pregunta
Biopsies that require specialized methods of preparation and preservation to preserve the cells include:
Respuesta
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bone marrow
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muscle
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nerves
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testicular
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tendon
Pregunta 36
Pregunta
Proper handling of an explant removed because of an apparent defect or failure includes
Respuesta
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copmleting a risk management report
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decontamination and sterilization before transport to the pathology lab
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documentation of the serial number in the medical record and on the pathology requisition
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placing the explant in a container with a formalin for transport to the pathology lab.
Pregunta 37
Pregunta
Which of the following actions should the scrub person perform for most specimens after receiving them from the surgeon?
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Hand it off the field to the RN circulator on a radiopaque sponge
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Keep it in a sterile basin until it can be passed to the RN circulator
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Keep it moist with saline
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Use a sponge to remove a very small specimen from a foreceps
Pregunta 38
Pregunta
Surgical tissue banking is:
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The retrieval, processing, preserving and storing of selected human tissue for later transplantation back into the patient into another patient
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The retrieval and storing of selected human tissue for later transplantation into another patient
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The preserving and storing of selected human tissue for later transplantation back into the patient or into another patient.
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The retrieval, preserving and storing of human tissue for later transplantation back into the patient
Pregunta 39
Pregunta
Which pathology specimens require fresh preparation and the use of sterile container?
Respuesta
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Breast tissue for hormonal assay
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Bullets
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cerebral spinal fluid
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semen for infertility studies
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undergarments
Pregunta 40
Pregunta
The [blank_start]x[blank_end] communicates identifying characteristics to the scrub person and the circulator.
The [blank_start]x[blank_end] is concerned with diagnosis, speed of recovery, psychosocial concerns.
The [blank_start]x[blank_end] is sensitive to the scrub person's needs and to actions that facilitate accurate specimen management.
The [blank_start]x[blank_end] ensures accurate identification of the specimen by having a sterile marking pen to write location and type of tissue
Respuesta
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surgeon
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patient
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Circulator
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scrub person
Pregunta 41
Pregunta
Which of the following forensic specimens should be placed in a paper envelope, labeled and sealed?
Respuesta
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gastric contents
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finger nails
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pellets
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carpet remains
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knives
Pregunta 42
Pregunta
In which surgical wound category should a total abdominal hysterectomy be classified?
Respuesta
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clean
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clean contaminated
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contaminated
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dirty
Pregunta 43
Pregunta
[blank_start]X[blank_end] is the use of physical or chemical means to remove, inactivate, or destroy blood-borne or other pathogens on a surface or item.
[blank_start]X[blank_end] is the process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms.
[blank_start]x[blank_end] is a process that destroys all microorganisms (vegetative forms of bacteria, all fungi, all viruses) with the exception of high numbers of bacterial spores.
[blank_start]X[blank_end] is a chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects.
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Decontamination
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sterilization
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High level disinfection
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Disinfection
Pregunta 44
Pregunta
Immediate use steam sterilization can be used:
Respuesta
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for implants
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in urgent situations
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under no circumstances
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for all items
Pregunta 45
Pregunta
A packaging system for items undergoing sterilization should possess which of the following characteristics?
Respuesta
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Compatible with all sterilization processes
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made of only disposable materials
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maintains sterility of the items for a specified amount of time
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permits aseptic delivery of contents to the sterile field.
Pregunta 46
Pregunta
Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and:
Respuesta
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proper packaging
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aeration
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chamber humidity
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pressure
Pregunta 47
Pregunta
Which of the following statements about ethylene oxide (EO) sterilization is true?
Respuesta
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EO exposure is potentially carcinogenic and mutagenic to personnel and patients.
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it cannot be used for heat-sensitive items.
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it is effective against prions.
-
items processed by EO sterilization may be used immediately
Pregunta 48
Pregunta
The use of peracetic acid on surgical items requires the following considerations:
Respuesta
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items can be stored for future use
-
items must be aerated
-
items can withstand high temperatures
-
items must be isolated for 7 days
-
items must be immersible
Pregunta 49
Pregunta
An integrator is a multiparameter indicator designed to measure which of the following parameters?
Respuesta
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Pressure, steam, temperature
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Temperature, time, presence of steam
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Pressure and sterility
Pregunta 50
Pregunta
Low temperature gas plasma hydrogen peroxide sterilization has which of the following properties?
Respuesta
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Accommodates lumened instruments
-
Exhaust monitoring is required
-
Items can be used for future use
-
No toxic residue
-
The sterilant is bactericidal, virucidal and fungucidal
-
Useful for items that are heat sensitive
Pregunta 51
Pregunta
Shelf life is related to:
Respuesta
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Exposure to external events
-
methods of sterilization
-
material
-
number of personnel who may have handled the package
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time from initial sterilization
Pregunta 52
Pregunta
When selecting drapes to create a sterile field for the patient, which of the folloiwng drape qualities are most essential to maintaining the sterile field?
Respuesta
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barrier protection
-
cost/benefit ratio
-
limitation of environmental impact
-
flexibility and flammability
Pregunta 53
Pregunta
ID the correct draping considerations
Respuesta
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Drape from a sterile area to an unsterile area by draping the nearest first
-
Start draping from the periphery to the operating site.
-
Ensure that surgical drapes are applied after prepping solutions have dried.
-
After a drape is placed, it can be moved if necessary.
-
When draping the opposite side, the scrubbed person should walk around the OR bed to drape.
Pregunta 54
Pregunta
What precautions should a scrub person take during the draping procedure?
Respuesta
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NEver cuff the drapes over a gloved hand
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be careful not to contaminate gown when placing drapes
-
never reach across an unsterile area to drape
-
use perforating towel clips.
Pregunta 55
Pregunta
Draping the patient involves:
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covering the patient with the sterile barrier
-
Covering the patient and the surrounding areas with a sterile barrier
-
covering the patient and the surrounding areas with sterile materials to create and maintain a barrier between nonsterile and sterile areas
-
covering the patient, the surrounding areas, and the instruments with a sterile barrier.
Pregunta 56
Pregunta
[blank_start]x[blank_end] is used as added protection above or below the surgical areas or when a fenestrated sheet cannot be used.
[blank_start]x[blank_end] is used when draping an extremity to permit the extremity to remain a part of the sterile field.
[blank_start]x[blank_end] is used to cover surgical site on abdomen and back
[blank_start]x[blank_end] is used to outline the surgical site
[blank_start]x[blank_end] is used to create a sterile field with the patient in the lithotomy position
Respuesta
-
medium sheet
-
extremity sheet
-
laparotomy sheet
-
towels
-
lithotomy sheet
Pregunta 57
Pregunta
Choose the correct statements about incise drapes:
Respuesta
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are a type of fenestrated sheet
-
are available with or without adhesive backing
-
are made up of plastic and impermeable material
-
may be used in eye or ear procedures
-
may be impregnated with iodophor
Pregunta 58
Pregunta
An [blank_start]x[blank_end] drape is used for carpal tunnel surgery
A [blank_start]x[blank_end] drape is used for vaginal hysterectomy
An [blank_start]x[blank_end] drape is used for tympanoplasty
A [blank_start]x[blank_end] drape is used for umbilical hernia repair
Respuesta
-
extremity
-
perineal
-
aperture
-
laparotomy
Pregunta 59
Pregunta
AORN recommends that the following factors be considered when selecting drape products:
Respuesta
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Amount of irrigation fluid that is anticipated
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anticipated blood loss
-
duration of procedure
-
potential for linting
-
surgeon preference
Pregunta 60
Pregunta
A designation of "4-0" on a suture package indicates the suture material's
Respuesta
-
diameter
-
elasticity
-
pliability
-
strength
Pregunta 61
Pregunta
[blank_start]x[blank_end] is the capacity of a suture to regain former shape after being reformed.
[blank_start]x[blank_end] is the ability to regain original form and length after being stretched.
[blank_start]x[blank_end] is, when knotted, the force in pounds that suture can withstand before it breaks
[blank_start]x[blank_end] is the ability to soak up fluid along a strand
Respuesta
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memory
-
elasticity
-
knot tensile strength
-
capillarity
Pregunta 62
Pregunta
Which type of staplers are used in the alimentary tract in thoracic procedures?
Respuesta
-
Linear staplers
-
Intraluminal circular staplers
-
skin staplers
-
ligating and dividing staplers
Pregunta 63
Pregunta
This suture is used for opthalmic procedures.
Respuesta
-
plain catgut
-
collagen suture
-
surgical silk
-
surgical stainless steel
Pregunta 64
Pregunta
This suture is used in the serosa of the GI tract.
Respuesta
-
surgical silk
-
surgical stainless steel
-
plain catgut
Pregunta 65
Pregunta
This suture is used in the respiratory tract, orthopedics and neurosurgery.
Respuesta
-
Surgical Silk
-
Surgical stainless steel
-
Collagen suture
-
Plain Catgut
Pregunta 66
Pregunta
used to ligate small vessels and suture subcutaneous fat
Respuesta
-
surgical silk
-
collagen suture
-
plain catgut
-
stainless steel
Pregunta 67
Pregunta
[blank_start]Trocar[blank_end] needle points are for penetrating tough tissues.
Respuesta
-
Trocar
Pregunta 68
Pregunta
The body's reaction to suture material starts [blank_start]x[blank_end].
Respuesta
-
at the time of insertion.
-
weeks after the suture insertion
-
days after the suture insertion
-
months after suture insertion
Pregunta 69
Pregunta
Which of the following are natural absorbable suture materials?
Respuesta
-
Chromic catgut
-
Polyglactin 910
-
Collagen
-
Polyglyconate
Pregunta 70
Pregunta
Select the suture material below that is synthetic absorbable suture:
Respuesta
-
surgical cotton
-
surgical silk
-
polyglycolic acid
-
linen
Pregunta 71
Pregunta
Which of the following skin closure products involve the use of liquid polymers?
Respuesta
-
skin clips
-
skin closure dressings
-
skin adhesives
-
skin closure strips
Pregunta 72
Pregunta
Select the features and benefits of using a French-eye/split-eye needle.
Respuesta
-
Can be used with any type of suture material
-
diameter of the needle should match the type of suture used.
-
Easy to thread
-
Eye has a variety of shapes
Pregunta 73
Pregunta
During which phase of wound healing does contraction occur?
Respuesta
-
Epithelialization
-
Inflammation
-
proliferation
-
Remodeling
Pregunta 74
Pregunta
Identify the proper sequence of events in the body's defense mechanism
Respuesta
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cleaning up the pathogens -> repairing deeper tissue damage -> hemostasis -> wound sealing
-
wound sealing -> cleaning up the pathogens -> repairing deeper tissue damage -> hemostasis
-
hemostasis -> cleaning up pathogens -> regeneration of epidermal covering -> repairing deeper tissue damage
-
hemostasis -> cleaning up the pathogens -> wound sealing -> regeneration of epidermal covering
Pregunta 75
Pregunta
At what point in the healing process do most wound disruptions occur?
Respuesta
-
Beginning of proliferative phase: (Phase 2) 2 to 10 days
-
End of proliferative phase: (Phase 2) 10-22 days
-
Beginning of maturation phase (Phase 3) 21 days to 6 weeks
-
End of maturation phase (Phase 3) 6 weeks to 2 years
Pregunta 76
Pregunta
Colon resection would be classified as a [blank_start]x[blank_end] wound.
Open or fresh traumatic wound would be classified as a [blank_start]x[blank_end] wound.
Ruptured appendix would be classified as a [blank_start]x[blank_end] wound.
Thyroidectomy would be classified as a [blank_start]x[blank_end] wound.
Respuesta
-
clean contaminated
-
contaminated
-
septic
-
clean
Pregunta 77
Pregunta
Prolonged high dosages of steroids preoperatively delay
Respuesta
-
hemoglobin formation
-
bile production
-
insulin production
-
collagen formation
Pregunta 78
Pregunta
The CDC's classification of Surgical Wounds system is intended to
Respuesta
-
categorize surgical wounds based on coexisting diseases and according to origin, diagnosis and treatment
-
elaborate on the CDCs principles of universal precautions by establishing guidelines for treating infections should they occur
-
suggest emergency criteria for dealing with infections inside the procedure room
-
monitor postoperative infections and suggest steps to take to reduce these infections
Pregunta 79
Pregunta
Select the intraoperative factors that negatively affect wound healing.
Respuesta
-
A surgical complication
-
Failure to eliminate dead space when closing the incision
-
Implantation of orthopedic hardware
-
surgical incisions in an areas of high mobility
-
surgical incisions in highly vascular areas
-
use of xray during the procedure
Pregunta 80
Pregunta
Match the topical hemostatic method with the appropriate method of action.
Passive - [blank_start]x[blank_end]
Flowables - [blank_start]x[blank_end]
Fibrin sealants - [blank_start]x[blank_end]
Active - [blank_start]x[blank_end]
Respuesta
-
provide a barrier
-
enhanced clotting
-
mechanically obstruct flow
-
increase amount of fibrinogen
Pregunta 81
Pregunta
Methods of producing hemostasis include which of the following?
Respuesta
-
Administering blood
-
Applying pressure
-
Using electrocautery
-
Irrigating with large amounts of sterile saline
-
Using an antiseptic solution containing alcohol
-
Using topical hemostatic agents.
Pregunta 82
Pregunta
The process of digestion of pathogens by neutrophils and macrophages is known as
Respuesta
-
Epithelialization
-
hemostasis
-
Edema formation
-
phagocytosis
-
proliferation
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