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Surgical Technology, Principles, Unit 1, Pre-Operative Routine(proctored practice)

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Surgical Technology, Principles, Unit 1, Pre-Operative Routine
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh over 4 years ago
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Resource summary

Question 1

Question
Every patient coming in for surgery needs to have which done before surgery can take place?
Answer
  • H&P;history and physical
  • H&H;hemoglobin and hematocrit
  • Both H&H and H&P
  • none

Question 2

Question
For minor surgical cases all that might need to be done is?
Answer
  • H&H;hemoglobin and hematocrit
  • H&H and complete blood count
  • none
  • just a complete blood count

Question 3

Question
Which tests most often is associated with major surgery?
Answer
  • H&H;hematocrit and homoglobin
  • H&P;history and physical
  • chemical profile and urinalysis
  • none

Question 4

Question
What is one of the most common and comprehensive blood panels available?
Answer
  • drug screen
  • blood donation stats when giving blood
  • CBC/Chemistry profile
  • none of the above

Question 5

Question
What is best known measure of protein to iron compound in blood?
Answer
  • red blood cell
  • blood oxygen ratio
  • hematocrit
  • hemoglobin

Question 6

Question
What is the protein molecule in red blood cells?
Answer
  • O2;oxygen
  • hematocrit
  • hemoglobin
  • none of the above

Question 7

Question
What is expelled as we breath?
Answer
  • oxygen
  • carbon monoxide
  • carbon dioxide
  • gasses

Question 8

Question
Normal values for hemoglobin in an average adult is?
Answer
  • 12-16
  • 12-18
  • 14-18
  • 10-18

Question 9

Question
Normal values for hemoglobin in an adult women is?
Answer
  • 12-18
  • 14-18
  • 12-16

Question 10

Question
Normal values for hemoglobin in an adult man is?
Answer
  • 14-18
  • 12-16
  • 12-18
  • none

Question 11

Question
The measurement of packed cell volume of red blood cell is known as?
Answer
  • hemoglobin
  • carbon dioxide
  • hematocrit
  • red blood cell count

Question 12

Question
The normal Hematocrit value for women is?
Answer
  • 43-49%
  • 42-49%
  • 37-43%

Question 13

Question
The normal Hematocrit value for men is?
Answer
  • 37-43%
  • 42-49%
  • 43-49%

Question 14

Question
What is best expressed as a percentage of total blood volume?
Answer
  • hemoglobin
  • RBC or Red blood cell count
  • CO2 or carbon dioxide levels
  • hematocrit

Question 15

Question
White blood cells known as WBC's which help fight infection and are apart of our immune system are also known as?
Answer
  • RBC's;red blood cells
  • neutrophils
  • leukocytes
  • monocyte

Question 16

Question
High white blood cell counts could mean?
Answer
  • their is not enough oxygen in the blood to carry WBC's
  • their is no infection present
  • their is an active infection
  • cancer is spreading

Question 17

Question
IF a patient has to high of count of this then a surgical procedure will have to wait?(pick most suitable answer)
Answer
  • monocytes
  • RBC's;red blood cells
  • WBC's;White blood cells
  • neutrophil

Question 18

Question
The normal count for White Blood Cells should be?
Answer
  • 5k-11k cells per cubic mm
  • 4k-10k cells per cubic mm
  • 5k-10k cells per cubic mm
  • 5k-12k cells per cubic mm

Question 19

Question
CBC is known as?
Answer
  • complete basic count
  • complete bacterial count
  • complete blood count

Question 20

Question
An erythrocyte is known as?
Answer
  • white blood cell
  • neutrophil
  • red blood cell
  • monocyte

Question 21

Question
Red Blood Cells do what for the body?
Answer
  • take oxygen out of the air
  • part of immune system to heal infection
  • transport oxygen
  • transport carbon dioxide

Question 22

Question
A Red Blood Cell count as part of a CBC test can help diagnose and monitor which diseases?
Answer
  • kidney disease
  • bleeding problems
  • polycythemia
  • all of the above

Question 23

Question
Normal RBC count for women is?
Answer
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.1-4.8 million per mm

Question 24

Question
Normal RBC count for men is?
Answer
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.2-4.9 million per mm

Question 25

Question
Among the many functions of this value in the body are regulation of the heartbeat and function of the muscles?
Answer
  • red blood cell count
  • white blood cell count
  • hematocrit
  • potassium

Question 26

Question
Normal values of patassium are?
Answer
  • 3.5-5.0 meq/l
  • 3.4-5.0 meq/l
  • 2.5-5.0 meq/l

Question 27

Question
Normal sodium values should fall in this area?
Answer
  • 125-145 meq/l
  • 130-145 meq/l
  • 135-145 meq/l

Question 28

Question
What is the cheif electrolyte in interstitial fluid and regulated the total amount of water in the body?
Answer
  • red blood cells
  • hemoglobin
  • sodium
  • potassium

Question 29

Question
BUN stands for?
Answer
  • blood urine nitrogen
  • blood urea nitris
  • blood urea nitrogen

Question 30

Question
Increased BUN levels suggest?
Answer
  • to much urine in the body
  • impaired blood flow
  • impaired kidney function

Question 31

Question
Low BUN levels are ?
Answer
  • cause of infection and concern
  • cause of to much urine in body
  • cause of to little water in body
  • usually not a cause of concern

Question 32

Question
what is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine?
Answer
  • creatine
  • carbon dioxide
  • creatinine
  • urine

Question 33

Question
What is examined for color, specific gravity and pH?
Answer
  • urinalysis
  • hemoglobin test
  • blood cell test

Question 34

Question
Normal pH ranges of urine should be?
Answer
  • 4.6-8.0
  • 3.6-8.0
  • 2.6-8.0

Question 35

Question
The ratio of the density of a substance to the density of another substance?
Answer
  • pH of urine
  • specific gravity
  • urinalysis

Question 36

Question
This organ plays an important part of maintaining pH levels of the body?
Answer
  • liver
  • gallbladder
  • kidney
  • ureters

Question 37

Question
Preadmission Procedures may include?
Answer
  • blood may be typed and cross matched
  • chest x-ray
  • EKG
  • all of the above

Question 38

Question
Written Instructions, Preoperative Teaching, Informed Consent and Anesthesia Visit are part of what?
Answer
  • post operative procedure
  • intraoperative procedure
  • preoperative procedure
  • preadmission procedure

Question 39

Question
Blood type and cross match, chest xrays, EKG and Diagnostic procedures are apart of what?
Answer
  • preoperative procedure
  • intraoperative procedure
  • postoperative procedure
  • preadmission procedure

Question 40

Question
Which written instructions should patients follow before surgery?
Answer
  • No food or fluids 8 hours before surgery
  • medications should be decided by attending physician
  • instructions of hospital
  • attending nurse
  • all jewelry needs to be removed

Question 41

Question
Check what is discussed during Preoperative Teaching.
Answer
  • What instruments will be used during procedure
  • what to expect in the recovery room
  • importance of managing pain
  • any complications to expect
  • health insurance to ensure adequate post care

Question 42

Question
An Informed Consent should answer which of the following questions?
Answer
  • what is planned for the patient for the procedure?
  • why do you want to do this procedure?
  • What things do I have to worry about?
  • what things do I not have to worry about?
  • are their any other alternatives to this plan?

Question 43

Question
Check which exceptions are allowed for Informed Consent,
Answer
  • managing nurse
  • head surgeon
  • a great surgical technician who knows their damn stuff
  • hospital administrator
  • the courts

Question 44

Question
Check what is covered during the preoperative anesthesia assessment visit?
Answer
  • History and physical
  • expectations with anesthedia
  • patients health insurance provider
  • type of anesthesia

Question 45

Question
Check what the patient must do before leaving for the O.R..
Answer
  • don clean hospital gown
  • remove prosthetics, dentures, jewelry
  • put on surgical cap for hair
  • clean feet and hands with antimicrobial soap
  • relax for 15 minutes in upright position
  • have ted hoes put on if needed for venous stasis

Question 46

Question
Antibiotics are administered how man hours before procedure?
Answer
  • 2 hours
  • 1 and half hours
  • 1 hour
  • 50 minuites

Question 47

Question
Before Patient leaves for the O.R. which things are done?
Answer
  • Preoperative medication administered
  • History and Physical dictated
  • Lab tests done and placed in chat all with in normal range
  • all of the above

Question 48

Question
Preanesthesia may refer to?
Answer
  • anesthesia visit
  • anesthesia check list
  • preoperative holding room

Question 49

Question
Check what may happen in preoperative holding room?
Answer
  • nurse identifies patient
  • Surgeon may visit patient
  • nurse verifies surgeon
  • vital signs are taken
  • patient is cleaned
  • patient is given the final checklist to be signed

Question 50

Question
Preoperative visit by the Circulating Nurse will perform what before the procedure?
Answer
  • asses anxiety levels
  • check to see all the doctors orders have been done
  • make sure surgical check list has been completed
  • all of the above

Question 51

Question
The patient can never walk to the O.R. in the United States as its against HIPPA for a procedure to be performed?
Answer
  • True
  • False

Question 52

Question
check whats involved with the identification process of the patient before being led into the O.R.?
Answer
  • Ask the patient their name
  • check response of patients name with wristband on patient and the patient information on the chart
  • ask the patient if they have health insurance
  • ask the patient who to call if their is an emergency in the O.R.
  • check what procedure is being performed; operative site, side, and surgical approach

Question 53

Question
The nurse will check patients name, hospital number, DOB, and Physicians name before patient is taken to the O.R.
Answer
  • True
  • False

Question 54

Question
Correct Site Surgery entails what before surgery begins?
Answer
  • Pre-operative verification process
  • marking the surgical site (drs initials)
  • time out performed
  • clinical documentation
  • all of the above

Question 55

Question
Time out consists of what steps?
Answer
  • Patients name and birth date are confirmed
  • procedure to be performed
  • operative site and side
  • all of the above

Question 56

Question
Radiography is?
Answer
  • process of obtaining image for diagnosis using soundwaves
  • process of obtaining image for symptoms using radiological modality
  • process of obtaining image for diagnosis using radiological modality

Question 57

Question
A radiographic imaging of the breast to screen for breast cancer is known as [blank_start]mammography[blank_end].
Answer
  • mammography

Question 58

Question
Radiography of the spinal cord and associated nerves after intrathecal injection of a contrast media is known as [blank_start]myelography[blank_end]
Answer
  • myelography

Question 59

Question
Examination of the body using x-ray in motion captured on a fluorescent screen is known as [blank_start]fluoroscopy[blank_end].
Answer
  • fluoroscopy

Question 60

Question
A diagnostic radiograhy of the heat and blood vessels using contrast media is known as [blank_start]angiography[blank_end].
Answer
  • angiography

Question 61

Question
Injection of a contrast medium into a blood vessel to visualize coronary artery occlusions with the use of fluoroscopy is known as?
Answer
  • contrast media injection
  • cardiocathy
  • cardiac catheterization
  • cardiacscopic

Question 62

Question
[blank_start]cholangiography[blank_end] is radiography of the bile ducts using contrast media.
Answer
  • cholangiography

Question 63

Question
A [blank_start]ctscan[blank_end] is an x-ray emitted from a specialized tube that rotates around the patients body producing images of the body parts in slices for detailed evaluation of internal dynamic procedures. P.S. (PLEASE DONE USE ANY SPACES or DASHES IN ANY FILL IN THE BLANK ANSWERS)
Answer
  • ctscan

Question 64

Question
Positron emission tomography or PET scan is defined as?
Answer
  • Combination of nuclear medicine and computed tomography to diagnose or asses new or current pathology.
  • Combination of photos and computed tomography to diagnose or asses new or current pathology.
  • Combination of science and computed tomography to diagnose or asses new or current pathology.

Question 65

Question
A type of diagnostic radiography that uses the characteristic behavior of protons when place in a powerful magnetic field to make images of soft tissue of the body is known as?
Answer
  • CT Scan
  • PET SCAN
  • MRI

Question 66

Question
[blank_start]ultrasonography[blank_end] is the use of ultrasound to produce an image or photograph of an organ or tissue
Answer
  • ultrasonography

Question 67

Question
[blank_start]Echocardiography[blank_end] is an non-invasive test that evaluates both the structure and function of the heart by transmuting sound waves to the heart and measuring those sound eaves reflecting back to the transducer.
Answer
  • Echocardiography

Question 68

Question
The Doppler Ultrasonography permits the measuring of the velocity of that which is studied.
Answer
  • True
  • False

Question 69

Question
Isotope scanning involved the injection of radioactive particles into the patient prior to the imaging study.
Answer
  • True
  • False

Question 70

Question
Radioation therapy is used to kill cancer cells with a predetermined dose or by direct tissue contact with an implantable source.
Answer
  • True
  • False

Question 71

Question
Labatory reports are done on urine and or blood to asses the physiologic condition of a patient.
Answer
  • True
  • False

Question 72

Question
The analysis of urine for diagnostic purpose is called?
Answer
  • urine test
  • urinalysis
  • urea test

Question 73

Question
Tissue specimens are taken from patient to determine?
Answer
  • molecular structure of disease or pathology
  • diagnosing DNA problems
  • diagnosing diseases of assessing pathology

Question 74

Question
[blank_start]thoracocentesis[blank_end] is a method of inserting a needle through the chest wall into the plural space to obtain fluid for diagnostic purpose.
Answer
  • thoracocentesis

Question 75

Question
what is a method of staining bacteria which is important in identifying the type?
Answer
  • red blood cell stain
  • white blood cell stain
  • gram stain

Question 76

Question
Electrocardiography is a record of the electrical conductivity of the heat.
Answer
  • True
  • False

Question 77

Question
Electroencephalography is a record of the electrical activity of the brain.
Answer
  • True
  • False

Question 78

Question
electromyography is a graphic record the muscle activity.
Answer
  • True
  • False

Question 79

Question
Spirometry is a measurement of the airflow and lung volume.
Answer
  • True
  • False

Question 80

Question
Capnography is a measurement of the end-tidal concentration of carbon dioxide.
Answer
  • True
  • False

Question 81

Question
Pulse oximetry is a measurement of the arterial oxyhemoglobin saturation,
Answer
  • True
  • False

Question 82

Question
[blank_start]endoscopy[blank_end] is the diagnostic procedure to view organs of a body cavity with the use of a telescope.
Answer
  • endoscopy

Question 83

Question
plethysmography is a record of the changes in the volume of an organ or extremity.
Answer
  • True
  • False

Question 84

Question
What is the designated room or area where patients are taken prior to going to the operating room?
Answer
  • a.m. admissions room
  • preanesthesia or preoperative holding room
  • ambulatory surgery room
  • P.A.C.U. room (post anesthesia care unit)

Question 85

Question
N.P.O. means:?
Answer
  • nothing per os except water during the preoperative period
  • nothing per os four hours before surgery
  • nothing per os 8 to12 hours before surgery
  • nothing per os one day (24 hours) before surgery

Question 86

Question
What procedure listed below would or could be part of the preadmission process for a patient less than forty years of age, in good health and is a nonsmoker?
Answer
  • preoperative medication given for sedation
  • intravenous injection started and IV fluids infused
  • chest x-ray taken to visualize any abnormal pathology
  • blood drawn for a chemical profile

Question 87

Question
A safety measure to remember when transporting a patient to the operating room via the stretcher is:
Answer
  • to be sure that four people are in attendance with the stretcher while it is in motion
  • to be sure to push the stretcher from the foot end while transporting the patient
  • to be sure to push the stretcher from the head end while transporting the patient
  • to open a door gently with the foot end of the stretcher as long as the patient’s feet are not hanging over the end

Question 88

Question
What blood tests are important to have completed before the patient is brought to surgery if they are having a major surgical procedure performed?
Answer
  • complete blood chemical profile
  • hemoglobin, hematocrit
  • RBC\WBC
  • hemoglobin, RBC

Question 89

Question
What health care provider is mainly responsible for the preoperative teaching when the patient arrives to the hospital the morning of surgery?
Answer
  • circulating nurse
  • surgical technologist
  • floor or unit floor nurse
  • nurse aid or CSM

Question 90

Question
Who can sign an informed consent?
Answer
  • an emancipated minor
  • spouse of a conscious, competent adult
  • a mentally incompetent adult
  • a minor

Question 91

Question
A witness of an informed consent must look for specific information before signing. Which of the following information is NOT important to look for before signing?
Answer
  • mental state of signatory
  • patient apprehension about surgery
  • voluntary signature without coercion
  • identification of the patient or legal substitute

Question 92

Question
An electrocardiogram is important for a patient to have before surgery:
Answer
  • as part of routine preoperative process
  • if the patient is less than forty years of age
  • if the patient is more than forty years of age and/or has a history of heart problems

Question 93

Question
Patient is told about what will happen to them during surgery and the importance of not eating or drinking anything prior surgery
Answer
  • preoperative teaching
  • history and physcial
  • urine analysis

Question 94

Question
This test measures specific gravity, pH, and color
Answer
  • urine analysis
  • enema

Question 95

Question
An important part of the preadmission procedure where the patient’s past experiences and body systems are assessed
Answer
  • history and physical
  • urine analysis

Question 96

Question
This procedure is done the night before surgery by the patient, or the floor nurse if the patient is admitted the night before
Answer
  • enema
  • history and physical

Question 97

Question
All jewelry is removed and put in safe keeping during this phase
Answer
  • before leaving the O.R.
  • preoperative teaching

Question 98

Question
This test is the measure of packed cell volume of red blood cells.
Answer
  • hematocrit
  • urine analysis

Question 99

Question
Normal values for this lab test is 12-16 g/dl
Answer
  • hemoglobin/women
  • hemoglobin/men

Question 100

Question
This test measures the amount of protein-iron compound in blood & oxygen factor in blood
Answer
  • hemoglobin
  • hematocrit

Question 101

Question
Normal values of this test is 5,000-10,000 cells per mm3
Answer
  • WBC(white blood cells)
  • red blood cells

Question 102

Question
Used to evaluate the spine for patients with neck, back or leg pain by injecting contract media & using x-ray
Answer
  • myelography
  • fluroscopy

Question 103

Question
This procedure utilizes x-ray to project images of body structures onto a monitor - Image can be view in motion (moving x-ray)
Answer
  • fluoroscopy
  • ultrasonography

Question 104

Question
This diagnostic procedure utilizes high-frequency sound waves that are directed into the body & reflected from the tissue to a recording device
Answer
  • ultrasonography
  • angiography

Question 105

Question
A preliminary diagnostic technique that visualizes vessels of the body using contrast media & x-ray
Answer
  • angiography
  • fluorscopy

Question 106

Question
Diagnostic testing is performed on tissue or fluid extracted from the patient that may be suspected of being infected - Sometimes called culture & sensitivity
Answer
  • bacteriologic test
  • isotope scanning

Question 107

Question
Involves the injection of radioactive particles into the patient prior to the imaging study - Done to study the function of certain diseased organs
Answer
  • isotope scanning
  • bacteriologic test

Question 108

Question
Uses two different forms of energy to create an image- most common is working with the magnetic field and how it reacts to different tissue densities
Answer
  • MRI
  • ct-scan

Question 109

Question
A display and recording of the electrical activity of the brain by measurement of changes in electrical potentials
Answer
  • electroenceohalogrphy
  • mri

Question 110

Question
Monitor measures blood flow that transmits the sound of moving red blood cells to a transducer - Reflected sound can be amplified
Answer
  • doppler ultrasonography
  • mri

Question 111

Question
X-rays used to view internals structures for diagnostic purposes
Answer
  • radiography
  • ct scan

Question 112

Question
A specialized x-ray machine that produces images of body parts in “slices” for evaluation
Answer
  • cat scan
  • ct scan

Question 113

Question
Device that measures arterial saturation of hemoglobin with oxygen by passing a light through the tissue - Device is usually placed on the index finger of the patient
Answer
  • echocardiograpy
  • mri

Question 114

Question
What may be administered to the patient to help calm and relax the patient prior to being transported to surgery.
Answer
  • sedative
  • vaso constrictor

Question 115

Question
What drug is administered to the patient preoperatively, intraoperatively, and postoperatively as a prophylactic measure?
Answer
  • antibiotics
  • vaso constrictor

Question 116

Question
What does NPO stand for?
Answer
  • nothing per os/nothing by mouth
  • nothing injected

Question 117

Question
What has to be dictated and/or typed and placed in the chart before surgery can start in some hospitals?
Answer
  • history and physical
  • patient family members
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