Download Surgical Procedures and Infection Control: Multiple Choice Questions and more Exams Nursing in PDF only on Docsity!
1 g/
- There g are g three g types g of g wound g healing. g Choose g the g option g that g describ es g secondary g intention. A. The g wound g is g approximated g with g no g wound g separation. B. The g wound g is g cleaned, g debriefed g and g packed. C. The g wound g is g vascularized. D. Delayed g healing g may g result g in g weak g tissue g approximation g and g hernia tion g Ans>> gD.g Delayedghealinggmaygresultgingweakgtissuegapproximationgandgherniatio n
- An g example g of g a g simple g drain g i s g Ans>> gPenrosegdrain
- Which g statement g is g an g accurate g description g of g negative g pressure g wo und g therapy? A. Applies g constant, g positive g wound g pressure. B. Promotes g wound g contracture.
AORN PERIOP 101 FINAL EXAM
Questions and Answers (Verified Revised Full
Exam)
2 g/ C. Increases g bacterial g loads. D. Encourages g edema. Ans>> g B.gPromotesg woundg contracture.
- Which g description g of g an g additional g skin g closure g options g is g applicable g to g a g zipp er g closure? A. Limited g to g use g on g superficial g wounds. B. Easier g to g remove g than g sutures. C. Distributes g skin-stretching g forces g over g a g side g surface g area. D. A g stand g alone g skin g approximation g method g or g used g in g conjunction g with g a g sutu re g closure. Ans>> gC.gDistributesgskin-stretchinggforcesgovergagsidegsurfacegarea.
- 1. g Which g option g describes g an g interrupted g suture? A. A g single g stitch g that g is g tied g independently. B. A g suture g that g encircles g the g wound. C. A g heavy g suture g that g reinforces g the g primary g suture g line. D. A g suture g placed g in g an g epidural g layer. Ans>> gA.gAgsinglegstitchgthatgisgtiedgindependently.
- 1. g Which g statement g about g a g patient g who g requires g airborne g precautions g is g TRUE?
4 g/ B. Personnel g working g in g restricted g and g semi- restricted g areas g should g apply g lip g balm g to g avoid g cracked g lips. C. Personnel g should g wash g their g hands g with g soap g after g direct g contact g with g blo od, g bodily g fluids g or g other g potentially g infectious g materials. D. Education g on g occupational g exposure g should g be g provided g to g healthca re g personnel g ever g 2 g years. Ans>> gC.gPersonnelgshouldgwashgtheirghandsgwithgsoapgafterg directgcontactgwithgblood,gbodilygfluidsg orgothergpotentiallyginfectiousgmaterials.
- Choose g the g option g that g describes g the g personal g protective g equipment g (PPE) g necessary g for g healthcare g personnel g transporting g a g patient g that g requires g con- g tact g precautions A. PPE g is g required g for g all g team g members g for g each g patient g transport. B. PPE g is g not g required g for g patient g transport. C. PPE g is g required g for g all g team g members g when g patient g transport g is g necessary. D. PPE g is g required g for g designated g team g member g when g direct g contact g is g neces- g sary. g Ans>> gB.gPPEgisgnotgrequiredgforgpatientgtransport.
- 1. g Choose g the g term g that g describes g the g amount g of g the g virus g that g is g found g in g t he g individual's g blood. A. Viral g shedding. B. Viral g load. C. Viral g replication .
5 g/ Viral g transmission
7 g/ C. Level g 3 D. Level g 4 Ans>> gD.gLevelg 4
- 1. g Which g of g the g following g statements g regarding g surgical g attire g is g COR- g RECT? A. Personnel g don g a g head g covering g before g entering g unrestricted g areas. B. Masks g are g required g in g semi-restricted g areas. C. Personnel g remove g all g hand g and g wrist g jewelry g before g preforming g hand g hy- g giene. D. Beard g covers g are g only g required g in g restricted g areas. Ans>> gC.gPersonnelgremovegallg handgandgwristgjewelrygbeforegpreformingghandghygiene.
- 1. g Which g of g the g following g statements g regarding g hand g hygiene g is g INCOR- g RECT? A. Fingernails g should g be g kept g short g and g clean. B. Personnel g should g follow g the g facility's g policy g and g procedure g regarding g the g us e g of g nail g polish. C. Hand g hygiene g is g the g single g most g effective g infection g prevention g action. D. Personnel g should g use g personal g hand g lotion g to g maintain g their g skin g integrity.- Ans>> gD.gPersonnelgshouldgusegpersonalghandglotiongtogmaintaingtheirgskingintegrity.
- 1. g Knowing g instrument g names g helps g with A. The g count g process B. Predicting g the g next g steps g of g the g operative g procedure. C. Increasing g time g in g the g OR.
8 g/ D. None g of g the g above. g **Ans>
** gA.gThegcountgprocess
- Instruments g are g inspected g at g multiple g points g of g use g during g the g steriliza tion g process. g Which g step g is g the g preventative g measure? A. Point g of g use g lubrication g of g a g requested g instrument. B. Scheduled g inspection g of g instrument g sets. C. Use g of g a g cracked g insulated g instrument g on g an g emergency g surgery. D. Use g of g a g misaligned g instrument g for g grasping g tough g tiss ue. g Ans>> gB.gScheduledginspectiongofginstrumentgsets.
- 1. g Which g option g describes g a g critical g patient g safety g step g that g the g scrub g nurse g t akes g prior g to g laparoscopic g surgery? A. Checks g the g surface g of g the g insulated g instruments g for g tears g and g cracks. B. Identifies g laparoscopic g instruments g by g looking g at g the g instrument g tips. C. Measure g the g width g of g laparoscopic g instruments. D. Determines g the g length g of g each g trocar. Ans>> gA.gChecksgthegsurfacegofgtheginsulatedg instrumentsgforgtearsgandgcracks.
- 1. g Which g of g the g following g options g concerning g minimally g invasive g surgery g tha t g is g performed g via g a g robot g is g NOT g correct?
10 g/ D. Wipe g the g area g with g an g alcohol g wip e. g Ans>> gC.gDongsterileggowngandgglove s.
- 1. g Which g statement g about g draping g the g sterile g field g is g INCORRECT? A. Scrubbed g personnel g remove g and g replace g their g gloves g after g draping. B.There g is g an g increased g risk g for g contamination g of g the g sterile g personnel's g gown g and g gloves g when g dropping g the g sterile g field. C. The g unscrubbed g team g member g last g apply g the g sterile g drapes g to g create g a g ste rile g field. D. The g draping g process g is g carefully g monitored g by g all g team g members. Ans>> gC.gTheg unscrubbedgteamgmemberglastgapplygthegsterilegdrapesgtogcreategagsterilegfield.
- 1. g The g purpose g of g the g surgical g drape g is g to A. Reduce g the g risk g of g hospital g acquired g infections. B. Cover g furniture g for g use g by g non-sterile g personnel. C. Allow g the g passage g microbes g between g unsterile g and g sterile g areas. D. Provide g a g two g sided g sterile g barrier. Ans>> gA.gReducegthegriskgofghospitalgacquiredg infections.
- 1. g Which g of g the g following g is g a g traffic g rule g that g the g scrub g person g shou ld g observe? A. Turn g their g back g to g the g sterile g field g to g get g an g instrument.
11 g B. Maintain g a g distance g from g the g sterile g field. C. Cross g arms g and g put g their g hands g in g their g axilla g to g keep g sterile. D. Change g position g with g another g scrub g person g either g face-to- face g or g back-to-back. Ans>> gD.gChangegpositiongwithganothergscrubgpersongeithergface-to-facegorg back-to-back.
- 1. g A g principle g of g covering g or g uncovering g a g sterile g field g includes A. Covering g multiple g sterile g fields g to g allow g for g quick g turnovers. B. Covering g a g portion g of g the g sterile g field g until g needed. C. Covering g a g sterile g field g with g one g uncuffed g drape. D. Remove g a g cover g by g lifting g drape g from g below g the g sterile g fiel d. g Ans>> gB.gCoveringgagportiongofgthegsterilegfieldguntilgneeded.
- 1. g A g factor g that g would g negatively g affect g the g sterility g of g an g instrument g is A. Regulated g humidity g and g temperature. B. Use g of g approved g packaging g materials. C. Exposed g to g moisture. D. Transported g out g of g the g surgical g suite g with g a g protective g cov er. g Ans>> gC.gExposedgtogmoisture.
- 1. g When g opening g a g blue g wrapped g item, g the g nurse g should A. Inspect g the g wrap g integrity g for g holes g and g tears. B. Open g the g top g flap g toward g their g body. C. Allow g side g flaps g to g hang g loose. D. Open g the g last g flap g toward g the g scrub g person. g Ans>> gA.gInspectgthegwrapgintegritygforg holesgandgtears.
13 g A. The g neck g to g below g the g natural g waist. B. The g chest g to g the g level g of g the g sterile g field. C. The g shoulder g to g the g proximal g edge g of g the g cuff. D. 2 g inches g above g the g elbow g to g the g distal g edge g of g the g cuf f. g Ans>> gB.gThegchestgtogtheglevelgofgthegsterilegfield.
- 1. g Instrument g sets g MUST g not g weigh g more g tha n g Ans>> g25lbs
- 1. g Choose g the g option g that g does g NOT g accurately g depict g concepts g of g imme- g diate g use g steam g sterilization g (IUSS). A. An g instrument g for g IUSS g should g be g cleaned g in g the g scrub g sink. B. A g rigid g enclosed g container g is g used g for g IUSS g cycle. C. A g biological g indicator g is g run g with g an g implant g load. D. Items g are g not g stored g for g future g procedures. Ans>> gA.gAnginstrumentgforgIUSSgshouldg begcleanedgingthegscrubgsink.
- 1. g Which g is g an g accurate g statement g regarding g shelf-life? A. A g shelf-life g is g event g related.
14 g B. Shelf-life g is g time g related. C. Shelf-life g is g not g affected g by g handling. D. Shelf- life g is g not g affected g by g storage g temperature. g **Ans>
** gA.gAgshelf-lifegisgeventg related.
- 1. g Which g statement g related g to g biological g indicators g (BI) g testing g is g true? A. An g unprocessed g BI g vial g should g produce g a g positive g test g after g incubation. B. Both g BI g vials g are g placed g in g the g sterilizer g together. C. A g sterilizer g quality g test g is g performed g at g least g every g six g months. D. Any g BI g type g can g be g used g for g any g sterilization g method. Ans>> gA.gAngunprocessedgBIg vialgshouldgproducegagpositivegtestgaftergincubation.
- 1. g Why g is g water g temperature g an g important g consideration g when g clean ing g instruments? A. Cool g water g makes g it g harder g to g removed g soil g from g the g instrument g cervices. B. Cool g water g prevents g blood g coagulation. C. Hot g water g makes g blood g easier g to g remove. D. Hot g water g is g the g preferred g temperature g for g manufactu res. g Ans>> gB.gCoolgwaterg preventsgbloodgcoagulation.
- 1. g Personnel g establishing g the g chain g of g custody g for g forensic g evidence g must g do g all g EXCEPT g the g following? A. Adhere g to g regulatory g requirements g for g evidence g admission g into g a g court g of g law. B. Detail g who g collected g the g specimen g and g how g it g was g handled. C. Have g accompanying g documentation g when g the g evidence g is g released g to g a g law g officer.
16 g
- 1. g Retrieval g of g bullets g and g other g metal g objects g for g forensic g study g requires A. Rinsing, g washing g and g wiping g the g item g clean g of g blood g and g other g bodily g fluids. B. Retrieving g the g item g with g a g metal g instrument. C. An g open g procedure g rather g than g endoscopic g procedure. D. Metal g instrument g tip g protective g devices . g Ans>> gD.gMetalginstrumentgtipgprotectiveg devices.
- 1. g What g action g should g be g taken g when g transferring g a g specimen g off g the g sterile g field? A. Wait g until g the g end g of g the g case g to g transfer g the g specimen g into g a g container. B. Deposit g the g specimen g into g the g smallest g container g that g can g be g closed. C. Confirm g the g type g of g test g that g is g be g requested g with g the g surgeon.
17 g D. Immerse g the g specimen g into g preservative g until g further g instruction. Ans>> gC.gConfirm thegtypegofgtestgthatgisgbegrequestedgwithgthegsurgeon.
- 1. g Which g of g the g following g is g NOT g an g appropriate g action g for g specimen g han- g dling g on g the g sterile g field? A. Cover g the g specimen g or g place g in g a g sterile g specimen g container. B. Label g the g covered g or g contained g specimen. C. Ensure g that g the g specimen g stays g dry g until g the g transfer g off g the g sterile g field. D. Handle g the g specimen g as g little g as g possible. Ans>> gC.gEnsuregthatgthegspecimengstaysg dryguntilgthegtransfergoffgthegsterilegfield.
- 1. g The g specimen g transport g container g should A. Display g the g patient's g information g for g ease g of g specimen g hand-over. B. Have g a g biohazard g label g for g fresh g or g frozen g specimens g only. C. Be g stored g in g the g operating g room g until g the g specimen g can g be g transported g to g t he g pathology g department. D. Protect g the g integrity g of g the g specimen. g A ns>> gD.gProtectgthegintegritygofgthegspecimen.
- 1. g Specimen g management g errors g can g result g in A. A g lower g incident g of g morbidity. B. Potential g litigation. C. Increase g in g community g trust. D. Faster g diagnostic g results . g Ans>> gB.gPotentialglitigation.
19 g A. Appropriate g wave g length g eyewear g is g placed g at g the g room's g entrance. B. The g laser g is g kept g in g the g active g mode g throughout g the g procedure. C. Windows g are g covered g prior g to g use. D.The g laser g is g tested g before g use. Ans>> gB.gTheglasergisgkeptgingthegactivegmodegthrough-g outgthegprocedure.
- 1. g A g monopolar g electrosurgical g intervention g for g the g patient g with g an g implan t- g ed g electrical g device g (IED) g is A. Placement g of g the g dispersive g pad g as g close g to g the g IED g as g possible. B. Use g of g the g ESU g at g the g highest g power g setting g for g faster g application. C. Verification g of g the g IED g and g its g leads g are g between g the g ESU g pencil g and g t he g dispersive g pad. D. Inactivation g of g the g IEU, g when g possible. g Ans>> gD.gInactivationgofgthegIEU,gwheng possible.
- 1. g Disposable g dispersive g pads g are A. Multi-use. B. Stamped g with g an g expiration g date. C. Opened g and g adhered g to g the g electro g surgical g unit g cart g handle g during g set-up. D. Cut g to g size g for g pediatric g patients. g Ans >> gB.gStampedgwithgangexpirationgdate.
20 g
- 1. g Which g option g is g NOT g a g radiation g exposure g safety g measure? A. Time B. Distance C. Shielding D. Exposure Ans>> gD.gExposure
- 1. g Failure g to g follow g instructions g for g use g of g a g healthcare g product g or g device A. Adheres g to g equipment g warranty. B. Prevents g patient g injury. C. May g result g in g the g hospital's g accrediting g body g issuing g citations. D. Ensures g correct g device g storage. Ans>> gC.gMaygresultgingtheghospital'sgaccreditinggbodyg issuinggcitations.
- 1. g What g is g a g consideration g of g the g abdominal g perineal g skin g antisepsis? A. The g bladder g is g drained g before g the g vaginal g prep. B. Three g or g more g prep g kits g are g needed. C. Positioning g devices g should g be g ready g for g use g prior g to g positioning. D. The g three g areas g that g are g prepped g are g the g abdomen, g vagina g and g thig hs. g Ans>> gC.gPositioninggdevicesgshouldgbegreadygforgusegpriorgtogpositioning.
- 1. g An g important g step g in g the g preoperative g skin g antisepsis g is g the g documenta- g tion. g Which g element g is g recorded g after g surgery? A. Pre-existing g skin g conditions. B. Area g prepped. C. Skin g antiseptic g used.
