Which of the following is a sign of cardiac arrest? - correct answer CYANOSIS
List in order the sequence of induction for general anesthesia: - correct
... [Show More] answer leads placed on the patient
patient is prompted to breathe 100% oxygen
induction agent is given through an I.V.
patient is intubated
anesthetic gas agent is selected and applied
Place the following phases of wound healing by first intention in correct order from first to last: - correct answer Inflammatory
proliferation
remodeling
When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met? - correct answer biological indicator
Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? - correct answer Kerrison
The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? - correct answer Carotid endarterectomy
After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time? - correct answer Regown and reglove the surgeon.
Local anesthetics containing epinephrine should NEVER be used in which of the following areas? - correct answer Ddigits and penis
To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? - correct answer Surgical gloves
During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next? - correct answer Change the glove using the open-gloving technique.
Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? - correct answer Sentinel event
Which of the following is a benign fluid-filled sac that develops in the anterior testis? - correct answer hydrocele
When a cholecystectomy is performed, which of the following anatomical structures must be preserved? - correct answer common duct
Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? - correct answer pyloromyotomy
When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? - correct answer 8-10 mL of sterile water
The tissue that covers bones and provides movement to the skeletal system is - correct answer muscle.
When donning gloves using the open-gloving technique, the ungloved hand will touch the. - correct answer folded edge of the cuff of the glove.
Which of the following is MOST resistant to sterilization processes? - correct answer Spore
During a herniorrhaphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the - correct answer Hesselbach triangle.
Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy? - correct answer Potts-Smith
When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? - correct answer Hypotension
Growth in the length of a long bone occurs at the - correct answer epiphyseal plate.
pad-like sac or cavity that prevents friction within a joint is known as a - correct answer Bursa
A resectoscope is used to resect the - correct answer Prostate
A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the surgical technologist in the scrub role during this time? - correct answer Remain sterile and maintain the sterile field.
During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum? - correct answer GIA
Which of the following is MOST commonly used for wound closure in the presence of infection? - correct answer Stainless steel
Herniation of the rectum through a weakened posterior vaginal wall is known as - correct answer Rectocele
Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones? - correct answer Cholecystostomy
If the parents of a dependent minor requiring emergency surgery cannot be located, the operative consent form for surgery may be signed by - correct answer two consulting physicians.
A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood transfusion will be necessary. The parents are Jehovah's Witnesses and will not consent to a blood transfusion, but the patient states that she wants the transfusion. The operating room staff reports this to the nurse manager. Which of the following is the BEST course of action now? - correct answer The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved.
A surgical technologist counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 sponges in the pack. Which of the following is the appropriate course of action? - correct answer Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount.
A pneumatic tourniquet may be used for extremity surgery to - correct answer reduce blood loss.
When utilizing a laparoscopic set-up, potential hazards associated with the equipment include - correct answer fiberoptic beam fire.
The primary reason padding is used in positioning a patient is to - correct answer prevent injury to pressure points.
Which of the following procedures may require a postauricular incision? - correct answer mastoidectomy
A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop? - correct answer Place a sequential compression device on lower extremities
While speaking to the nurse in the pre-operative area, the patient is crying excessively, pouting, and acting like a child. Which of the following coping mechanisms is MOST likely being displayed? - correct answer Regression
Which of the following retractors may be used during an open cholecystectomy? - correct answer Harrington
A surgical technologist has been asked to serve as a preceptor to a new employee in the operating room. If the surgeon becomes irritated or anxious because of the new employee's lack of experience, which of the following actions should be taken? - correct answer Quietly coach the new employee in the background.
Which of the following items may be used in positioning a patient for a total hip arthroplasty? - correct answer bean bag
During a breast augmentation, the surgeon repeatedly asks the surgical technologist to refill the 10 cc syringe with local anesthetic. Which of the following is the BEST way to keep track of how much is used? - correct answer Keep note on the field of how much has been used.
A cerclage procedure is performed for which of the following conditions? - correct answer incompetent cervix
During a tympanoplasty, which of the following is the best choice for graft material? - correct answer Temporalis fascia
A patient is complaining of nausea, fever, and severe back pain. The patient was previously diagnosed with hyperparathyroidism. This patient MOST likely suffers from - correct answer Kidney stones.
Care of a surgical specimen includes placing it - correct answer in a bag or container with formalin.
Which of the following catheters is MOST commonly used to perform an embolectomy? - correct answer Fogarty
Bacteria can be reduced in the operating room by - correct answer Damp dusting of surfaces each morning.
A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure? - correct answer underwater
A tourniquet is used in which of the following procedures? - correct answer Patellectomy
The MOST appropriate time to position the Mayo stand is after - correct answer Draping the patient.
When performing a urinary bladder catheterization, it is essential to - correct answer keep the catheter tip sterile
In metastatic cancer, tumors extend beyond the regional area by which of the following systems - correct answer Lymphatic
Which of the following structures is behind and below the base of the penis? - correct answer scrotum
Which of the following describes events that would require filing an incident report - correct answer medication errored, bullying, and cardiac or respiratory arrestonly
Which of the following blades fits a #4 handle? - correct answer #20
The MOST common method for decontaminating operating room floors at the end of each case is to - correct answer damp mop or wet vacuum with a detergent-disinfectant solution.
Which of the following surgical procedures can induce menopause? - correct answer Bilateral oophorectomy
Which of the following instruments must be readily available for a modified radical mastectomy? - correct answer
Which of the following instruments must be readily available for a modified radical mastectomy? - correct answer extra #10 blades
In which of the following procedures will the surgical technologist expect to use cottonoids? - correct answer lumbar laminectomy
Which of the following anesthetic agents is administered intravenously? - correct answer propofol (Diprivan)
Which of the following is done FIRST when performing a myringotomy? - correct answer removal of cerumen from the ear canal
When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing - correct answer lead
Which of the following conditions should be treated FIRST? - correct answer obstructed airway
A T-tube drain may be used following - correct answer Choledochotomy.
Which of the following parts of the body are prepped for an ORIF of the olecranon process? - correct answer Arm, fingers to shoulder
While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this? - correct answer The air was not evacuated from the pouch.
For steam sterilization, biological indicators should be placed
A. in the most challenging area of the load.
B. at the center of the load.
C. in the least challenging area of the load.
D. at the top of the load. - correct answer in the most challenging area of the load.
A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following types of needles? - correct answer blunt
The vermiform appendix originates from the - correct answer Cecum
Which of the following retractors is used during a femoro-femoral bypass? - correct answer Army-Navy
Which of the following instruments may be used to clamp the aorta? - correct answer Satinsky
The surgical technologist in the scrub role MUST keep track of blood loss as well as - correct answer track amount of irrigation used.
When performing a right hemicolectomy, the surgeon will MOST likely remove portions of which of the following? - correct answer Ascending and Transverse colon
The drug MOST commonly used to treat ventricular tachycardia is - correct answer lidocaine (Xylocaine).
Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? - correct answer New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of.
Surgery to repair a Colles' fracture is performed on which of the following types of bone? - correct answer Long
Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? - correct answer oblique muscles
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? - correct answer Penrose
Which of the following is a preferred retractor for a groin incision? - correct answer Weitlaner
An Esmarch bandage should be applied to an extremity - correct answer distal to proximal.
Which of the following instruments is found in a basic laparotomy set-up? - correct answer Mayo scissors
Which of the following types of anesthetic is injected during a Bier block?
A. bupivacaine (Marcaine)
B. lidocaine (Xylocaine) with epinephrine
C. bupivacaine (Marcaine) with epinephrine
D. lidocaine (Xylocaine) - correct answer lidocaine (Xylocaine)
A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the following BEST describes the reason for irrigating at this point in the procedure? - correct answer to aid visual inspection for leakage
Which of the following is associated with secondary intention wound healing? - correct answer Tissue granulation
Which of the following does NOT result after dipping a bloody RAY-TEC sponge into irrigation solution? - correct answer Lint is released into the solution
Which of the following statements is true regarding surgical correction of a Colles' fracture? - correct answer The distal radius is fractured and the periosteum will be closed with absorbable sutures.
Which of the following operations is performed to correct hearing loss due to defects of the eardrum? - correct answer tympanoplasty
A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. Which of the following is the MOST appropriate next step - correct answer Send the specimen to pathology in a dry specimen container so that a frozen section can be completed.
Which of the following is reshaped during a total hip arthroplasty? - correct answer Acetabulum
When a hernia is strangulated, which of the following instrument sets is added to the general abdominal set-up - correct answer gastrointestinal
In which of the following positions is a patient placed for a right nephrectomy? - correct answer left lateral kidney
If a patient is undergoing a mastectomy immediately followed by a reconstruction, how many surgical setups should be obtained? - correct answer Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding.
For which of the following procedures is Gelfoam MOST commonly used? - correct answer craniotomy for subdural hematoma
When a break in aseptic technique occurs, the surgical technologist in the scrub role should FIRST notify the - correct answer Contaminating team member
Which of the following is used to cross-clamp the intestine during a bowel resection? - correct answer Allen
Traction sutures are used on common duct explorations to - correct answer old the duct open.
On which of the following would an antiseptic be used? - correct answer Skin surface
During a transurethral resection of the prostate, bleeding is controlled by - correct answer Cauterization.
Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain? - correct answer Hydrocephalus
Which of the following is the administration route for thrombin? - correct answer Topical application
In order to remove a portion of the kidney, the surgeon must enter which of the following? - correct answer Gerota's fascia
Which of the following positions is used for mastopexy? - correct answer Dorsal recumbent
Which of the following is the FIRST step in applying the pneumatic tourniquet necessary in creating a bloodless field? - correct answer padding the area where the tourniquet is to be wrapped with Webril
Which of the following is a monofilament suture? - correct answer Prolene
Which of the following is a contrast media? - correct answer Hypaque
Which of the following destroys bacterial spores? - correct answer Sterilant
A patient presented in the OR without family history related to anesthesia complications. Which of the following complications is of MOST concern related to the lack of family history? - correct answer Malignant Hyperthermia
The destruction of organisms in an autoclave is accomplished by the - correct answer Coagulation of cell protein.
The first pair of cranial nerves is associated with which of the following? - correct answer Smell
The diagnostic procedure that examines the interior of the respiratory structures is - correct answer Bronchoscopy.
The surgeon is performing a suprapubic prostatectomy. Control of bleeding is a major consideration. Which of the following clamps should the surgical technologist hand to the surgeon to aid in hemostasis? - correct answer Long Right Angle Clamp
A resectoscope is used in which of the following prostatic approaches? - correct answer transurethral
For a patient recovering from general anesthesia, which of the following complications of vomiting is considered the MOST dangerous? - correct answer Aspiration
Which of the following is classified as a clean-contaminated wound (Class II)? - correct answer Suprapubic prostatectomy
A device used to measure fluid pressure is known as a - correct answer Manometer.
Which of the following wound classes is assigned to a bowel case in which the resident perforated during the procedure? - correct answer III
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 can it be corrected? - correct answer 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.
Where is the gastrocnemius muscle located? - correct answer Calf
Which of the following is responsible for the proper care and handling of an intraoperative specimen? - correct answer Surgical technologist in the scrub role and the circulator
Which of the following INCREASES air contamination in the operating room? - correct answer maintaining air pressure lower than in the outside hall
Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? - correct answer Allis
During surgery, a patient becomes hypotensive. Which of the following medications should be given? - correct answer Epinephrine (Adrenalin)
Which of the following procedures repairs a ruptured abdominal aortic aneurysm? - correct answer Excision with graft placement
A nasogastric (NG) tube is used to - correct answer Drain the stomach.
An effective packaging material used for a Balfour to be steam sterilized - correct answer Permits penetration by the sterilant
Which of the following items is used for sponging around the spinal cord? - correct answer Cottonoids
For a splenectomy procedure, which of the following clamps could be used? - correct answer Satinsky
During a carotid endarterectomy, which of the following is administered to reverse the effects of systemic heparin? - correct answer Protamine sulfate
Which of the following procedures involves the injection of contrast media into the spinal subarachnoid space? - correct answer Myelogram [Show Less]