Following a triple bypass surgery, a patient goes into cardiac arrest. Which of the following is the primary responsibility of the surgical
... [Show More] technologist?
A. Remove sharps from sterile field.
B. Retrieve the automated external defibrillator.
C. Remain in gown and gloves to preserve the sterile field.
D. Assist the surgeon in delivering chest compressions.
C. Remain in gown and gloves to preserve the sterile field.
After a completion of a CABG, the circulating nurse states "Dressings are on and we have another case to follow. Go ahead and clean up your table." Which of the following statement is the best reaction?
A. "I'll breakdown; I have a knife handle loaded."
B. "Agreed, the patient dressings are on."
C. "I will once the patient is out."
D. "Agreed, it will allow for a quick turnover."
C. "I will once the patient is out."
After a final count is performed following an abdominal aortic aneurysm, which of the following should the surgical technologist do immediately after dressing the wound?
A. Dispose of sharps in an approved container.
B. Place a wet towel over all instruments with box locks open, place in a leak-proof container and transport to decontamination.
C. Gather unused supplies to be returned in the supply room.
D. Wait to break down the set up until the patient has been transported to the ICU.
D. Wait to break down the set up until the patient has been transported to the ICU.
The patient has just had an anterior cervical discectomy and fusion. After the patient coughs hard; the incision sight starts to expand quickly. The patient is now having trouble breathing. Which of the following has the patient most likely developed?
A. pneumothorax
B. hematoma
C. pulmonary embolism
D. blood clot
B. hematoma
5. Place the options below in the correct order for removal of surgical drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Towels and towel clips are removed.
B. The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape.
C. The surgical technologist holds the dressing in place while anesthesia releases the clamps.
D. The drape is rolled as it is removed, containing any biohazardous material or disposable items.
E. The drape is placed in the linen or waste receptacle as needed.
F. The surgical technologist holds the dressing in place while anesthesia releases the clamps., The drape is rolled as it is removed, containing any biohazardous material or disposable items., The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape., The drape is placed in the linen or waste receptacle as needed., Towels and towel clips are removed.
F. The surgical technologist holds the dressing in place while anesthesia releases the clamps., The drape is rolled as it is removed, containing any biohazardous material or disposable items., The surgical technologist holds the dressings as the drape is rolled over the area to facilitate removal of the remainder of the drape., The drape is placed in the linen or waste receptacle as needed., Towels and towel clips are removed.
Alcohol prep solutions destroy microorganisms through desiccation. Therefore, it would not be used on which prep area?
A. mucous membranes
B. abdomen
C. neck
D. scrotum
A. mucous membranes
A surgical technologist is preparing to do a surgical skin prep for an abdominal procedure. Place the locations below in the correct order of preparation. (Click and drag the options in the left column to their correct position in the right column.)
A. sides of the body
B. groin
C. incision site
D. outward
E. incision site, outward, sides of the body, groin
E. incision site, outward, sides of the body, groin
When removing PPE, it is important to remove
A. gown before gloves.
B. gloves before gown.
C. eye protection after mask.
D. mask after eye protection.
A. gown before gloves.
When performing a bowel resection, it is appropriate for the surgical technologist to change gloves
A. when the surgeon begins to suture the anastomosis.
B. prior to the anastomosis to ensure an uncontaminated suture line.
C. after the final suture has been placed and the anastomosis is complete.
D. when the diseased section of the colon has been isolated and clamped.
C. after the final suture has been placed and the anastomosis is complete.
The surgical technologist is double gloved for the procedure. A puncture happens to the technologist's outer glove with a sharp Senn. After passing off the Senn retractor, the best course of action is to
A. remove the outer glove, presenting the hand palm up and check the inner glove for any punctures.
B. have the circulator grasp both gloves just above the wrists and reglove using the closed glove technique.
C. have the circulator remove both gloves, presenting the palm up and reglove using the open technique.
D. use the open glove technique to place a sterile glove over the punctured glove.
A. remove the outer glove, presenting the hand palm up and check the inner glove for any punctures.
When moving the anesthetized patient from the table to the stretcher, which of the following individuals decides when the patient is ready for moving?
A. circulator
B. surgeon
C. anesthesiologist
D. surgical technologist
C. anesthesiologist
When the patient is being transferred from the OR table after surgery, the movement should be
A. swift but cautious in order to get to the Recovery Room as quickly as possible.
B. performed with the comfort of the patient as the primary concern.
C. gentle and rapid so that the patient does not wake up.
D. gentle and slow in order to prevent circulation depression.
B. performed with the comfort of the patient as the primary concern.
Which member of the surgical team guides and directs the move when transferring a patient from the OR table to the stretcher?
A. surgeon
B. circulating nurse
C. surgical technologist
D. anesthesiologist
D. anesthesiologist
Which of the following is the responsibility of the surgical technologist when transferring a patient from the OR table to a stretcher?
A. Lock the wheels prior to transfer.
B. Hold the patient's head when transferring.
C. Begin breaking down the back table.
D. Assess the patient for skin tears after the transfer.
A. Lock the wheels prior to transfer.
Which of the following is the appropriate number of staff required when moving the patient from the operating table to the stretcher?
A. two
B. four
C. five
D. seven
B. four
When transferring an adult patient from the gurney to the operating room table, which of the following is the minimum number of personnel required for a safe transfer?
A. two
B. three
C. four
D. one
C. four
The surgical procedure is complete and dressings are on the patient. Place the steps below in the correct order for removing the drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Place the drapes in a biohazard bag.
B. Remove instruments and equipment.
C. Wrap the drapes toward inside containing blood or fluid.
D. Pull the drapes away from the patient starting from head to feet.
Remove instruments and equipment., Pull the drapes away from the patient starting from head to feet., Wrap the drapes toward inside containing blood or fluid., Place the drapes in a biohazard bag.
Place the steps below in the proper sequence for removing drapes after a surgery? (Click and drag the options in the left column to their correct position in the right column.)
A. Remove the towels and towel clips.
B. Place the drape in the linen or waste receptacle.
C. Roll the drape as it is removed.
D. Remove outer gloves.
E. Hold the dressing in place and ask anesthesia to release the drape.
Remove outer gloves., Hold the dressing in place and ask anesthesia to release the drape., Roll the drape as it is removed., Place the drape in the linen or waste receptacle., Remove the towels and towel clips.
Place the options below in the correct order for removing and discarding patient drapes. (Click and drag the options in the left column to their correct position in the right column.)
A. Remove the incision towels and clips.
B. Switch hands and continue to roll the drape over the incision area.
C. Stabilize the dressings with a towel.
D. Roll the drape downward to contain blood and other waste.
E. Place the drape in a designated receptacle.
Stabilize the dressings with a towel., Roll the drape downward to contain blood and other waste., Switch hands and continue to roll the drape over the incision area., Place the drape in a designated receptacle., Remove the incision towels and clips.
20. Place the options below in the correct order for removing and discarding drapes postoperatively. (Click and drag the options in the left column to their correct position in the right column.)
A. Remove any equipment, instruments, cords and tubing.
B. Pull drapes slowly away from the head proceeding downward.
C. Place drapes in proper disposal bag.
D. Apply appropriate wound dressing.
Remove any equipment, instruments, cords and tubing., Apply appropriate wound dressing., Pull drapes slowly away from the head proceeding downward., Place drapes in proper disposal bag.
Which of the following is the first priority during an environmental cleaning of the surgical suite?
A. wearing correct PPE
B. cleaning all surfaces in OR
C. removing contaminated waste
D. unlocking the OR table
A. wearing correct PPE
Which of the following sharps go on magnetic board or sharps holder when breaking down the back table after a procedure?
A. harmonic scalpel tip
B. clip applier
C. knife blade
D. trocars
C. knife blade
Which of the following is the proper method to transfer soiled instruments from the OR to the Sterile Processing Department?
A. clamps open, soaking in a basin of water
B. instruments with multiple parts sent assembled
C. instruments locked and off the stringer
D. clamps locked, soaking in a basin of saline
A. clamps open, soaking in a basin of water
Once surgical instruments are broken down and placed back in the case cart, which of the following locations should they be taken to?
A. a sub-sterile room
B. an instrument storage area
C. a decontamination area
D. a sterile processing area
C. a decontamination area
Which of the following solutions is best for presoaking instruments in the OR at the end of a procedure?
A. sterile water
B. isopropyl alcohol
C. enzymatic detergent
D. hydrogen peroxide
A. sterile water
Place the steps below in the correct order for processing instruments in decontamination received from the OR. (Click and drag the options in the left column to their correct position in the right column.)
A. Scrub off bio burden.
B. Open all box locks and ratchets.
C. Check for sharps.
D. Rinse the instruments.
E. Put the instruments in the washer.
C. Check for sharps.
B. Open all box locks and ratchets.
A. Scrub off bio burden.
D. Rinse the instruments.
E. Put the instruments in the washer.
A brain biopsy was performed to rule out Creutzfeldt-Jakob Disease (CJD). Which of the following is the most effective way to prevent cross contamination?
A. Process the instruments with ethylene oxide.
B. Process the instruments with dry heat.
C. Use disposable instruments.
D. Decontaminate with glutaraldehyde.
C. Use disposable instruments.
When breaking down the back table, which of the following solutions is used to clean your instruments? (Select the two (2) correct answers.)
A. saline
B. sterile water
C. alcohol
D. enzymatic solution
E. Hibiclens
B. sterile water
D. enzymatic solution
Which of the following actions should the surgical technologist take for soiled instruments prior to transportation to the decontamination area? (Select the three (3) correct answers.)
A. Cameras, light cables, pneumatic drills and other delicate equipment should all be transported separate in one basin filled with saline to avoid biofilm buildup.
B. During surgery, instruments exposed to blood and body tissue are periodically wiped free to prevent caking and drying.
C. Water is avoided for cleaning or soaking instruments because it causes pitting, rusting, and corrosion.
D. Sharp instruments are separated out to prevent injury.
B. During surgery, instruments exposed to blood and body tissue are periodically wiped free to prevent caking and drying.
D. Sharp instruments are separated out to prevent injury.
E. Instruments can be placed in a separate basin with the heaviest ones at the bottom and lighter ones on top.
Place the surgical technologist post-procedural duties in the correct event sequence. (Click and drag the options in the left column to their correct position in the right column.)
Transport instruments to the decontamination area.
Maintain field sterility until patient has left the OR.
Separate instruments and break down the sterile field.
Assist with room turnover.
Maintain field sterility until patient has left the OR., Separate instruments and break down the sterile field., Transport instruments to the decontamination area., Assist with room turnover.
When breaking down the sterile field for turnover the surgical technologist should first
A. place instruments in the case cart.
B. place sharps in the sharps container.
C. place linen in the hamper.
D. remove the case cart.
B. place sharps in the sharps container.
When performing a room turnover the OR walls and ceiling should be cleaned and disinfected
A. after every invasive procedure.
B. only if contaminated by evident bioburden.
C. from bottom to top.
D. only during scheduled terminal cleaning every twenty four hours.
B. only if contaminated by evident bioburden.
Which of the following items in the OR suite should be cleaned after a laparoscopic cholecystectomy is performed? (Select the three (3) correct answers.)
A. walls
B. horizontal furniture
C. light fixtures
D. shelves
E. wheels or casters
B. horizontal furniture
C. light fixtures
E. wheels or casters
Which of the following positions should a patient be placed in following a tonsillectomy in order to prevent post-operative aspiration?
A. Trendelenberg
B. lateral
C. Kraske
D. supine
B. lateral
The surgeon has requested a flammable skin glue for the incision closure. How can the surgical technologist best prevent an accidental fire from happening in the operating room?
A. Moisten the area around the incision with sterile saline before applying the glue.
B. Hand the surgeon the glue only after the incision has been cleaned.
C. Remove the tip from the Bovie so it will not be activated inadvertently.
D. Remove all the sterile draping towels before applying the skin glue.
C. Remove the tip from the Bovie so it will not be activated inadvertently.
After the incision was closed and the drapes were pulled off, the surgical technologist noticed a rash on skin with bumps and hives around the adhesive tape used to cover the dressing. Which of the following actions should the technologist take once the physician diagnoses the problem?
A. Remove the adhesive tape, rinse the skin and choose another type of dressing.
B. Reactivate the intermittent compression device on the lower extremities.
C. Note the allergy on the patient's chart and armband.
D. Re-exposed the wound to lavage with chilled saline.
A. Remove the adhesive tape, rinse the skin and choose another type of dressing.
During a post-operative emergency in the operating room, the surgical technologist's primary role is to
A. assist with CPR.
B. back up and remain sterile.
C. call a code blue.
D. retrieve the crash cart.
B. back up and remain sterile.
A patient delivered a baby an hour ago. She develops excessive bleeding and is sent to the OR. Which of the following instrument sets should the surgical technologist expect to prepare?
A. hysteroscopy and hysterectomy
B. hysterectomy and D&C
C. D&C and laparotomy
D. laparotomy and hysteroscopy
B. hysterectomy and D&C [Show Less]