Of the following choices, which would not be a consideration for choosing suture?
A. Type of procedure
B. The tissue being reapproximated
C. Type of
... [Show More] reapproximation
D. Scrub person preference - Answer- D. Scrub person preference
Alexanders 15th P192
Which of the following is not an event that would adversely affect the pulse ox reading?
A. Hypothermia
B. Hypertension
C. Vasoconstriction
D. Hypovolemia - Answer- B. Hypertension
Alexanders 15th P132
Skin injuries related to shearing occur most commonly as a result of which of the following positions?
A. Trendelenburg
B. Prone
C. Lateral
D. Lithotomy - Answer- A. Trendelenburg
Alexanders 15th P165
A basic anesthesia monitoring device that is used during general anesthesia to confirm successful endotracheal tube placement and determine the presence of gas exchange is the:
A. Pulse oximetry device
B. Stethoscope
C. Capnometer/end-tidal CO2 monitor
D. Post-intubation arterial blood gas - Answer- C. Capnometer/
The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity to which group of medications?
A. anticholinergics, parasympathetics
B. Antidysrhythmic agents
C. Opioids and hypnotics
D. Adrenerics - Answer- C. Opioids and hypnotics
Alexander 15th p1009
Proper care and handling of surgical specimens is imperative for correct diagnosis, treatment, and prognosis planning of the patient. Select the response that best reflects correct specimen care and handling.
A. Label consecutive specimens
B. Send all specimens to the lab together as one pickup, including the frozen sections
C. Avoid placing specimens for frozen section in formalin
D. Neutralize formalin/formaldehyde spills with glycerin and call the hazmat team. - Answer- C. Avoid placing specimens for frozen section in formalin
Alexander 15th p32
From the following, choose the types of anesthesia that will allow patients to tolerate potentially uncomfortable procedures while maintaining their own airway and be easily aroused from light sleep.
A. Moderate anesthesia care
B. Local infiltraion
C. Moderate sedation/analgesia
D. Regional anesthesia - Answer- C. Moderate Sedation/analgesia
Alexander 15th P130
Risk factors for postoperative nausea and vomiting should be assessed preoperatively. Which of the following is a risk factor for PONV?
A. Male gender
B. Female gender
C. Postoperative use of NSAIDS
D. Surgery under 60 minutes - Answer- B. Female gender
Alexanders 16th p269
Which of the following is a true statement about the use of liquids in the OR?
A. Use of volitile liquids such as acetone is limited to cleaning and they must be properly stored
B. Flammable liquids are prohobited in the OR unless an ESU is in use
C. Skin prepping solutions can cause chemical burns
D. Betadine skin prep does not cause chemical burns - Answer- C. Skin prepping solution can cause chemical burns
Alexander 15th p33
This hemostatic device offers a rapid and secure method of clamping arteries, veins, nerves, and other small structures. This device remains in the patient, is not counted, and is made of a metal that is not compatible with MRI. Select the correct hemostatic device that fits this description.
A. Hemostat
B. Alligator forcep
C. Ligating clip
D. Bulldog clamp - Answer- C. Ligating clip
Alexanders 15th p198
The most commonly used medication for local anesthesia is?
A. Lidocaine
B. Tetracaine
C. Marcaine
D. Cocaine HCL - Answer- A. Lidocaine
Alexanders 15 p150
Linda Gardner is highly allergic to latex and the anesthesia provider plans to give Linda prophylactic medications before anesthesia. What medications might be administered to Linda in the preoperative holding area?
A. Epinepherine and an H2-blocker
B. Vasopressin and atropine
C. Prednisone and a beta-agonist inhaler
D. Dimethylxanthine - Answer- C. Prednisone and a beta-agonist inhaler
Alexander 15 p66
When a patient absorbs an unsafe amount of local anesthetic into the bloodstream, a catastrophic outcome is possible. Treatment for LAST includes the use of which of the following?
A. Lipids
B. LR bolus of 500cc
C. NS Bolus of 500CC
D. Diphenhydramine - Answer- A. Lipids
Alexanders 15 p147
From the following, select an advantage polyester suture has over other nonabsorbable sutures.
A. Greater tinsile strength
B. Greater tissue reactivity
C. Able to absorb tissue fluids
D. decreased knot slippage - Answer- A. Greater tinsile strength
Alexanders 15th p190
While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy access to the patient by the scrubbed team, improper positioning and securing of the arms can result in significant injury. Injury can be avoided by tucking the draw sheet ___________ the arm and under the ____________.
A. Over, Body
B. Under, Mattress
C. Over, Mattress
D. Around, OR bedrail - Answer- A. Over, Body
Alexanders 15th p163
In several studies, it was determined that the risk of contamination and subsequent infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves, as opposed to wearing one pair. Select the correct statement that refers to double gloving in terms of a best practice.
A. The American College of Surgeons endorses double gloving for all surgery and invasive procedures
B. Wearing two glove layers permits re-gloving using the closed-glove technique for a contaminated glove.
C. Wearing a glove liner between both layers of gloves may eliminate the risk of perforation to the inner glove, protecting the wearer from sharps injury.
D. The AORN publication titled Recommended Practices for Prevention of Transmissible Infections in the Perioperative Practice Setting recommends the Double-Glove procedure during invasive procedures. - Answer- A. The American College of Surgeons endorses gloving for all surgery and invasive procedures.
Alexanders 15th p113
An instrument that is used to occlude a vessel is know as:
A. Hemostat
B. Occluding clamp
C. Kocher
D. Forceps - Answer- A. Hemostat
Alexanders 15th 201
________ Precautions apply to blood, all body fluids, and excretions (except sweat), regardless of whether they contain visible blood, mucous membranes, and non-intact skin.
A. Hospital
B. Standard
C. Isolation
D. Contact - Answer- B. Standard
Alexanders 15th p62
From the following, choose the correct statement regarding close gloving.
A. Closed gloving can only be used for the initial gloving
B. Closed gloving requires two people to execute without contamination
C. There is an increased risk of contamination if the thumbs are not extended
D. Closed gloving requires the hands to be kept in direct view - Answer- A. Closed gloving can only be used for initial gloving
Alexanders 15th p95-96
During the preliminary sponge count on closure of a repair of a ruptured aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. Select the appropriate communication that the circulating nurse must employ in addressing the entire team during this count discrepancy.
A. "Stop everything! I'm missing a couple of sponges. They are not in the trash or back table. Check the wound".
B. "I think you are missing 2 sponges. Shall I call X-Ray while the scrub person checks her table again? Doctor, please check the incision site.
C. "We have a count discrepancy. We started with 70 sponges and find only 68. We are missing 2 lap sponges".
D. " Ive called X-Ray because we are short 2 lap sponges. I've called the charge RN to get someone to help me check the trash and linen. The rapid response team is on the way. - Answer- C. We have a count discrepancy. We started with 70 sponges and find only 68. We are missing 2 lap sponges.
Alexanders 15th p32
Select from the following medication that is used for PONV and has the potential for prolonged QT interval.
A. Scopolamine patch
B. Dolasteran
C. Droperidol
D. Prochlorperazine - Answer- C. Droperidol
Alexanders 15th p 277
The type of wound closure that occurs when approximation of the wound edges does not occur for 3 or more days after a surgical procedure.
A. Primary Intention
B. Secondary intention
C. Granulation and contraction
D. Third Intention - Answer- D. Third Intention or Delayed primary closure
Alexanders 15 p256
Which statement about surgical dressings is true?
A.Surgical dressings cushion and protect the wound from trauma and gross contamination, and absorb drainage.
B. Surgical dressings cover the wound to maintain moisture to promote granulation
C. Surgical dressings maintain tension on the suture line to prevent dehiscence
D. Surgical dressings protect surrounding drapes, linens, and clothing from contamination. - Answer- A. Surgical dressings cushion and protect the wound from trauma and gross contamination, and absorb drainage.
Alexander 15th p266
Which of the following absorbable suture has the best tensile strength?
A. Surgical gut
B. Polypropylene
C. Surgical silk
D. Polydioxanone - Answer- D. Polydioxanone or PDS [Show Less]