Question 1

Which three areas of the human body are major areas of microbial shedding?

Accepted Answer

A)  Feet,lips,umbilicus 
B)  Neck,axillae,perineum 
C)  Flank,waist,groin 
D)  Fingertips,ankle,chest 
A)  Feet,lips,umbilicus 
B)  Neck,axillae,perineum 
C)  Flank,waist,groin 
D)  Fingertips,ankle,chest B

Question 2

What are the parameters of the sterile areas on the front of a gown?

Accepted Answer

A)  From the neckline to the waist 
B)  From the chest level down to below the waist 
C)  From the chest level to the level of the sterile field 
D)  From the chest level down to knee level 
A)  From the neckline to the waist 
B)  From the chest level down to below the waist 
C)  From the chest level to the level of the sterile field 
D)  From the chest level down to knee level C

Question 3

What is the most common source of transmission of microorganisms in the OR?

Accepted Answer

A)  Instruments 
B)  Faulty ventilation system 
C)  Infection 
D)  Surgical team 
A)  Instruments 
B)  Faulty ventilation system 
C)  Infection 
D)  Surgical team D

Question 4

When scrubbed in,it is never acceptable to fold one's hands under one's arms and tuck them in the axillary region.

Accepted Answer

A) True 
 B)False

Question 5

If a sterile package wrapped in a moisture-resistant barrier becomes wet or damp,what should you do?

Accepted Answer

A)  Wipe it off,then open it when the outer package is completely dry. 
B)  Use it as is because it was sterilized at one time. 
C)  Do not use because of the moisture that may have seeped into the package and contaminated it. 
D)  If it was sterilized less than 2 weeks ago,it is acceptable to use it 
A)  Wipe it off,then open it when the outer package is completely dry. 
B)  Use it as is because it was sterilized at one time. 
C)  Do not use because of the moisture that may have seeped into the package and contaminated it. 
D)  If it was sterilized less than 2 weeks ago,it is acceptable to use it

Question 6

OR lights should be cleaned once weekly to prevent the spread of microorganisms.

Accepted Answer

A) True 
 B)False

Question 7

An example of a critical item in the OR is a:

Accepted Answer

A)  colonoscope. 
B)  minor instrument tray. 
C)  prep table. 
D)  reusable blood pressure cuff. 
A)  colonoscope. 
B)  minor instrument tray. 
C)  prep table. 
D)  reusable blood pressure cuff.

Question 8

If an item,such as the end of a suture,extends over the edge of the sterile field,can it be brought back into the sterile field?

Accepted Answer

A) True 
 B)False

Question 9

If an item in the OR is not known definitively to be sterile,what is the next action to be taken?

Accepted Answer

A)  Consider it contaminated and throw it out. 
B)  Call your supervisor. 
C)  Keep it in the room and use it so as not to waste an opened item. 
D)  Ask the anesthesiologist in the room to determine its sterility. 
A)  Consider it contaminated and throw it out. 
B)  Call your supervisor. 
C)  Keep it in the room and use it so as not to waste an opened item. 
D)  Ask the anesthesiologist in the room to determine its sterility.

Question 10

Which is an example of a hospital-acquired infection?

Accepted Answer

A)  Catheter-associated urinary tract infection 
B)  Diabetic gangrene 
C)  Gunshot wound septicemia 
D)  Tuberculosis 
A)  Catheter-associated urinary tract infection 
B)  Diabetic gangrene 
C)  Gunshot wound septicemia 
D)  Tuberculosis

Question 11

Which is an example of impervious barriers used in a surgical procedure?

Accepted Answer

A)  Sterile drapes 
B)  OR bed sheet 
C)  Plastic pillowcase cover 
D)  Clean garbage liner 
A)  Sterile drapes 
B)  OR bed sheet 
C)  Plastic pillowcase cover 
D)  Clean garbage liner

Question 12

What is a way to prevent fomite contamination of items in the OR?

Accepted Answer

A)  Weekly disinfection of OR surfaces after use 
B)  Keeping shipping boxes and cartons within the surgical suite for easy reach 
C)  Placement of dust covers over sterile items while in storage 
D)  Utilize a portable fan in the OR to prevent flies and other insects from inhabiting the space 
A)  Weekly disinfection of OR surfaces after use 
B)  Keeping shipping boxes and cartons within the surgical suite for easy reach 
C)  Placement of dust covers over sterile items while in storage 
D)  Utilize a portable fan in the OR to prevent flies and other insects from inhabiting the space

Question 13

Always wear a gown,mask,eyewear,and gloves when the risk of being splashed with blood or bodily fluids is present.

Accepted Answer

A) True 
 B)False

Question 14

What is one important action health care workers can take to decrease the spread of infection with patients in isolated?

Accepted Answer

A)  Refuse to perform survival procedures on isolation patients until the precaution has been lifted. 
B)  Perform procedures on immunosuppressed patient's on weekends and during late shifts. 
C)  Explain to patients in isolation that they have contaminated body fluids that cannot be tolerated by the health care workers caring for them. 
D)  Handwashing before and after close patient contact and in between patients. 
A)  Refuse to perform survival procedures on isolation patients until the precaution has been lifted. 
B)  Perform procedures on immunosuppressed patient's on weekends and during late shifts. 
C)  Explain to patients in isolation that they have contaminated body fluids that cannot be tolerated by the health care workers caring for them. 
D)  Handwashing before and after close patient contact and in between patients.

Question 15

If the scrub person must re-glove during a procedure,it is acceptable to pull the cuff down over the hand while putting on new gloves.

Accepted Answer

A) True 
 B)False

Question 16

What is the margin of safety regarding the inside of a sterile package?

Accepted Answer

A)  The inside is considered sterile to within 1 inch of the edges. 
B)  The inside is considered sterile to within 11/2 inches of the edges. 
C)  The inside is considered sterile to within 2 inches of the edges. 
D)  The inside is sterile to the edge of the package. 
A)  The inside is considered sterile to within 1 inch of the edges. 
B)  The inside is considered sterile to within 11/2 inches of the edges. 
C)  The inside is considered sterile to within 2 inches of the edges. 
D)  The inside is sterile to the edge of the package.

Question 17

When removing instrument trays from the sterilizer,it is acceptable to touch the door of the sterilizer with the tray because the door is sterile.

Accepted Answer

A) True 
 B)False

Question 18

What PPE would you use if following standard precautions when moving a patient from the OR table to a stretcher?

Accepted Answer

A)  Sterile gloves and gown 
B)  Lead vest and apron 
C)  Gloves and mask 
D)  Thyroid shield 
A)  Sterile gloves and gown 
B)  Lead vest and apron 
C)  Gloves and mask 
D)  Thyroid shield

Question 19

Asepsis is another way of stating something is sterile.

Accepted Answer

A) True 
 B)False

Question 20

Traffic in the OR should be kept to a minimum.

Accepted Answer

A) True 
 B)False

Exam 15: Principles of Aseptic and Sterile Techniques

Which three areas of the human body are major areas of microbial shedding?

What are the parameters of the sterile areas on the front of a gown?

What is the most common source of transmission of microorganisms in the OR?

When scrubbed in,it is never acceptable to fold one's hands under one's arms and tuck them in the axillary region.

If a sterile package wrapped in a moisture-resistant barrier becomes wet or damp,what should you do?

OR lights should be cleaned once weekly to prevent the spread of microorganisms.

An example of a critical item in the OR is a:

If an item,such as the end of a suture,extends over the edge of the sterile field,can it be brought back into the sterile field?

If an item in the OR is not known definitively to be sterile,what is the next action to be taken?

Which is an example of a hospital-acquired infection?

Which is an example of impervious barriers used in a surgical procedure?

What is a way to prevent fomite contamination of items in the OR?

Always wear a gown,mask,eyewear,and gloves when the risk of being splashed with blood or bodily fluids is present.

What is one important action health care workers can take to decrease the spread of infection with patients in isolated?

If the scrub person must re-glove during a procedure,it is acceptable to pull the cuff down over the hand while putting on new gloves.

What is the margin of safety regarding the inside of a sterile package?

When removing instrument trays from the sterilizer,it is acceptable to touch the door of the sterilizer with the tray because the door is sterile.

What PPE would you use if following standard precautions when moving a patient from the OR table to a stretcher?

Asepsis is another way of stating something is sterile.

Traffic in the OR should be kept to a minimum.

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Appropriate Attire, surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions, implants, and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

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