Question 1

A safety strap is secured across a patient while the patient is in the lithotomy position.

Accepted Answer

A) True 
 B)False  False

Question 2

The C-arm cannot be used in a surgical procedure because it is not sterile.

Accepted Answer

A) True 
 B)False  False

Question 3

It is acceptable to adjust a sterile towel or drape once it has been placed in order to correctly square off the incision site.

Accepted Answer

A) True 
 B)False  False

Question 4

How many OR personnel must be present at the bed to assist in moving an anesthetized patient?

Accepted Answer

A)  One 
B)  Two 
C)  Three 
D)  Four 
A)  One 
B)  Two 
C)  Three 
D)  Four

Question 5

Who has joint responsibility for placing the patient in the correct surgical position?

Accepted Answer

A)  Circulator,surgeon,and anesthesia provider 
B)  Circulator and scrub person 
C)  Surgeon and anesthesia provider 
D)  Circulating nurse and first assistant 
A)  Circulator,surgeon,and anesthesia provider 
B)  Circulator and scrub person 
C)  Surgeon and anesthesia provider 
D)  Circulating nurse and first assistant

Question 6

What is the correct sequence for prep and draping of a patient for a laparotomy?

Accepted Answer

A)  Shave,clean umbilicus,prep abdomen,apply towels,apply lap sheet 
B)  Clean umbilicus,shave,apply towels,prep abdomen,apply lap sheet 
C)  Prep abdomen,clean umbilicus,apply lap sheet 
D)  Shave,apply towels,prep abdomen,apply lap sheet,clean umbilicus 
A)  Shave,clean umbilicus,prep abdomen,apply towels,apply lap sheet 
B)  Clean umbilicus,shave,apply towels,prep abdomen,apply lap sheet 
C)  Prep abdomen,clean umbilicus,apply lap sheet 
D)  Shave,apply towels,prep abdomen,apply lap sheet,clean umbilicus

Question 7

A sterile plastic isolation drape can be used for which procedures?

Accepted Answer

A)  Hip procedures 
B)  Eye procedures 
C)  Perineal procedures 
D)  Hernia repair 
A)  Hip procedures 
B)  Eye procedures 
C)  Perineal procedures 
D)  Hernia repair

Question 8

In the supine position,the patient's occiput and cervical area are at risk for skin breakdown during a procedure.

Accepted Answer

A) True 
 B)False

Question 9

When rolling a patient from the stretcher to the OR bed,only the shoulder and arm should be grasped when transferring.

Accepted Answer

A) True 
 B)False

Question 10

Which is a reason to catheterize a patient during a surgical procedure?

Accepted Answer

A)  To decrease postoperative pain 
B)  To permit accurate output measurement 
C)  To prevent urine leakage on the OR table 
D)  To expedite a patient's recovery period 
A)  To decrease postoperative pain 
B)  To permit accurate output measurement 
C)  To prevent urine leakage on the OR table 
D)  To expedite a patient's recovery period

Question 11

The circulator should be nearby when the scrub person is draping in order to direct the procedure and watch for breaks in sterile technique.

Accepted Answer

A) True 
 B)False

Question 12

What equipment separates the sterile from the nonsterile areas at the head of the bed?

Accepted Answer

A)  IV poles 
B)  Electrosurgical unit 
C)  Lithotomy posts 
D)  Surgical headlight 
A)  IV poles 
B)  Electrosurgical unit 
C)  Lithotomy posts 
D)  Surgical headlight

Question 13

What potential complication can occur while a patient is in a sitting position?

Accepted Answer

A)  Hypertension 
B)  Air embolism 
C)  Hypoglycemia 
D)  Headache 
A)  Hypertension 
B)  Air embolism 
C)  Hypoglycemia 
D)  Headache

Question 14

Which may be used to secure towels to the patient's skin?

Accepted Answer

A)  Glue 
B)  Skin adhesive 
C)  Towel clips 
D)  Pins 
A)  Glue 
B)  Skin adhesive 
C)  Towel clips 
D)  Pins

Question 15

Which is a serious complication of being in the prone position?

Accepted Answer

A)  Back pain 
B)  Neck pain 
C)  Blindness 
D)  Deafness 
A)  Back pain 
B)  Neck pain 
C)  Blindness 
D)  Deafness

Question 16

When a patient is prone,chest rolls are placed along the middle of the chest from the shoulder to the lower rib cage.

Accepted Answer

A) True 
 B)False

Question 17

Because iodophors contain iodine,they are to be used with caution on persons with a known sensitivity or allergy to iodine or shellfish.

Accepted Answer

A) True 
 B)False

Question 18

A safe prep solution for a facial procedure on a patient with an iodine allergy would be:

Accepted Answer

A)  Betadine 
B)  chlorhexidine 
C)  triclosan 
D)  saline 
A)  Betadine 
B)  chlorhexidine 
C)  triclosan 
D)  saline

Question 19

What piece of equipment will assist in hyperextending the neck during a procedure on the face or neck?

Accepted Answer

A)  Donut head rest 
B)  Surgical head light 
C)  Stockinette roll 
D)  Shoulder roll 
A)  Donut head rest 
B)  Surgical head light 
C)  Stockinette roll 
D)  Shoulder roll

Question 20

Antiembolic stockings or sequential compression devices help to prevent severe hypotension and venous pooling.

Accepted Answer

A) True 
 B)False

Exam 26: Positioning,prepping,and Draping the Patient

A safety strap is secured across a patient while the patient is in the lithotomy position.

The C-arm cannot be used in a surgical procedure because it is not sterile.

It is acceptable to adjust a sterile towel or drape once it has been placed in order to correctly square off the incision site.

How many OR personnel must be present at the bed to assist in moving an anesthetized patient?

Who has joint responsibility for placing the patient in the correct surgical position?

What is the correct sequence for prep and draping of a patient for a laparotomy?

A sterile plastic isolation drape can be used for which procedures?

In the supine position,the patient's occiput and cervical area are at risk for skin breakdown during a procedure.

When rolling a patient from the stretcher to the OR bed,only the shoulder and arm should be grasped when transferring.

Which is a reason to catheterize a patient during a surgical procedure?

The circulator should be nearby when the scrub person is draping in order to direct the procedure and watch for breaks in sterile technique.

What equipment separates the sterile from the nonsterile areas at the head of the bed?

What potential complication can occur while a patient is in a sitting position?

Which may be used to secure towels to the patient's skin?

Which is a serious complication of being in the prone position?

When a patient is prone,chest rolls are placed along the middle of the chest from the shoulder to the lower rib cage.

Because iodophors contain iodine,they are to be used with caution on persons with a known sensitivity or allergy to iodine or shellfish.

A safe prep solution for a facial procedure on a patient with an iodine allergy would be:

What piece of equipment will assist in hyperextending the neck during a procedure on the face or neck?

Antiembolic stockings or sequential compression devices help to prevent severe hypotension and venous pooling.

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

Principles of Aseptic and Sterile Techniques

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

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

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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