Question 1

Exposure to surgical smoke may be harmful to anyone who is in the room.Hazards presented by exposure to surgical smoke may be reduced by:

Accepted Answer

A)  wearing a surgical mask. 
B)  using a smoke evacuator at the request of the surgeon. 
C)  using a smoke evacuator during all procedures which generate smoke. 
D)  using a smoke evacuator during laser procedures. 
A)  wearing a surgical mask. 
B)  using a smoke evacuator at the request of the surgeon. 
C)  using a smoke evacuator during all procedures which generate smoke. 
D)  using a smoke evacuator during laser procedures. C

Question 2

Contact with infected patients or infectious material places healthcare workers at risk for occupational-acquired infection.Which communicable disease are healthcare workers most commonly at risk for acquiring or transmitting?

Accepted Answer

A)  Hepatitis B 
B)  HIV 
C)  Seasonal influenza 
D)  Hepatitis C 
A)  Hepatitis B 
B)  HIV 
C)  Seasonal influenza 
D)  Hepatitis C C

Question 3

Wet floors are a common hazard causing slips,trips,and falls (STFs).Select a prevention strategy that is a best practice for preventing STFs from spills on wet floors.

Accepted Answer

A)  Transport liquids in covered containers with lids in place. 
B)  Place bright yellow low-profile pop-up signs in areas where STFs are most likely to occur. 
C)  Position highly visible yellow absorptive pads in areas where STFs are most likely to occur. 
D)  Use a dripless, brush-free gel solution for surgical patient skin preps. 
A)  Transport liquids in covered containers with lids in place. 
B)  Place bright yellow low-profile pop-up signs in areas where STFs are most likely to occur. 
C)  Position highly visible yellow absorptive pads in areas where STFs are most likely to occur. 
D)  Use a dripless, brush-free gel solution for surgical patient skin preps. A

Question 4

Select the guideline that complements the design of the culture of safety model.

Accepted Answer

A)  Take advantage of a personal injury event to learn about future prevention strategies. 
B)  Comply with those policies that fit your current practice. 
C)  Incorporate safe practices into your daily work when handling sharps. 
D)  Observe local, state, and federal regulations as they fit your current practice. 
A)  Take advantage of a personal injury event to learn about future prevention strategies. 
B)  Comply with those policies that fit your current practice. 
C)  Incorporate safe practices into your daily work when handling sharps. 
D)  Observe local, state, and federal regulations as they fit your current practice.

Question 5

The Needlestick Safety and Prevention Act requires employers to introduce work practice controls to protect healthcare workers from bloodborne pathogen exposure.Examples of work practice controls during surgery include:

Accepted Answer

A)  use of a sharps zone. 
B)  use of a hands-free zone. 
C)  use of a neutral zone. 
D)  use of a safety zone. 
A)  use of a sharps zone. 
B)  use of a hands-free zone. 
C)  use of a neutral zone. 
D)  use of a safety zone.

Question 6

Healthcare professionals should employ strategies to reduce their risk of allergic reaction to latex in the perioperative environment.Which of the following represents a best practice for minimizing the risk of latex allergy development?

Accepted Answer

A)  Use powder-free gloves that have low levels of protein and chemical allergens. 
B)  Use sterile oil-based hand creams before donning gloves if latex gloves must be worn. 
C)  Sprinkle hands with cornstarch to create a barrier between skin and gloves before donning latex gloves. 
D)  Use hypoallergenic gloves. 
A)  Use powder-free gloves that have low levels of protein and chemical allergens. 
B)  Use sterile oil-based hand creams before donning gloves if latex gloves must be worn. 
C)  Sprinkle hands with cornstarch to create a barrier between skin and gloves before donning latex gloves. 
D)  Use hypoallergenic gloves.

Question 7

A new graduate perioperative nurse was consistently verbally criticized and teased by her preceptor.The ensuing stress caused her to make mistakes and contributed to lost time from work.She was experiencing:

Accepted Answer

A)  unlawful discrimination. 
B)  physical violence. 
C)  horizontal violence. 
D)  psychological demise. 
A)  unlawful discrimination. 
B)  physical violence. 
C)  horizontal violence. 
D)  psychological demise.

Question 8

Select the true statement that best explains the Occupational Safety and Health Administration (OSHA)exposure control plan (ECP).

Accepted Answer

A)  OSHA has developed the Hierarchy of Controls model, which protects the workplace from lawsuits stemming from worker injury from sharps and blood exposure. 
B)  The OSHA ECP is similar to the Health Insurance Portability and Accountability Act (HIPA
A)  in that it protects the workplace from being exposed when a worker injury occurs that could harm the facility's reputation. 
C)  The OSHA ECP is designed to provide guidelines to control risks and protect workers from sharps injury and bloodborne pathogens. 
D)  The OSHA ECP is a materials management strategy to explore replacements for sharps and other healthcare devices that can cause sharps injury and blood exposure. 
A)  OSHA has developed the Hierarchy of Controls model, which protects the workplace from lawsuits stemming from worker injury from sharps and blood exposure. 
B)  The OSHA ECP is similar to the Health Insurance Portability and Accountability Act (HIPA
A)  in that it protects the workplace from being exposed when a worker injury occurs that could harm the facility's reputation. 
C)  The OSHA ECP is designed to provide guidelines to control risks and protect workers from sharps injury and bloodborne pathogens. 
D)  The OSHA ECP is a materials management strategy to explore replacements for sharps and other healthcare devices that can cause sharps injury and blood exposure.

Question 9

Waste anesthetic gases are small amounts of gases that may leak either from the patient's anesthetic breathing circuit into the OR air while anesthesia is being administered or from exhalation of the patient during recovery.Both mechanisms of exposure create risks for OR personnel.What is an effect of short-term exposure for the healthcare worker?

Accepted Answer

A)  Spontaneous abortion 
B)  Infertility 
C)  Cancer 
D)  Lethargy and fatigue 
A)  Spontaneous abortion 
B)  Infertility 
C)  Cancer 
D)  Lethargy and fatigue

Question 10

One example of personal protective equipment (PPE)is the N95 respiratory mask.When is use of this respirator indicated?

Accepted Answer

A)  To limit the spread of large-sized droplet secretions. 
B)  When working in the OR during smoke-generating procedures. 
C)  To protect the perioperative nurse from splashed of blood or other fluids. 
D)  Only if the OR does not have an exhaust ventilation system. 
A)  To limit the spread of large-sized droplet secretions. 
B)  When working in the OR during smoke-generating procedures. 
C)  To protect the perioperative nurse from splashed of blood or other fluids. 
D)  Only if the OR does not have an exhaust ventilation system.

Question 11

Select the statement that best describes a culture of safety in the perioperative area.

Accepted Answer

A)  The culture of safety includes openness and mutual trust when discussing safety issues and solutions. 
B)  The culture of safety is a requirement for ensuring accrediting bodies expectations are met. 
C)  The culture of safety is mandated by regulatory agencies to structure environmental rounds. 
D)  The exposure control plan (ECP) was designed to provide the framework for the culture of safety. 
A)  The culture of safety includes openness and mutual trust when discussing safety issues and solutions. 
B)  The culture of safety is a requirement for ensuring accrediting bodies expectations are met. 
C)  The culture of safety is mandated by regulatory agencies to structure environmental rounds. 
D)  The exposure control plan (ECP) was designed to provide the framework for the culture of safety.

Question 12

Elevated noise levels and distractions in the OR can make communication difficult and may impact patient safety.Behavioral noise reduction strategies may include:

Accepted Answer

A)  implementing a No Interruption Zone (NIZ) during the preprocedure time-out. 
B)  counting instruments quietly after the patient enters the room. 
C)  playing music softly. 
D)  turning off alarms. 
A)  implementing a No Interruption Zone (NIZ) during the preprocedure time-out. 
B)  counting instruments quietly after the patient enters the room. 
C)  playing music softly. 
D)  turning off alarms.

Question 13

Perioperative personnel historically have relied on numerous types of precautions to protect themselves and others from bloodborne pathogens and other infectious diseases.Select the statement that best describes standard precautions.

Accepted Answer

A)  It requires the use of gown and gloves. 
B)  It requires that gowns, gloves, masks, and eye protective should be worn when within 3 feet of the patient. 
C)  It applies to blood; all body fluids, secretions, and excretions (except sweat), regardless of whether they contain visible blood; mucous membranes; and nonintact skin. 
D)  It includes the use of work practice controls such as the neutral zone. 
A)  It requires the use of gown and gloves. 
B)  It requires that gowns, gloves, masks, and eye protective should be worn when within 3 feet of the patient. 
C)  It applies to blood; all body fluids, secretions, and excretions (except sweat), regardless of whether they contain visible blood; mucous membranes; and nonintact skin. 
D)  It includes the use of work practice controls such as the neutral zone.

Question 14

What one factor contributes the most to the high incidence of musculoskeletal disorders (MSDs)among surgical technologists and perioperative nurses?

Accepted Answer

A)  Pulling a large, heavy piece of equipment rather than pushing it 
B)  The cumulative effect of repeated patient handling events 
C)  The growing high obesity rate and heavier patients and care providers 
D)  The cumulative effect of pushing, pulling, and carrying heavy instrument sets and rolling carts 
A)  Pulling a large, heavy piece of equipment rather than pushing it 
B)  The cumulative effect of repeated patient handling events 
C)  The growing high obesity rate and heavier patients and care providers 
D)  The cumulative effect of pushing, pulling, and carrying heavy instrument sets and rolling carts

Question 15

To prevent slips,trips and fall,pathways must be kept clear,particularly of low-profile equipment and cords.Keeping pathways clear is difficult in the OR,where multiple cables and cords are used in surgical procedures.Controls for cords and cables include:

Accepted Answer

A)  bundling, taping, or braiding them. 
B)  taking care when routing across walking paths. 
C)  suspending them from the ceiling. 
D)  preplanning. 
E)  marking with a bright color or a taped X. 
A)  bundling, taping, or braiding them. 
B)  taking care when routing across walking paths. 
C)  suspending them from the ceiling. 
D)  preplanning. 
E)  marking with a bright color or a taped X.

Question 16

Which of the following may be a consequence of high-dose or full-body radiation?

Accepted Answer

A)  Yellow sclera, dark urine 
B)  Perioral numbness and tingling 
C)  Nausea, vomiting, and diarrhea 
D)  Wheezing, dyspnea, and tachycardia 
A)  Yellow sclera, dark urine 
B)  Perioral numbness and tingling 
C)  Nausea, vomiting, and diarrhea 
D)  Wheezing, dyspnea, and tachycardia

Question 17

A nurse anesthesia provider has an allergy to latex.When she is at work,she always carries an epinephrine autoinjector and a beta-agonist inhaler.What type of latex allergy does she have?

Accepted Answer

A)  Allergic contact dermatitis 
B)  Irritant contact dermatitis 
C)  Type I IgE-mediated hypersensitivity reaction 
D)  Combined-effect latex allergy 
A)  Allergic contact dermatitis 
B)  Irritant contact dermatitis 
C)  Type I IgE-mediated hypersensitivity reaction 
D)  Combined-effect latex allergy

Question 18

Exposure to bloodborne pathogens occurs during all phases of the perioperative process,although cuts or needlestick injuries are more likely during the intraoperative phase.What factors increase the risk of a sharps injury?

Accepted Answer

A)  Fatigue resulting from working extended hours 
B)  Double gloving 
C)  Intermittent use of the neutral zone 
D)  Use of sharp needles 
E)  Prolonged contact with open surgical sites 
A)  Fatigue resulting from working extended hours 
B)  Double gloving 
C)  Intermittent use of the neutral zone 
D)  Use of sharp needles 
E)  Prolonged contact with open surgical sites

Question 19

Compassion fatigue (CF)may develop when a nurse feels overwhelmed with emotional challenges.Which of the following statements is true of compassion fatigue?

Accepted Answer

A)  Nurses are especially vulnerable to compassion fatigue. 
B)  The terms burnout and compassion fatigue are interchangeable. 
C)  Compassion fatigue can be prevented and treated by the use of effective coping strategies. 
D)  Compassion fatigue is work setting focused. 
A)  Nurses are especially vulnerable to compassion fatigue. 
B)  The terms burnout and compassion fatigue are interchangeable. 
C)  Compassion fatigue can be prevented and treated by the use of effective coping strategies. 
D)  Compassion fatigue is work setting focused.

Question 20

What is the purpose of a Safety Data Sheet (SDS)?

Accepted Answer

A)  To recommend exposure limits of all chemicals in the workplace over a working lifetime 
B)  To inform all employees of the presence, characteristics, handling, and risks of chemicals in the workplace 
C)  To provide a structured design for inservices and skill stations on hazardous chemical safety 
D)  To support the development of manuals and log books for accrediting bodies surveys 
A)  To recommend exposure limits of all chemicals in the workplace over a working lifetime 
B)  To inform all employees of the presence, characteristics, handling, and risks of chemicals in the workplace 
C)  To provide a structured design for inservices and skill stations on hazardous chemical safety 
D)  To support the development of manuals and log books for accrediting bodies surveys

Exam 3: Workplace Issues and Staff Safety

Exposure to surgical smoke may be harmful to anyone who is in the room.Hazards presented by exposure to surgical smoke may be reduced by:

Contact with infected patients or infectious material places healthcare workers at risk for occupational-acquired infection.Which communicable disease are healthcare workers most commonly at risk for acquiring or transmitting?

Wet floors are a common hazard causing slips,trips,and falls (STFs).Select a prevention strategy that is a best practice for preventing STFs from spills on wet floors.

Select the guideline that complements the design of the culture of safety model.

The Needlestick Safety and Prevention Act requires employers to introduce work practice controls to protect healthcare workers from bloodborne pathogen exposure.Examples of work practice controls during surgery include:

Healthcare professionals should employ strategies to reduce their risk of allergic reaction to latex in the perioperative environment.Which of the following represents a best practice for minimizing the risk of latex allergy development?

A new graduate perioperative nurse was consistently verbally criticized and teased by her preceptor.The ensuing stress caused her to make mistakes and contributed to lost time from work.She was experiencing:

Select the true statement that best explains the Occupational Safety and Health Administration (OSHA)exposure control plan (ECP).

One example of personal protective equipment (PPE)is the N95 respiratory mask.When is use of this respirator indicated?

Select the statement that best describes a culture of safety in the perioperative area.

Elevated noise levels and distractions in the OR can make communication difficult and may impact patient safety.Behavioral noise reduction strategies may include:

Perioperative personnel historically have relied on numerous types of precautions to protect themselves and others from bloodborne pathogens and other infectious diseases.Select the statement that best describes standard precautions.

What one factor contributes the most to the high incidence of musculoskeletal disorders (MSDs)among surgical technologists and perioperative nurses?

To prevent slips,trips and fall,pathways must be kept clear,particularly of low-profile equipment and cords.Keeping pathways clear is difficult in the OR,where multiple cables and cords are used in surgical procedures.Controls for cords and cables include:

Which of the following may be a consequence of high-dose or full-body radiation?

A nurse anesthesia provider has an allergy to latex.When she is at work,she always carries an epinephrine autoinjector and a beta-agonist inhaler.What type of latex allergy does she have?

Exposure to bloodborne pathogens occurs during all phases of the perioperative process,although cuts or needlestick injuries are more likely during the intraoperative phase.What factors increase the risk of a sharps injury?

Compassion fatigue (CF)may develop when a nurse feels overwhelmed with emotional challenges.Which of the following statements is true of compassion fatigue?

What is the purpose of a Safety Data Sheet (SDS)?

Concepts Basic to Perioperative Nursing

Patient Safety and Risk Management

Infection Prevention and Control

Anesthesia

Positioning the Patient for Surgery

Sutures, sharps, and Instruments

Surgical Modalities

Wound Healing, dressings, and Drains

Postoperative Patient Care and Pain Management

Gastrointestinal Surgery

Surgery of the Biliary Tract, pancreas, liver, and Spleen

Hernia Repair

Gynecologic and Obstetric Surgery

Genitourinary Surgery

Thyroid and Parathyroid Surgery

Breast Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Orthopedic Surgery

Neurosurgery

Reconstructive and Aesthetic Plastic Surgery

Thoracic Surgery

Vascular Surgery

Cardiac Surgery

Pediatric Surgery

Geriatric Surgery

Trauma Surgery

Interventional and Image-Guided Procedures

Integrative Health Practices: Complementary and Alternative Therapies

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