Deck 9: The Principles and Practice of Aseptic Technique

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Question
When sterile supplies have been opened, the setup is vulnerable to contamination. The longer a setup remains exposed, the greater the risk of contamination. It is recommended that supplies not be left open before a case ________.

A) for more than 2 hours
B) unless it is constantly monitored for contamination
C) unless signs have been posted on the doors, and the doors have been taped to prevent entry into the room
D) without informing the patient of the length of time that the room has been open
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Question
The _________________ is the center of the sterile field during surgery.

A) gowned surgeon
B) covered back table
C) draped patient
D) surgical technologist
Question
Depending on the complexity of the surgery, the amount of equipment to be prepared, and the emergent nature of the procedure, the surgical technologist and the circulator will begin to open the case __________________.

A) 15 to 20 minutes before the start of surgery
B) at the convenience of the circulator
C) as soon as the surgeon is in the room
D) as soon as all sterile team members have had a break
Question
Nonsterile team members _________ lean over or reach over a sterile surface to distribute sterile goods to the field.

A) sometimes
B) never
C) always
D) under certain conditions
Question
Tables draped with sterile drapes are considered sterile _______________.

A) 2 inches below the top
B) only at table height
C) 2 inches from the lower edge of the drape
D) only in the center
Question
When water is exposed to a sterile drape or gown, it can cause ____________, which occurs when moisture from either side of the drape serves as a vehicle for bacteria to infiltrate the drape from the nonsterile surface.

A) resident flora
B) transient flora
C) airborne contamination
D) strike-through contamination
Question
All nonsterile surfaces are considered potentially contaminated with ________ microorganisms.

A) strike-through contamination
B) pathogenic
C) sterile
D) chemical
Question
The amount of space that should be left between sterile and nonsterile surfaces is _______________________.

A) the amount with which the surgical technologist is comfortable
B) 12 inches or more
C) the surgeon's choice-it will be listed on the surgeon's preference card
D) 2 to 4 inches
Question
When supplies and instruments are opened for a case, for safety reasons ___________ should be passed directly to the surgical technologist or placed in an area on the sterile field where they are clearly visible.

A) sponges
B) medications
C) scalpel blades and other sharps
D) delicate instruments
Question
Protective goggles, masks, or face shields are required during any procedure in which there is _________________________________ .

A) a risk that blood, other body fluids, or particles of tissue could splash on the face
B) a nonsterile team member present
C) a sign indicating they must be worn
D) difficulty in the procedure
Question
___________ provide(s) rationales for all the standards and recommendations made by professional organizations in disease transmission, biotechnology, patient safety, and advances in surgical practice.

A) Aseptic technique
B) Evidence-based practice
C) Surgeons
D) Surgical assistants
Question
The basis of ___________ is the concept of barriers between contaminated and sterile surfaces. Sterile objects or surfaces are contained or confined to prevent contact with nonsterile objects.

A) cross-contamination
B) aseptic technique
C) continuing education
D) teamwork
Question
_____________ infection is a postoperative infection of the surgical wound.

A) Surgical-site
B) Community-acquired
C) Chemical barrier
D) Physical barrier
Question
When used correctly, ________ produce(s) high levels of destruction of both gram-positive and gram-negative bacteria.

A) alcohol-based skin cleaner, foams, and creams
B) plain soap (liquid or bar)
C) germicidal soap
D) hot water
Question
If water is found in a basin when the sterile wrapper is opened, the basin is considered _________________.

A) sterile
B) contaminated
C) infectious
D) contained
Question
Sterile personnel must pass other sterile personnel ________.

A) front to front or back to back
B) right side to right side
C) left side to left side
D) right side to left side
Question
_____________ is used in the health care setting for routine hand washing. Plain soap, without antiseptic, is effective in removing soluble fatty acids, soil, and debris from the skin surface.

A) Avaguard
B) Alcohol foam
C) Antiseptic liquid soap
D) Living tissue
Question
Jewelry of any kind is a potential source of pathogens. The recommended standard is to _____________.

A) keep jewelry covered
B) only wear earrings and necklaces
C) remove all jewelry
D) wear only clean jewelry
Question
Hand washing is the simplest and most important preventive measure for reducing infection in the operating room (OR). Hand washing is ________.

A) time related
B) event related
C) not necessary if gloves are worn
D) only necessary if you come into contact with blood or bodily fluids
Question
Sterile gowns are considered sterile ________.

A) on the entire outside
B) in the entire front
C) until they get blood or bodily fluids on them
D) in the front, from the mid-chest to the table top
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Patient skin preparation
Question
When removing a contaminated gown during surgery, the scrub should __________.

A) have the circulator pull off the gloves
B) break the tie on the inside
C) have the circulator pull from the shoulders down
D) pull from the back
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
In surgery, it is a state of the presence of no pathogens
Question
_______________ provide a barrier between a nonsterile surface and the working area of the sterile field.

A) Sterile drapes
B) Sterilization containers
C) Mayo stands
D) Antiseptics
Question
The ___________ is/are worn by both sterile and nonsterile surgical personnel in the perioperative environment.

A) scrub suit
B) body lotion
C) leather shoes
D) laboratory coat
Question
Before opening a sterile pack, the scrub should also check the outside package for the __________.

A) right size
B) integrity
C) right wrap
D) all the above
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Draped back table top
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
"Without infection"
Question
What OR furniture should the instrument tray be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Small table (prep stand)
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Used for the surgical scrub
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Methods or practices in health care that promote and maintain a state of asepsis
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
The absence of pathogenic microorganisms on an animate surface or on body tissue
Question
The top ________ of a sterile table is the only part considered sterile.

A) and 1 inch down the side
B) only
C) and bottom
D) 3 inches
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Takes time and practice to develop
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
May prevent recolonization for a limited period
Question
_____________ is based on surgical conscience: that is, the ethical and professional motivation that regulates a professional's behaviors regarding disease transmission.

A) Evidence-based practice
B) Surgical conscience
C) Asepsis
D) Aseptic technique
Question
What OR furniture should the large pack be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Prep stand
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Chemicals that reduce the number of microorganisms in body tissue or on skin
Question
What OR furniture should the basin set be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Prep stand
Question
________________ is when the surgeon's gloved hand accidentally touches the nonsterile edge of the surgical drape.

A) Contamination
B) Surgical conscience
C) Asepsis
D) Aseptic technique
Question
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Counted strokes
Question
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Brushes must be sterile
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Armpits
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Tiny hole in glove
Question
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
The application of an approved antiseptic to all surfaces of the hands and fingers
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Cuff of gown after donning gloves
Question
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Draped patient
Question
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Should be used only when no soil is visible on the hands
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Deck 9: The Principles and Practice of Aseptic Technique
1
When sterile supplies have been opened, the setup is vulnerable to contamination. The longer a setup remains exposed, the greater the risk of contamination. It is recommended that supplies not be left open before a case ________.

A) for more than 2 hours
B) unless it is constantly monitored for contamination
C) unless signs have been posted on the doors, and the doors have been taped to prevent entry into the room
D) without informing the patient of the length of time that the room has been open
B
2
The _________________ is the center of the sterile field during surgery.

A) gowned surgeon
B) covered back table
C) draped patient
D) surgical technologist
C
3
Depending on the complexity of the surgery, the amount of equipment to be prepared, and the emergent nature of the procedure, the surgical technologist and the circulator will begin to open the case __________________.

A) 15 to 20 minutes before the start of surgery
B) at the convenience of the circulator
C) as soon as the surgeon is in the room
D) as soon as all sterile team members have had a break
A
4
Nonsterile team members _________ lean over or reach over a sterile surface to distribute sterile goods to the field.

A) sometimes
B) never
C) always
D) under certain conditions
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Unlock Deck
k this deck
5
Tables draped with sterile drapes are considered sterile _______________.

A) 2 inches below the top
B) only at table height
C) 2 inches from the lower edge of the drape
D) only in the center
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Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
6
When water is exposed to a sterile drape or gown, it can cause ____________, which occurs when moisture from either side of the drape serves as a vehicle for bacteria to infiltrate the drape from the nonsterile surface.

A) resident flora
B) transient flora
C) airborne contamination
D) strike-through contamination
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
7
All nonsterile surfaces are considered potentially contaminated with ________ microorganisms.

A) strike-through contamination
B) pathogenic
C) sterile
D) chemical
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
8
The amount of space that should be left between sterile and nonsterile surfaces is _______________________.

A) the amount with which the surgical technologist is comfortable
B) 12 inches or more
C) the surgeon's choice-it will be listed on the surgeon's preference card
D) 2 to 4 inches
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
9
When supplies and instruments are opened for a case, for safety reasons ___________ should be passed directly to the surgical technologist or placed in an area on the sterile field where they are clearly visible.

A) sponges
B) medications
C) scalpel blades and other sharps
D) delicate instruments
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
10
Protective goggles, masks, or face shields are required during any procedure in which there is _________________________________ .

A) a risk that blood, other body fluids, or particles of tissue could splash on the face
B) a nonsterile team member present
C) a sign indicating they must be worn
D) difficulty in the procedure
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
11
___________ provide(s) rationales for all the standards and recommendations made by professional organizations in disease transmission, biotechnology, patient safety, and advances in surgical practice.

A) Aseptic technique
B) Evidence-based practice
C) Surgeons
D) Surgical assistants
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
12
The basis of ___________ is the concept of barriers between contaminated and sterile surfaces. Sterile objects or surfaces are contained or confined to prevent contact with nonsterile objects.

A) cross-contamination
B) aseptic technique
C) continuing education
D) teamwork
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
13
_____________ infection is a postoperative infection of the surgical wound.

A) Surgical-site
B) Community-acquired
C) Chemical barrier
D) Physical barrier
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
14
When used correctly, ________ produce(s) high levels of destruction of both gram-positive and gram-negative bacteria.

A) alcohol-based skin cleaner, foams, and creams
B) plain soap (liquid or bar)
C) germicidal soap
D) hot water
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
15
If water is found in a basin when the sterile wrapper is opened, the basin is considered _________________.

A) sterile
B) contaminated
C) infectious
D) contained
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
16
Sterile personnel must pass other sterile personnel ________.

A) front to front or back to back
B) right side to right side
C) left side to left side
D) right side to left side
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
17
_____________ is used in the health care setting for routine hand washing. Plain soap, without antiseptic, is effective in removing soluble fatty acids, soil, and debris from the skin surface.

A) Avaguard
B) Alcohol foam
C) Antiseptic liquid soap
D) Living tissue
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
18
Jewelry of any kind is a potential source of pathogens. The recommended standard is to _____________.

A) keep jewelry covered
B) only wear earrings and necklaces
C) remove all jewelry
D) wear only clean jewelry
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
19
Hand washing is the simplest and most important preventive measure for reducing infection in the operating room (OR). Hand washing is ________.

A) time related
B) event related
C) not necessary if gloves are worn
D) only necessary if you come into contact with blood or bodily fluids
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
20
Sterile gowns are considered sterile ________.

A) on the entire outside
B) in the entire front
C) until they get blood or bodily fluids on them
D) in the front, from the mid-chest to the table top
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
21
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Patient skin preparation
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
22
When removing a contaminated gown during surgery, the scrub should __________.

A) have the circulator pull off the gloves
B) break the tie on the inside
C) have the circulator pull from the shoulders down
D) pull from the back
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
23
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
In surgery, it is a state of the presence of no pathogens
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
24
_______________ provide a barrier between a nonsterile surface and the working area of the sterile field.

A) Sterile drapes
B) Sterilization containers
C) Mayo stands
D) Antiseptics
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
25
The ___________ is/are worn by both sterile and nonsterile surgical personnel in the perioperative environment.

A) scrub suit
B) body lotion
C) leather shoes
D) laboratory coat
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
26
Before opening a sterile pack, the scrub should also check the outside package for the __________.

A) right size
B) integrity
C) right wrap
D) all the above
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
27
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Draped back table top
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
28
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
"Without infection"
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
29
What OR furniture should the instrument tray be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Small table (prep stand)
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
30
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Used for the surgical scrub
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
31
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Methods or practices in health care that promote and maintain a state of asepsis
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
32
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
The absence of pathogenic microorganisms on an animate surface or on body tissue
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
33
The top ________ of a sterile table is the only part considered sterile.

A) and 1 inch down the side
B) only
C) and bottom
D) 3 inches
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
34
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Takes time and practice to develop
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
35
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
May prevent recolonization for a limited period
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
36
_____________ is based on surgical conscience: that is, the ethical and professional motivation that regulates a professional's behaviors regarding disease transmission.

A) Evidence-based practice
B) Surgical conscience
C) Asepsis
D) Aseptic technique
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
37
What OR furniture should the large pack be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Prep stand
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
38
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antiseptics
b.Asepsis
c.Aseptic technique
Chemicals that reduce the number of microorganisms in body tissue or on skin
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
39
What OR furniture should the basin set be placed on before opening?

A) Ring stand
B) Mayo stand
C) Back table
D) Prep stand
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
40
________________ is when the surgeon's gloved hand accidentally touches the nonsterile edge of the surgical drape.

A) Contamination
B) Surgical conscience
C) Asepsis
D) Aseptic technique
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
41
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Counted strokes
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
42
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Brushes must be sterile
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
43
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Armpits
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
44
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Tiny hole in glove
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
45
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
The application of an approved antiseptic to all surfaces of the hands and fingers
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
46
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Cuff of gown after donning gloves
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
47
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Sterile
b.Contaminated
Draped patient
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
48
Match each term with the correct definition. You can use answer choices more than once.
a.Surgical scrub
b.Surgical rub
Should be used only when no soil is visible on the hands
Unlock Deck
Unlock for access to all 48 flashcards in this deck.
Unlock Deck
k this deck
locked card icon
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Unlock for access to all 48 flashcards in this deck.