Deck 19: Surgical Instrumentation

Question 1

Wait until the end of the procedure to wipe and clean instruments of blood or bodily fluids.

Answer 1

False
With a moist sponge,wipe blood and organic debris from instruments promptly after each use.Saline,blood,and other solutions can cause corrosion and damage surfaces.Blood and debris that are allowed to dry on instrument surfaces,in box locks,and crevices increase the bioburden that can be carried into the surgical site.

Question 2

Which is a type of dissector that might be used in an orthopedic surgical procedure?

A) Bone cutter
B) Snare
C) Curette
D) Adson forceps

Answer 2

C
A curette has a loop,ring,or scoop on its end that assists in scraping tissue or bone.

Question 3

A number 10,11,or 15 blade is the most commonly used blade to make initial skin incisions.

Answer 3

True
Number 10 blades are often used to open the skin.Number 11 blades can make the initial skin puncture for tiny incisions.A number 15 blade can be used for a shallow skin incision.

Question 4

Which is the most commonly used instrument to clamp blood vessels?

A) Lahey forceps
B) Tenaculum
C) Hemostat
D) Rongeur

Question 5

What type of forceps might be used when suturing the epidermis closed?

A) Bayonet forceps
B) Rat-toothed forceps
C) Adson forceps with teeth
D) Allis forceps

Question 6

What is not a valid function of a clip applier?

A) Used as an end-to-end anastomosis connector
B) Used to mark tissue
C) To occlude blood vessels
D) To close or occlude small lumens of tubes

Question 7

All power equipment used on the sterile field should not be cleaned until the end of the procedure so as not to dislodge the blade being used.

Question 8

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

A) Ice packs
B) Saline solution in a syringe
C) Antibiotic soaked sponges
D) Frozen 4×4 sponges

Question 9

It is acceptable to use a hemostat to load a blade onto a knife handle.

Question 10

Which instrument can be used to examine a cavity's interior?

A) Yankauer
B) Speculum
C) Tungsten needle holder
D) Bayonet forceps

Question 11

When using any type of power equipment,what must be checked before handing up any instrument?

A) Make sure the instrument is in "on" mode and ready to be used.
B) The instrument must be in "off" mode.
C) Check to make sure the instrument is in the "safety" mode.
D) Make sure the instrument is unassembled and in the "on" mode.

Question 12

In order to protect an instrument from damage or breakage,the tip protectors should be left on the instrument and kept on the field until the instrument is handed back.

Question 13

Which suction device is best used in the mouth or throat?

A) Poole
B) Frazier
C) Yankauer
D) Double-lumen

Question 14

The maximum length of most microinstruments is 4 inches (100 mm).

Question 15

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

Question 16

Which is an example of a cutting instrument?

A) Kelly clamp,Allis forceps
B) Jaw-tipped scissors,scalpel
C) Forceps,hemostat
D) Uterine sound,bayonet forceps

Question 17

Always keep sharps such as blades and hypodermic needles in a metal basin so as to minimize a needlestick.

Question 18

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Question 19

What type of suctioning is done using a syringe and needle?

A) Suctioning with a Yankauer
B) Aspiration
C) Autotransfusion
D) Using a Poole suction device

Question 20

Which type of metal is best suited for making microsurgical instruments?

A) Titanium
B) Stainless steel
C) Brass
D) Vitallium

Question 21

What type of needle holder's jaws eliminate twisting and turning of the suture?

A) Smooth jaws
B) Crosshatched
C) Webster
D) Tungsten carbide

Question 22

Which is a responsibility of the circulating nurse prior to the start of a procedure?

A) Drape the Mayo stand and back table
B) Inspect sterile instruments for imperfections and condition
C) Count instruments
D) Assemble the scalpel blade in the proper handle

Question 23

At the end of the surgical procedure,in what solution should the instruments be soaked?

A) Hydrogen peroxide
B) Sterile distilled water
C) Saline solution
D) Tap water

Question 24

Stainless steel instruments can be fabricated before passivation with which type of dull,nonreflective finish?

A) Ebony
B) Anodized
C) Mirror
D) Tungsten carbide

Question 25

Which statement regarding handing instruments at the sterile field is incorrect?

A) Handle instruments individually.
B) Pass instruments firmly and decisively.
C) Pass instruments directly over the incisional area.
D) Anticipate the surgeon's needs before being asked for an instrument.

Question 26

An instrument's box lock is the:

A) hinge point of surgical instruments.
B) case they are kept in to prevent damage.
C) protective tip that delicate instruments are given.
D) set of two rings that the user's fingers are inserted into.