Deck 5: Intraoperative

Question 1

Which signs or symptoms might be seen in a patient who has entered an alkalotic state?

A)Convulsions
B)Nausea
C)Headache
D)Disorientation

Answer 1

Convulsions

Question 2

What is the preferred positioning of a patient who is undergoing a hemorrhoidectomy?

A)Lithotomy
B)Lateral recumbent
C)Kraske
D)Both A and C

Answer 2

Both A and C

Question 3

Which of the following is a disadvantage of using morphine as an anesthetic during the surgical process?

A)It does not produce amnesia.
B)It may cause nausea and vomiting.
C)It may lead to hallucinations.
D)It should not be used in children.

Answer 3

It does not produce amnesia.

Question 4

Which of the following conditions may be treated through a splenectomy?

A)Multiple myeloma
B)Disseminated intravascular coagulopathy
C)Von Willebrand's disease
D)Autoimmune hemolytic anemia

Question 5

Which of the following is a duty of the perioperative tech when handling patient specimens?

A)Labeling the specimen with patient name and the source of the specimen.
B)Removing the specimen from the patient to give to the surgical technician.
C)Transporting the specimen to the laboratory for analysis.
D)Handling patient specimens is beyond the tech's scope of practice.

Question 6

At what point during the surgical procedure should the sponge count be performed?

A)When opening the surgical pack at the beginning of the procedure
B)After the skin preparation is complete
C)Before the physician closes the wound
D)Both A and C

Question 7

The light source on the end of an endoscope radiates heat in such a way as to reduce tissue damage at the tip of the scope. This type of light source is called:

A)Cold light
B)Distal lens
C)Light connection
D)Cold end

Question 8

Which statement is a requirement when managing exposure to blood borne pathogens?

A)Techs should receive training in handling occupational exposure if there is a risk of coming in contact with blood borne pathogens.
B)Food and drink should be kept on a separate table in the operating suite, away from the patient.
C)A contaminated needle should be carefully recapped before placing it in a biohazard container.
D)Employers are required to provide measures for hand hygiene practices.

Question 9

A patient is on the operating table before the procedure. What should the tech keep in mind when draping the patient?

A)Open the package, unfold the drape and carry it over to place on the patient.
B)Carry sterile drapes above the head to avoid contact with the floor.
C)Discard a drape that has become contaminated and replace it with a sterile one.
D)Once drapes are on the patient, shift them slightly to ensure they are in the right place.

Question 10

Which of the following measures does the tech perform for a patient who is undergoing an appendectomy?

A)Administer antibiotics to reduce infection.
B)Administer an enema before surgery.
C)Insert a nasogastric tube.
D)Both A and C

Question 11

The surgeon is making a midline abdominal incision and starts by cutting through the skin and subcutaneous fat. What is the next layer below the subcutaneous fat that he will cut through?

A)Muscle
B)Fascia
C)Dermis
D)Bone

Question 12

Which of the following solutions are used to control both gram-positive and gram-negative bacteria as part of the surgical skin prep?

A)Ethylene alcohol
B)Chlorhexidine gluconate
C)Hydrogen peroxide
D)Both A and B

Question 13

What important points must the tech remember when performing a surgical skin prep on a patient before the procedure?

A)Avoid allowing the prep solution to collect underneath the patient in large amounts.
B)Perform the scrub for one full minute.
C)Prepare the area by applying the skin prep to extend six inches from where the incision will be.
D)Both A and B.

Question 14

Which of the following surgical areas is considered dirty and should be cleaned last when preparing a patient for surgery?

A)Eyes
B)Genitalia
C)Popliteal region
D)Feet

Question 15

What types of nursing interventions should the tech perform for the patient who develops hypovolemia during the surgical procedure?

A)Add NaCl to the patient's intravenous solution.
B)Obtain an order and administer a dose of furosemide.
C)Insert a central venous pressure line to avoid overloading the circulatory system while replacing fluids.
D)Both A and C

Question 16

Which of the following is considered a disadvantage of using skin staples to close a surgical wound?

A)The skin stapler is difficult to load and to use.
B)Staples leave large scars at the incision site.
C)Staples must be removed after approximately one week.
D)Using the skin stapler requires advanced certification.

Question 17

When a tech is preparing a patient for neurosurgery, when is the best time to remove hair on the head?

A)After admission, following the preoperative teaching period
B)In the holding area, once all other preoperative therapeutic measures are complete
C)On the operating table, once the patient has been anesthetized
D)On the operating table, just before the surgeon needs to cut

Question 18

What additional pieces may be added to a basic plastics instrument set for a woman undergoing reduction mammoplasty?

A)Specimen scale
B)Areola marker
C)Doppler probe
D)Both A and B