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Surgical Technology, Principles, Unit 1, Pre-Operative Routine

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Surgical Technology, Principles, Unit 1, Pre-Operative Routine(proctored practice)

Question 1 of 117

1

Every patient coming in for surgery needs to have which done before surgery can take place?

Select one of the following:

  • H&P;history and physical

  • H&H;hemoglobin and hematocrit

  • Both H&H and H&P

  • none

Explanation

Question 2 of 117

1

For minor surgical cases all that might need to be done is?

Select one of the following:

  • H&H;hemoglobin and hematocrit

  • H&H and complete blood count

  • none

  • just a complete blood count

Explanation

Question 3 of 117

1

Which tests most often is associated with major surgery?

Select one of the following:

  • H&H;hematocrit and homoglobin

  • H&P;history and physical

  • chemical profile and urinalysis

  • none

Explanation

Question 4 of 117

1

What is one of the most common and comprehensive blood panels available?

Select one of the following:

  • drug screen

  • blood donation stats when giving blood

  • CBC/Chemistry profile

  • none of the above

Explanation

Question 5 of 117

1

What is best known measure of protein to iron compound in blood?

Select one of the following:

  • red blood cell

  • blood oxygen ratio

  • hematocrit

  • hemoglobin

Explanation

Question 6 of 117

1

What is the protein molecule in red blood cells?

Select one of the following:

  • O2;oxygen

  • hematocrit

  • hemoglobin

  • none of the above

Explanation

Question 7 of 117

1

What is expelled as we breath?

Select one of the following:

  • oxygen

  • carbon monoxide

  • carbon dioxide

  • gasses

Explanation

Question 8 of 117

1

Normal values for hemoglobin in an average adult is?

Select one of the following:

  • 12-16

  • 12-18

  • 14-18

  • 10-18

Explanation

Question 9 of 117

1

Normal values for hemoglobin in an adult women is?

Select one of the following:

  • 12-18

  • 14-18

  • 12-16

Explanation

Question 10 of 117

1

Normal values for hemoglobin in an adult man is?

Select one of the following:

  • 14-18

  • 12-16

  • 12-18

  • none

Explanation

Question 11 of 117

1

The measurement of packed cell volume of red blood cell is known as?

Select one of the following:

  • hemoglobin

  • carbon dioxide

  • hematocrit

  • red blood cell count

Explanation

Question 12 of 117

1

The normal Hematocrit value for women is?

Select one of the following:

  • 43-49%

  • 42-49%

  • 37-43%

Explanation

Question 13 of 117

1

The normal Hematocrit value for men is?

Select one of the following:

  • 37-43%

  • 42-49%

  • 43-49%

Explanation

Question 14 of 117

1

What is best expressed as a percentage of total blood volume?

Select one of the following:

  • hemoglobin

  • RBC or Red blood cell count

  • CO2 or carbon dioxide levels

  • hematocrit

Explanation

Question 15 of 117

1

White blood cells known as WBC's which help fight infection and are apart of our immune system are also known as?

Select one of the following:

  • RBC's;red blood cells

  • neutrophils

  • leukocytes

  • monocyte

Explanation

Question 16 of 117

1

High white blood cell counts could mean?

Select one of the following:

  • their is not enough oxygen in the blood to carry WBC's

  • their is no infection present

  • their is an active infection

  • cancer is spreading

Explanation

Question 17 of 117

1

IF a patient has to high of count of this then a surgical procedure will have to wait?(pick most suitable answer)

Select one of the following:

  • monocytes

  • RBC's;red blood cells

  • WBC's;White blood cells

  • neutrophil

Explanation

Question 18 of 117

1

The normal count for White Blood Cells should be?

Select one of the following:

  • 5k-11k cells per cubic mm

  • 4k-10k cells per cubic mm

  • 5k-10k cells per cubic mm

  • 5k-12k cells per cubic mm

Explanation

Question 19 of 117

1

CBC is known as?

Select one of the following:

  • complete basic count

  • complete bacterial count

  • complete blood count

Explanation

Question 20 of 117

1

An erythrocyte is known as?

Select one of the following:

  • white blood cell

  • neutrophil

  • red blood cell

  • monocyte

Explanation

Question 21 of 117

1

Red Blood Cells do what for the body?

Select one of the following:

  • take oxygen out of the air

  • part of immune system to heal infection

  • transport oxygen

  • transport carbon dioxide

Explanation

Question 22 of 117

1

A Red Blood Cell count as part of a CBC test can help diagnose and monitor which diseases?

Select one of the following:

  • kidney disease

  • bleeding problems

  • polycythemia

  • all of the above

Explanation

Question 23 of 117

1

Normal RBC count for women is?

Select one of the following:

  • 4.2-4.8 million per mm

  • 4.5-5.5 million per mm

  • 4.1-4.8 million per mm

Explanation

Question 24 of 117

1

Normal RBC count for men is?

Select one of the following:

  • 4.2-4.8 million per mm

  • 4.5-5.5 million per mm

  • 4.2-4.9 million per mm

Explanation

Question 25 of 117

1

Among the many functions of this value in the body are regulation of the heartbeat and function of the muscles?

Select one of the following:

  • red blood cell count

  • white blood cell count

  • hematocrit

  • potassium

Explanation

Question 26 of 117

1

Normal values of patassium are?

Select one of the following:

  • 3.5-5.0 meq/l

  • 3.4-5.0 meq/l

  • 2.5-5.0 meq/l

Explanation

Question 27 of 117

1

Normal sodium values should fall in this area?

Select one of the following:

  • 125-145 meq/l

  • 130-145 meq/l

  • 135-145 meq/l

Explanation

Question 28 of 117

1

What is the cheif electrolyte in interstitial fluid and regulated the total amount of water in the body?

Select one of the following:

  • red blood cells

  • hemoglobin

  • sodium

  • potassium

Explanation

Question 29 of 117

1

BUN stands for?

Select one of the following:

  • blood urine nitrogen

  • blood urea nitris

  • blood urea nitrogen

Explanation

Question 30 of 117

1

Increased BUN levels suggest?

Select one of the following:

  • to much urine in the body

  • impaired blood flow

  • impaired kidney function

Explanation

Question 31 of 117

1

Low BUN levels are ?

Select one of the following:

  • cause of infection and concern

  • cause of to much urine in body

  • cause of to little water in body

  • usually not a cause of concern

Explanation

Question 32 of 117

1

what is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine?

Select one of the following:

  • creatine

  • carbon dioxide

  • creatinine

  • urine

Explanation

Question 33 of 117

1

What is examined for color, specific gravity and pH?

Select one of the following:

  • urinalysis

  • hemoglobin test

  • blood cell test

Explanation

Question 34 of 117

1

Normal pH ranges of urine should be?

Select one of the following:

  • 4.6-8.0

  • 3.6-8.0

  • 2.6-8.0

Explanation

Question 35 of 117

1

The ratio of the density of a substance to the density of another substance?

Select one of the following:

  • pH of urine

  • specific gravity

  • urinalysis

Explanation

Question 36 of 117

1

This organ plays an important part of maintaining pH levels of the body?

Select one of the following:

  • liver

  • gallbladder

  • kidney

  • ureters

Explanation

Question 37 of 117

1

Preadmission Procedures may include?

Select one of the following:

  • blood may be typed and cross matched

  • chest x-ray

  • EKG

  • all of the above

Explanation

Question 38 of 117

1

Written Instructions, Preoperative Teaching, Informed Consent and Anesthesia Visit are part of what?

Select one of the following:

  • post operative procedure

  • intraoperative procedure

  • preoperative procedure

  • preadmission procedure

Explanation

Question 39 of 117

1

Blood type and cross match, chest xrays, EKG and Diagnostic procedures are apart of what?

Select one of the following:

  • preoperative procedure

  • intraoperative procedure

  • postoperative procedure

  • preadmission procedure

Explanation

Question 40 of 117

1

Which written instructions should patients follow before surgery?

Select one or more of the following:

  • No food or fluids 8 hours before surgery

  • medications should be decided by attending physician

  • instructions of hospital

  • attending nurse

  • all jewelry needs to be removed

Explanation

Question 41 of 117

1

Check what is discussed during Preoperative Teaching.

Select one or more of the following:

  • What instruments will be used during procedure

  • what to expect in the recovery room

  • importance of managing pain

  • any complications to expect

  • health insurance to ensure adequate post care

Explanation

Question 42 of 117

1

An Informed Consent should answer which of the following questions?

Select one or more of the following:

  • what is planned for the patient for the procedure?

  • why do you want to do this procedure?

  • What things do I have to worry about?

  • what things do I not have to worry about?

  • are their any other alternatives to this plan?

Explanation

Question 43 of 117

1

Check which exceptions are allowed for Informed Consent,

Select one or more of the following:

  • managing nurse

  • head surgeon

  • a great surgical technician who knows their damn stuff

  • hospital administrator

  • the courts

Explanation

Question 44 of 117

1

Check what is covered during the preoperative anesthesia assessment visit?

Select one or more of the following:

  • History and physical

  • expectations with anesthedia

  • patients health insurance provider

  • type of anesthesia

Explanation

Question 45 of 117

1

Check what the patient must do before leaving for the O.R..

Select one or more of the following:

  • don clean hospital gown

  • remove prosthetics, dentures, jewelry

  • put on surgical cap for hair

  • clean feet and hands with antimicrobial soap

  • relax for 15 minutes in upright position

  • have ted hoes put on if needed for venous stasis

Explanation

Question 46 of 117

1

Antibiotics are administered how man hours before procedure?

Select one of the following:

  • 2 hours

  • 1 and half hours

  • 1 hour

  • 50 minuites

Explanation

Question 47 of 117

1

Before Patient leaves for the O.R. which things are done?

Select one of the following:

  • Preoperative medication administered

  • History and Physical dictated

  • Lab tests done and placed in chat all with in normal range

  • all of the above

Explanation

Question 48 of 117

1

Preanesthesia may refer to?

Select one of the following:

  • anesthesia visit

  • anesthesia check list

  • preoperative holding room

Explanation

Question 49 of 117

1

Check what may happen in preoperative holding room?

Select one or more of the following:

  • nurse identifies patient

  • Surgeon may visit patient

  • nurse verifies surgeon

  • vital signs are taken

  • patient is cleaned

  • patient is given the final checklist to be signed

Explanation

Question 50 of 117

1

Preoperative visit by the Circulating Nurse will perform what before the procedure?

Select one of the following:

  • asses anxiety levels

  • check to see all the doctors orders have been done

  • make sure surgical check list has been completed

  • all of the above

Explanation

Question 51 of 117

1

The patient can never walk to the O.R. in the United States as its against HIPPA for a procedure to be performed?

Select one of the following:

  • True
  • False

Explanation

Question 52 of 117

1

check whats involved with the identification process of the patient before being led into the O.R.?

Select one or more of the following:

  • Ask the patient their name

  • check response of patients name with wristband on patient and the patient information on the chart

  • ask the patient if they have health insurance

  • ask the patient who to call if their is an emergency in the O.R.

  • check what procedure is being performed; operative site, side, and surgical approach

Explanation

Question 53 of 117

1

The nurse will check patients name, hospital number, DOB, and Physicians name before patient is taken to the O.R.

Select one of the following:

  • True
  • False

Explanation

Question 54 of 117

1

Correct Site Surgery entails what before surgery begins?

Select one of the following:

  • Pre-operative verification process

  • marking the surgical site (drs initials)

  • time out performed

  • clinical documentation

  • all of the above

Explanation

Question 55 of 117

1

Time out consists of what steps?

Select one of the following:

  • Patients name and birth date are confirmed

  • procedure to be performed

  • operative site and side

  • all of the above

Explanation

Question 56 of 117

1

Radiography is?

Select one of the following:

  • process of obtaining image for diagnosis using soundwaves

  • process of obtaining image for symptoms using radiological modality

  • process of obtaining image for diagnosis using radiological modality

Explanation

Question 57 of 117

1

Fill the blank space to complete the text.

A radiographic imaging of the breast to screen for breast cancer is known as .

Explanation

Question 58 of 117

1

Fill the blank space to complete the text.

Radiography of the spinal cord and associated nerves after intrathecal injection of a contrast media is known as

Explanation

Question 59 of 117

1

Fill the blank space to complete the text.

Examination of the body using x-ray in motion captured on a fluorescent screen is known as .

Explanation

Question 60 of 117

1

Fill the blank space to complete the text.

A diagnostic radiograhy of the heat and blood vessels using contrast media is known as .

Explanation

Question 61 of 117

1

Injection of a contrast medium into a blood vessel to visualize coronary artery occlusions with the use of fluoroscopy is known as?

Select one of the following:

  • contrast media injection

  • cardiocathy

  • cardiac catheterization

  • cardiacscopic

Explanation

Question 62 of 117

1

Fill the blank space to complete the text.

is radiography of the bile ducts using contrast media.

Explanation

Question 63 of 117

1

Fill the blank space to complete the text.

A is an x-ray emitted from a specialized tube that rotates around the patients body producing images of the body parts in slices for detailed evaluation of internal dynamic procedures.
P.S. (PLEASE DONE USE ANY SPACES or DASHES IN ANY FILL IN THE BLANK ANSWERS)

Explanation

Question 64 of 117

1

Positron emission tomography or PET scan is defined as?

Select one of the following:

  • Combination of nuclear medicine and computed tomography to diagnose or asses new or current pathology.

  • Combination of photos and computed tomography to diagnose or asses new or current pathology.

  • Combination of science and computed tomography to diagnose or asses new or current pathology.

Explanation

Question 65 of 117

1

A type of diagnostic radiography that uses the characteristic behavior of protons when place in a powerful magnetic field to make images of soft tissue of the body is known as?

Select one of the following:

  • CT Scan

  • PET SCAN

  • MRI

Explanation

Question 66 of 117

1

Fill the blank space to complete the text.

is the use of ultrasound to produce an image or photograph of an organ or tissue

Explanation

Question 67 of 117

1

Fill the blank space to complete the text.

is an non-invasive test that evaluates both the structure and function of the heart by transmuting sound waves to the heart and measuring those sound eaves reflecting back to the transducer.

Explanation

Question 68 of 117

1

The Doppler Ultrasonography permits the measuring of the velocity of that which is studied.

Select one of the following:

  • True
  • False

Explanation

Question 69 of 117

1

Isotope scanning involved the injection of radioactive particles into the patient prior to the imaging study.

Select one of the following:

  • True
  • False

Explanation

Question 70 of 117

1

Radioation therapy is used to kill cancer cells with a predetermined dose or by direct tissue contact with an implantable source.

Select one of the following:

  • True
  • False

Explanation

Question 71 of 117

1

Labatory reports are done on urine and or blood to asses the physiologic condition of a patient.

Select one of the following:

  • True
  • False

Explanation

Question 72 of 117

1

The analysis of urine for diagnostic purpose is called?

Select one of the following:

  • urine test

  • urinalysis

  • urea test

Explanation

Question 73 of 117

1

Tissue specimens are taken from patient to determine?

Select one of the following:

  • molecular structure of disease or pathology

  • diagnosing DNA problems

  • diagnosing diseases of assessing pathology

Explanation

Question 74 of 117

1

Fill the blank space to complete the text.

is a method of inserting a needle through the chest wall into the plural space to obtain fluid for diagnostic purpose.

Explanation

Question 75 of 117

1

what is a method of staining bacteria which is important in identifying the type?

Select one of the following:

  • red blood cell stain

  • white blood cell stain

  • gram stain

Explanation

Question 76 of 117

1

Electrocardiography is a record of the electrical conductivity of the heat.

Select one of the following:

  • True
  • False

Explanation

Question 77 of 117

1

Electroencephalography is a record of the electrical activity of the brain.

Select one of the following:

  • True
  • False

Explanation

Question 78 of 117

1

electromyography is a graphic record the muscle activity.

Select one of the following:

  • True
  • False

Explanation

Question 79 of 117

1

Spirometry is a measurement of the airflow and lung volume.

Select one of the following:

  • True
  • False

Explanation

Question 80 of 117

1

Capnography is a measurement of the end-tidal concentration of carbon dioxide.

Select one of the following:

  • True
  • False

Explanation

Question 81 of 117

1

Pulse oximetry is a measurement of the arterial oxyhemoglobin saturation,

Select one of the following:

  • True
  • False

Explanation

Question 82 of 117

1

Fill the blank space to complete the text.

is the diagnostic procedure to view organs of a body cavity with the use of a telescope.

Explanation

Question 83 of 117

1

plethysmography is a record of the changes in the volume of an organ or extremity.

Select one of the following:

  • True
  • False

Explanation

Question 84 of 117

1

What is the designated room or area where patients are taken prior to going to the operating room?

Select one of the following:

  • a.m. admissions room

  • preanesthesia or preoperative holding room

  • ambulatory surgery room

  • P.A.C.U. room (post anesthesia care unit)

Explanation

Question 85 of 117

1

N.P.O. means:?

Select one of the following:

  • nothing per os except water during the preoperative period

  • nothing per os four hours before surgery

  • nothing per os 8 to12 hours before surgery

  • nothing per os one day (24 hours) before surgery

Explanation

Question 86 of 117

1

What procedure listed below would or could be part of the preadmission process for a patient less than forty years of age, in good health and is a nonsmoker?

Select one of the following:

  • preoperative medication given for sedation

  • intravenous injection started and IV fluids infused

  • chest x-ray taken to visualize any abnormal pathology

  • blood drawn for a chemical profile

Explanation

Question 87 of 117

1

A safety measure to remember when transporting a patient to the operating room via the stretcher is:

Select one of the following:

  • to be sure that four people are in attendance with the stretcher while it is in motion

  • to be sure to push the stretcher from the foot end while transporting the patient

  • to be sure to push the stretcher from the head end while transporting the patient

  • to open a door gently with the foot end of the stretcher as long as the patient’s feet are not hanging over the end

Explanation

Question 88 of 117

1

What blood tests are important to have completed before the patient is brought to surgery if they are having a major surgical procedure performed?

Select one of the following:

  • complete blood chemical profile

  • hemoglobin, hematocrit

  • RBC\WBC

  • hemoglobin, RBC

Explanation

Question 89 of 117

1

What health care provider is mainly responsible for the preoperative teaching when the patient arrives to the hospital the morning of surgery?

Select one of the following:

  • circulating nurse

  • surgical technologist

  • floor or unit floor nurse

  • nurse aid or CSM

Explanation

Question 90 of 117

1

Who can sign an informed consent?

Select one of the following:

  • an emancipated minor

  • spouse of a conscious, competent adult

  • a mentally incompetent adult

  • a minor

Explanation

Question 91 of 117

1

A witness of an informed consent must look for specific information before signing. Which of the following information is NOT important to look for before signing?

Select one of the following:

  • mental state of signatory

  • patient apprehension about surgery

  • voluntary signature without coercion

  • identification of the patient or legal substitute

Explanation

Question 92 of 117

1

An electrocardiogram is important for a patient to have before surgery:

Select one of the following:

  • as part of routine preoperative process

  • if the patient is less than forty years of age

  • if the patient is more than forty years of age and/or has a history of heart problems

Explanation

Question 93 of 117

1

Patient is told about what will happen to them during surgery and the importance of not eating or drinking anything prior surgery

Select one of the following:

  • preoperative teaching

  • history and physcial

  • urine analysis

Explanation

Question 94 of 117

1

This test measures specific gravity, pH, and color

Select one of the following:

  • urine analysis

  • enema

Explanation

Question 95 of 117

1

An important part of the preadmission procedure where the patient’s past experiences and body systems are assessed

Select one of the following:

  • history and physical

  • urine analysis

Explanation

Question 96 of 117

1

This procedure is done the night before surgery by
the patient, or the floor nurse if the patient is admitted
the night before

Select one of the following:

  • enema

  • history and physical

Explanation

Question 97 of 117

1

All jewelry is removed and put in safe keeping during
this phase

Select one of the following:

  • before leaving the O.R.

  • preoperative teaching

Explanation

Question 98 of 117

1

This test is the measure of packed cell volume of red blood cells.

Select one of the following:

  • hematocrit

  • urine analysis

Explanation

Question 99 of 117

1

Normal values for this lab test is 12-16 g/dl

Select one of the following:

  • hemoglobin/women

  • hemoglobin/men

Explanation

Question 100 of 117

1

This test measures the amount of protein-iron compound in blood & oxygen factor in blood

Select one of the following:

  • hemoglobin

  • hematocrit

Explanation

Question 101 of 117

1

Normal values of this test is 5,000-10,000 cells per mm3

Select one of the following:

  • WBC(white blood cells)

  • red blood cells

Explanation

Question 102 of 117

1

Used to evaluate the spine for patients with neck, back
or leg pain by injecting contract media & using x-ray

Select one of the following:

  • myelography

  • fluroscopy

Explanation

Question 103 of 117

1

This procedure utilizes x-ray to project images of body
structures onto a monitor - Image can be view in motion (moving x-ray)

Select one of the following:

  • fluoroscopy

  • ultrasonography

Explanation

Question 104 of 117

1

This diagnostic procedure utilizes high-frequency sound
waves that are directed into the body & reflected from
the tissue to a recording device

Select one of the following:

  • ultrasonography

  • angiography

Explanation

Question 105 of 117

1

A preliminary diagnostic technique that visualizes vessels of the body using contrast media & x-ray

Select one of the following:

  • angiography

  • fluorscopy

Explanation

Question 106 of 117

1

Diagnostic testing is performed on tissue or fluid extracted from the patient that may be suspected of being infected - Sometimes called culture & sensitivity

Select one of the following:

  • bacteriologic test

  • isotope scanning

Explanation

Question 107 of 117

1

Involves the injection of radioactive particles into the patient prior to the imaging study - Done to study the function of certain diseased organs

Select one of the following:

  • isotope scanning

  • bacteriologic test

Explanation

Question 108 of 117

1

Uses two different forms of energy to create an image- most common is working with the magnetic field and how it reacts to different tissue densities

Select one of the following:

  • MRI

  • ct-scan

Explanation

Question 109 of 117

1

A display and recording of the electrical activity of the brain
by measurement of changes in electrical potentials

Select one of the following:

  • electroenceohalogrphy

  • mri

Explanation

Question 110 of 117

1

Monitor measures blood flow that transmits the sound of moving
red blood cells to a transducer - Reflected sound can be amplified

Select one of the following:

  • doppler ultrasonography

  • mri

Explanation

Question 111 of 117

1

X-rays used to view internals structures for diagnostic purposes

Select one of the following:

  • radiography

  • ct scan

Explanation

Question 112 of 117

1

A specialized x-ray machine that produces images of body parts in “slices” for evaluation

Select one of the following:

  • cat scan

  • ct scan

Explanation

Question 113 of 117

1

Device that measures arterial saturation of hemoglobin with
oxygen by passing a light through the tissue - Device is usually placed on the index finger of the patient

Select one of the following:

  • echocardiograpy

  • mri

Explanation

Question 114 of 117

1

What may be administered to the patient to help calm and relax the patient prior to being transported to surgery.

Select one of the following:

  • sedative

  • vaso constrictor

Explanation

Question 115 of 117

1

What drug is administered to the patient preoperatively, intraoperatively, and postoperatively as a prophylactic measure?

Select one of the following:

  • antibiotics

  • vaso constrictor

Explanation

Question 116 of 117

1

What does NPO stand for?

Select one of the following:

  • nothing per os/nothing by mouth

  • nothing injected

Explanation

Question 117 of 117

1

What has to be dictated and/or typed and placed in the chart before surgery can start in some hospitals?

Select one of the following:

  • history and physical

  • patient family members

Explanation

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