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Surgical Technology, Clinical Orientation,Unit1-3(proctored practice)

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Surgical Technology, Clinical Orientation, Unit1-3(proctored practice)

Question 1 of 52

1

The sterile field should be established ____.

Select one of the following:

  • close to the door

  • in major traffic paths

  • farthest from the door

  • in the middle of the room

Explanation

Question 2 of 52

1

Torn, perforated, or wet disposable supplies should be ____.

Select one of the following:

  • used as is

  • used as a last resort

  • thrown away

  • used immediately

Explanation

Question 3 of 52

1

All are duties performed by the STSR during the preoperative case management phase EXCEPT to ____.

Select one of the following:

  • scrub and don sterile attire

  • anticipate the needs of the surgeon

  • prepare the operating room

  • expose the operative site with sterile drapes

Explanation

Question 4 of 52

1

When creating the sterile field, the ____ should be opened first.

Select one of the following:

  • back table

  • instruments

  • ring stand

  • STSR gown and gloves

Explanation

Question 5 of 52

1

Items are counted in which order for every procedure?

Select one of the following:

  • sharps, atraumatic needles, sponges, instruments

  • sponges, instruments, sharps, atraumatic needles

  • sponges, atraumatic needles, sharps, instruments

  • atraumatic needles, instruments, sharps, sponges

Explanation

Question 6 of 52

1

______is worn to protect personnel from microbial contact and environmental hazards.

Select one of the following:

  • Protective attire

  • Surgical attire

  • Sterile attire

  • OR attire

Explanation

Question 7 of 52

1

_______ items are those that are listed as available on the surgeon's preference card, that may or may not be utilized during a specific surgical procedure.

Select one of the following:

  • Sterile

  • surgeon's

  • Hold

  • Open

Explanation

Question 8 of 52

1

Tape used to seal disposable packaging material should be removed rather than broken to prevent possible damage to the integrity of the packaging material

Select one of the following:

  • False

  • True

Explanation

Question 9 of 52

1

It is okay to have the circulator open your dressing sponges onto your back table if you have extra time in the middle of your case before the surgeon begins closing the operative wound.

Select one of the following:

  • False

  • True

Explanation

Question 10 of 52

1

Sharps counts will include hypodermic needles, scalpel blades, cautery tips, safety pins, and any other sharp items.

Select one of the following:

  • False

  • True

Explanation

Question 11 of 52

1

The mayo stand should be prepared with instruments by the surgical technologist prior to performing the initial instrument count with the circulating nurse.

Select one of the following:

  • True

  • False

Explanation

Question 12 of 52

1

What is a “fire risk assessment” and how does it affect a surgical technologist when preparing for a surgical procedure?

Select one of the following:

  • A fire risk assessment gives a score from 0 to 3 depending on fire risks involved with the procedure. As the level moves up more precaution is needed during the procedure to remove the risk of accidental burns to the patient.

  • none

Explanation

Question 13 of 52

1

Check the boxes that must be verified prior to opening any sterile item.

Select one or more of the following:

  • make sure items are sterilized

  • ask nurse if item is to be used for the case

  • wash the wrapper before use

  • package intergrity

Explanation

Question 14 of 52

1

Why is it important for the surgical technologist to verify the items contained within their case cart prior to the start of their assigned surgical procedure?

Select one of the following:

  • to make sure all the items are sterile

  • to separate items that are hold and items that will be used

Explanation

Question 15 of 52

1

Check the boxes of the purposes for counting sponges, instruments and needles.

Select one or more of the following:

  • prevent items accidently being left inside the patient

  • prevent unsterile items from being used

  • protect yourself and hospital from legal liability

  • so the surgeon can document the supplies used during the procedure

Explanation

Question 16 of 52

1

Once you are employed as a surgical technologist in a healthcare facility, is it important for you to know your hospital's count policy? Why or why not?

Select one of the following:

  • yes, each hospital has the same policy to abide by

  • yes very important, each hospital can have a different policy regarding counting procedures.

Explanation

Question 17 of 52

1

Which is a correct statement?

Select one of the following:

  • Initial count is done before and incision is made

  • second closing count is done after the skin layer has been closed

  • first closing count is performed when the muscle layer is closed

  • second closing count is done after the procedure has ended

Explanation

Question 18 of 52

1

How many counts are performed during the preoperative phase?

Select one of the following:

  • 1

  • 2

  • 0

Explanation

Question 19 of 52

1

How many counts are performed upon closure of a surgical wound for an open cholecystectomy?

Select one of the following:

  • 1

  • 2

  • 3

Explanation

Question 20 of 52

1

How many instrument counts are required during the entire perioperative process for an open abdominal hysterectomy?

Select one of the following:

  • 0

  • 2

  • 3

Explanation

Question 21 of 52

1

What criteria is used to determine when an instrument count is required (Instruments counts are not required for every case)?

Select one of the following:

  • most hospital policys dictate less then 2 inch incision instrument counts are not required

  • most hospital policys dictate less then 3 inch incision instrument counts are not required

Explanation

Question 22 of 52

1

Who is generally responsible for performing counts?

Select one of the following:

  • Its a duel role between the Scrub Tech and the circulator.

  • CST in the first scrub role

Explanation

Question 23 of 52

1

What order are the locations of the operating room counted in when performing closing counts and what order are the items counted in?

Select one of the following:

  • Sterile field at patient, mayo stand, backtable and lastly floor

  • Sterile field at patient, mayo stand, floor, backtable

  • mayo stand, Sterile field at patient, backtable and lastly floor

Explanation

Question 24 of 52

1

The circulating nurse is performing the “time out” prior to the start of a surgical procedure and you are the first scrub on the case setting up your back table. What should you do while the “time out” is being performed?

Select one of the following:

  • communicate with the O.R. team

  • be quiet

  • make sure everyone is ready to proceed with the surgery

Explanation

Question 25 of 52

1

What happens if a count is incorrect? What does the circulator do? What does the scrub do? What does the surgeon do?

Select one of the following:

  • The first step is to recount. The scrub will search all fields for missing item. If the item cannot be found the surgeon will order an xray. The circulator calls for additional help

  • The first step is to have the surgeon order an xray. Then we will recount, if the item still can not be found the circulator will order additional help

Explanation

Question 26 of 52

1

Describe how you would count a multipack of needles, such as control release, when performing the initial needle count.

Select one of the following:

  • each needle in the package must be counted. IF package is unopened its counted as 1

  • each needle in the package must be counted. The package must be opened.

Explanation

Question 27 of 52

1

Which kind of soiled sponges are the only sponges to be discarded in the kick bucket?

Select one of the following:

  • raytec or laps

  • raytec or laps or peanut

Explanation

Question 28 of 52

1

What is the rule regarding a package of sponges (Raytecs) that are counted during the initial count that are found to only have nine sponges instead of ten?

Select one of the following:

  • sponges with incorrect counts should be discared, taken out of the room and replaced with another package

  • The circulator is to be informed that another raytec is needed to make 10

Explanation

Question 29 of 52

1

You are functioning as the first scrub on an open bowel resection when the patient suddenly goes into cardiac arrest. What should you do?

Select one of the following:

  • protect the sterile field from contamination, If needed a ST may need to break scrub

  • protect the sterile field from contamination, the ST should never break scrub

Explanation

Question 30 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Places the specimen on a piece of Telfa and carefully drops it into the specimen container**

Select one of the following:

  • I, T

  • D,P

Explanation

Question 31 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

***Watch for breaks in aseptic technique***

Select one of the following:

  • C,PO

  • D,P

  • T,I

Explanation

Question 32 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

***Give report to P.A.C.U. nurse about the patient and the procedure just performed***

Select one of the following:

  • T,I

  • T,P

  • C,PO

Explanation

Question 33 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Anticipate needs of surgeon by handing needed instruments and supplies**

Select one of the following:

  • T,P

  • PO

  • T,I

Explanation

Question 34 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Gown and glove surgeon and their assistants**

Select one of the following:

  • D,P

  • T,P

  • T,I

Explanation

Question 35 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Undrape the patient and discard the soiled drapes in the trash**

Select one of the following:

  • T,I

  • T,PO

  • T,P

Explanation

Question 36 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Check surgeon's preference card for special equipment to be brought into the room*

Select one of the following:

  • T,I

  • T,P

  • D,P

Explanation

Question 37 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Check chart for history, physical examination, consent forms, laboratory reports, radiology reports, cardiology reports, and allergies*

Select one of the following:

  • D,P

  • T,P

  • C,P

Explanation

Question 38 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist with positioning the patient after the induction phase of anesthesia*

Select one of the following:

  • D,P

  • T,P

  • C,P

Explanation

Question 39 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist surgeon with draping the patient*

Select one of the following:

  • T,P

  • C,P

  • D,P

Explanation

Question 40 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Prep the surgical patient with antimicrobial solutions*

Select one of the following:

  • T,P

  • C,P

  • D,P

Explanation

Question 41 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Remove contaminated gown and gloves from the surgeon during the case*

Select one of the following:

  • C,I

  • T,P

  • D,I

Explanation

Question 42 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Count sponges, needles, and instruments at the close of the procedure*

Select one of the following:

  • C,I

  • D,I

  • C,P

Explanation

Question 43 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Place label on frozen section in the container and call for transporter to take to lab*

Select one of the following:

  • C,I

  • D,I

  • C,P

Explanation

Question 44 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Obtain additional equipment and supplies and open as requested during the surgical procedure*

Select one of the following:

  • I, T

  • C,PO

  • C,I

Explanation

Question 45 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Discard soiled sponges into the kick bucket*

Select one of the following:

  • T,I

  • C,I

Explanation

Question 46 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Insert Foley catheter into the patient prior to the prep*

Select one of the following:

  • T,I

  • C,P

Explanation

Question 47 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Connect drains to the evacuator*

Select one of the following:

  • D,P

  • T,I

Explanation

Question 48 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Move patient to recovery cart or bed*

Select one of the following:

  • D,PO

  • T,I

Explanation

Question 49 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist anesthesia during induction*

Select one of the following:

  • C,P

  • D,PO

Explanation

Question 50 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Help surgeon tie around the gown*

Select one of the following:

  • D,P

  • T,I

Explanation

Question 51 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Place first layer of dressing on wound*

Select one of the following:

  • D,P

  • T,I

Explanation

Question 52 of 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Clean up back table and instruments and place on case cart*

Select one of the following:

  • T,PO

  • T,I

Explanation

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