When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. Correct Ans - A. It involves mental discipline & the ability to speak out B. It is essential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: Correct Ans - A. Air flow in the OR rooms should be cleaned by HEPA filters. C. Mask are required when open sterile supplies are present. E. Temperature is maintained between 68 and 75 degree F. You are assigned to relieve a surgical technologist for lunch. You will need: Correct Ans - A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. Correct Ans - A. Preoperative verification B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterile field? Correct Ans - D. Use a sterile transfer device Which of the following practices is recommended for handling of natural absorbable suture? Correct Ans - C. Open the package carefully over a small basin to prevent splashing of the packaging solution Recommended sponge count procedures include all of the following EXCEPT? Correct Ans - B. Counting silently so it doesn't distract other personnel. What is the correct definition of incisional biopsy? Correct Ans - D. A small portion of tissue is incised and sent for examination. Which of the following methods listed below may prevent mishap, event, or fire from occurring when handling electrosurgical equipment? Select all that apply. Correct Ans - A. Allow enough time for alcohol based skin preparations to completely dry. B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient. D. Visually check the integrity and insulation of all cords and coagulation instruments before use. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include: Select all that apply. Correct Ans - A. Duration of the procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition Which of the following statements reflect the concept of critical thinking? Select all that apply. Correct Ans - C. Informed practice D. Holistic thinking E. Unbiased thinking F. Reasoned application of a step by step process What is the best drape to use for an umbilical hernia repair? Correct Ans - B. Laparotomy Which of the following statements correctly describes recommendations for preoperative patient skin antisepsis? Correct Ans - D. Prep should start at the site of the incision and move outwards. What are the 3 main factors to consider when assessing the patient for allergies? Correct Ans - C. Prior reaction, heredity, type of reaction The following steps can be used to reduce personnel exposure to specimen fixatives such as formalin. Select all that apply. Correct Ans - A. Avoid splashing while pouring C. When pouring wear gloves and a mask. D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage occurs. E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use. After initial administration, which statement below the proper order of the 4 stages of general anesthesia affecting the patient? Correct Ans - A. Administration, excitement, intrasurgery, respiratory failure What responsibilities do OR staff members have in maintaining a safe OR environment? Select all that apply. Correct Ans - A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards. In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia should the nurse anticipate and prepare for? Correct Ans - B. Provide 100% oxygen, used iced saline to cool patient. An important difference between minimally invasive (MIS) and open surgical procedures is that MIS: Correct Ans - A. Can be performed through smaller incisions. While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of systemic toxicity related to which of the following patient complaints? Select all that apply. Correct Ans - B. Metallic taste C. Numbness of the lips D. Tinnitus E. Visual Disturbances To place a patient safely in TRENDELENBURG position, which of the following practices is indicated? Correct Ans - B. Position knees over the break in the procedure bed to allow for knee flexion. The first step in the sterilization process of surgical instruments that have been used in case is: Correct Ans - A. Cleaning By using a high radio frequency electrical current, surgeons routinely use electrosurgery to _________ the tissue. Correct Ans - C. Cut and coagulate The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? Correct Ans - A. Improve patient satisfaction Which of the following examples is included on the "Joint Commission" list of DO-NOTUSE abbreviations, Acronyms and Symbols? Correct Ans - A. MS When a "Time Out" discrepancy occurs, the nurse's priority action should be to: Correct Ans - A. Call the patient's family to make them aware of the situation. B. Document the "Time Out" discrepancy C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam sterilization is the recommended practice? Correct Ans - D. Instruments may be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. Correct Ans - A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning transfer. D. Secure lines and catheters prior to the move and dislodging. Which of the following statements about regional anesthesia is correct? Correct Ans - B. Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. Correct Ans - B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent.