Question 1

When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving,it is most important for the nurse to assess for which outcome?
A)Opening the sterile gown pack on a sterile surface
B)Holding the gown close to the body before applying
C)Having the circulating nurse tie the gown at the hip
D)Keeping the hands inside the sleeves of the gown until the gloves are applied

Accepted Answer

Apply gloves using the closed-glove method,with hands covered by gown cuffs and sleeves.Open the sterile gown and glove package on a clean,dry,flat surface.This can be done by the scrub nurse (before scrubbing hands)or the circulating nurse.While keeping it at arm's length away from the body,allow the gown to unfold with the inside of the gown toward the body.Do not touch the outside of the gown,and do not allow it to touch the floor.Have the circulating nurse tie the gown at the neck and waist.If the gown is wraparound style,the sterile front flap is not touched until the scrub nurse has gloved.

Question 2

Which of the following are sources of contamination in the operating room? (Select all that apply. )
A)A wristwatch
B)Chipped nail polish
C)Artificial fingernails
D)Abrasions on the hands
E)Tattoos to the arms

Accepted Answer

Jewelry harbors and protects microorganisms from removal.Allergic skin reactions may occur as a result of scrub agent or glove powder accumulating under jewelry.Long nails and chipped or old polish harbor great numbers of bacteria.Long fingernails can puncture gloves,causing contamination.Artificial nails harbor gram-negative microorganisms and fungus.Cuts,abrasions,exudative lesions,and hangnails tend to ooze serum,which may contain pathogens.Broken skin permits microorganisms to enter various layers of the skin,providing deeper microbial breeding.

Question 3

The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments in the surgical field.

Accepted Answer

scrub nurse/technician
scrub nurse
technician
The scrub nurse/technician is a "sterile" team member who provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments in the surgical field.

Question 4

Through the use of an antimicrobial agent and sterile brushes or sponges,which of the following occurs? (Select all that apply. )
A)Debris and transient microorganisms are removed from the nails,hands,and forearms.
B)The resident microbial count is reduced to a minimum.
C)The skin is sterilized.
D)Rapid/rebound growth of microorganisms is inhibited.
E)The need to wash between patients is reduced.

Accepted Answer

Although the skin cannot be sterilized,operating room personnel can greatly reduce the number of microorganisms by chemical,physical,and mechanical means.Through the use of an antimicrobial agent and sterile brushes or sponges,the surgical hand scrub removes debris and transient microorganisms from the nails,hands,and forearms,and inhibits rapid/rebound growth of microorganisms.

Question 5

While supervising the surgical team,the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?
A)Allow the team member to complete the task.
B)Remove the team member to have the nails cut.
C)Turn the team member in to the RNFA.
D)Ask the team member why the nails are long and chipped.

Accepted Answer

The team member must be removed immediately to allow cutting of the nails.Long nails and chipped or old polish harbor greater numbers of bacteria.Long fingernails can puncture gloves,causing contamination.

Question 6

The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technologist (CST)
D)Certified Registered Nurse Anesthetist (CRNA)

Accepted Answer

The circulating nurse is always a registered nurse (RN)who is the charge nurse in the operating room.

Question 7

When one prepares to enter the operating room,which technique demonstrates the safest outcome?
A)Keeping the hands below the elbows
B)Applying surgical gloves before the scrub
C)Scrubbing for at least 3 to 5 minutes with an antimicrobial
D)Drying the hands and arms,starting at the elbow and moving toward the fingers

Accepted Answer

The Association of Perioperative Registered Nurses (AORN)recommends a 3- to 5-minute hand and arm scrub with an approved antimicrobial agent for all surgical procedures.Rinse hands and arms thoroughly under running water.Grasp one end of the sterile towel to dry one hand thoroughly,moving from fingers to elbow in a rotating motion.Use the opposite end of the towel to dry the other hand.

Question 8

When planning care for a surgical patient,the nurse implements which technique to maintain sterility in the operating room?
A)Keeps the hands below the waist.
B)Tucks the hands under the axilla.
C)Uses sterile gloved hands to move a sterile drape under a table.
D)Has anyone who is unscrubbed stay at least 1 foot away from the sterile field.

Accepted Answer

Unscrubbed persons should always stay at least 1 foot away from the sterile field while keeping it in constant view and should contact only unsterile areas.Sterile persons must keep their hands in view,above waist level and below the neckline,to avoid contamination.When wearing a sterile gown,do not fold the arms with hands tucked in the axillary region.This area is not considered sterile once operating room personnel have donned gowns.Sterile-draped tables are sterile only at table level.The sides of the drape extending below table level are unsterile.

Question 9

The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure,performing a combination of nursing and delegated medical functions and/or skills.

Accepted Answer

The answer of The _________________ is a nurse with advanced...

Question 10

While the patient is in the operating room (OR)and the OR team is gowned and gloved,the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following? (Select all that apply. )
A)Patient identity
B)Patient allergies
C)Accurate marking of surgical site
D)Patient cultural preferences
E)Questions posed by the patient

Accepted Answer

While the patient is in the operating room (OR)and the OR team is gowned and gloved,it is recommended that a surgical safety checklist or the World Health Organization (WHO)checklist be conducted.The WHO checklist verifies the patient's identity,ascertains whether the patient has any allergies,checks if the surgical site is marked and re-verifies the site marking,and asks the patient if he or she has any questions.

Question 11

The consequences of double gloving during surgery include which of the following? (Select all that apply. )
A)Decreased need for handwashing
B)Decreased risk for exposure to bloodborne pathogens
C)Increased perforations to the innermost glove
D)Decreased risk for surgical wound infection
E)Increased patient cost

Accepted Answer

Benefits of double gloving during surgery include decreasing the risk for exposure to bloodborne pathogens for surgical team members and decreasing the risk for surgical wound infection for the patient.Double gloving significantly reduces perforations to the innermost glove.Handwashing remains the cornerstone of surgical asepsis.

Question 12

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

Accepted Answer

The answer of The _______________ phase begins when the patient...

Question 13

Which of the following is true about the circulating nurse's primary responsibility?
A)The nurse is a "sterile" member of the surgical team.
B)The nurse provides the surgeon with instruments.
C)The nurse is a "nonsterile" member of the surgical team.
D)The nurse performs delegated medical functions or skills.

Accepted Answer

The circulating nurse is a "nonsterile" member of the surgical team who assumes responsibility and accountability for maintaining patient safety and continuity of quality care.This includes supervising the conduct of the scrub technician and delegating tasks to licensed and unlicensed nursing assistive personnel (NAP)as appropriate.The circulating nurse is also an assistant to the first assistant,the scrub nurse/technician,and the surgeon.The scrub nurse/technician provides the surgeon with instruments and supplies.The registered nurse first assistant (RNFA)performs a combination of nursing and delegated medical functions and/or skills.

Question 14

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply. )
A)Scrub nurse
B)Registered nurse first assistant
C)Circulating nurse
D)Certified registered nurse anesthetist
E)Surgical technician

Accepted Answer

Part of the role of the scrub nurse is to perform sponge,sharps,and instrument counts with the circulating nurse before an incision is made,at the beginning of wound closure,and at the end of the surgical procedure.

Question 15

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply. )
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technician (CST)
D)Nursing assistive personnel (NAP)
E)Medical transcriptionist

Accepted Answer

RNs,LPNs,and CSTs may assume the scrub nurse role.

Question 16

The charge nurse is assigning members of the surgical team;the nurse recognizes that which member is responsible for an expanded role in ensuring preoperative and postoperative patient management in collaboration with other health care providers?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Circulating RN
D)Registered nurse first assistant (RNFA)

Accepted Answer

The role of the RNFA is an expansion of the traditional perioperative nursing role,and areas of responsibility will overlap.Responsibilities specific to the practice of first assisting include participating in "time-out" procedures with other surgical team members (safety measures taken to ensure correct patient,correct procedure,correct site and side,correct patient position,and correct implants/equipment present),providing surgical exposure (assisting in retraction of tissues and suctioning of surgical field),providing hemostasis (control of bleeding),handling and/or cutting tissue,using surgical instruments/medical devices and suturing,performing wound closure,applying human anatomical and physiological considerations in practice,recognizing structure,function,and location of tissues and organs,manipulating tissues accordingly to avoid injury,and ensuring preoperative and postoperative patient management in collaboration with other health care providers.The scrub nurse gowns and gloves surgeons and assistants as they enter the operating room,provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,needles,and instruments in the surgical field.

Question 17

Which of the following are principles of sterile procedure? (Select all that apply. )
A)Gowns are sterile from the chest and shoulder to table level.
B)Sterile persons must keep hands in view and above the waist and below the neck.
C)Sterile persons must fold arms across chest with hands tucked into the axillary region.
D)Unscrubbed persons must stay at least 6 inches away from the sterile field.
E)Sterile persons may position themselves with their back to the sterile field.

Accepted Answer

Once in place,gowns are sterile from the front chest and shoulders to table level and on the sleeves to 2 inches (5 cm)above the elbow.Sterile persons must keep their hands in view,above waist level and below the neckline,and must not turn their back to the sterile field to avoid contamination.When wearing a sterile gown,do not fold arms with hands tucked into the axillary region.This area is not considered sterile once operating room personnel have donned gowns.Perspiration can lead to strike-through,or contamination that occurs when moisture permeates a sterile barrier.Unscrubbed persons always stay at least 1 foot away from the sterile field while keeping it in constant view;they touch only unsterile areas.

Quiz 38: Intraoperative Care

When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving,it is most important for the nurse to assess for which outcome?

Which of the following are sources of contamination in the operating room? (Select all that apply. )

The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments in the surgical field.

Through the use of an antimicrobial agent and sterile brushes or sponges,which of the following occurs? (Select all that apply. )

While supervising the surgical team,the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?

The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?

When one prepares to enter the operating room,which technique demonstrates the safest outcome?

When planning care for a surgical patient,the nurse implements which technique to maintain sterility in the operating room?

The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure,performing a combination of nursing and delegated medical functions and/or skills.

While the patient is in the operating room (OR) and the OR team is gowned and gloved,the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following? (Select all that apply. )

The consequences of double gloving during surgery include which of the following? (Select all that apply. )

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

Which of the following is true about the circulating nurse's primary responsibility?

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply. )

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply. )

The charge nurse is assigning members of the surgical team;the nurse recognizes that which member is responsible for an expanded role in ensuring preoperative and postoperative patient management in collaboration with other health care providers?

Which of the following are principles of sterile procedure? (Select all that apply. )