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WorksheetsLQA 05
Total questions: 50
Worksheet time: 25mins
Name
Class
Date
1.
The minimum distance a nonsterile person should remain from a sterile field is:
a)
6in
b)
1ft
c)
2 ft
d)
3 ft
2.
Identify which of the following is NOT a safe practice.
a)
Discard opened sterile bottles
b)
Sterile persons drape first toward them-selves, than away
c)
Sterile persons face sterile areas
d)
Sterile tables may be covered for later use
3.
Tables are considered sterile:
a)
on the top and 2 in below the table level
b)
up to 2 ft off the ground
c)
on the top and in the area that has been pulled close to the sterile field
d)
only on the top
4.
At the end of the case, drapes should be:
a)
pulled off and placed in a hamper
b)
rolled off and placed on the floor so they can be checked for instruments
c)
rolled off and placed in a hamper
d)
checked for instruments, rolled off, and placed in a hamper
5.
If a solution soaks through a sterile drape:
a)
discard drape and replace it
b)
cover wet area with impervious sterile drape or towel
c)
cover wet area with at least two layers of fabric
d)
fill out an incident report at the end of the case
6.
Which of the following is not an acceptable wrapper for gas sterilization?
a)
Nylon
b)
Muslin
c)
Paper
d)
Plastic
7.
Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?
a)
Polyethylene
b)
Polypropylene
c)
Polyamide
d)
Polyvinyl chloride
8.
All of the following statements regarding muslin wrappers are true EXCEPT:
a)
muslin must be laundered, even if unused, in order to rehydrate it
b)
a 140 thread count of unbleached muslin is used for wrappers
c)
muslin is flexible and easy to handle
d)
small holes can be repaired by stitching on a patch
9.
Packages wrapped in muslin must have:
a)
one thickness
b)
two thicknesses
c)
three thicknesses
d)
four thicknesses
10.
The maximum storage life for a muslin wrapped item in a closed cabinet is:
a)
7 days
b)
14 days
c)
21 days
d)
30 days
11.
An item dropped on the floor is considered safe only if:
a)
it is wrapped in woven material
b)
it is enclosed in an impervious material
c)
it is used right away
d)
it is inspected carefully
12.
When using a pour solution:
a)
a portion may be poured and the cap replaced
b)
the contents must be used or discarded after the bottle is opened
c)
the cap may be replaced if it has not been placed on a nonsterile surface
d)
the solution may be used on the same case if the cap is not replaced
13.
What is the standard safety margin on package wrappers?
a)
Up to the edge
b)
Less than 1 in
c)
1 in
d)
None of the above
14.
When opening a wrapper, the circulator should open the top flap:
a)
toward self
b)
away from self
c)
after the sides
d)
over sterile field
15.
When the scrub nurse drapes a basin stand:
a)
the side nearest the body is opened first
b)
the side nearest the body is opened last
c)
the lateral areas are done first
d)
Both A and B
16.
When flipping a sterile item onto the field, the circulator may:
a)
lean over the sterile field to shake item out of package
b)
project item without reaching over the sterile field
c)
shake item into sterile basin stand
d)
lean over sterile linen pack and drop item onto it
17.
Gowns are considered sterile only from:
a)
waist to neck level in front and back, and the sleeves
b)
waist to shoulder, front and back, and the sleeves
c)
neck to thighs in front and the sleeves
d)
only in front from chest to sterile field level, and sleeves from elbow to cuffs
18.
An acceptable action when drying the hands and arms after the surgical scrub is to:
a)
dry from elbow to fingertip
b)
dry thoroughly, cleanest area first
c)
keep the hands and arms close to the body, at waist level
d)
dry one hand arm thoroughly before proceeding to the next level
19.
All of the following statements regarding gowning another person are true EXCEPT:
a)
open the hand towel and lay it on the person's hand
b)
hand the folded gown to the person at the neckband
c)
keep hands on the outside of the gown under a protective cuff
d)
release the gown once the person touches it
20.
Which statement regarding the scrub procedure is NOT true?
a)
It reduces the microbial count
b)
It leaves an antimicrobial residue
c)
It renders the skin sterile
d)
It removes skin oil
21.
If the scrub nurse needs to change a glove during an operation:
a)
the scrub must also regown
b)
the circulator pulls the glove off
c)
the scrub pulls the glove off
d)
the scrub uses closed gloved technique to reapply gloves
22.
Which statement regarding the removal of gown and gloves does NOT meet safe criteria?
a)
The gloves are removed before the gown
b)
The gown is pulled off inside out
c)
The gown is untied by the circulator
d)
The gloves are removed inside out
23.
An effective surgical scrub procedure is:
a)
Time method
b)
brush-stroke method
c)
3-minute anatomic method
d)
Both A and B
24.
Regarding the surgical scrub, which statement would violate acceptable practice?
a)
Fingernails that only reach the tip of the finger
b)
Nail polish may be worn if freshly applied
c)
It is okay to scrub with a cut or abrasion
d)
A non-oil-based hand lotion may be used to protect the skin
25.
Eyewear, goggles, and/or face shields should be worn:
a)
on every case
b)
on orthopedic cases
c)
on vascular cases
d)
on positive HIV cases
26.
The surgical scrub is:
a)
sterilization of the skin
b)
mechanical cleansing of the skin
c)
chemical cleansing of the skin
d)
mechanical washing and chemical antisepsis of the skin
27.
Scrub technique ends
a)
2 in below the elbow
b)
just below the elbow
c)
at the elbow
d)
2 in above the elbow
28.
Which statement regarding the surgical scrub indicates INAPPROPRIATE preparation by the scrub?
a)
Wearing artificial nails are acceptable
b)
Nail polish may be worn, if not chipped
c)
Finger nails should not reach beyond fingertips
d)
Skin should be protected with a non-oil- based product
29.
Which statement best describes an effective surgical hand scrub?
a)
Time, no anatomical sequence
b)
Number of strokes, no anatomical sequence
c)
Time or number of strokes, hand to elbow sequence
d)
Number of strokes, elbow to hand sequence
30.
The brush-stroke method of scrubbing prescribes the number of strokes required. Indicate the number for each: nails, fingers, hand (back and palm), and arms.
a)
40,30,30,30
b)
40,40,20,20
c)
30,20,20,20
d)
30, 20, 10, 10
31.
Evidence-based practice (EBP) relies on:
a)
opinion and tradition
b)
past evident practices
c)
current practices
d)
science and evidence
32.
Standard precautions evolved from a practice called:
a)
universal
b)
aseptic technique
c)
EBP
d)
the method of thinking and doing
33.
When water comes in contact with a sterile drape or gown, it can cause:
a)
strike through contamination
b)
slippery surface
c)
resident flora
d)
create a potential fire hazard
34.
Standards during surgery include all EXCEPT:
a)
nonsterile team members do not pass between two sterile fields
b)
sterile gowns are only considered sterile from the waist to the axillary lines, from hands to shoulders
c)
movement should be kept to a minimum
d)
if there is any doubt about the sterility of the item, consider it contaminated
35.
When removing sterile attire, arrange following in proper order (1) remove your gloves, (2) remove your gown, (3) remove your mask
a)
1, 2, 3
b)
1, 3, 2
c)
2, 1, 3
d)
3, 2, 1
36.
When opening sterile supplies, all the following are proper techniques EXCEPT:
a)
do not readjust the table drape after it has been opened
b)
open the first flap away from you on an unwrapped item
c)
remember not to lean over the sterile field
d)
when opening items in a peel pouch, slowly allow the item to slide out of the package onto the sterile field
37.
When opening supplies for a case, what should be passed directly to the scrub or flipped in an area where they are clearly visible?
a)
Medications
b)
10-cc syringe
c)
Peanuts
d)
Blades
38.
Sterile personnel must pass each other:
a)
right to left
b)
should never pass each other
c)
back to back, front to front
d)
does not really matter because gowns that wrap around are used
39.
What is known as the center of your sterile field?
a)
Back table
b)
Mayo
c)
Surgeon
d)
Draped patient
40.
If there is a break in sterile technique during the procedure, the STSR should tell:
a)
the surgeon
b)
the person who broke technique
c)
the circulator
d)
everyone in the lounge
41.
Which condition regarding sterile technique is NOT recommended?
a)
Sterile tables are set up just before the operation
b)
Sterile tables may be set up and safely covered until time of surgery
c)
Once sterile packs are open, someone must remain in the room to maintain vigilance
d)
Sterile persons pass each other back to back
42.
Which of the following conditions is NOT an acceptable aseptic technique?
a)
Scrub nurse standing on a platform or standing stool
b)
Scrub nurse keeps hands below shoulder level
c)
Scrub nurse folds arms with hands at axillae
d)
Scrub nurse's hands are at or above waist level
43.
When a sterile item is hanging or extending over the sterile table edge, the scrub nurse:
a)
must watch closely that no one comes near it
b)
does not touch the part hanging below table level
c)
should pull it back onto the table so it does not become contaminated
d)
may use the item
44.
Which of the following is considered a break in technique?
a)
A sterile person turns his or her back to a nonsterile person or area when passing
b)
Sterile persons face sterile areas
c)
A sterile person sits or leans against a nonsterile surface
d)
Nonsterile persons avoid sterile areas
45.
In which situation should sterility be questioned?
a)
If a sterilized pack is found in an unsterile workroom
b)
If the surgeon turns away from the sterile field for a brow wipe
c)
If the scrub drapes a nonsterile table, covering the edge nearest the body first
d)
If the lip of a pour bottle is held over the basin as close to the edge as possible
46.
When handing skin towels to the surgeon, where should the scrub person stand in relation to the surgeon?
a)
On the opposite side of the table
b)
On the same side of the table
c)
At the foot of the table
d)
Any position is acceptable
47.
According to CDC guidelines, each of the following actions by a scrub person prevents wounds and punctures EXCEPT:
a)
use an instrument to remove blades
b)
recap injection needles
c)
account for each needle as surgeon finishes with it
d)
protect sharp blades, edges, and tips
48.
Which of the following is NOT an acceptable technique when draping a patient?
a)
Hold the drapes high until directly over the proper area
b)
Protect the gloved hands by cuffing the end of the drape over them
c)
Unfold the drapes before bringing them to the OR table
d)
Place the drapes on a dry area
49.
The procedure to follow if a hair is found on the operative field is to:
a)
notify circulator
b)
complete an incident report
c)
remove it with a clamp, cover over area
d)
no action is necessary
50.
If the floor or wall becomes contaminated with organic debris during a case, the circulator
a)
calls housekeeping stat
b)
decontaminates promptly
c)
decontaminates after case is complete
d)
defers for terminal cleaning
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