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SURGICAL COUNT

Total questions: 25

Worksheet time: 19mins

Name
Class
Date
1.

Purposed of surgical counts is to protect the patient from complication due to retained sponges, sharps or instrument

a)

YES

b)

NO

2.

Count to protect patient from

a)

Added suffering from foreign body reaction

b)

Additional surgery to remove the object

c)

Extended hospital stay

d)

All above

3.

Second/Third count start from

a)

i-field count

ii- table count

iii- floor cound

b)

i- floor count

ii- table count

iii- field count

c)

i- table count

ii- floor count

field count

4.

During patient positioning, which areas are concern?

a)

providing support to brachial plexus

b)

avoidance injury to the ulnar nerve

c)

all above

d)

non above

5.

Moving a point away from the body is called

a)

adduction

b)

abduction

c)

circumduction

d)

rotation

6.

Patient's bony prominence at the elbow, heels are supported while positioning using

a)

pillows

b)

donut pad

c)

arm strap

d)

boards

7.

What steps are taken to prevent hip dislocation and muscle strain in the lithotomy position?

a)

leg are raise quickly, one at time

b)

leg are raise slowly, one at time

c)

leg are raised and lowered slowly and simultaneously

d)

leg are raised and lowered quickly and simultaneously

8.

For what circumstances is the reverse Trendelenburg position appropriate?

a)

Head and neck procedure

b)

craniotomy

c)

laparoscopic procedure of the upper abdomen

d)

all abobe

9.

Which areas are at risk for injury in the lateral position

a)

eye and ear

b)

brachial plexus

c)

peroneal nerve

d)

non above

10.

Complication from improper positioning include

a)

postoperative musculoskeletal pain

b)

nerve damage

c)

joint dislocation

d)

all above

11.

Battery is:

a)

A threat to harm another physically.

b)

The lack of proper consent.

c)

The carrying out of physical bodily harm.

d)

Negligently touching another.

12.

Which of the following is not a condition for application of res ipsa loquitur?

a)

The type of injury would not normally occur without a negligent act.

b)

The injury was caused by staff under supervision of the person being sued.

c)

The injured person could not have contributed to negligence.

d)

The injured person could not have voluntarily assumed risk.

13.

The borrowed servant rule:

a)

Protects all members of the perioperative patient care team except the surgeon.

b)

Covers the counting of sponges and sharps.

c)

Holds the surgeon liable for the acts of the perioperative team over whom he or she has the right to control and supervise.

d)

Holds the facility liable for bad counts.

14.

___________ is taking responsibility for one's actions, including professional duties.

a)

loyalty

b)

accountability

c)

nurses

d)

doctor

15.

Initial count are When items are opened on the back table prior to the mayo stand set up

a)

correct

b)

wrong

16.

Sponges included in surgical count

a)

laps

b)

raytex

c)

peanuts

d)

all above

17.

______,________, and _______ are counted during the counting process in this order

(a)  

18.

All sharps must be (a)   at initial count. Packages may contain empty or more than count indicated on package

19.

scrub nurse and the circulator should visualize all instruments when counting

a)

true

b)

false

20.

Are extra instruments still listed and counted although they are extra?

a)

yes

b)

no

21.

Which member of the surgical team are responsible for counting sponges after the procedure?

a)

Scrub nurse and Surgeon

b)

Surgeon and Circulating Nurse

c)

Anesthesiologist and Circulating Nurse

d)

Scrub Nurse and Circulating Nurse

22.

During the final count of sponges, both of the nurses responsible for counting sponges concluded that one sponge is not accounted for. Who should be informed just in case the sponge is still not found after a search?

a)

Anesthesiologist

b)

Surgeon

c)

Surgical technologist

d)

X-ray technician

23.

For a consent to be valid, a person is

a)

16 years old

b)

18 years and above

c)

Sister to a 12 y/o child

d)

Grandfather to a 9 y/o child

24.

An individual has a choice whether

or not to undergo a proposed

procedure, surgery, examination or

treatment.

a)

True

b)

False

25.

A standard consent form should consist of:

a)

Diagnosis of patient

b)

Type of anaesthesia

c)

Patient identification data

(Name,IC,

adress, gender)

d)

Name of procedure/surgery to be performed in full