WorksheetsBV Pre op
Total questions: 101
Worksheet time: 51mins
Describe the best technique for obtaining the towel from the top of the sterile gown as you transition from the non-sterile to sterile role after performing the surgical scrub.
Taking great care not to drip water on the opened sterile wrapper or its contents, grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile gloves, or the gown wrapper with your fingers or hand.
Grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile gloves, or the gown wrapper with your fingers or hand.
Grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile gloves, or the gown wrapper with your fingers or hand. If you touch the gown, it's okay, because you will be grabbing it after toweling off.
You don't need the towel over the surgical scrub, so only grasp the gown with the towel on top. Discard the towel after stepping away from the wrapper.
What is the primary responsibility of the CST (certified surgical technologist) after medications are accepted on the sterile field provided by the circulator?
Pass to the surgeon
Label
Confirm medication name and expiration with the circulator
Be sure all hypos are capped
The most commonly used absorbable sutures are made of?
Silk
Mersilene
Synthetics
Catgut
When draping the mayo stand or draping the patient, it is important to maintain your hand position where?
At least twelve inches from the non-sterile drape edge
Beyond the one-inch margin edge of the cuff or drape
Within the existing or created cuff of the drape(s)
You need not concern yourself with protecting your hand; just pay attention to your hand placement and that it is at least twelve inches from any non-sterile area
Following donning a sterile gown, the surgical technologist should
Have a coworker tie the gown using clean gloves
Tie the gown before donning sterile gloves
Don sterile gloves
Tie the gown with sterile gloves after assisting other OR staff to gown.
While draping a patient who is in the lithotomy position, which of the following drapes is placed first?
Fenestrated sheet
Leg covers
Under buttocks sheet
Drape across the upper abdomen
When flipping items onto the sterile field, the CST should keep the item:
12 – 18 inches above the field
Six inches above the sterile field
11 inches away from the sterile field
Directly over the sterile field
Which area of the surgical gown is considered nonsterile?
Back of the gown
The front of the gown
The gown sleeves
The entire gown is sterile
When is terminal cleaning in the operating room (OR) performed?
Beginning of the day
Middle of the day
End of day
Overnight
Which organization(s) set the standards for operating room attire, both sterile and non-sterile?
The World Health Organization (WHO)
The Centers for Disease Control (CDC)
The Occupational Safety and Health Administration (OSHA)
Both the CDC and OSHA
Which of the following is an indication for urinary catheterization?
Bladder decompression
Patient comfort
Facilitation of incontinence
Control of urinary output
Which of the following is the most common neonatal injury during dystocia?
Adrenal glands
Clavicle
Liver
Spleen
What is the CST's primary responsibility when assembling equipment, such as drills and saws, for the surgeon?
Verify the instrument is functioning
Pass the instrument
Let the surgeon assemble the equipment
Do nothing
Patients with ovarian torsion will require which procedure?
Upper endoscopy
Colonoscopy
Salpingo-oophorectomy
Video-assist thoracotomy
Septoplasty is a procedure done to repair a deviated septum. Immediately prior to the repair what instruments should the surgical technologist have ready?
Kerrison rongeur
#15 blade on a #7 knife handle
Hurd retractor
#11 blade
Proper procedure when performing a catheterization of the bladder includes
When catheterizing a male patient, the penis is cleansed beginning just distal to the scrotum and working to the meatus.
A typical Foley catheter for an adult is a 10 French.
Adult females should be in the frog leg position.
The adult female perineum is prepped by moving posterior to anterior.
Which of the following team members performs closed glove technique while preparing for a surgical procedure?
Surgeon
Anesthesiologist
Circulating nurse
CST (certified surgical technologist)
Nosocomial infections typically begin in the operating room due to the incorrect insertion of the Foley catheter. The most common reason is?
Procedure was not accomplished properly.
Prep parameters were not accomplished.
Lack of sterile technique.
The balloon was filled with air instead of sterile water.
Setting up for an emergency case, the surgical technologist should set up the following first?
Retractor
Scalpel
Suction
Suture
Immediately prior to the first incision, verification of the patient, procedure, and side is performed with the entire team. This is referred to as?
Sentinel event
Iatrogenic incident
Time out
Incident
What is the primary purpose behind the surgical skin prep?
Removal of transient organisms and reduction of resident organisms
Sterilization of skin
Protection against surgical site infection (SSI)
Highlighting the surgical site
What is the key factor a CST (certified surgical technologist) must remember when dealing with an immunocompromised patient?
Perform proper counts
Use strict sterile technique
Remove all contaminated items from the sterile field
Have lap sponges on hand
As the team prepares to drape an extremity, which would be the drape of choice?
U-Drape
Thyroid Drape
Aperture Drape
Laparotomy Drape
What is the guiding principle of the CST (certified surgical technologist)?
A. Aeger Primo
B. Surgical conscience
C. Aseptic technique
D. Vigilance
A surgical patient brought to the operating room is immobilized. How many individuals will it necessitate to move this patient?
2
4
3
6
What should the CST (certified surgical technologist) do with instrumentation that has come into contact with the epidermis?
Instruments can be reused
Place the used instrument or sharp within a designated area on the back table
Remove all bioburden
Leave them on the surgical field to avoid cross-contamination
Which are some important characteristics of surgical drapes?
Be flame-resistant, lint free and impervious
Reusable drapes should have a thread count of at least 300.
Reusable drapes should be scanned by a machine to detect tears and punctures prior to sterilization.
The best drapes are not 100% resistant to laser beam force.
An AV fistula procedure creates which of the following?
A. A connection between a vein and artery
B. A removal of a vein and replacement with an artery
C. Removal of atherosclerotic plaque from a vein and artery
D. Closing a connection between a vein and artery
Which of the following is an endogenous source of surgical site infection (SSI)?
Operating room personnel
The patient
The environment
Contaminated equipment
Aseptic principles adhered to in consideration of a Mayo stand are inclusive of the following accurate statement.
It is unnecessary to place the Mayo stand over the patient because most certified surgical technologists work from a back table.
The Mayo stand cannot be placed over the patient as the underside is not sterile.
The Mayo stand can be placed over the patient as long as there is a sterile drape. The patient does not need a sterile drape.
The Mayo stand can be placed over the patient as long as it has a sterile drape and the patient has a sterile drape.
Describe how to handle a bullet removed from your trauma patient.
Receive it with a pair of forceps and pass both to the circulator
Receive it with a gauze sponge and pass it to the circulator
Receive it with a pair of hemostats and pass both to the circulator
Receive it in a sterile container pre-filled with formaldehyde
Which team member is responsible for patient transfer from stretcher to the operating room table?
Surgeon
CST (certified surgical technologist)
Circulator
Anesthesiologist
Which of the following are used to insulate the conductive material holding electricity to prevent injury and ensure the consistent flow of electric current within its circuit?
Sterile material
Nonsterile material
Nonconductive
Conductive
When squaring off the surgical site for adequate surgical exposure, the surgical technologist placing the four towels should always?
Place the first towel closest to themselves.
Place the first towel across from themselves.
Place the first towel superior to the operative site.
Place the first towel inferior to the operative site.
What is the name given to remotely controlled robots?
Telechir
Telepresence
Expert systems
Resolution
What is the ideal patient positioning for a diagnostic colonoscopy?
Supine
Left lateral
Kraske
Prone
Which of the following positions involves lying the patient face up with the head tilted below the feet?
Supine surgical position
Trendelenburg surgical position
Jack knife surgical position
Reverse Trendelenburg surgical position
Which of the following surgeries is indicated in patients with severe pancreatitis as a result of cancer?
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Whipple Procedure
The surgical table best for exposing the affected area and also allowing for optional traction in an orthopedic case would be?
Cysto table
General surgical table
Neuro table
Fracture table
What is the purpose of the surgeon's preference card?
To list all information concerning the patient
To have all equipment and supplies ready before the case
To list the surgeon's gown and glove preference
To list the surgeon's day – to – day schedule
While transporting a patient from the holding area into the operating room, a means of maintaining body temperature is what?
Pressure on the arms from touching the side rails is most likely to injure the median nerve at the distal humerus.
If the patient complains of low back pain, you should provide reassurance.
All patients should be covered for prevention of heat loss.
It is helpful to place cables under the patient to prevent tangling.
Bleeding uterine fibroids is an indication to have what following procedure?
Esophagectomy
Craniotomy
Craniectomy
Hysterectomy
Which of the following positioning aides will immobilize the head and prevent damage to facial structures during cranial procedures?
Donut
Mayfield
Pillow
Wilson
The following is a non-absorbable monofilament suture?
Vicryl
Polybconate/Maxon
Chromic gut
Polypropylene/prolene
Which of the following medications is classified as an opioid?
Bupivacaine
Propofol
Ketamine
Morphine
Where will electrocautery (e.g., Bovie pencil) be placed on the surgical field?
Furthest from the surgeon
Close to the CST (certified surgical technologist)
Adjacent to the operative site
Closest to the surgeon
Once the patient is moved from the stretcher to the operating room table, the very next action that should take place is?
Lock the operating table
Secure the safety strap
Place the grounding pad on the patient
Adjust the intravenous pole
Direct patient care is provided by:
Central processing department
Surgical department
Pathology department
Medical records department
When transporting a patient through a corridor, which direction should the patient be facing?
Pull the stretcher, patient's feet first and restrained
Pull the stretcher, patient's feet first and comfortable
Push the stretcher, patient's feet first and restrained
Push the stretcher, patient's feet first
Your patient is having phacoemulsification. Which of the following pieces of equipment will you need to ensure is available to the surgeon?
Electrocautery unit
Fluoroscopy
Laser
Microscope
Male patients desiring permanent contraception undergo the following procedure?
Vasectomy
Mastectomy
Lumpectomy
Arthroplasty
When wishing to create a bloodless field, the following equipment is required to be placed onto the patient:
Blood pressure cuff
Pneumatic tourniquet
Anti-embolitic stockings
Bair hugger
Which of the following positions places the patient flat on the table with the face and torso facing down?
Lithotomy surgical position
Fowler's surgical position
Prone surgical position
Lateral surgical position
While transporting a pediatric patient to the operating room, the surgical technologist along with the circulating nurse are required to remember which of the following standards?
Two surgical technologists are necessary to transport patients from the ICU to OR when they are on a cardiac monitor.
Cribs must be equipped with a Plexiglas cover during transport.
Patients are at risk of hyperthermia when transported without appropriate cover.
Patients should be identified in two ways.
Which of the following will prevent brachial plexus nerve damage when the patient is in a lateral position?
Axillary roll
Chest roll
Foam pads
Shoulder roll
Prior to the beginning of a surgical procedure, the surgical technologist should:
Arrange instruments by size on the mayo stand.
Prepare suture by opening all packages.
Count sponges, suture, sharps, and instruments.
Apply safety strap below the patient's knee.
So many of the positions patients need to be placed in on the operating room table require additional material and/or equipment. When placing a male patient in the prone position what will be needed?
Blankets
Footboard
Shoulder brace
Body rolls and padding
Which of the following is an acceptable substitute for a rubber latex-sensitive team member?
Silicone
Vinyl
Neoprene
Timprene
What is the basic amount of time needed for the surgical scrub?
10 minutes
3 to 5 minutes
One to two minutes
6 minutes
What is the primary responsibility of the CST (certified surgical technologist) should a patient go into cardiac arrest during a surgical procedure?
Protection of the sterile field
Assist with CPR
Have instrumentation ready for the surgeon
Break scrub
Introducing an anesthetic agent into the subdural space requires
Veress needle
Spinal needle cannula
Reverse cutting needle
Blunt point
Which of the following statements is true?
A. Aseptic principles are the same for a Mayo stand as they are pertaining to the sterile gown.
B. The underside of the Mayo stand should not be placed over the patient.
C. While establishing a sterile field, sterile drapes are placed to cover the back table, a cylindrical drape on the Mayo stand, and fenestrated (or other drapes) are placed over the patient.
D. The underside of a draped Mayo stand is considered sterile, but objects such as tubing and cords that touch it are not.
Which of the following terms defines "departure from the standard of care"?
Negligence
Scope of Practice
Standard of Care
Perjury
What substance is used for lubrication of the donor site for a split-thickness skin graft?
Sterile Water
Sterile Mineral oil
Antibiotic ointment
Petroleum jelly
What is the first step team members must perform when opening sterile items when establishing a sterile field?
Check for an expiration date
Confirm that the item is needed for the case
Check the integrity of the outer package
Orient the item to the back table
Draping a patient incorporates adherence to aseptic principles. What should the sterile team member avoid doing when draping the patient?
A) Passing sterile drapes and towels over nonsterile areas
B) Pass sterile items hand to hand
C) Coming in contact with other sterile items
D) Waking the patient
Prior to prepping a patient in preparation for their ophthalmic surgery, the anesthesiologist injects the area with Marcaine and lidocaine, this type of injection is referred to as what?
Epidural Block
Bier Block
Retrobulbar Block
Spinal Block
While draping an extremity of a surgical patient, the surgical technologist should do what?
When draping the extremity, the surgical technologist should lift the extremity with the nondominant hand while draping with the dominant hand.
The surgical technologist may hold the extremity while the stockinette is unrolled.
The sterile field extends below the table as far as the edge of the drape.
When draping for a craniotomy, the drape must not be placed on the Mayo stand or Mayfield table.
Which of the following medications is used to treat malignant hyperthermia (MH)?
Bacitracin
Succinylcholine
Dantrolene
Marcaine
Which position would allow for better visualization during a Marshall Marchetti Krantz procedure?
Reverse trendelenburg
Lithotomy
Telchir
Trendelenburg
Which of the following positions is the patient in when bronchoscopy and mediastinoscopy are performed?
Supine
Lithotomy
Lateral
Prone
Which of the following is a process of pharmacokinetics?
Excretion
Ingestion
Side effects
Route of administration
Considering best practice, when changing from street clothes to operating room (OR) attire, what article(s) of surgical attire should be placed first?
Headcover
Mask
Surgical scrubs (top and pant)
Shoe covers
Which of the following is an absorbable multifilament suture that resembles a monofilament suture?
Silk
Vicryl
Chromic gut
Nylon
When counting your laparotomy sponges (laps), you count six. After counting them a second time, you still have six. Your patient has not yet entered the surgical suite. What is your next move?
Keep all six sponges, and you anticipate you will need more anyway.
Ask the circulator to place them in a bag, leave them by your case cart so you can take them home and get your another pack.
Ask the circulator to take them out of the surgical suite for disposing of them and get you another pack of sponges.
Ask the circulator to bag them, label them incorrect count, and place them by or in the case cart until the case has concluded.
Which of the following standard surgical positions places the patients flat on their back, and then lowers the feet below the level of the head?
Supine surgical position
Trendelenburg surgical position
Jack knife surgical position
Reverse Trendelenburg surgical position
There clearly are four stages of anesthesia, which is the correct sequence?
Maintenance, induction, emergence, recovery
Maintenance, induction, recovery, emergence
Induction, maintenance, emergence, recovery
Induction, maintenance, recovery, emergence
______ pertaining to an instrument may cause accidental burns to the patient.
Finger rings
Insulation
Working tips
Grip mechanisms
Performing a surgical procedure without the patient's informed consent is regarded as ______.
Defamation
Libel
Battery
Assault
When should sterile items be opened prior to a surgical procedure?
30 to 60 minutes before time of surgery
20 minutes before time of surgery
2 hours prior to time of surgery
At the time of surgery
Which of the following positions would facilitate optimal laparoscopic visualization of the uterus for a hysterectomy?
Prone
Reverse Trendelenburg
Supine
Trendelenburg
What happens when the "Time Out" is called by the circulator?
The surgeon makes the initial incision
The CST (certified surgical technologist) will pass off medication
All action comes to a halt
The CST initiates the instrumentation count
One AST practice concerning sponge counts in the OR consists of which following standard?
The surgeon is responsible for proper performance of the sponge count.
Sponge counts are only required before the skin incision and after skin closure.
Sponge counts should occur when there is a change in circulator or CST.
Sponges can be cut to smaller size and added to the count.
Which of the following sponges are used in neurosurgery?
Laparotomy sponges
Ray – tecs
Kittner
Cottonoids
The following position involves placing the patient in a semi-upright sitting position:
Lithotomy surgical position
Fowler’s surgical position
Prone surgical position
Lateral surgical position
Maintaining a sterile field adheres to specific protocols. One of those protocols incorporates information pertaining to a non-sterile individual. Which of the following is true of sterile procedure in the OR?
The table in the operating room is considered sterile on the top to 12" below.
A nonsterile person should not come closer than 1 foot away from the sterile field.
Sterile fields can be covered with sterile drapes for later use.
Any area of the body covered by a sterile gown can face the sterile area.
Once a surgical gown and surgical gloves are donned, to avoid contamination, the surgical technologist needs to remember what standard?
The entire surgical drape is considered sterile, even the underside.
The drape should positioned as many times as necessary to achieve the most comfortable position.
Maintain 12 inches from the OR table during draping.
Sterile drapes are unfolded prior to placing them on the patient.
The skin prep required when preparing a patient for an abdominal procedure would extend from the:
Xiphoid process to the pubis
Chest to waist
Nipple line to mid-thigh
Umbilicus to the pubis
What suction device should the CST (certified surgical technologist) have on the field for use in large abdominal cases?
Yankauer
Poole
Frazier
Asepto syringe
Which of the following would the CST (certified surgical technologist) prepare for an open liver resection?
Major GYN set
Major laparotomy set
Minor laparotomy set
Orthopedic set
If a surgeon needs to better visualize pelvic organs, such as the uterus, which of the following positions would be best?
Trendelenberg
ReverseTrendelenberg
Prone
Jackknife
The first count for any procedure is performed:
Before the CST scrubs
Immediately after all sterile items are flipped onto the sterile back table
Prior to the “Time Out” being called
Before the skin incision is made
The first electrosurgical unit was created in 1926 by:
Dr. Riley Smith and Dr. Weston James
Henry J. Ross and Andrew Lister
Dr. Washington D. Dwelter and Henry J. Ross
Dr. William T. Bovie and Dr. Harvey Cushing
Using a waterless surgical scrub such as Avagard® the surgical technologist should make sure they?
Used a minimal amount of solution
Towel dry hands
Remove visible soil from subungual areas of fingers
Don gloves over wet solution
The patient has been prepped, the surgical team proceeds to drape the patient; upon placement of the drape it is noted that part of the unsterile skin is exposed; what is the correct process to take place?
Remove the drape and re-prep
Place another drape over it
Cover with a towel
Reposition the drape
A patient diagnosed with advanced goiter, will undergo the following surgical procedure.
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Total thyroidectomy
As a surgical technologist is getting ready for the day to ensure they have all of the necessary supplies needed for their cases, they should verify this information with?
The surgeon’s preference card
Sterile Processing Department
Risk Management
The Control Desk
A patient is having a radical neck dissection, the surgeon wishes to utilize a split sheet. Once placed on the patient the unprepped skin is exposed, what should be done next?
Adjust the drape and apply an Ioban drape over it
Add an additional drape to the existing drape
Shift the drape over so the exposed skin is covered
Remove the drapes, re-prep the patient
What position will be utilized for anorectal surgery?
Kraske
Kidney
Lateral
Supine
When is a Foley catheter usually placed in a patient undergoing a surgical procedure?
Before transport
Before induction of anesthesia
After induction of anesthesia
After the sterile field is in place
in the event of an emergent surgical procedure where the patients life takes precedence, which of the following is the method that will be used to confirm that there are no retained surgical items?
an xray of the patient postoperatively
a preoperative and postoperative count
a quick visual of the surgical equipment by the CST preoperatively
A count initiated at closure is usually sufficient in these cases
