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WorksheetsPost op procedures BV
Total questions: 114
Worksheet time: 57mins
One of these statements is an important attribute for packaging and materials.
The sterilizing agent can penetrate the part of the object that will touch the wound.
The ability to protect the item from microorganisms until it is used.
The sterile object is covered at the part that will touch the wound.
The materials allow 95% of air to be removed during sterilization.
Which of the following is a primary duty for the CST (certified surgical technologist) at the end of a case?
Room turnover
Disposal of trash
Care of specimens
Wiping down all furniture
Which of the following is a topical antibiotic?
Cefazolin
Bacitracin
Keflex
Ciprofloxacin
Many patients complain of post-laparoscopic shoulder pain after undergoing laparoscopic cholecystectomy surgery. What is the cause of this post-laparoscopic shoulder pain?
Improper positioning of the shoulder braces
Improper positioning of the arm boards
Referred pain from the CO₂ on the diaphragm and diaphragm stretch
Improper padding of the shoulder area on the O.R. bed
The abnormal attachment of two surfaces or structures that are normally separate is a:
Ablation
Anastomosis
Adhesion
Keloid
Which of the following is true regarding drape removal at the end of a procedure?
The surgical technologist should remove the drape quickly in order to immediately place the dressing on the patient.
The surgical technologist should gently hold the dressing in place while the anesthesia provider releases the suspended portion of the drape.
The circulating nurse will tape the dressing in place prior to the drape removal.
The surgical technologist will tape the dressing in place prior to the drape removal.
Which of the following is the cause of redness during the inflammatory process?
Vasoconstriction
Release of energy through phagocytosis
Decreased clotting activity
Increased blood flow to the area
Which of the following is true regarding surgery?
Use of standardized care processes is enough to prevent undesired foreign body retention after surgery.
Patient safety is the second most important goal during surgery.
At times items such as sponges are left in the wound for packing.
An X-ray is performed after every surgical procedure to check for object retention.
Which of the following types of dressings is used most often over a skin graft?
Flat dressing
Pressure dressing
Support dressing
Gauze packing
Which of the following terms refers to a bone infection?
Cellulitis
Osteomyelitis
Septicemia
Endocarditis
Within the surgical team, who is the individual responsible for the determination that the patient is ready to be brought to the PACU?
PACU nurse
Anesthesiologist
Surgeon
Circulator
Your patient will have to remain intubated upon leaving the operating room after their chest surgery. The drape used at the head is a U-drape, so you will need to cut the drape free at the neck. What must you take great care to not cut during drape removal?
Chest tube
Dressing
Endotracheal tube cuff/balloon line
Jackson-Pratt drain
Which classification would be used for a total gastrectomy?
Class II
Class I
Class III
Class IV
Which of the following supply items might be requested by the surgeon to be placed when the patient will have to have their surgical dressing changed often?
Bolster
Bridge
Montgomery straps
Splint
When a case is over, what is the correct way to dispose of the drapes used in the case?
Pull the drapes from the table and place in a hamper
Check the drapes for instruments, roll them off, and place in a biohazard bag
Roll the drapes and place them on the floor at the foot of the table to be checked for instruments
Pull the drapes and fold them before placing them on the floor
Which of the following terms refers to separation of layers of tissue after closure of a wound?
Herniation
Evisceration
Dehiscence
Fistula
Patients undergoing minimally invasive surgery (MIS) tend to have:
Better outcomes
Increased recovery time
Lengthy hospital recovery time
Shorter hospital recovery time
Which of the following surgical wound classifications describes a wound with inflammation but no pus or abscess?
Clean
Clean-contaminated
Contaminated
Dirty
As dressing are applied by the CST at field, the following statement is true.
If respiratory distress occurs during emergence, the patient is moved to the recovery room for managing the complication.
If the certified surgical technologist is assisting in applying a dressing and is double-gloved, they simply remove their outer gloves.
Following the procedure, the gown is removed and placed in a soiled linen bag.
The certified surgical technologist can remove the head cover when breaking down the sterile field.
You received 50 ml of Marcaine 0.25% at the beginning of your case. You spilled 5 ml at the beginning of the case. You have 20 ml left in your medication cup on your back table. How much Marcaine did the surgeon administer to the patient?
20 ml
25 ml
30 ml
35 ml
A patient has a biopsy taken in a procedure and asks you who will look at the specimen, provide the diagnosis and create a report on the specimen.
Radiologist
Internist
Pathologist
Surgeon
Tonsillectomies and Adenoidectomies are typically performed on children; upon extubation, what position should the patient be placed?
Supine
Lateral
Prone
Sitting
Which of the following is an example of an absorbable suture?
Polypropylene
Nylon
Polyester
Vicryl
In order to remove the reusable non woven fabric surgical gown at the end of your procedure prior to removing your gloves, you should do what?
Ask the circulator to untie you at the neck and waist and pull forward away from your body
Grasp the gown at the waistline and pull forward away from your body
Reach behind your neck and waist to untie yourself and pull forward away from your body
Remove your outer gloves and reach behind your neck and waist to untie yourself and pull forward away from your body
Which of the following surgical wound classifications describes a wound following vascular surgery?
Clean
Clean-contaminated
Contaminated
Dirty
Patients who have suffered second and third degree burns often receive autologous skin grafts. Upon completion of these procedures which would be the ideal dressing to be used?
Occlusive dressing
Plaster dressing
Stent dressing
Bulk dressing
Which of the following external factors impacts wound healing?
Age
Disease history
Obesity
Medications
Your patient has had a vaginal hysterectomy. Your specimen, the uterus, will be sent to which of the following departments for examination?
Blood-bank
Microbiology
Pathology
Phlebotomy
When the surgeon asks that the specimen be sent "permanent", once handed off to the circulator it should be sent as follows in a specimen container:
Dry
Sterile saline
Formalin
Cidex
The proper way for the surgical technologist to dispose of their surgical gloves after first removing their sterile gown is which of the following?
Keep your surgical gloves on so you can use them to clean the room furniture
Rolling them off at the same time the gown is removed
Removing the gown first then removing the first pair of gloves one at a time by grasping glove to glove then skin to skin to roll off
Removing the gown first then removing the gloves by grasping the cuffs simultaneously to pull and shoot across the room into the garbage
Prior to removing all of the sterile drapes that were used for a procedure, once the dressings have been applied what should the surgical technologist do?
Perform a final count.
Remove their gown and gloves.
Tape the dressing in place.
Cover the dressings with a clean, dry, and sterile dressing.
Which of the following surgical wound classifications describes a wound following a laparoscopic splenectomy?
Clean
Clean-contaminated
Contaminated
Dirty
Which of the following organisms is a frequent cause of infection in burn patients?
Pseudomonas aeruginosa
Escherichia coli
Clostridium tetani
Mycobacterium tuberculosis
Your patient has just had a temporary vascular access catheter placed for dialysis. What complication is going to be ruled out with a chest x-ray prior to the patient leaving the operating room?
Infection
Pneumothorax
Pneumonia
Stroke
Which of the following is a negative aspect of using braided sutures?
Braided sutures can harbor more bacteria and create more inflammation than monofilament sutures.
Braided sutures are weaker than monofilament sutures.
Braided sutures require more ties to keep the knots intact than monofilament sutures.
Braided sutures are thinner than monofilament sutures.
For your carotid endarterectomy case, you have emptied your patient's drain reservoir prior to and after dressing application. You notice the patient's blood pressure is up at 180/110, and the drain reservoir is full again with bright red blood. What will be your next action?
Ask the circulator to report the issue to the post-anesthesia recovery nurse.
Ask the circulator to call the surgeon back stat and open another gown and gloves for the surgeon to don.
Ask the nurse anesthetist to get the patient's blood pressure down.
Empty the drain again and hold pressure on the incision site.
After a mastectomy the following is the dressing of choice, providing the patient comfort and support at the same time, this type of dressing is referred to as?
Xeroform gauze
Fluffs
Coban
Telfa
Which of the following surgical wound cleaning procedures describes an attempt to remove the local pathogens causing a wound infection?
Decontamination
Debridement
Dehiscence
Desiccation
Which of these postoperative complications is defined as blood pressure 20% less than baseline with signs and symptoms such as rapid, thready pulse, disorientation, restlessness, oliguria, and pale, cold skin?
Hypovolemia
Hypertension
Dysrhythmias
Hypotension
Which of the following is a true statement regarding the prevention of foreign body retention?
Each team member counts according to the method he or she prefers.
The wound should be systematically explored prior to closing the site.
X-rays should be avoided at all cost as they post a greater risk than benefit.
Counting of supplies can be abbreviated if the procedure runs over the allotted time.
After the dispersive electrode has been removed, what should happen next?
Assess the skin for burns or irritation
Clean the adhesive from the patient's skin
Give it to the nurse anesthetist
Place it in the case cart to go to the decontamination area
Which of the following events will necessitate re-exploration and cleaning of a surgical wound?
Decontamination
Debridement
Dehiscence
Degeneration
Which of the following surgical wound classifications describes a wound without any inflammatory response whatsoever?
A. Clean
B. Clean-contaminated
C. Contaminated
D. Dirty
Which type of drainage system is used to pull fluid or air from the thoracic cavity after thoracic surgery?
Maleoct drain
T tube drain
Passive drain
Water sealed drainage system
What should the CST (certified surgical technologist) do immediately after removing soiled gown and gloves (breaking scrub)?
Assist in room turnover
Clean the operating room table
Hand wash
Remove sharps
Which type of dressing is typically placed over a full-thickness skin graft recipient site?
Montgomery strap
A clear adhesive dressing such as Tegaderm®
A stent dressing or bolster dressing
Dermabond®
Which of the following is not true when removing a soiled surgical gown at the end of the procedure?
The gown may be unfastened in the back by the circulator.
The gown should be removed prior to the gloves.
Gown and gloves should be removed in the dirty utility room, not in the operating room.
The gown should be rolled up with the exterior enclosed prior to placing in the trash.
Instruments used during a surgical procedure are taken to what area of the hospital or surgical center after the surgical procedure has ended?
Decontamination
PACU
Tray assembly
Sterile storage
Which of the following populations is most challenging to protect from hypothermia, considering they can not shiver?
Adolescents
Geriatrics
Neonates
Toddlers
Describe best practices for dressing application after the surgical wound has been closed.
Place MD requested dressing materials over the wound and promptly remove the drapes. Clean the area around the dressing with a wet sponge or towel to remove dried prep solution, and apply tape to secure.
Remove the drapes, remove your outer gloves, place the surgeon's requested dressing, and tape to secure.
Clean the area around the wound with a wet sponge or towel, remove dried prep solution. Dry the same areas, remove your outer gloves, apply MD requested dressing materials, and hold in place as you remove the drapes.
Remove your outer gloves, apply the surgeon's requested dressing, and tape to secure over the drapes with a towel, not making skin contact or removing the drapes. Have the circulator place the dressing with tape. Clean the area around the wound with a wet sponge.
Which phase of wound healing occurs moments after injury or incision?
Proliferation
Maturation
Inflammation
Closure
While assisting on a C-section, when should the CST (certified surgical technologist) begin a first closing count?
Closure of peritoneum
Fascial closure
Skin closure
Closing of the uterus
When is the final instrument count done on the majority of open cases?
During the procedure
After the "Time Out" is called
When the surgeon closes the subcutaneous layers
After the patient is taken from the operating room
Which of the following is worn to prevent an embolism resulting from limited blood flow to the lower extremities?
Pacemaker
Insulin pump
Sequential compression device
Colostomy bag
Which of the following dressing types is considered an intermediate layer?
Xeroform®
Vaseline Gauze®
Telfa®
4 x 4 gauze sponges
Which of the following suture types are used for skin closure?
Cutting
Taper
Spatula
Blunt
Which of the following suture gauges would be used for ophthalmic cases?
0
2-0
8-0
3-0
Ulnar neuropathy can arise during/after a procedure. It is caused by:
Lidocaine toxicity
Direct pressure on the elbow from the OR table
Having the elbow hyperextended
Having the shoulder raised for a prolonged period
Which of the following surgical wound classifications describes a procedure that plans on entering the gastrointestinal tract as part of the standard surgical technique?
Clean
Clean-contaminated
Contaminated
Dirty
Which of the following is a collection of blood that develops in a wound during healing?
Seroma
Fistula
Hematoma
Adhesion
Which of the following is classified as a major post-operative complication?
Bleeding
Loss of function
Malignant hyperthermia
Infection
Best practice dictates that the following item(s) be kept sterile until the patient has been removed from the operating room.
Back table
Basin set
Mayo stand
Back table, basin set, and mayo stand
Which of the following perioperative complications occurs when the patient's organs are present outside of their body?
Adhesions
Evisceration
Dehiscence
Seroma
Once the procedure is completed, what should the CST do at once?
Maintain a sterile field until the patient is removed from the room
Discard all sharps from the sterile field
Begin breakdown of the field
Collect all trash
What is the number one thing you can do to prevent infection and protect yourself after each procedure you participate in?
Change your mask
Change your shoe covers
Don clean gloves before assisting with patient care
Wash your hands
Which of the following types of dressing material is considered occlusive?
Coban
Gauze
Tefla
Xeroform
Once the procedure is over, and room turnover has begun, all infectious waste needs to be separated from other waste. Where should it be placed?
Red sharps container
Clear disposable bag
Red biohazard bag
Recycling bag
When will wound dressings be applied?
Before the final count is done
After wound closure
After the final count is done
When the surgeon requests dressings
Which of the following perioperative complications occurs when the surgical entry site re-opens?
Surgical site hemorrhage
Evisceration
Seroma
Dehiscence
Which of the following methods can be used to reduce surgical site infections (SSIs)?
Antimicrobial prophylaxis
Using razors for hair removal
Reducing patient's core temperature
Keeping glucose levels above 200mg/dL
Which of the following is not typically an assessment of postoperative patients in the PACU?
Pulse oximetry
End-tidal CO₂
Wound classification
Pain and comfort
Which member of the listed surgical team is in charge of coordinating patient transfer from the operating room table to the stretcher for transport to the post-anesthesia care unit?
Circulating nurse
CRNA (certified registered nurse anesthetist)
Physician's assistant
Surgical assistant
The post-operative phase of surgery begins at what point?
When the last closing stitch or staple is in
When the patient leaves the operating room
With dressing application
With the final closing count
At the conclusion of a case, what is the first step the CST (certified surgical technologist) should do with instruments used intraoperatively before sending them to the sterile processing department (SPD)?
Remove all gross debris and bioburden
Place them back onto the instrument stringer
Nothing needs to be done
Place them in the case cart
Which of the following perioperative complications occurs when there is a simple fluid collection found post-operatively and next to the entry site?
Surgical site hemorrhage
Evisceration
Adhesions
Seroma
Which of the following is true of sterile packaging materials?
Objects should be impermeable to moisture.
Objects and materials should allow for complete retention of the sterilizing agent after the process is complete.
Woven fabrics must be without lint and free fibers.
Reusable materials should contain bleach detergents.
Which of the following is a nonabsorbent dressing?
Xeroform
Gauze
ABD pad
Ray – Tec
Which of the following statements regarding sterilization indicators is true?
Biologic indicators cannot confirm that sterilization conditions were met.
Only those who undergo training should be responsible for placing and interpreting chemical indicators.
If a biologic indicator comes back positive, the items sterilized with the same batch are also considered non-sterile; items previously processed with the same batch prior are not at risk.
Implants are never issued prior to the results of the biologic indicator.
Which is true of seals for packaging materials?
They must not unexpectedly open in storage.
They should be re-sealable in case objects were never used during a procedure.
They should be effective in closing the containers, but don’t have anything to do with the sterility of the items inside.
Packaging materials such as seals need not be tested and evaluated prior to purchasing them as this was done by the manufacturer.
While transferring the patient from the operating room table to the stretcher to be transported to the PACU, what are very important factors for the team upon transferring the patient, to remember?
Ask the patient to move over to the stretcher slowly.
If using a roller during the transfer do it quickly.
Ensure that all IV lines, Foley’s, wound drains and others will not become dislodged during the transfer.
Gather all of the patient’s personal belongings, and make sure they are with them on the stretcher.
Which of the following suture needles can be used on the liver?
Blunt tip
Taper
Cutting
Side cutting
What type of dressing is used to decrease the chances of hematoma development or swelling?
Bulky
Pressure
One-layer
Rigid
when the circulator removes the drapes from the patient at the end of a surgery, what should the CST do?
remain at the operative field
move the back table and mayo to a safe distance
discard of all the sharps
remove soiled gown and gloves
which of the following perioperative complications occurs when there is bleeding from the wound?
surgical site hemorrhage
evisceration
adhesions
dehiscence
which of the following best describes "negative pressure wound therapy"?
wet to dry dressing
wet to wet dressing
wound vac
fluff dressings
Prior to the breakdown and disposal of the mayo stand cover and back table items what must be done to protect those handling waste after surgery?
all bloody sponges must be removed and placed in a biohazard bag
all sharps must be removed and disposed of
all sharps must be removed and double bagged
all sharps must be removed and disposed of in a plastic puncture resistant biohazard container
which of the following immobilization devices would be necessary to immobilize a fractured ulna that has been reduced through an open reduction fixation procedure
ace wrap
cast
splint
traction
which of the following wound classifications describes a wound with no sterile break in procedure
clean
clean contaminated
contaminated
dirty
which of the following dressings is used to debride a wound?
hydrogel
wet to dry
foam
alginate
which of the following is a complication of wound healing?
swelling
fistula
tamponade
polyps
which of the following pressure ulcer stages represents an ulcer that demonstrates a full-thickness skin defect with exposure of underlying musculoskeletal structures
stage one
stage two
stage three
stage four
unstageable
which of the following specimen types must be sent to pathology dry
calculi
bullets
cysts
lipomas
which of the following sutures should be used to close an infected wound?
non absorbable
monofilament
absorbable
silk
a female patient going through a hysterectomy was placed in trendelenburg with her arms also placed on padded arm boards which were more than 90 degrees. when the patient woke up she experienced numbness in both hands. she was later diagnosed with
carpel tunnel syndrome
ulnar nerve compression
brachial plexus injury
peroneal nerve injury
which of the following factors promotes healing in a surgical wound?
tight sutures
decreased dead space
seroma
tension on the wound dressing
what is the term used to describe tissue that easily tears?
friable
evisceration
adhesions
dehiscence
what is the first step the CST must do once the patient leaves the room
remove all sharps from the field
reassemble instrument trays
break scrub
clean the operating room table
once a procedure has finished which is the proper technique incorporated on how the surgical technologist removes his/her contaminated gown
remove your gloves and untie the gown
remove your gloves and break free of the gown
grab the gown from the shoulders and roll away keeping exterior or contaminated portion "inside"
grab the gown from the waist break free and pull away
which of the following surgical wound cleaning procedures describes an attempt to remove nonviable tissue
debridement
decontamination
dehiscence
desiccation
which team member is primarily responsible for escorting the patient to pacu at the end of surgery?
CST
Anesthesiologist
circulator
surgeon
which of the following refers to the thorough cleaning and disinfection of the operating room
sanitation
damp dusting
terminal cleaning
mopping
absorbable sutures have varying lengths of absorption time, which effects healing time and strength of the closure. surgical gut is the only natural absorbable suture, what is the length of time for approximation of sufficient tensile strength
five days
2-3 weeks
three months
variable rate
when moving a patient from the OR table after a case under general anesthesia, who is responsible for protection of the patients head and neck
anesthesiologist
Surgical Tech
circulator
surgeon
which of the following would require immediate post operative care
evisceration
infection
adhesions
bedsore
which of the following is true regarding routine decontamination of the surgical suite after each procedure
it occurs once a week
it occurs before instruments are removed from the room
high level disinfectants are used in the terminal decontamination process
a three-four foot area around the sterile field, the operating room, all flat surfaces are considered adequate for routine contamination between cases
which of the following surgical wound classifications describes a wound following thyroid surgery
clean
clean contaminated
contaminated
dirty
which of the following surgical wound cleaning procedures describes an attempt to dry a post operative wound
decontamination
debridement
dehiscence
dessication
while performing a closing count, the cst notices a missing lap sponge. what should be the first step the cst does next
continue the count
alert the surgeon
recount the laps
ask the circulator for a new pack of laps
you received 500 mL of 0.9% normal saline at the beginning of your case. you have 300 ml on your backtable in your basin. the suction cannister contains 400 ml of fluid. what is your estimated blood loss for this procedure, not counting what is on your surgical sponges?
100 ml
200 ml
300 ml
400 ml
which statement is true and are a component of the operative report regarding the documentation of supplies
names of members who miscounted supplies are recorded for reprimanding
description of measures taken when inconsistent supply count occurs are documented
sharps and instruments are counted but not sponges
bar coding is not an acceptable technique for safeguarding against object retention after surgery
patients undergoing a craniotomy may have a shunt inserted to relieve intracranial pressure, caused by excess CSF build up where is this shunt typically placed?
in the space between the dura and the cranium
in the subdural space, directly against the brain tissue
in one of the lateral ventricles
in the fourth ventricle
what is the purpose of surgical ligatures also known as ties
blood vessel occlusion
elimination of dead space
tissue approximation
preventing evisceration
cast padding must be applied under casting material to protect the skin from what type of injury
chemical
friction
mechanical
thermal
one of the most common complications following surgery found in diabetic patients is which of the following:
gangrene
infection
nerve damage
pneumothorax
