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WorksheetsTransportation & Positioning
Total questions: 71
Worksheet time: 36mins
When using a patient roller, how many people are necessary to move the patient safely and efficiently?
Two
Three
Four
Five
When moving the patient from the operating room (OR) table, who is responsible for guarding the head and neck from injury?
Circulating nurse
Scrub nurse
Anesthesiologist
Surgical technician
To move the patient from the transport stretcher to the OR table:
one person stands at the head, one at the foot, while the patient moves over
one person stands next to the stretcher, one adjacent to the OR table, while the patient moves over
one person stands next to the stretcher, stabilizing it against the OR table, while the patient moves over
one person may stand next to the OR table and guide the patient toward him or her if stretcher wheels are locked
When moving a patient with a fracture in the OR, all of the following are true EXCEPT:
extra personnel are necessary
the extremity should be supported from above and below the fracture site
the surgeon should be the one supporting the fracture during the transfer and positioning
personnel on the affected side support the fracture
Which statement is false regarding the position on the OR table?
Elbow should not rest against the metal table
Feet should be uncrossed
Pillows provide support and comfort to prevent strain
Safety strap is 4 in below the knee
To avoid compromising the venous circulation, the restraint or safety strap should be placed:
at knee level
at the mid-thigh area
2 in above the knee
2 in below the knee
When transporting a patient with an underwater seal drainage system, the drainage system:
should be placed at the patient's side and disconnected
should be above the patient's body level attached to suction
should be clamped off and placed below the patient's chest level
can be placed by using any of the above methods
Crossing the patient's arms across his or her chest may cause:
pressure on the ulnar nerve
interference with circulation
postoperative discomfort
interference with respiration
A precaution always taken when the patient is in the supine position is to:
place the pillows under the knees for support
place the safety strap 3–4 in below the knee
place the head in a headrest
protect the heels from pressure on the OR table
During lateral positioning:
a pillow is placed between the legs
a sandbag is placed between the knees
a rolled towel is placed under the bottom leg
a sheet is folded flat between the legs
To prevent strain to the lumbosacral muscles and ligaments when the patient is in the lithotomy position:
the buttocks must not extend beyond the table edge
the legs must be placed symmetrically
the legs must be at equal height
a pillow should be placed under the sacral area
The lithotomy position requires all of the following EXCEPT:
Patient's buttocks rests along the break between the body and leg sections of the table
Stirrups are at equal height on both sides of the table
Stirrups are at the appropriate height for the length of the patient's legs to maintain symmetry
each leg is raised slowly and gently as it is grasped by the toes
All of the following are requirements of the Kraske position EXCEPT:
(A) patient is prone with hips over the break of the table
(B) a pillow is placed under lower legs and ankles
(C) a padded knee strap is applied 2 in above knees
(D) arms are tucked in at sides
When using an arm board, the most important measure to take is to:
support the arm at the intravenous site
strap the patient's hand to the board securely
avoid hyperextension of the arm
avoid hypovextension of the arm
Anesthetized patients should be moved slowly in order to:
prevent fractures
prevent circulatory overload
allow the respiratory system to adjust
allow the circulatory system to adjust
If the patient is in a supine position, the circulator must always:
place a pillow between the knees
place a pillow under the knees
confirm that ankles and legs are not crossed
pad the thoracic area adequately
Extreme positions of the head and arm can cause injury to the:
cervical plexus
radial nerve
ulnar nerve
brachial plexus
Ulnar nerve damage could result from:
poor placement of legs in stirrups
hyperextension of the arm
using mattress pads of varying thickness
placing an arm on an unpadded table edge
In the prone position, the thorax must be elevated from the OR table to prevent:
compromised respiration
pressure areas
circulatory impairment
brachial nerve damage
The anesthesiologist closes the eyelids of a general anesthetic patient for all of the following reasons EXCEPT:
to prevent drying of the eye
to prevent the patient from seeing the procedure
to prevent eye trauma
to protect the eye from anesthetic agents
Which position would be the most desirable for a pilonidal cystectomy or a hemorrhoidectomy?
Lithotomy
Kraske
Knee-chest
Modified prone
A position often used in cranial procedures is called:
Fowler’s
Kraske
Trendelenburg
lithotomy
In positioning for laminectomy, rolls or bolsters are placed:
horizontally, one under the chest and one under the thighs
longitudinally to support the chest from axilla to hip
longitudinally to support the chest from sternum to hip
below the knees
The position used for a patient in hypovolemic shock is:
modified Trendelenburg
reverse Trendelenburg
supine
dorsal recumbent
A Mayfield headrest would be used for which type of surgery?
Ophthalmic
Gynecological
Neurological
Urological
Good exposure for thyroid surgery is ensured by all of the following EXCEPT:
modified dorsal recumbent with shoulder roll
hyperextension of the neck
utilization of skin-stay sutures
firm retraction of the laryngeal nerve and surrounding structures
A procedure requiring the patient to be positioned supine in modified lithotomy is:
colonoscopy
abdominoperineal resection (APR)
marsupialization of pilonidal cyst
ileostomy
In which procedure may the patient be placed in a supine position with the right side slightly elevated by a wedge to tilt the patient to the left?
Cerclage
Marsupialization of Bartholin's cyst
Shirodkar
Cesarean section
The position for most open-bladder surgery would be:
lithotomy
supine position
reverse Trendelenburg
Fowler's, modified
In which position could the patient sustain injury to the pudendal nerves?
Positioned on the fracture table
Positioned in lateral chest
Positioned in lithotomy
Positioned on the urological table
Which factor is important to consider when positioning the aging patient?
Skeletal changes
Limited range of motion of joints
Tissue fragility
All of the above
When positioning the patient for a procedure, which of the following provides maximum patient safety and maximum surgical site exposure?
Patient's body does not touch metal on table
Equipment, Mayo stand, or personnel are not resting on the patient
Bony prominences are padded
All of the above
What position would be used for an abdominoperineal resection?
Supine, slight reverse Trendelenburg
Low lithotomy
Sims
Kraske
All are ways to identify a patient EXCEPT:
address patient by their full name and state the surgery they are having
examine the patient's identification band and compare with the name and number on the chart
ask the patient to state their full name, do not call the patient by their name before asking
ask the patient to tell you what procedure they are having
To assist a falling patient, you should:
support the patient's weight with your body
ease the patient to the floor while protecting their head
run and get assistance once the patient is down
none of the above
Intravenous (IV) lines and fluids should be:
lower than the patient's body
level with the patient's arm
higher than the patient's body
it really does not matter
What is the position called when the OR bed is tilted with feet down?
Trendelenburg
Low lithotomy
Hyperflexion
Reverse Trendelenburg
Antiembolism devices or SCDs are placed on the patient's legs prior to surgery to:
prevent thromboembolus
prevent cramping
provide protection from metal parts of the OR table
assist in the range of motion
The dorsal recumbent position is a slight modification of what position?
supine
prone
right lateral
Kraske
When the patient is positioned in supine, the arm board must not be:
flexed more than 90 degrees
adducted more than 90 degrees
abducted more than 90 degrees
There are no specific criteria
The position that allows greater access to the lower abdominal cavity and pelvic structures due to gravity is:
reverse Trendelenburg
lithotomy
Trendelenburg
supine
The orthopedic fracture table provides:
circumferential access
horizontal traction
exposure to the ankle
both A and B
What position is occasionally used for facial, cranial, or reconstructive breast surgery?
Sims'
Fowler's
Reverse Trendelenburg
Anterolateral
What position would be used for a surgical procedure requiring a transurethral approach?
Supine, Trendelenburg
Supine, reverse Trendelenburg
Lithotomy
Lateral kidney
Thoracic outlet syndrome can occur when there is pressure on:
the thoracic artery
the brachial plexus
subclavian artery
both B and C
Ulnar neuropathy results from:
improper padding
continuous pressure from the edge of the OR table
when the elbow is tightly flexed
all of the above
The following is a risk when positioning the patient on the OR table:
hyperextension of limbs
pressure on bony prominences
improper padding
all of the above
When transferring an unconscious or immobile patient from the stretcher to the OR table, ideally how many people are required?
Two or three
Four to six
One or two
None of the above
When removing a patient from lithotomy position:
lower the legs separately
lower the legs quickly
lower the legs together
lower stirrups, then remove legs
All of the following help to maintain normothermia during surgery EXCEPT:
warm the OR until the prep is performed and dries
blankets from the warmer are used
SCD is applied
fluid warmers are used to warm IV solution
Heat loss caused by convection occurs when:
patient loses heat through the surrounding environment—from warm environment to a cold OR
the liquid (due to perspiration) on their skin evaporates and causes heat loss
patient loses heat by direct contact with an object or another body (cold)
patient loses heat through air currents
Symptoms of hypothermia include all EXCEPT:
tachycardia
increased shivering
compromised cardiovascular and nervous systems
increased blood pressure
The device used by the anesthesiologist to measure the amount of oxygen in the hemoglobin component of the blood is:
pulse oximeter
oxygen saturation device
sphygmomanometer
both A and B
Cheyne-Stokes breathing is defined as:
shortness of breath and breathing difficulty
breaths are deeper and faster followed by a decrease in breathing. The pattern can sometimes stop for a short time.
rapid breathing as in patients with a high fever
fast deep labored breathing
Korotkoff's sounds are:
observed during Cheyne-Stokes breathing
the first tapping sounds heard when taking a blood pressure
observed when using the bispectral index monitor
the sounds noted when using a Doppler
An arterial line can be inserted into the:
radial artery
brachial artery
femoral artery
all of the above
A bispectral index monitor is used to:
monitor the depth of anesthesia in the surgical patient
monitor blood pressure
measure the amount of oxygen in blood
monitor the body temperature
The neuro/ortho headrest attachments include all EXCEPT:
Mayfield headrest
Gardner-Wells tongs
horseshoe headrest
Andrews headrest
OR tables commonly used in spinal surgery include:
Andrews
Wilson
Jackson
All of the above
Which statement is incorrect when the patient is in Fowler’s position?
The upper body is at a 90-degree angle.
Blood flow from the upper body is reduced and facilitates respirations.
A padded shoulder board is used to prevent the patient from sliding off the table.
It is used for surgery on the breast, head, neck, or shoulder.
Positioning aids used for lithotomy position include:
candy cane stirrups
Yellofins stirrups
Allen stirrups
all of the above
All of the following statements are true regarding the Sims’ position EXCEPT:
used for spine procedures
left leg is straight, and right leg is bent
this is a modification of the lateral position
used for endoscopic procedures
All apply to a lateral position EXCEPT:
padding, axillary rolls, and chest rolls are used to improve respirations
a Mayo stand should not be used to support the upper arm
lower leg is bent and upper leg is straight with a pillow in between
blood pressure should be measured from the lower arm
The desirable position for better visualization in the lower abdomen or pelvis is:
Fowler’s
reverse Trendelenburg
Trendelenburg
Kraske
In which of the following positions is a patient placed for a right nephrectomy?
left lateral
right lateral
left lateral kidney
right lateral kidney
Which of the following positions is used for a total hip arthroplasty?
Fowler’s
Lithotomy
Kraske
Lateral
In what position is the patient placed for an anterior total hip arthroplasty?
Supine
Lithotomy
Lateral
Fowler
If a patient is having a procedure performed on the Allen table, when would they be intubated and what position would be used?
After the patient has been positioned prone
When the patient is on the stretcher in supine position
When the patient is positioned on the OR bed in supine
The decision on how the patient is to be intubated for this procedure is determined by the anesthesiologist
What position is the patient put in following extubation after a tonsillectomy?
Supine
Fowler’s
Sims’
Lateral
All pertain to a shearing injury EXCEPT:
intense friction placed on the patient's skin
it is more common in a debilitated patient or the elderly who have compromised skin
it is caused when the patient is transported from the stretcher to OR bed or OR bed to stretcher
it is caused by hyperflexion of the muscle and facia when moving the patient from one surface to another
What position most commonly results in an eye injury in patients?
Lateral
Prone
Supine
Dorsal recumbent
