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WorksheetsMTR Chapter 04: Physical Env. and Safety Standards
Total questions: 75
Worksheet time: 38mins
Name
Class
Date
1.
The emergency shut-off valve for the supply of oxygen into an operating room is designated by which of the following colors?
a)
black
b)
blue
c)
green
d)
red
2.
Which of the following statements is true regarding surgical lights?
a)
They provide a limited range of intensity.
b)
They move freely in the horizontal and vertical planes.
c)
They have a dark central focal point.
d)
They are hard to focus.
3.
Where is the articulating arm of the surgical boom mounted?
a)
ceiling
b)
door
c)
floor
d)
wall
4.
Which of the following pieces of OR furniture is usually the closest to the operative site?
a)
back table
b)
kick bucket
c)
Mayo stand
d)
ring stand
5.
Operating room doors should be kept closed to:
a)
preserve negative air pressure.
b)
preserve positive air pressure.
c)
reduce air turbulence.
d)
regulate temperature.
6.
Which of the following types of outlets is connected to a back-up power source?
a)
flip top cover
b)
red
c)
current converter
d)
grounding system
7.
Which of the following areas would be considered restricted?
a)
radiology department
b)
decontamination room
c)
pathology department
d)
substerile room
8.
The Wilson frame is used for positioning a patient in which of the following surgical positions?
a)
lateral kidney
b)
lithotomy
c)
prone
d)
sitting
9.
Which of the following types of procedures would require an operating table fluid drain pan attachment?
a)
cardiac catheterization
b)
coronary artery bypass
c)
craniotomy
d)
cystoscopy
10.
A fixed white board in the OR is used to record which of the following types of information?
a)
vital signs
b)
surgical counts
c)
X-ray films
d)
patient position
11.
The ventilation system in the OR should be:
a)
negative and bidirectional.
b)
negative and unidirectional.
c)
positive and bidirectional.
d)
positive and unidirectional.
12.
What are the recommended air exchange guidelines?
a)
10-15 with 20% fresh outside air
b)
10-15 with 90% filtered recirculated air
c)
20-25 with 20% fresh outside air
d)
20-25 with 90% filtered recirculated air
13.
The temperature in the OR should be kept between:
a)
55oF and 60oF
b)
63oF and 68oF
c)
68oF and 73oF.
d)
75oF and 80oF.
14.
Which of the following types of personal protective equipment (PPE) protects the CST from ionizing radiation?
a)
laser mask and laser goggles
b)
arthroscopy boots and impervious apron
c)
plastic face shield and N-95 respirator mask
d)
lead apron and thyroid shield
15.
Frozen section biopsies are sent to which of the following hospital departments for analysis?
a)
radiology
b)
nuclear medicine
c)
pathology
d)
sterile processing
16.
The term that is used for the process of cleaning an OR and preparing the room for the next procedure is:
a)
turnover.
b)
crossover.
c)
passover.
d)
changeover.
17.
Which of the following choices is considered a physical hazard in the surgical department?
a)
electrical
b)
latex
c)
surgical plume
d)
formalin
18.
Which of the following regulatory agencies is responsible for establishing permissible exposure limits (PELs) for chemical vapors and gases?
a)
AAMI
b)
ANSI
c)
NIOSH
d)
NFPA
19.
Proper body mechanics is referred to as:
a)
aerobics.
b)
ergonomics.
c)
mnemonics.
d)
prosthetics.
20.
Which of the following geometric shapes visually represents the components necessary to support a fire?
a)
circle
b)
ellipse
c)
square
d)
triangle
21.
Which of the following types of electricity is generated by friction between two surfaces?
a)
alternating
b)
bipolar
c)
direct
d)
static
22.
Which of the following diagnostic studies emits ionizing radiation?
a)
fluoroscopy
b)
MRI scan
c)
pulse oximetry
d)
ultrasound
23.
Which of the following steps will help protect the CST from ionizing radiation?
a)
hold the X-ray cassette in position during fluoroscopy
b)
stand in front of the fluoroscopy machine while in use
c)
turn your back to the fluoroscopy machine while in use
d)
wear a lead apron and thyroid shield
24.
A strategy to avoid intraoperative sharps injuries is to establish which of the following types of zones?
a)
danger
b)
exposure
c)
free
d)
neutral
25.
It is recommended that surgical plume evacuators filter particulate as small as:
a)
0.1-0.3 um
b)
1.0-3.0 um.
c)
0.1-0.3 mm.
d)
1.0-3.0 mm.
26.
Which of the following substances is added to HEPA and ULPA filters to absorb offensive odors?
a)
water
b)
gravel
c)
charcoal
d)
saline
27.
Which of the following choices is the chemical name of the powder and liquid mixture used to create cement for placement of a prosthesis?
a)
cyanoacrylate
b)
ethylene oxide
c)
activated glutaraldehyde
d)
polymethyl methacrylate
28.
Which of the following words is the name of the system connected to every anesthesia machine that removes waste anesthesia gases?
a)
scavenger
b)
sequestering
c)
shunting
d)
suppression
29.
Which of the following choices represents the percent of healthcare providers who are reported as allergic to latex?
a)
4% - 13%
b)
12% - 21%
c)
8% - 17%
d)
5% - 14%
30.
Which of the following types of natural immunoglobulins are responsible for the Type I serious allergic reactions to rubber-containing items?
a)
IgA
b)
IgE
c)
IgG
d)
IgM
31.
Which of the following distances from the impact site of a laser beam on tissue should the smoke evacuator be positioned to capture 98% of the plume?
a)
1 cm
b)
2 cm
c)
5 cm
d)
10 cm
32.
After a bloodborne exposure incident, the following procedure should be initiated within two hours of exposure:
a)
PASS.
b)
PEP.
c)
PPE.
d)
PMMA.
33.
A CST who is not wearing a lead apron and who cannot leave the OR during an intraoperative X-ray should:
a)
stand in front of the X-ray machine.
b)
stand at the head of the bed.
c)
stand at the foot of the bed.
d)
stand behind the X-ray machine.
34.
Blood and bodily fluid contaminated items must be disposed of by using a:
a)
white trash bag.
b)
red sharps container.
c)
yellow colored biohazard bag.
d)
red-colored biohazard bag.
35.
The portion of the ESU circuit that delivers current back from exposed tissue to the ESU unit is the:
a)
active electrode pencil.
b)
foot control pedal.
c)
patient return electrode (grounding pad).
d)
third prong of the grounded plug.
36.
Operating room temperature and humidity are recorded:
a)
daily.
b)
weekly.
c)
bi-weekly.
d)
monthly.
37.
When not in use during a procedure, fiberoptic light cords should be stored:
a)
hanging from an anesthesia pole.
b)
on the back table.
c)
on the patient.
d)
on a separate mayo stand.
38.
Which of the following extinguishers is the most effective on an electrical or laser fire?
a)
Class C
b)
Class A
c)
Class B
d)
Class D
39.
On which of the following pieces of OR furniture are most of the sterile supplies opened?
a)
back table
b)
Mayo stand
c)
prep table
d)
ring stand
40.
The post-anesthesia care unit (PACU) may contain special cubicles for which of the following types of patients?
a)
advanced age
b)
isolation
c)
outpatient
d)
nursing
41.
Which of the following substances is commonly used as a tissue fixative for permanent specimens?
a)
ethylene oxide
b)
formalin
c)
glutaraldehyde
d)
polymethyl methacrylate
42.
The surgery department must provide which of the following references, detailing information about specific chemicals that a CST may encounter in the OR?
a)
AAMI
b)
SDS
c)
NIOSH
d)
OSHA
43.
Which of the following pieces of equipment allows the circulator and anesthesia provider access to laboratory and testing information?
a)
boom
b)
view box
c)
computer
d)
white board
44.
The recommended weight limit on instrument trays is:
a)
ten pounds.
b)
fifteen pounds.
c)
twenty pounds.
d)
twenty-five pounds.
45.
Which of the following items would be considered a standard precaution?
a)
sterile gown
b)
N-95 mask
c)
gloves
d)
surgical hood
46.
Which of the following symptoms would be considered an allergic contact dermatitis from an allergic response to latex?
a)
wheezing
b)
cracked skin
c)
red skin
d)
fluid-filled vesicles on the outer skin layer
47.
Which of the following acronyms is the mnemonic used to remember the steps for operating a fire extinguisher?
a)
PASS
b)
PMMA
c)
RACE
d)
RAST
48.
Which of the following acronyms is the mnemonic used to remember the steps to take in the event of a surgical fire?
a)
PASS
b)
PMMA
c)
RACE
d)
RAST
49.
When performing surgery on a bariatric patient, the following should be attached to the bed:
a)
beanbag.
b)
hand table.
c)
side extenders.
d)
leg holder.
50.
The organizations that set standards for electrical equipment used in the OR are:
a)
AAMI and TJC.
b)
ANSI and PMMA.
c)
CSPS and CSPD.
d)
OSHA and CDC.
51.
Locker rooms, administrative offices, and the departmental control area are examples of semirestricted areas in the OR suite.
a)
True
b)
False
52.
A used filter from a smoke evacuator unit should be placed into a biohazard waste container.
a)
True
b)
False
53.
Soiled sponges from the operative field are discarded into lined kick buckets.
a)
True
b)
False
54.
Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments but must be aerated before use on the patient.
a)
True
b)
False
55.
Surgery departments are designed specifically to control personnel, patient, and supply traffic.
a)
True
b)
False
56.
What is the minimum number of suction outlets required in each operating room?
a)
one
b)
two
c)
five
d)
four
57.
Most hospitals design the operating room in a _________ design to ensure that traffic patterns are controlled, environment is controlled, and surgical site infections are limited.
a)
square
b)
horseshoe
c)
triangle
d)
racetrack
58.
There are three classes of fire extinguishers.
a)
True
b)
False
59.
In setting up a room for a surgical procedure, the CST knows that the sterile field is established on the:
a)
ring stand
b)
mayo stand
c)
back table
d)
operating table
60.
All operating rooms should have a unidirectional positive pressure flow of air that captures microbes to be filtered. This type of air system is called:
a)
particulate
b)
sterile
c)
unidirectional
d)
laminar
61.
OSHA works toward ensuring worker safety.
a)
True
b)
False
62.
Latex is made:
a)
from fish oil
b)
in a lab
c)
from trees
d)
from cocoa beans
63.
The majority of sharps injuries occur in the:
a)
central sterile
b)
ER
c)
OR
d)
PACU
64.
The normal temperature for an operating room should be between _________ degrees and the humidity should not exceed _________.
a)
68, 73; 80
b)
70, 60
c)
69, 75
d)
65, 50
65.
In preparing for a surgical procedure in which laser is involved, the CST should take the following safety measures except:
a)
placing wet towels placed around surgical site
b)
using alcohol-based prepping solutions
c)
ensuring that surgical sponges are wet
d)
ensuring that sterile water be available on the sterile field
66.
Strictly, a CST, knows that time, distance, and shielding are related to:
a)
decontamination
b)
radiation
c)
scrubbing
d)
sterilization
67.
When lifting the patient, the surgical technologist should use proper lifting techniques. The following lifting techniques are all correct except:
a)
keep weight as close to body as possible
b)
lift with legs
c)
lift with the back bowed out
d)
squat to lift
68.
All body fluids should be treated as possible hazards.
a)
True
b)
False
69.
The halon fire extinguisher is only used for wood fires.
a)
True
b)
False
70.
The breakpoints of an operating table are located at the:
a)
pelvis, arms, and head
b)
knee, foot, and head
c)
waist, head, and pelvis
d)
knee, waist, and head
71.
PACU stands for:
a)
posterior academic care unit
b)
postanesthesia care unit
c)
posterior anterior care unit
d)
postacuate care unit
72.
In the hotel plan, operating rooms are situated along a central corridor with separate clean core and soiled work areas, and all traffic enters and exits through a single entrance.
a)
True
b)
False
73.
The patient's family would like to speak with the surgeon before the patient enters the operating room. This conversation will likely take place in the:
a)
semi-restricted area
b)
restricted area
c)
hallway
d)
unrestricted area
74.
Operating tables are translucent to allow for _________ during the procedure.
a)
drainage
b)
radiographs
c)
exposure
d)
viewing
75.
Paul, the CST, scrubs in on a TAH in room 4 and drops forceps on the floor; he needs the circulator to flush the instrument so he can use it on the sterile field. He knows the instrument will have to be washed and cleaned in the _________ before flushing.
a)
decontamination room
b)
central supply
c)
scrub sink
d)
oldew
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