CRQ Aseptic Technique Flashcards

1
Q

The minimum distance a nonsterile person should remian from a sterile field is

A) 6 inches

B) 1 foot

C) 2 feet

D) 3 feet

A

B) 1 foot

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2
Q

Identify which of the following is not a safe practice

A) discard opened sterile bottles

B) sterile persons drape first toward themselves, then away

C) terile persons face sterile areas

D) sterile tables may be covered for later use

A

D) sterile tables may be covered for later use

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3
Q

Tables are considered sterile

A) on the top and 2 inches below the table level

B) up to 2 feet off the ground

C) on the top and in the area that has been pulled clode to the sterile feild

D) only on the top

A

D) only on the top

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4
Q

At the end of the case, drapes should be

A) pulled off and placed in the hamper

B) rolled off and placed on the floor so they can be checked for instruments

C) rolled off and placed in the hamper

D) checked for instruments, rolled off, and placed in the hamper

A

D) checked for instruments, rolled off, and placed in the hamper

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5
Q

If a solution soaks through a sterile drape

A) discard drape and replace it

B) cover wet area with impervious sterile drape or towel

C) cover wet area with at least two layers of fabric

D) fill out a incident report at the end of the case

A

B) cover wet area with impervious sterile drape or towel

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6
Q

Which of the following is not an acceptable wrapper for gas sterilization?

A) Nylon

B) Muslin

C) Paper

D) Plastic

A

A) Nylon

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7
Q

Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?

A) Polyethylene

B) Polypropylene

C) Polyamide

D) Polyvinyl Chloride

A

B) Polypropylene

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8
Q

All of the following statements regarding muslin wrappers are true Except

A) muslin must be laundered, even if unused, in order to rehydrate it

B) a 140 thread count of unbleached muslin is used for wrappers

C) muslin in flexible and easy to handle

D) small holes can be repaired by stitching on a patch

A

D) small holes can be repaired by stitching on a patch

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9
Q

Packages wrapped in muslin must have

A) one thickness

B) two thickness

C) three thickness

D) four thickness

A

D) four thickness

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10
Q

The maximum storage life for a muslin-wrapped item in a closed cabinet is

A) 7 days

B) 14 days

C) 21 days

D) 30 days

A

D) 30 days

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11
Q

Any item dropped on the floor is considered safe only if

A) it is wrapped in woven material

B) it is enclosed in a impervious material

C) it is used right away

D) it is inspected carefully

A

B) it is enclosed in a impervious material

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12
Q

When using a pour solution

A) a portion may be poured and the cap replaced

B) the contents must be used or discarded after the bottle is opened

C) the cap may be replaced if it has not been placed on a nonsterile surface

D) the solution may be used on the same case if the cap is not replaced

A

B) the contents must be used or discarded after the bottle is opened

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13
Q

What is the standard safety margin on package wrappers?

A) Up to the edge

B) less than 1 inch

C) 1 inch or more

D) None of the above

A

C) 1 inch or more

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14
Q

When opening a wrapper, the circulator should open the top flap

A) toward self

B) away from self

C) after the sides

D) over the sterile field

A

B) away from self

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15
Q

When the scrub nurse opens the inner sterile wrapper

A) the side nearest the body is opened first

B) the side nearest the body is opened last

C) the lateral areas are done first

D) both a and b

A

A) the side nearest the body is opened first

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16
Q

When flipping a sterile item onto the field, the circulator may

A) lean over the sterile field to shake item out of package

B) project item without reaching over the sterile field

C) shake item into sterile basin stand

D) lean over sterile linen pack and drop them onto it

A

B) project item without reaching over the sterile field

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17
Q

Gowns are considered sterile only from

A) waist to neck level in front and back, and the sleeves

B) waist to shoulder, front and back, and the sleeves

C) neck to thighs in front and the sleeves

D) only in front from chest to sterile field level, and sleeves from elbow to cuffs

A

D) only in front from chest to sterile field level, and sleeves from elbow to cuffs

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18
Q

An acceptable action when drying the hands and arms after the surgical scrub is to

A) dry from elbow to fingertip

B) dry thoroughly, cleanest area first

C) keep the hands and arms close to the body, at waist level

D) dry one hand and arm thoroughly before proceeding to the next

A

B) dry thoroughly, cleanest area first

19
Q

All of the following statements regarding gowning another person are true EXCEPT

A) open the hand towel and lay it on the person’s hand

B) hand the folded gown to the person at the neck band

C) keep hands on the outside of the gown under a protective cuff

D) release the gown once the person touches it

A

B) hand the folded gown to the person at the neck band

20
Q

Which statement regarding the scrub procedure is NOT true?

A) It reduces the microbial count

B) It leaves an antimicrobial residue

C) It renders the skin aseptic

D) It removes skin oil

A

C) It renders the skin aseptic

21
Q

If the scrub nurse needs to change a glove during a operation

A) the scrub must also regown

B) the circulator pulls the glove off

C) the scrub pulls the glove off

D) the scrub uses closed glove technique to reapply gloves

A

B) the circulator pulls the glove off

22
Q

Which statement regarding the removal of gown and gloves does not meet safe criteria?

A) The gloves are removed before the gown

B) The gown is pulled of inside out

C) The gown is untied by the circulator

D) The gloves are removed inside out

A

A) The gloves are removed before the gown

23
Q

An effective surgical scrub procedure is

A) time method

B) brush-stroke method

C) 3-minute anatomic method

D) both A and B

A

D) both A and B

24
Q

Regarding the surgical scrub, which statement would violate acceptable practice?

A) Fingermails should not reach beyond fingertip

B) Nail polish may be worn if freshly applied

C) Anyone with a cut, abrasion, or hangnail should not scrub

D) A non-oil-based hand lotion may be used to protect the skin

A

B) Nail polish may be worn if freshly applied

25
Q

Eyewear, goggles, and or face shields should be worn

A) on every case

B) on orthopedic cases

C) on vascular cases

D) on positive HIV cases

A

A) on every case

26
Q

The surgical scrub is

A) sterilization of the skin

B) mechanical cleansing of the skin

C) chemical cleansing of the skin

D) mechanical washing and chemical antisepsis of the skin

A

D) mechanical washing and chemical antisepsis of the skin

27
Q

Scrub technique ends

A) 2 inches below the elbow

B) just below the elbow

C) at the elbow

D) 2 inches above the elbow

A

D) 2 inches above the elbow

28
Q

Which statement regarding the surgical scrub indicates Inappropriate preparation by the scrub?

A) Artificial nails/ devices must not cover nails

B) Nail polish may be worn, if not chipped

C) Finger nails should not reach beyond fingertips

D) Skin should be protected with a non-oil-based product

A

B) Nail polish may be worn, if not chipped

29
Q

Which statement best describes an effective surgical hand scrub?

A) Time, no anatomical sequence

B) Number of strokes, no anatomical sequence

C) Time or number of strokes, hand to elbow sequence

D) Number of strokes, elbow to hand sequence

A

C) Time or number of strokes, hand to elbow sequence

30
Q

The brush-stroke method of scrubbing prescribes the number of strokes required. Indicate the number for each: nails, fingers, hand (back and palm) and arms.

A) 40,30,30,30

B) 40,40,20,20

C) 30,20,20,20

D) 30,20,10,10

A

C) 30,20,20,20

31
Q

Evidence-based practice relies on

A) opinion and tradition

B) past evident practices

C) current practices

D) science and evidence

A

D) science and evidence

32
Q

Standard precautions evolved from a practice called

A) universal

B) aseptic technique

C) EBP

D) the method of thinking and doing

A

A) universal

33
Q

When water comes in contact with a sterile drape or gown, it can cause

A) strike through contamination

B) slippery surface

C) resident flora

D) create a potential fire hazard

A

A) strike through contamination

34
Q

Standards during surgery include all Except

A) nonsterile team members do not pass between two sterile fields

B) sterile gowns are only considered sterile from the waist to the axillary lines, from hands to shoulders

C) movement should be kept to a minimum

D) if there is any doubt about the sterility of the item, consider it contaminated

A

B) sterile gowns are only considered sterile from the waist to the axillary lines, from hands to shoulders

35
Q

When removing sterile attire, arrange following in proper order (1)remove your gloves, (2) remove your gown, (3) remove your mask, (4) remove gown and gloves together, then mask:

A) 1,2,3

B) 4

C) 2,1,3

D) 3.2.1

A

C) 2,1,3

36
Q

When opening sterile supplies, all of the following are proper techniques Except

A) do not readjust the table drape after it has been opened

B) open the first flap away from you on an unwrapped item

C) remember not to lean over a sterile field

D) when opening items in a peel pouch, slowly allow the item to slide out of the package onto the sterile field

A

D) when opening items in a peel pouch, slowly allow the item to slide out of the package onto the sterile field

37
Q

When opening supplies for a case, what should be passed directly to the scrub, or flipped into an area where they are clearly visible?

A) medications

B) 10cc syringe

C) Peanuts

D) Blades

A

D) Blades

38
Q

Sterile personnel must pass each other

A) right to left

B) should never pass each other

C) back to back, front to front

D) does not really matter because gowns that wrap around are used

A

C) back to back, front to front

39
Q

What is known as the center of your sterile field?

A) Back table

B) Mayo

C) Surgeon

D) Draped patient

A

D) Draped patient

40
Q

If there is a break in sterile technique during the procedure, the STSR should tell

A) the surgeon

B) the person who broke technique

C) the circulator

D) everyone in the lounge

A

B) the person who broke technique

41
Q

Asepsis means

A) without infection

B) destroys bacteria

C) clean

D) absence of microbes

A

D) absence of microbes

42
Q

All factors increase the surgical patients risk for infection Except

A) location of surgery

B) health of the patient

C) length of the procedure

D) position of the patient

A

D) position of the patient

43
Q

Transfer forceps are

A) not considered safe to use routinely

B) safe to use

C) safe to use if solution is changed daily

D) recommended for removal of instruments from the flash autoclave

A

A) not considered safe to use routinely

44
Q

Tables are considered sterile

A) on the top and 2 inches below the table level

B) up to 2 feet off the ground

C) on the top and in the area that has been pulled close to the sterile field

D) only on the top

A

D) only on the top