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NBSTSA Review > CRQ Emergency Procedures_CPR_Observation_Occupational Hazard > Flashcards

CRQ Emergency Procedures_CPR_Observation_Occupational Hazard Flashcards

1
Q

Another name for a “no hands” technique is

A) retractable scalpel

B) blunt trocars

C) Hassan

D) Neutral Zone

A

D) Neutral Zone

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2
Q

Radiation exposure of the staff is monitored with

A) a homing device

B) a Holter monitor

C) film badges

D) a notation on each operative record

A

C) film badges

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3
Q

Sources of latex include

A) wound drain

B) catheters

C) pneumatic tourniquet

D) all of the above

A

D) all of the above

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4
Q

During two rescuer CPR, the compression/ventilation rate a child is

A) 30:2

B) 15:2

C) 10:2

D) 20:2

A

B) 15:2

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5
Q

Pressurized water is most effective in containing:

A) Class A fires

B) Class B fires

C) Class C fires

D) all of the above

A

A) Class A fires

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6
Q

Diastolic blood pressure refers to:

A) the force created by the concentration of the left ventricle of the heart

B) the relaxation phase between heartbeats

C) the first sound heard when taking the pressure on a manometer

D) the high point of the cycle

A

B) the relaxation phase between heartbeats

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7
Q

To activate a fire extinguisher, what will be the correct order of the following: 1)Sweep 2)Aim 3)Squeeze 4) pull

A) 1,2,3,4

B) 3,2,1,4

C) 4,2,3,1

D) 4,3,2,1

A

C) 4,2,3,1

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8
Q

Harmful toxins created during laser surgery and electrosurgery come in the form of

A) heat

B) smoke plume

C) anesthesia

D) none of the above

A

B) smoke plume

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9
Q

Inherited deficiences of coagulation in which bleeding occurs spontaneously after minor trauma is

A) Tay-Sachs disease

B) hemophilia

C) pernicious anemia

D) erthroblastosis fetalis

A

B) hemophilia

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10
Q

The preoperative urinalysis test done on the patient indicates that the specific gravity is 1.050. This

A) is within normal range

B) is below normal range and he or she is dehydrated

C) is above normal range and he or she is dehydrated

D) is indicitive of sugar in the urine

A

C) is above normal range and he or she is dehydrated

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11
Q

An electrocardiogram (ECG) is

A) an electrical recording of the heart

B) an X-ray defining heart structures

C) an X-ray of the cardiac portion of the stomach

D) a stress test on the heart

A

A) an electrical recording of the heart

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12
Q

A patient is on anticoagulant drugs. Which of the following tests may be done to check the clotting time of his or her blood?

A) Serum amylase

B) complete blood count

C) bleeding time

D) prothrombin time

A

D) prothrombin time

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13
Q

Why is the obese patient at greater surgical rick than one of normal weight?

A) fat has poor vascularity

B) Fluid and electrolyte balance is compromised

C) Kidney function is altered

D) Immune system lacks integrity

A

A) fat has poor vascularity

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14
Q

Intraoperative and postoperative emergency procedures require the scrub person to

A) immediately intervene with patiemt care

B) attend the anesthesiologist during crisis

C) maintain sterile Mayo with instruments

D) both A and B

A

C) maintain sterile Mayo with instruments

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15
Q

Located on the back of the CPU are special opening called________ for plugging in cables for adding additional computer components.

A) drives

B) cords

C) ports

D) networks

A

C) ports

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16
Q

A type and crossmatch is done

A) on all surgical patients

B) if the surgeon anticipates in advance of the operation that blood loss replacement may be necessary

C) on all hospital patients

D) in the OR

A

B) if the surgeon anticipates in advance of the operation that blood loss replacement may be necessary

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17
Q

What artery is most often used to access a patients pulse?

A) carotid

B) radial

C) brachial

D) apical

A

B) radial

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18
Q

The preferred type of fire extinguisher used for operating room fires is

A) water based

B) CO2

C) dry powder

D) oil based

A

B) CO2

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19
Q

Except for endotracheal tube installation, basic life support (BLS) cannot be interrupted for mare than

A) 1 minute

B) 2 to 3 minutes

C) 5 seconds

D) 30 seconds

A

C) 5 seconds

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20
Q

When drawing blood sample for arterial blood gases (ABGs), what is considered a safe time lapse between blood drawing and analysis?

A) 10 minutes

B) 20 minutes

C) 30 minutes

D) 1 hour

A

A) 10 minutes

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21
Q

The responsibility of the scrub nurse in cardiopulmonary resuscitation (CPR) is to

A) bring in the emergency cart

B) keep a record of all medication given

C) help with intravenous and monitoring lines

D) give attention to the sterile field and the surgeon’s needs

A

D) give attention to the sterile field and the surgeon’s needs

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22
Q

Hands only CPR is not recommended for victims of

A) drowning

B) trauma

C) airway obstruction

D) all of the above

A

D) all of the above

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23
Q

Sphygmomanometer is used to

A) measure pulse rate

B) measure cardiac output

C) measure blood pressure

D) palpate the carotid artery

A

C) measure blood pressure

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24
Q

Fuel sources found at the surgical site include

A) dry sponges and drapes

B) endotracheal tube

C) prep solvents

D) all of the above

A

D) all of the above

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25
Q

The body temperature taken orally is 98.68F. What is the celcius?

A) 37*C

B) 52*C

C) 110*C

D) 212*C

A

A) 37*C

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26
Q

An emergency drug that increases myocardial cantractility is

A) calcium chloride

B) Levophed

C) Lasix

D) Isuprel

A

A) calcium chloride

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27
Q

Who is responsible for recording all medications given during CPR in the OR

A) The scrub nurse

B) The circulating Nurse

C) The anesthesiologist

D) The surgeon’s assistant

A

B) The circulating Nurse

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28
Q

Ionizing radiation protection is afforded by the use of

A) iron

B) ebonized coating

C) zinc

D) lead

A

D) lead

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29
Q

A telethermometer monitors the body temperature during surgery. It can be placed in all of the following areas EXCEPT the

A) rectum

B) esophagus

C) axilla

D) tympanic area

A

C) axilla

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30
Q

The first action to be taken in the event of a cardiac arrest in the OR is to

A) alert the OR supervisor and personnel

B) prepare medications

C) institute chest massage

D) apply fibrillator paddles

A

A) alert the OR supervisor and personnel

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31
Q

An anesthetic complication characterized by progressive elevation of body tempterature is known as malignant

A) hypothermia

B) hypervolemia

C) hypersalemia

D) hyperthermia

A

D) hyperthermia

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32
Q

All of the following are results from aspiration of gastric contents during anesthesia EXCEPT

A) impeded blood gas exchange

B) impaired lung function

C) gastric decompression

D) chemical pneumonitis

A

C) gastric decompression

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33
Q

Sudden shortness of breath in a postoperative patient may be indicative of

A) pulmonary embolism

B) pleural effusion

C) emphysema

D) asthma

A

A) pulmonary embolism

34
Q

The action of sodium bicarbonate in an advanced life support effort is to

A) stimulate the heart muscle

B) strengthen and slow heartbeat

C) reduce ventricular excitement

D) counteract metabolic acidosis

A

D) counteract metabolic acidosis

35
Q

An OR hazard that has been linked to increased risk of spontaneous abortion in female OR employees is exposure to

A) X-ray control

B) radium

C) sterilization agents

D) waste anesthetic gas

A

D) waste anesthetic gas

36
Q

Dark blood in the operative field may indicate that the patient is

A) hyperkalemic

B) hypovolemic

C) hypotensive

D) hypoxic

A

D) hypoxic

37
Q

External cardiac compression

A) restores and maintains oxygenation

B) provides pulmonary ventilation

C) provides oxygen to vital tissues

D) provides peripheral pulse

A

C) provides oxygen to vital tissues

38
Q

Which of the following is a recommended ventilation practice in an individual operating room?

A) at least 20 air changes per minute

B) laminar air flow at a rate of 25 air exchanges per hour

C) negative air pressure

D) use of in-line HEPA filters

A

D) use of in-line HEPA filters

39
Q

Which pulse is checked during a cardiac arrest effort?

A) Radial

B) Carotid

C) Pedal

D) Brachial

A

B) Carotid

40
Q

A safety precaution used when a patient is being shocked with the defibrillator is

A) no one is to touch the patient or anything metallic in contact with the patient

B) available personnel gently but firmly support the extremities to protect the patient from injury

C) the person holding the electrodes does not touch the patient but anyone else can

D) the person holding the electrodes is the only one who may touch the patient

A

A) no one is to touch the patient or anything metallic in contact with the patient

41
Q

Systolic blood pressure represents

A) the pressure in the heart chambers, great vein, or close to the heart

B) the relaxation phase between heartbeats

C) the low point of a cycle

D) the greatest force caused by contraction of the left ventricle of the heart

A

D) the greatest force caused by contraction of the left ventricle of the heart

42
Q

When catheterizing the patient

A) the patient must be shaved

B) the tip of the catheter must remain sterile

C) sterile technique is not necessary

D) the bag must be maintained above the table level

A

B) the tip of the catheter must remain sterile

43
Q

If cardiac arrest occurs in the OR, who is responsible for handling artificial ventilation?

A) The anesthesiologist

B) The circulating nurse

C) The surgeon

D) The scrub nurse

A

A) The anesthesiologist

44
Q

CPR is instituted if

A) the pulse is below 60, respirations are diminished, and blood pressure is dropping

B) there is no pulse or blood pressure, and the pupils contract

C) there is no pulse, respiration, or blood pressure, and the pupils are fixed and dilated

D) the pulse is weak and irregular, blood pressure is lowered, and pupils are dilated

A

C) there is no pulse, respiration, or blood pressure, and the pupils are fixed and dilated

45
Q

Operative chest x-rays

A) are not necessary for the surgical patient

B) are necessary only for the thoracic surgical patient

C) are necessary only on the surgical patient with a chronic cough

D) should be done on all surgical patients

A

D) should be done on all surgical patients

46
Q

What term means low or decreased blood volume?

A) Anoxemia

B) Hypovolemia

C) Hypoxia

D) Hypocapnia

A

B) Hypovolemia

47
Q

An emergency drug useful in ventricular fibrilation or tachycardia is

A) Aramine

B) atropine

C) Inderal

D) calcium chloride

A

C) Inderal

48
Q

The electronic probe thermometer is primarily used for

A) oral

B) axillary

C) rectal

D) Both A and B

A

D) Both A and B

49
Q

Tachycardia is a/an

A) heartbeat over 100 beats per minute

B) irregular heartbeat

C) thready,weak heartbeat

D) heartbeat less than 60 beats per minute

A

A) heartbeat over 100 beats per minute

50
Q

A patient scheduled for surgery has a hematocrit reading of 40% of whole blood volume. This is

A) within normal range

B) below normal range

C) above normal range

D) inconclusive

A

A) within normal range

51
Q

How is inhalation of the laser plume best prevented?

A) double mask worn by scrub team

B) filter on suction

C) laser on standby whenever possible

D) mechanical smoke evacuator on field

A

D) mechanical smoke evacuator on field

52
Q

Uncontrolled increased positive pressure in one side of the thorax causes collapse of the opposite side, which is called

A) flail chest

B) Cheyne-Stokes syndrome

C) emphysema

D) mediastinal shift

A

D) mediastinal shift

53
Q

A potential safety hazard associated with laser surgery is

A) eye injury

B) electrical shock

C) carcinogenic activity

D) ionizing radiation exposure

A

A) eye injury

54
Q

What components are required for a fire and are found in an OR setting?

A) O2

B) Fuel

C) Source no ignition

D) All of the above

A

D) All of the above

55
Q

Excessive exposure to radiation can affect the

A) integumentary system

B) brain

C) reproductive organs

D) stomach

A

C) reproductive organs

56
Q

Which of the following is not part of the fire triangle?

A) fuel

B) carbon dioxide

C) an ignition source

D) oxygen

A

B) carbon dioxide

57
Q

When cardiac arrest occurs, resuscitative measures must begin within

A) 2 minutes

B) 3-5 minutes

C) 2-7 minutes

D) 5-8 minutes

A

B) 3-5 minutes

58
Q

After being scheduled in the OR for a routine tonsillectomy. the nurse checking the chart of the patient notes that the hemoglobin is 9.0g. This reading is

A) within normal range

B) below normal range

C) above normal range

D) inconclusive

A

B) below normal range

59
Q

When an MRI is used, the primary risk to the patient is the presence of

A) CO2

B) O2

C) metal

D) none of the above

A

C) metal

60
Q

The most common artery used to feel the pulse is the

A) dorsalis pedis artery

B) femoral artery

C) radial artery

D) carotid artery

A

C) radial artery

61
Q

In which burn classification are the skin and subcutaneous tissue destroyed?

A) First

B) Second

C) Third

D) Fourth

A

C) Third

62
Q

Rescuers should do chest compressions at a rate of _______ per minute

A) 50

B) 100

C) 75

D) none of the above

A

B) 100

63
Q

A hospital fire plan is based on four immediate actions remembered by the acronym:

A) PASS

B) CODE

C) OFSI

D) RACE

A

D) RACE

64
Q

Which action is the responsibility of the scrub person during an intraoperative cardiopulmonary resuscitation (CPR) effort?

A) Remain sterile, keep track of counted items, and assist as necessary

B) Document all medications given and draw up as necessary

C) Start time clock, gaurd sterile field

D) Bring defibrillator into the room and reposition the patient

A

A) Remain sterile, keep track of counted items, and assist as necessary

65
Q

Which body organ is most susceptable to laser injury?

A) skin

B) gonads

C) eye

D) thyroid

A

C) eye

66
Q

STSR should __________ to prevent buildup of heat created by friction.

A) have suction available to remove smoke plume

B) check all equipment before cases begin

C) irrigate the active tip (high-speed drills)

D) do not lay the fiber optic cord directly on the drape

A

C) irrigate the active tip (high-speed drills)

67
Q

To decrease airborne contamination and static electricity, the relative humidity of the operating room is maintained at:

A) 30 to 35%

B) 40 to 45%

C) 50 to 55%

D) 70 to 75%

A

C) 50 to 55%

68
Q

The first and most important step for successful resuscitation in cardiac arrest is

A) the precordial thump

B) artificial ventilation

C) immediate opening of the airway

D) external cardiac compression

A

C) immediate opening of the airway

69
Q

The patient has received preoperative medication. The action to be taken when this patient complains of dry mouth (thirst) and requests water would be to

A) provide the oatient with unlimited water for thorough hydration

B) restrict water to 2 ounces

C) restrict fluids completely and explain the reason for action of medication

D) report to the surgeon immidiately

A

C) restrict fluids completely and explain the reason for action of medication

70
Q

Operative records documenting all aspects of perioperative care are required by

A) JCHO

B) OSHA

C) ASTM

D) CDC

A

A) JCHO

71
Q

Which procedure is not absolutely necessary in patieht identification

A) identification by the anesthesiologist, who checks the wristband, chart,and operating schedule

B) identification by the surgeon before administration of an anesthetic

C) Identification by the circulating nurse, who checks the writsband, chart, and operating schedule

D) Identification by the scrub nurse before the procedure begins

A

D) Identification by the scrub nurse before the procedure begins

72
Q

While using this mixture, a scavenging system is used to collect and exhaust or absorb its vapors. It is called

A) gluteraldehyde

B) polypropylene

C) methyl methacrylate

D) halon

A

C) methyl methacrylate

73
Q

A microscopic blood exam that estimates the percentages of each type of white cell called a

A) red blood count

B) white blood count

C) differential blood count

D) blood grouping

A

C) differential blood count

74
Q

The best measure for staff protection against HIV is

A) handling all needles and sharps carefully

B) using barriers to avoid direct contact with blood and body fluids

C) immunization of all staff with vaccine

D) Both A and B

A

D) Both A and B

75
Q

The first and most important step for successful resuscitation in cardiac arrest is

A) the precordial thump

B) artificial ventilation

C) immediate opening of the airway

D) external cardiac compression

A

C) immediate opening of the airway

76
Q

Brain damage may occur as quickly as ________after circulatory collapse.

A) 3 minutes

B) 2 minutes

C) 1 minute

D) 30 seconds

A

A) 3 minutes

77
Q

Airways should be

A) removed before the patient leaves the OR site

B) left in until the patient is fully awake and ready to return to his or her room

C) left in place until the patient breathes normally

D) removed only by the anesthesiologist

A

C) left in place until the patient breathes normally

78
Q

Vital signs include

A) temperature

B) blood pressure

C) pulse

D) all of the above

A

D) all of the above

79
Q

Xylocaine is used intravenously for

A) installation of local anesthesia

B) treatment of cardiac arrythmias

C) diuretic action

D) restoration of blood volume

A

B) treatment of cardiac arrythmias

80
Q

When handing a syringe of medication to the surgeon for a local anesthetic, the scrub nurse should

A) ask the circulating nurse what solution he or she has

B) ask the circulator to show the vial to the surgeon

C) show the surgeon the vial that it came from

D) state the kind and percentage of solution

A

D) state the kind and percentage of solution

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