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NBSTSA Review > CRQ Safety_ OR environment_Transportation and Positioning > Flashcards

CRQ Safety_ OR environment_Transportation and Positioning Flashcards

1
Q

A patient with a fractured femur is being moved to the OR table. Who is responsible for supporting and protecting the fracture site?

A) the nurse assitant

B) the physician

C) the circulating nurse

D) the scrub nurse

A

B) the physician

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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

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

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4
Q

Ulnar nerve damage could result from

A) poor placement of the legs in stirrups

B) hyperextension of the arm

C) using mattress pads of varying thickness

D) placing an arm on an unpadded table edge

A

D) placing an arm on an unpadded table edge

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5
Q

Universal precautions is a previous policy, it is now called

A) recommended precautions

B) evidence based practice

C) occupational precautions

D) standard precautions

A

D) standard precautions

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6
Q

Ionizing radiation protection is afforded by the use of

A) iron

B) ebonizing coating

C) zinc

D) lead

A

D) lead

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7
Q

A procedure requiring the patient to be positioned supine in modified lithotomy is

A) colonoscopy

B) abdominoperineal resection (APR)

C) marsupilization of pilonidal cyst

D) ileostomy

A

B) abdominoperineal resection (APR)

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8
Q

Room temperature for infants and children should be maintained as warm as

A) 70*

B) 80*

C) 85*

D) 95*

A

C) 85*

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9
Q

If the patient is in the supine position, the circulator must always

A) place a pillow between the knees

B) place a pillow under the knees

C) see that the ankles and legs are not crossed

D) see that the thoracic area is padded adequately

A

C) see that the ankles and legs are not crossed

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10
Q

All are ways to identify with a patient except

A) address patient by their full name and state the surgery they are having

B) examine the patient’s identification band and compare with the name and number on the chart

C) ask the patient to state their full name, do not call the patient by their name before asking

D) ask the patient to tell you what procedure they are having

A

A) address patient by their full name and state the surgery they are having

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11
Q

Which statement is false regarding the position on the OR table?

A) Elbow should not rest against the metal table

B) Feet should be uncrossed

C) Pillows provide support and comfort to prevent strain

D) Safety strap is 4 inches below the knee

A

D) Safety strap is 4 inches below the knee

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12
Q

Which of the following endotracheal tubes can prevent a fire

A) stainless steel

B) silicone

C) latex

D) red rubber

A

A) stainless steel

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13
Q

Fuel sources found at the surgical site include

A) dry sponges and drapes

B) endotracheal tube

C) prep solutions

D) All of the above

A

D) All of the above

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14
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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15
Q

Another name for the Supine position is:

A) prone

B) anteriolateral

C) dorsal recumbent

D) trendelenberg

A

C) dorsal recumbent

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16
Q

Areas needing special cleaning attention on a weekly or monthly routine would include

A) furniture

B) air-conditioning grills and walls

C) ceiling and wall mounted fixtures and tracks

D) kick buckets

A

B) air-conditioning grills and walls

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17
Q

The prevent strain to the lumbosacral muscles and ligaments when the patient is in the lithotomy position,

A) the buttocks must not extend beyond the table edge

B) the legs must be placed symmetrically

C) the legs must be at equal height

D) a pillow should be placed under sacral area

A

A) the buttocks must not extend beyond the table edge

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18
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) A and B

A

D) A and B

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19
Q

A precaution always taken when the patient is in the supine position is to

A) place the pillows under the knees for support

B) place the safety strap 3-4 inches below the knee

C) place the head in the headrest

D) protect the heels from pressure on the OR table

A

D) protect the heels from pressure on the OR table

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20
Q

When moving a patient with a fracture in the OR, all of the following are true except?

A) extra personnel are necessary

B) support of the extremity should always be from below the site of the fracture

C) lifters on the affected side support the fracture

D) the surgeon should be present

A

B) support of the extremity should always be from below the site of the fracture

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21
Q

A CDC guideline that addresses the care of “sharps” includes all of the following Except

A) needles should always be recapped

B) needles should not be bent or broken by hand

C) needles should not be removed from disposable syringes

D) needles should be discarded in puncture-resistant containers for disposal

A

A) needles should always be recapped

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22
Q

A potential safety hazard associated with laser surgery

A) eye injury

B) electical shock

C) carcinogenic activity

D) ionizing radiation exposure

A

A) eye injury

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23
Q

When using a patient roller, how many people are necessary to move the patient safely and efficiently?

A) Two

B) Three

C) Four

D) Five

A

C) Four

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24
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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25
Q

Scattered radiation effets are directly related to

A) amount of radiation

B) length of radiation

C) accumulation of radioactive substances in the operating room

D) amount of radiation and length of exposure time

A

D) amount of radiation and length of exposure time

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26
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)

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27
Q

When using a patient roller, how many people are necessary to move the patient safely and efficiently?

A) two

B) three

C) four

D) five

A

C) four

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28
Q

What is the most effective barrier to stop laser energy from penetrating healthy tissue?

A) Proper use of goggles

B) Covering reflective windows

C) Checking laser equipment after each use

D) Moist padding of surrounding tissue

A

D) Moist padding of surrounding tissue

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29
Q

When transferring an unconscious or immobile patient from the stretcher to the OR table, ideally how many paople are required?

A) 2 or 3

B) 4 or 6

C) 1 or 2

D) none of the above

A

B) 4 or 6

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30
Q

Changing of a patient’s position can cause severe

A) hypotension

B) ischemia

C) elevated cerebral pressure

D) Both A and C

A

D) Both A and C

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31
Q

When cleaning the floor between cases

A) a clean mop head must be used each time

B) a two bucket system, one detergent and one clear water, is used

C) buckets must be emptied and cleaned between each case

D) all of the above

A

D) all of the above

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32
Q

Electrical cords should be

A) removed from outlets by the cord

B) wrapped tightly around equipment

C) removed from pathways so equipment is not rolled over them

D) disconnected from the unit before disconnection from the wall

A

C) removed from pathways so equipment is not rolled over them

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33
Q

To avoid compromising the venous circulation, the restraint or safety strap should be placed

A) at knee level

B) at the mid thigh area

C) 2 inches above the knee

D) 2 inches below the knee

A

C) 2 inches above the knee

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34
Q

Storage shelves must be cleaned with a germicide

A) each case

B) each day

C) each week

D) each month

A

C) each week

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35
Q

The position that allows greater access to the lower abdominal cavity and pelvic structures due to gravity is

A) reverse trendelenberg

B) lithotomy

C) trendelenberg

D) supine

A

C) trendelenberg

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36
Q

Another name for the jacknife position is

A) prone

B) posteriolateral

C) Kraske

D) low lithotomy

A

C) Kraske

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37
Q

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

A) CO2

B) O2

C) metal

D) none of the above

A

C) metal

38
Q

When a patient is positioned in supine position, the armboard must not be __________ more than _______ degrees.

A) flexed. 90

B) there is no specific criteria

C) adducted, 90

D) abducted, 90

A

D) abducted, 90

39
Q

What is the position called when the OR bed is tilted with feet down?

A) trendelenberg

B) low- lithotomy

C) hyperflexion

D) reverse trendelenberg

A

D) reverse trendelenberg

40
Q

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?

A) Cerclage

B) Marsupilization of Bartholin’s cyst

C) Shirodkar

D) Cesarean Section

A

D) Cesarean Section

41
Q

The following comply with protocol for protective eyewear except:

A) impervious face shields can be worn

B) goggles can be worn

C) prescription eyeglasses

D) all eye covers must extend from the front to the side

A

C) prescription eyeglasses

42
Q

Excessive exposure to radiation can affect the

A) integumentary system

B) brain

C) reproductive organs

D) stomach

A

C) reproductive organs

43
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

44
Q

A dropped sterile item can only be used if the

A) wrapper is muslin

B) wrapper is impervious and the contact area is dry

C) wrapper is impervious with the contact area wet or dry

D) wrapper is dusted off thoroughly

A

B) wrapper is impervious and the contact area is dry

45
Q

In positioning for a laminectomy, rolls or bolsters are placed

A) horizontally, one under the chest and one under the thighs

B) longitudinally to support the chest from axilla to hip

C) longitudinally to support the chest from sternum to the hip

D) below the knees

A

B) longitudinally to support the chest from axilla to hip

46
Q

Antiembolism or sequential compression devices (SCDs) are placed on the patient’s legs prior to surgery to prevent

A) thromboembolus

B) cramping

C) protection from metal parts of the OR table

D) to assist in the range of motion

A

A) thromboembolus

47
Q

Ulnar neuropathy results from

A) improper padding

B) continuous oressure from the edge of the OR table

C) when the elbow is tightly flexed

D) all of the above

A

D) all of the above

48
Q

While a surgical case is in progress

A) doors remain open so that staff can easily move in or out

B) doors should remain closed

C) doors remain open to circulate the air

D) doors may be open or closed

A

B) doors should remain closed

49
Q

What position is occassionally used for facial, cranial, or reconstructive breast surgery?

A) Sims

B) Fowler’s position

C) Reverse Trendelenberg

D) Anteriolateral

A

B) Fowler’s position

50
Q

The orthopedic fracture table provides

A) circumferential access

B) horizontal traction

C) exposure to the ankle

D) both A and B

A

D) both A and B

51
Q

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 inches above knees

D) arms are tucked in at sides

A

D) arms are tucked in at sides

52
Q

A position often used in cranial procedures is called

A) Fowlers

B) Kraske

C) Trendelenberg

D) Lithotomy

A

A) Fowlers

53
Q

If an OR staff member wears eyeglasses

A) the glasses should be wiped with an antiseptic solution before each operation

B) the glasses should be soaked for 5 minutes in an antiseptic solution before the day begins

C) the glasses should be wiped with an antiseptic solution daily

D) no special care is necessary

A

A) the glasses should be wiped with an antiseptic solution before each operation

54
Q

The room temperature in an operating room(OR) should be

A) below 50*F

B) below 60*F

C) between 68 and 76*F

D) between 80 and 86* F

A

C) between 68 and 76*F

55
Q

Anesthetized patients should be moved slowly to

A) prevent fractures

B) prevent circulatory overload

C) allow the respiratory system to adjust

D) allow the circulatory system to adjust

A

D) allow the circulatory system to adjust

56
Q

Each of the following would need to be present for an explosion to occur EXCEPT

A) oxygen

B) a source of ignition

C) carbon dioxide

D) a flammable gas,vapor, or liquid

A

C) carbon dioxide

57
Q

Crossing the patients arms across his or her chest may cause

A) pressure on the ulnar nerve

B) interference with circulation

C) postoperative discomfort

D) interference with respiration

A

D) interference with respiration

58
Q

When positioning the patient for a procedure which of the following provides maximum patient dafety and maximum surgical site exposure?

A) patient’s body does not touch metal on table

B) Equipment, Mayo Stand, or personnel are not resting on the patient

C) Bony prominences are padded

D) all of the above

A

D) all of the above

59
Q

During lateral positioning, a

A) pillow is placed between the legs

B) sandbag is placed between the knees

C) rolled towel is placed under the bottom leg

D) sheet is folded flat between the legs

A

A) pillow is placed between the legs

60
Q

The following is a risk when positioning the patient on the OR table

A) hyperextension of limbs

B) pressure of bony prominences

C) improper padding

D) all of the above

A

D) all of the above

61
Q

What statement regarding OR attire applies?

A) Head caps and hoods must be worn to reduce contamination from hair and dander to the field

B) long sleeve, nonsterile cover jackets are worn by nonsterile personnel to prevent contamination by bacterial shedding of their arms

C) the scrub suit is worn by both sterile and nonsterile personnel

D) all of the above

A

D) all of the above

62
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

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

The anesthesiologist closes the eyelids of a general anesthetic patient for all of the following reasons except

A) prevent drying of the eye

B) prevent the patient from seeing the procedure

C) prevent eye trauma

D) protect the eye from anesthetic agents

A

B) prevent the patient from seeing the procedure

65
Q

Another name for a “no hands” technique is

A) retractable scalpel

B) blunt trocars

C) Hassan

D) neutral zone

A

D) neutral zone

66
Q

The most effective protection from the radiation of x-rays is a

A) lead apron

B) double thick muslin apron

C) 3-foot distance from machine

D) 3-foot distance from patient

A

A) lead apron

67
Q

A safer alternative laser retardant endotracheal tube used for CO2 laser surgery of the larynx is made of

A) copper

B) stainless steel

C) silicone

D) both A and B

A

D) both A and B

68
Q

When using the armboard, the most important measure is to

A) Support the arm at the intravenous site

B) strap the patient’s hand to it securely

C) avoid hyperextension of the arm

D) avoid hypoextension of the arm

A

C) avoid hyperextension of the arm

69
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

70
Q

Which factor is important to consider when positioning the aging patient?

A) Skeletal changes

B) limited range of motion of joints

C) tissue fragility

D) all of the above

A

D) all of the above

71
Q

The lithotomy position requires each of the following except:

A) patients buttocks rest along the break between the body and leg sections of the table

B) stirrups are at equal height on both sides of the table

C) stirrups are at the appropriate height for the length of the patient’s legs to maintain symmetry

D) each leg is raised slowly and gently as it is grasped by the toes

A

D) each leg is raised slowly and gently as it is grasped by the toes

72
Q

Hwne removing the patient from lithotomy position

A) lower the legs separately

B) lower the legs quickly

C) lower the legs together

D) lower the stirrups, then remove the legs

A

C) lower the legs together

73
Q

The position for most open bladder surgeries would be

A) lithotomy

B) supine, bolster under the pelvis

C) reverse trendelenberg

D) Fowler’s, modified

A

B) supine, bolster under the pelvis

74
Q

Thoracic outlet syndrome can occur when there is pressure on

A) the thoracic artery

B) the brachial plexus

C) subclavian artery

D) Both B and C

A

D) Both B and C

75
Q

In the prone position, the thorax must be elevated from the OR table to prevent

A) Compromised respiration

B) pressure areas

C) circulatory impairment

D) brachial nerve damage

A

A) Compromised respiration

76
Q

The position used for the patient who is hypovolemic shock is

A) modified trendelenberg

B) reverse trendelenberg

C) supine

D) dorsal recumbent

A

A) modified trendelenberg

77
Q

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

A) O2

B) Fuel

C) Source of ignition

D) All of the above

A

D) All of the above

78
Q

In which circumstance could the patient sustain injury to the pudendal nerves?

A) Positioned on the fracture table

B) positioned in the lateral chest

C) positioned in lithotomy

D) positioned on the urological table

A

A) Positioned on the fracture table

79
Q

When moving a patient from the OR table, who is responsible for gaurding the head and neck from injury?

A) Circulating Nurse

B) Scrub Nurse

C) Anesthesiologist

D) Surgical Technician

A

C) Anesthesiologist

80
Q

All are recommendations for opening a case except

A) when opening packages sealed with tape break the tape rather than tearing it

B) open the scrub gown on to the back table

C) never unwrap a heavy item while holding it in mid air

D) When opening instruments in closed sterilization trays, break the seal and lift top straight up and away from the tray

A

B) open the scrub gown on to the back table

81
Q

Good exposure for thyroid surgery is ensured by all of the following except

A) modified dorsal recumbent with shoulder roll

B) hyperextension of the neck

C) utilization of skin-stay sutures

D) firm retraction of the laryngeal nerve and surrounding structures

A

D) firm retraction of the laryngeal nerve and surrounding structures

82
Q

Intravenous (IV) lines and fluids should be

A) lower than the patient’s body

B) level with the patient’s arm

C) higher than the patient’s body

D) it really does not matter

A

C) higher than the patient’s body

83
Q

Which position would be the most desirable for a pilonidal cystectomy or a hymorrhoidectomy?

A) lithotomy

B) kraske

C) knee-chest

D) modified prone

A

B) kraske

84
Q

Which body organ is most susceptible to laser injury?

A) skin

B) gonads

C) eye

D) thyroid

A

C) eye

85
Q

To assist a falling patient, you should

A) support the patient’s weight with your body

B) ease the patient to the floor while protecting their head

C) once the patient is down, run and get assistance

D) none of the above

A

B) ease the patient to the floor while protecting their head

86
Q

Extreme positions of the head and arm can cause injury to the

A) cervical plexus

B) radial nerve

C) ulnar nerve

D) brachial plexus

A

D) brachial plexus

87
Q

All are true in preparing nonsterile equipment except:

A) make sure the OR table is positioned directly under surgical lights

B) arrange the room according to how the surgical tech likes it

C) place furniture so that draped sterile tables are no closer than 12-18 inches to a nonsterile surface

D) pretest suction lines for adequate pressure

A

B) arrange the room according to how the surgical tech likes it

88
Q

It is considered good technique to

A) change the mask only if it becomes moistened

B) hang the mask around the neck

C) crisscross the strings over the head

D) handle the mask only by the strings

A

D) handle the mask only by the strings

89
Q

A mayfield table would be used for which type of surgery?

A) Ophthalmic

B) Gynecologic

C) Neurologic

D) Urologic

A

C) Neurologic

90
Q

Sources of latex include

A) wound drain

B) catheters

C) pneumatic tourniquet

D) all of the above

A

D) all of the above

91
Q

A glass suction bottle should ideally be

A) rinsed with tap water between each case

B) cleaned with disinfectant solution and autoclaved before reuse

C) rinsed with sterile distilled water between each case

D) autoclaved daily

A

B) cleaned with disinfectant solution and autoclaved before reuse

92
Q

When local anesthetic is passed to the surgeon,

A) hand syringe with cap on

B) state kind and percentage of solution

C) state amount being handed

D) show surgeon the label

A

B) state kind and percentage of solution

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