CRQ Suture_Counts_Sponges_Specimens_Dressings Flashcards
A keith needle is
A) straight needle with a tapered point
B) straight needle with a cutting point
C) another name for a spatula needle
D) extremely large curved needle
B) straight needle with a cutting point
When using a skin gun, the staples go through which two layers?
A) the epidermis and the dermis
B) Cuticular and subcuticular
C) Subcuticular and muscle
D) Cuticular and muscle
B) Cuticular and subcuticular
If the count is incorrect, the proper order of procedural steps are?
1) Radiograph is taken 2) Search is initiated 3) Notify surgeon and count repeated
A) 3,2,1
B) 1,2,3
C) 2,3,1
D) 1,3,2
A) 3,2,1
What type of pressure dressing is molded into a thick pad that fits into the graft area and is secure with sutures?
A) Supportive
B) Stent
C) Flat
D) Tegaderm
B) Stent
The size of a suture is based on its diameter. An example of a suture with the same diameter is a 2-0 silk and
A) 3-0 silk
B) 2-0 nylon
C) 4-0 silk
D) both a and c
B) 2-0 nylon
What is the correct order of dressing a surgical wound: (1) place dressings, (2) wash the incision, (3) cover sterile dressing with a towel, and (4) remove drapes?
A) 1,2,3,4
B) 2,1,3,4
C) 3,4,1,2
D) 3,4,2,1
B) 2,1,3,4
Stones are sent to pathology in
A) formalin
B) dry container
C) sterile saline
D) not sent to pathology
B) dry container
The main purpose of webril is
A) cast padding
B) under pneumatic tourniquet
C) pressure dressing
D) Both A and B
D) Both A and B
A temporary biologic dressing is
A) porcine
B) telfa
C) collagen
D) mesh
A) porcine
A strand of suture material attached to the top of an adson clamp or a right angle clamp is
A) stick tie
B) Keith
C) tie on a passer
D) ligareel
C) tie on a passer
A dressing that is held in place by long suture ends crisscrossed and tied is called a
A) passive
B) strip closure
C) Proxi-Strip
D) stent
D) stent
Which of the following is NOT a reason for a pressue dressing?
A) Prevents edema
B) Conforms to body contour
C) Absorbs extensive drainage
D) Distributes pressure evenly
B) Conforms to body contour
What bandage effects the process of exsanguination of a limb prior to the use of a tourniquest?
A) Kling
B) Elastoplast
C) Esmarch
D) Ace
C) Esmarch
What type of dressing is most often used on a skin graft?
A) Pressure
B) Stent
C) Flat
D) Both A and B
D) Both A and B
All of the following are absorbable sutures except?
A) polyglactin 910
B) chromic
C) nylon
D) plain gut
C) nylon
A sponge that is cotton-filled gauze with a cotton thread attached is a
A) patty
B) tonsil
C) Kitner
D) peanut
B) tonsil
Damage to or loss of specimens result in
A) an incorrect diagnosis
B) repeat or needles surgery
C) delayed treatment
D) All of the above
D) All of the above
Bacteria cultures obtained during surgery are
A) ABGs
B) aerobic
C) anaerobic
D) both B and C
D) both B and C
Gauze packing is used
A) on a small incision
B) wrapping a limb
C) in nose or open wound
D) when compression is needed
C) in nose or open wound
If the sponge pack contains an incorrect number of sponges, the circulating nurse should
A) isolate the pack, do not use it
B) document it on the count record
C) use if after adding or subtracting the correct number
D) return it to the original outer package and set it aside
A) isolate the pack, do not use it
Which of the following are considered a foreign body?
A) a nontissue item
B) wood
C) an implant
D) all of the above
D) all of the above
An amputated limb is sent
A) to the morgue
B) pathology
C) in formalin
D) it is discarded
B) pathology
What type of gauze dressing is used on a circumcision?
A) Sponge
B) Tegaderm
C) Vaseline gauze
D) Roll Gauze
C) Vaseline gauze
The closing counts are done in what order?
(1) Mayo Stand
(2) Back Table
(3) Sterile Field
(4) Items discarded from the Sterile field
A) 1,2,3,4
B) 3,2,1,4
C) 3,1,2,4
D) 2,3,1,4
C) 3,1,2,4
An item used for padding that has smooth and clingy layers is called
A) Webril
B) stockingette
C) telfa
D) gypsum
A) Webril
During the sponge count procedures, which action would constitute an UNACCEPTABLE technique?
A) Soiled sponges are separated, stacked, and counted in multiples
B) soiled sponges used for prep remain in kick bucket and are not part of the count
C) sponges are not added or removed from operative field during count
D) sponges are counted before being moistened or used
B) soiled sponges used for prep remain in kick bucket and are not part of the count
All of the following statements concerning sponges are true except?
A) only radiopaque sponges should be used on the sterile field
B) sponges should be counted from the folded edge
C) a pack containing an incorrect number of sponges is discarded
D) a count is unnecessary in a vaginal procedure
D) a count is unnecessary in a vaginal procedure
Soiled sponges are
A) never touched with bare hands
B) left in the kick bucket until the count begins
C) removed from the room once the peritoneum is closed
D) counted and stacked on a towel or sheet on the OR floor
A) never touched with bare hands
Which needle would be used on a liver resection?
A) Cutting
B) Tapered
C) Keith
D) Blunt
D) Blunt
Bulky dressings added to the intermediate layer of a three-layer dressing are used to
A) eliminate dead space
B) concentrate pressure in one area
C) Immobilize a body part
D) Both A and C
D) Both A and C
Good contact between a skin graft and the recipient site is facilitated by use of a/n
A) stent dressing
B) Elastoplast
C) splint-Ace dressing
D) biologic dressing
A) stent dressing
What term is used for a suture thread preattached to a needle?
A) swaged
B) tensil strength
C) french eye
D) continuous
A) swaged
Wgich term refers to the amount of force needed to break suture?
A) multifilament
B) an absorbable quality
C) tensile
D) nonabsorbable
C) tensile
When performing a C-section, the first count is initiated
A) before closing the body cavity
B) before closing the uterus
C) before the closing suture is given
D) when the shift change occurs
B) before closing the uterus
What type of biopsy is performed during a flexible endoscopic procedure?
A) incisional biopsy
B) needle niopsy
C) brush biopsy
D) fine needle aspiration
C) brush biopsy
What type of suture technique is used for a cosmetic closure?
A) purse string
B) detach
C) retention
D) subcuticular
D) subcuticular
The initial count requires
A) a count of both plain and radiopaque sponges
B) that counts be done in the right hand corner of the back table
C) that the count be done aloud by circulator and scrub
D) the scrub to count each item and report to the circulator for recording
C) that the count be done aloud by circulator and scrub
A name given to a suture ligature that is passed through a vessel or a duct for ligation is
A) tie on a passer
B) stick tie
C) swaged needle
D) ligareel
B) stick tie
Retention suture with bolsters would be used in what type of incision?
A) pfannenstial
B) abdominal midline
C) oblique
D) transverse
B) abdominal midline
Chromic and plain gut suture originate from
A) sheep intestine
B) beef intestine
C) pig intestine
D) both A and B
D) both A and B
The following statements concerning counts are true, except?
A) the relief scrub or circulator does not need to repeat count if only one of them is relieved
B) all counts are verified before person being relieved leaves room
C) persons taking final count are held accountable
D) persons taking final count must sign the count record
A) the relief scrub or circulator does not need to repeat count if only one of them is relieved
During closure a count discrepancy
A) is noted on patient’s chart
B) is reported to surgeon
C) is reported to supervisor
D) is reported to anesthesiologist
B) is reported to surgeon
What type of specimen requires immediate analysis?
A) stones
B) foreign body
C) frozen section
D) all of the above
C) frozen section
When are counts done in the OR?
A) At the beginning and end of case
B) Before beginning of case, at beginning of wound closure, and at skin closure
C) As case begins and when case is in progress
D) before beginning of case and at the end of case
B) Before beginning of case, at beginning of wound closure, and at skin closure
Counted items include
A) sponges
B) umbilical tapes
C) suture reels
D) all of the above
D) all of the above
The first closing count is performed on which abdominal layer?
A) skin
B) Subq
C) when the surgeon requests
D) Peritoneum
D) Peritoneum
Who is directly responsible for receiving and handling the specimen on the sterile field?
A) STSR
B) Circulator
C) Anesthesiologist
D) Surgeon
A) STSR
A sponge used in brain surgery ia a/n
A) cottonoid patty
B) Kitner
C) impregnated gauze
D) porcine
A) cottonoid patty
Which of the following sutures would commonly cause the least tissue reaction?
A) Chromic
B) Silk
C) Stainless Steel
D) Vicryl
C) Stainless Steel
A continuous suture placed beneath the epidermal layer of the skin in short lateral stitches is called a
A) mattress suture
B) transfixion suture
C) retention suture
D) subcuticular suture
D) subcuticular suture
In an instrument count
A) all instruments and parts must be counted
B) precounted sets eliminates the need for precase count
C) large bulky instruments need not be counted
D) count only instruments that will be used
A) all instruments and parts must be counted
A cutting needle would not be used on
A) the skin
B) the bowel
C) the tendon sheath
D) the eye
B) the bowel
In an appendectomy, a purse string suture is used to
A) tie off the appendix
B) invert the stump of the appendix
C) Use to retract the appendiceal stump
D) all of the above
B) invert the stump of the appendix
Which Suture needle is contraindicated for a repair of nerve tissue?
A) Taper
B) Cutting
C) Reverse cutting
D) both B and C
D) both B and C
If the surgical technologist in the scrub role receives a broken needle back from the surgeon, they should
A) order an X-ray
B) report it to the circulator
C) remember to add to the final count
D) tell the surgeon immediately
D) tell the surgeon immediately
Which of the following is monofilament suture?
A) Prolene
B) silk
C) polyester
D) vicryl
A) Prolene
A strong thin transparent liquid useful in sealing certain wound edges is
A) dermabond
B) tincture of benzoin
C) collodian
D) Both A and C
D) Both A and C
What suture would be used on a coronary artery bypass and an aortic valve replacement?
A) polypropylene
B) silk
C) dexon
D) Vicryl
A) polypropylene
A method of applying dressings to an unstable area, such as the face or neck, utilizing long sutures tied over the dressing for stability is known as
A) pressure
B) stent
C) one-layer
D) three-layer
B) stent
If a sponge is intentionally left in the patient
A) a report is made to the supervisor
B) an incident report is completed
C) a notation is placed on the operative record
D) none of the above
C) a notation is placed on the operative record
The following statements regarding counting sponges are true except?
A) sponges are counted at the folded edge
B) shake pack to seperate sponges
C) separate each sponge and number aloud while placing in a pile on table
D) an incorrect number of sponges in a pack should be compensated for on count sheet with a notation
D) an incorrect number of sponges in a pack should be compensated for on count sheet with a notation
Adherent, occlusive dressings that are used when slight or no drainage is expected are transparent polyurethane film such as
A) telfa
B) bioclusive
C) Opsite
D) Both B and C
D) Both B and C
Which nonadherent surgical dressing is used for a clean surgical wound and also care of specimans?
A) sterile gauze
B) telfa
C) ABD
D) Xeroform
B) telfa
Instruments that are added after the case is in progress are counted by
A) STSR and circulator
B) STSR and first assist
C) does not need to be counted
D) included in final count
A) STSR and circulator
