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"Any unexpected occurrence involving death or serious physical or psychological
injury or the risk there of"
- answer-sentinel event
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the
groin. The wound is an inch in length and the patient has flat lined with a steady
flow of blood pumping from the small wound. Which of the following items
should the surgical technologist have ready for the surgeon? (Select the three (3)
correct answers.)
- answer-lap sponges, knife blade, Yankauer suction
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the
groin. The wound is an inch in length and the patient has flat lined with a steady
flow of blood pumping from the small wound. Which of the following items
should the surgical technologist have ready for the surgeon? (Select the three (3)
correct answers.)
- answer-lap sponges, knife blade, Yankauer suction
A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a
CODE BLUE. The surgeon is attempting to resuscitate the patient using CPR.
Which of the following is the responsibility of the surgical technologist in this
situation?
- answer-Prepare internal defibrillator paddles.
A charge nurse has just notified the surgical technologist to be prepared for a post-
operative emergency for a post salpingo-oophorectomy. Which of the following is
the instrumentation needed? (Select the two (2) correct answers.)
- answer-Bookwalter retractor, major set
A charge nurse has just notified the surgical technologist to be prepared for a post-
operative emergency for a post salpingo-oophorectomy. Which of the following is
,the instrumentation needed? (Select the two (2) correct answers.)
- answer-Bookwalter retractor, major set
A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin
and neurovascular pressure or injury when the patient is placed in stirrups in the
lithotomy position, which of the following must the surgical team do?
- answer-Have adequate padding available in room.
A gynecologic oncology surgeon decides to bring her patient into the OR
emergently after seeing her in the office. The patient's abdomen is greatly
distended, warm and firm to the touch. Which of the following should the surgical
technologist have available?
- answer-Poole tip suction and Lap sponges
A patient has a latex allergy and is scheduled for an abdominal hysterectomy. A
catheter will be inserted in the patient's bladder pre-operatively. Which of the
following is the proper catheter to use for this patient?
- answer-silicone retention catheter
A patient has a latex allergy and is scheduled for an abdominal hysterectomy. A
catheter will be inserted in the patient's bladder pre-operatively. Which of the
following is the proper catheter to use for this patient?
- answer-silicone retention catheter
A patient is having a cervical cone biopsy. The surgeon prefers to not use a Bovie.
Which of the following solutions should the surgical technologist have available in
the room for control of bleeding?
- answer-Monsel's solution
A patient is having a hysteroscopy for myomectomy excision. The patient has been
under anesthesia for an hour and is starting to show signs of extreme swelling.
Which of the following is most critical to monitor in order to prevent these
symptoms?
- answer-fluid intake and output
A patient is having a hysteroscopy for myomectomy excision. The patient has been
under anesthesia for an hour and is starting to show signs of extreme swelling.
Which of the following is most critical to monitor in order to prevent these
symptoms?
- answer-fluid intake and output
,A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is
unable to extract the uterus vaginally, which of the following equipment should the
surgical technologist have available to retrieve the uterus?
- answer-morcellator
A patient is undergoing a right partial pneumonectomy. Which of the following
drains should the surgical technologist prepare for placement at the end of the
case?
- answer-chest tube
A patient is undergoing a right partial pneumonectomy. Which of the following
drains should the surgical technologist prepare for placement at the end of the
case?
- answer-chest tube
A patient presents to the operating room for a hydrocelectomy. Which of the
following dressings should the surgical technologist anticipate needing?
- answer-scrotal support
A patient presents to the operating room for irrigation and debridement of a wound
caused by penetrating trauma. The surgeon states that the wound will heal by
secondary intention. Which of the following dressing types should the surgical
technologist ask the circulator for?
- answer-ABD
A patient's dentures are removed in the operating room. Which of the following is
the proper procedure for the care of the dentures?
- answer-The circulator places the dentures in a labeled denture cup and keeps
them with the patient's chart.
A pressure dressing is most likely applied over a
- answer-skin graft.
A surgeon asks the technologist for a specific retractor that is not routinely used
and for the preference card to be updated. Which of the following should the
technologist report the change to?
- answer-coordinator
, A surgical technologist is in the process of opening sterile supplies for an
abdominal hysterectomy on a 300 lb. patient. After reviewing the preference card,
which of the following items should the technologist hold in order to watch costs?
(Select the three (3) correct answers.)
- answer-closing suture, 11 knife blade, extra Raytec
A surgical technologist is in the process of opening sterile supplies for an
abdominal hysterectomy on a 300 lb. patient. After reviewing the preference card,
which of the following items should the technologist hold in order to watch costs?
(Select the three (3) correct answers.)
- answer-closing suture, 11 knife blade, extra Raytec
A surgical technologist relieves another technologist during a case. After the first
technologist leaves, the relieving technologist realizes that the medication on the
field is not labeled. Which of the following is the first action the relieving
technologist should take?
- answer-Discard the medication and irrigating solution on the field and start over.
A surgical technologist working the night shift is preparing implants for the next
morning. After running the autoclave, the cycle fails. Which of the following
should the surgical technologist do?
- answer-Unwrap, decontaminate and re-sterilize implants with a biological test
pack and place a hold on the use of the sets until the BI test results are available.
A tornado warning is in effect and power has been switched to the generator due to
downed electrical lines. The hospital's disaster triage protocol has been activated.
A surgical procedure is in progress. Which of the following is the best course of
action to ensure patient safety?
- answer-Finish the procedure and evacuate the patient.
A vulva biopsy is to be conducted on a patient who is an observant Muslim. Which
of the following should actions should be taken for this case?
- answer-Enlist an all female surgical team.
After a surgical procedure, where should all unused surgical materials be returned
to?
- answer-Central Supply