Questions & Answers PDF
1. Which suture material is absorbable?
silk
Polyglatic acid (Vicryl)
Polypropylene (prolene)
Nylon (Ethilon)
2. An adult male is injured in an automobile accident at 2am. An exploratory
laparotomy for possible perforated bowel is initiated at 5am. Which of the
following is the best wound classification in this scenario
contaminated
dirty or infected
clean contaminated
clean
3. If a surgical team fails to disassemble instruments with multiple parts during
decontamination, what potential issue could arise?
Improved patient recovery times
Reduced need for personal protective equipment
Increased efficiency in the sterilization process
Inadequate cleaning leading to infection risk
4. Application of tissue adhesives is useful in repairing lacerations. Which of the
following statements regarding adhesives is not true?
, They have lower tensile strength when compared with sutures
They are not useful on the hand
Adhesives are not recommended over high-tension areas
Exposure to water has little effect on adhesives
They are resistant to bacterial growth
5. Why is fair and equitable care considered a fundamental value in
perioperative nursing?
Fair and equitable care prioritizes the needs of the healthcare
provider over the patient.
Fair and equitable care is only relevant in emergency situations.
Fair and equitable care ensures that all patients receive the same
level of attention and treatment, promoting ethical standards in
nursing.
Fair and equitable care focuses solely on the financial aspects of
patient care.
6. If a 72-year-old patient who is a smoker and has diabetes undergoes surgery,
what nursing interventions should be prioritized to promote optimal wound
healing?
Advise the patient to consume high-sugar foods to boost energy.
Implement infection control measures and educate the patient on
smoking cessation.
Encourage the patient to increase physical activity immediately post-
surgery.
Limit fluid intake to reduce the risk of swelling.
,7. Why is it important to keep stainless steel and titanium microsurgical
instruments separated?
To prevent galvanic corrosion and maintain instrument integrity.
To ensure all instruments are cleaned in the same manner.
To reduce the weight of the instrument set.
To facilitate easier access during surgery.
8. If a surgical team is preparing for an umbilical hernia repair and realizes they
only have extremity drapes available, what should they do to ensure patient
safety and sterility?
Delay the surgery until the laparotomy drapes are available.
Use the extremity drapes and adjust the surgical technique.
Proceed with the surgery using the extremity drapes as they are
sufficient.
Obtain the appropriate laparotomy drapes before proceeding.
9. If a biological indicator fails to show that sterilization was successful, what
immediate action should the perioperative nurse take?
Wait for the next scheduled sterilization cycle.
Re-sterilize the instruments and investigate the sterilization process.
Use the instruments anyway if they appear clean.
Inform the surgeon and proceed with the surgery.
, 10. While setting up the operating room Sandryn, the CST assigned to the room
notices that the anesthiologist is not wearing a mask. She mentions that the
field is sterile and that he should don a mask. What concept of asepsis is
Sandryn using?
Surgical Conscience
National patient Safety Goals
The 4th principle of sterility
Evidence based practice
11. Describe the role of powered cutting instruments in surgical procedures.
Powered cutting instruments are primarily used for suturing wounds.
Powered cutting instruments are only used in orthopedic surgeries.
Powered cutting instruments, such as bone reamers and saws, are
used to efficiently cut through hard tissues during surgery.
Powered cutting instruments are designed for sterilization processes.
12. A perioperative nurse is determining a plan of care for the client in the
operating room. Which client outcome has priority?
Maintain normal body temperature.
Receive age-appropriate care.
Be free from postoperative infection.
Be free from injury and adverse effects.
13. Which step is most appropriate during the decontamination process?
Use a brushing motion, directed toward you, to prevent scattering of
debris.