Medication in the OR Test Questions and Answers

Medication in the OR Test Questions and Answers When should a medication label be applied to the container on the sterile field? A. Immediately before it is transferred to a syringe B. Before the patient enters the operating room C. Immediately after receiving the medication D. Immediately before the medication is transferred Ans- C. Immediately after receiving the medication What information can be obtained from a culture and sensitivity test? A. What the infective bacteria is B. What antibiotic is effective to treat the bacteria C. If the bacteria is gram positive D. Both A and B Ans- D. Both A and B What condition can a diuretic cause? A. Glaucoma B. Urinary retention C. Anemia D. Hypokalemia Ans- D. Hypokalemia What color will a gram negative bacteria stain? A. Pink B. Purple C. Brown D. It doesn't hold stain Ans- A. Pink The RN overfilled the pitcher on the back table and irrigation fluid has spilled onto the table cover. What should the CST do? A. Suck up the fluid with an asepto B. Tear down and begin a new set up C. Cover the wet area with a blue towel D. Nothing, the table cover is impervious Ans- C. Cover the wet area with a blue towel Which of the following medications would be used to perform an intraoperative cholangiogram? A. Lugol's solution B. Isovue C. Lymphazurin D. Barium Ans- B. Isovue What is the final way a patient is identified prior to the start of a surgical procedure? A. Anesthesia provider checks identification on bracelet prior to inducing anesthesia B. Patient registers at the hospital front desk C. Time out D. Patient states their name when entering OR Ans- C. Time out What is bone wax used for? A. To assist with cement hardening B. To make a mold of a bone C. To control bone bleeding D. To replace damaged bone Ans- C. To control bone bleeding Which of the following medications used for coagulation cannot be injected intravenously? A. Thrombin B. Surgiflo C. NuKnit D. All of the above Ans- D. All of the above Who is responsible for identifying drugs passed to the sterile field? A. CST B. Surgeon C. RN D. Both A and C Ans- D. Both A and C What gauge needle is usually used to withdraw medication from a vial? A. 27 B. 18 C. 2 D. 30 Ans- B. 18 When the RN is dispensing a medication via syringe into the CST's med cup how close can he/she get to the cup before it is considered a violation of the sterile field? A. 6 inches B. 3 inches C. 12 inches D. 8 inches Ans- A. 6 inches How would KY jelly be transferred to the sterile field? A. RN will squeeze it into a designated spot of the field B. The back end of the tube is cut with sterile scissors and contents evacuated C. RN will wear sterile gloves D. A decanter is used Ans- A. RN will squeeze it into a designated spot of the field What does the blood test INR evaluate? A. White blood count B. Clotting time C. Platelet count D. Pregnancy Ans- B. Clotting time Staphylococcus aureus is a microorganism found on the patient's skin that can be the cause of a surgical site infection. Which type of source would this be? A. Macrolides B. Endogenous C. Oxazolidinones D. Exogenous Ans- B. Endogenous What must be visualized by the CST prior to the transfer of medication to the surgical field? A. Medication name and strength B. Expiration date C. MSDS sheet D. Both A and B Ans- D. Both A and B Joint Commision SCIP protocol indicates a pre-operative antibiotic needs to be given within what time constraint? A. Within 1 hour of surgical incision closure B. When the patient enters the pre-operative holding area C. Within one hour of surgical incision D. The day of the procedure Ans- C. Within one hour of surgical incision Who is responsible to report the total amount of each drug administered on the field? A. Surgeon B. RN C. CST D. Anesthesia provider Ans- C. CST Which agent would dilate the pupil of the eye? A. BSS solution B. Miotics C. Glaucoma medications D. Mydriatics Ans- D. Mydriatics Which of the following is NOT one of the "6 rights of medication administration"? A. Patient B. Documentation C. Time D. Explanation Ans- D. Explanation What is the route of administration of Hypaque during an intraoperative cholangiogram? A. Parenteral B. Enteral C. Intravenous D. Topical Ans- B. Enteral What portion of the syringe should not be touched when the RN is transferring medication to the sterile field? A. The plunger B. The tip C. The barrel D. Both A and B Ans- D. Both A and B What agent is injected at a cancer site to assist in identifying a sentinel lymph node? A. Acetic Acid B. Hypaque C. Lymphopaque D. Lymphazurin Ans- D. Lymphazurin How would a diuretic be used from the back table? A. It would not be used B. In an irrigation fluid C. As a contrast medium D. To moisten wound packing Ans- A. It would not be used Why would a surgeon inject steroid into a shoulder joint at the end of the surgery? A. Decrease inflammation B. Control bleeding C. Block pain sensation D. Fight infection Ans- A. Decrease inflammation What antibiotic is used to treat MRSA? A. Bacitracin B. Ancef C. Vancomycin D. Penicillin Ans- C. Vancomycin When pouring solution from a bottle to the sterile field the RN has 200 ml left in the bottle. What should be done so the remaining 200 ml can be used later during the procedure? A. Recap the bottle with the lid if it is still sterile inside B. It cannot be used later C. Watch the bottle so it is not touched during the procedure D. Leave the bottle open to air Ans- B. It cannot be used later What color bags and bins is chemotherapy waste disposed in? A. Disposed in regular trash B. Red C. Blue D. Yellow Ans- D. Yellow What is the CST's primary focus in medication administration? A. Patient safety B. Speed C. Surgeon satisfaction D. Type of anesthesia administered Ans- A. Patient safety Which gland in the human body produces Epinephrine? A. Adrenal B. Pituitary C. Pancreas D. Thyroid Ans- A. Adrenal Which of the following areas would be safe to inject local anesthesia containing ephinephrine? A. Thumb B. Abdominal wall C. Outer ear D. Hallux Ans- B. Abdominal wall What should always be done when passing medication to the surgeon? A. Inform the surgeon this is the medication on the preference card B. All of the above C. State the name and strength of the medication D. Inform the surgeon of the patient allergies Ans- C. State the name and strength of the medication What fluid is used as an irrigant for the eye? A. Balanced Salt Solution B. Normal Saline C. Lactated Ringers D. Distilled Water Ans- A. Balanced Salt Solutio