RASA First Assist Jumbo List Q&A- All
Answers Correct
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. risk management
The right to perform certain activities within an institution is a _____. privilege
When unexpected events occur that have, or could have, compromised patient safety, a systematic
investigatory process takes place. Significant information is gained through this meticulous
exploration. The primary motive for carrying out a root cause analysis is to: find out what needs
to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid in all of
the following functions that help the surgeon carry out a safe operation with optimal results for the
patient, EXCEPT _____. postoperative evaluations
____ is a term that refers to permission being given for an action. consent
Criminal negligence is _____. reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the proper
area or side before an incision is made? surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply. a. state
regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
Which of the following reflects the basic values for health care practice? all of these
,Ethics is an attempt to define right and wrong based upon ____. beliefs
Credentialing and granting of practice privileges is a _____ process Legal
Morbidity and mortality may be greater with penetrating trauma because identification of injuries
may be more difficult when injuries are less obvious. In the case of an adult victim with a low-
velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the lower
abdomen, what is the MOI and description of the possible injuries? Penetrating; small entrance
wound, puncture of the anterior wall of the sigmoid colon, no disruption of vessels, and bullet not
found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. Janice, age
70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and elasticity.
What special consideration should the first assistant provide to avoid skin injuries? Gently lift,
not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity
to which group of drugs? Opioids and hypnotics
For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___ hours of
incision? 1
A number of screening tools have been developed to accurately establish biologic age. One tool, the
Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that scrutinizes
medications, functional ability, co-morbid conditions, cognitive ability, mental function, nutritional
status, and socioenvironmental factors. In geriatric medical studies, the CGA has been valuable in
providing a metric for describing healthy aging and _____. identifying at-risk individuals.
, Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately after
the injury, the second phase within the first 1 to 2 hours after the injury, and the third phase occurs
days to weeks after the injury. Approximately 30% of total fatalities from trauma could be prevented
with definitive trauma care, including appropriate and aggressive resuscitation with rapid transport
to an appropriate facility. Which phase, or timeframe, of potential for trauma death, does this group
represent? Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications. Which
condition presents the most significant risk factor? Chronic obstructive pulmonary disease
(COPD)
_____ is the most frequently acquired nosocomial infection. urinary tract infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled for a
hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine compartment
and enhance visualization. The infiltration to the uterus and fluid collected as drainage from the
uterus was monitored. The first assistant was concerned that approximately 500 ml of fluid was
unaccounted for. The motive for this surveillance was to: determine the potential for
intravascular uptake of fluid or third spacing.
The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient
presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care serum
electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia
induction, only 35 minutes earlier, these values were at normal levels and the patient status was
secure. The electrolyte levels were treated to normal and the patient was cannulated and placed on
cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a
recurrence. What possible event could have caused, or contributed to, this loss of electrolytes?
Sterile water from back table switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? A chest, pelvic, and
four abdominal scans; collections of fluid and free air
Answers Correct
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. risk management
The right to perform certain activities within an institution is a _____. privilege
When unexpected events occur that have, or could have, compromised patient safety, a systematic
investigatory process takes place. Significant information is gained through this meticulous
exploration. The primary motive for carrying out a root cause analysis is to: find out what needs
to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid in all of
the following functions that help the surgeon carry out a safe operation with optimal results for the
patient, EXCEPT _____. postoperative evaluations
____ is a term that refers to permission being given for an action. consent
Criminal negligence is _____. reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the proper
area or side before an incision is made? surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply. a. state
regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
Which of the following reflects the basic values for health care practice? all of these
,Ethics is an attempt to define right and wrong based upon ____. beliefs
Credentialing and granting of practice privileges is a _____ process Legal
Morbidity and mortality may be greater with penetrating trauma because identification of injuries
may be more difficult when injuries are less obvious. In the case of an adult victim with a low-
velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the lower
abdomen, what is the MOI and description of the possible injuries? Penetrating; small entrance
wound, puncture of the anterior wall of the sigmoid colon, no disruption of vessels, and bullet not
found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. Janice, age
70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and elasticity.
What special consideration should the first assistant provide to avoid skin injuries? Gently lift,
not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity
to which group of drugs? Opioids and hypnotics
For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___ hours of
incision? 1
A number of screening tools have been developed to accurately establish biologic age. One tool, the
Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that scrutinizes
medications, functional ability, co-morbid conditions, cognitive ability, mental function, nutritional
status, and socioenvironmental factors. In geriatric medical studies, the CGA has been valuable in
providing a metric for describing healthy aging and _____. identifying at-risk individuals.
, Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately after
the injury, the second phase within the first 1 to 2 hours after the injury, and the third phase occurs
days to weeks after the injury. Approximately 30% of total fatalities from trauma could be prevented
with definitive trauma care, including appropriate and aggressive resuscitation with rapid transport
to an appropriate facility. Which phase, or timeframe, of potential for trauma death, does this group
represent? Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications. Which
condition presents the most significant risk factor? Chronic obstructive pulmonary disease
(COPD)
_____ is the most frequently acquired nosocomial infection. urinary tract infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled for a
hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine compartment
and enhance visualization. The infiltration to the uterus and fluid collected as drainage from the
uterus was monitored. The first assistant was concerned that approximately 500 ml of fluid was
unaccounted for. The motive for this surveillance was to: determine the potential for
intravascular uptake of fluid or third spacing.
The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient
presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care serum
electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia
induction, only 35 minutes earlier, these values were at normal levels and the patient status was
secure. The electrolyte levels were treated to normal and the patient was cannulated and placed on
cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a
recurrence. What possible event could have caused, or contributed to, this loss of electrolytes?
Sterile water from back table switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? A chest, pelvic, and
four abdominal scans; collections of fluid and free air
