Surgical First Assist Test 1 Guaranteed A+

Surgical First Assist Test 1 Guaranteed A+ Q. A patient appears disheveled and recently suffered the death of a spouse. Which assessment would you perform? A. NGASR Explanation: NGASR The Nurses Global Assessment Risk for Suicide is used to determine a patient's suicide risk. A patient who recently lost a spouse and does not appear concerned with hygiene may have an increased risk for depression and suicide. Q. Which of the following would not be included on a surgeon's preference card? insurance plan A. Patient's Explanation: Some of the things that could be included on the surgeon's preference card includes: Glove size Drapes Sutures Patient's name Surgeon's name Positioning Instruments Procedure Medications Disposable supplies Patient data Sponges Notes Any special request Prep Q. Erik Erikson described development that occurs throughout the lifespan. In which of Erikson's stages of psychosocial development does a child need to begin asserting control and power over his environment? A. initiative vs. guilt Explanation: In the stage of initiative vs. guilt children need to begin asserting control and power over the environment. Success in this stage leads to a sense of purpose. Children who try to exert too much power experience disapproval, resulting in a sense of guilt. A. Q. A family unit that consists of two parents and a child is known as which of the following? Nuclear family. Explanation: Families consisting of two parents and children are nuclear families. Assessing family structure helps a nurse better understand the support and barriers present for the patient and his or her care. Careful attention to family dynamics and roles not only helps the nurse to better understand the patient, but also plays a role in planning effective care. Q. Debridement is what? Explanation: A. Removal of necrotic tissue. Correct answer: Removal of necrotic tissue Debridement is the process of surgically removing dead or damaged tissue from the patient. It is similar to the term amputate but amputation usually involves cutting off a limb. Q. Agreement by a patient to accept a course of treatment is known as which of the following? Informed consent. A. Explanation: The agreement by a patient to a course of treatment, based on the information provided, is informed consent. Children under 18 cannot provide informed consent, but only assent; a parent's informed consent is needed for most procedures. Be familiar with local laws regarding exceptions, as some minors can seek some care without parental consent. Informed consent must involve a signature. Q. Of the following statements, which would not be correct when setting up for robotic surgery? A. The robotic cart should be placed at the patient's head. Explanation: The robotic cart should not be placed at the patient's head. If the robotic cart is placed at the patient's head, it could interfere with anesthesia activities and be a safety problem Q. Of the following, which would be considered one of the five basic types of MIS (minimally invasive surgery)? A. All of the above Explanation: The five basic types of MIS consists of: single incision laparoscopic surgery, robotic surgery, video assisted thoracoscopic surgery, multiple-incision MIS and natural orifice transluminal endoscopic surgery. Q. What is septicemia A. Presence of pathogens contaminating the blood Explanation: Septicemia means the blood has become septic (contaminated)--a systemic infection. This condition is due to the presence of bacteria or pathogens in the blood. It can start from infections elsewhere such as a respiratory infection or simple infected cut and become worse very quickly. Septicemia is a serious, life-threatening complication following surgery requiring prompt medical care. Q. What is spinal anesthesia used to block A. Somatic sensory nerves and motor fibers Explanation: Spinal anesthesia blocks somatic sensory and motor fibers. It often used for surgery on the legs or in the pelvic region. Q. Actions undertaken by an individual to promote health and well being or to detect disease when it is early or asymptomatic are known as which of the following? A. Health behaviors. Explanation: Health behaviors are behaviors undertaken by an individual before illness presents itself. Health behaviors are focused on promoting health and well being, as well as on catching disease in the early stages. Q. Which of these surgical dressings could be used in minor surgeries and for minor wounds to approximate small incisions and protect the wound? A. Steri-Strips Explanation: When applying the Steri-Strips, a small amount of biological adhesive such as benzoin spray can be applied before the strips are put on to help them have extra adhesion. With some incisions, the Steri-Strips can protect the incision line and serves as a dressing. Q. The scrub technician receives a medication from the circulator. It is no longer in its original container, which of the following interventions should the scrub technician do next? A. Label the medication immediately Explanation: Typically, most medications are clear in color and it would be very easy to mix medications up if they are not labeled. Q. What is a disadvantage of using a standardized care planning form in a multidisciplinary setting? A. Reduce individual intervention. Explanation: The need for a nurses individual intervention may diminish with standardized care planning. It may also limit the focus to problems that are predictable. The other answers are pros of standardized care planning. Q. Of the following, which would be considered types of hemostats? Explanation: A Lambott is considered an elevator. The common hemostats would be: Kelly Schnidt Mosquito A. Kelly and Lambott Crile Mayo Right angle Mixter All of the following trade names would be correct for silk sutures except? A. Vascufil Explanation: Vascufil would be a trade name for polybutester sutrures. The silk suture trade names would be: Mersilk, Sofsilk, Perma-hand. Q. Of the following, which of the following procedures should be done first when arriving in the surgical department each day? A. The first hand cleansing with a brush scrub Explanation: When a person arrives at the surgical department, the first thing that should be done would be the first hand cleansing with a brush scrub. When a person does a surgical scrubbing they should use a brush, antiseptic soap, and water.