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1. Which of the following is not a characteristic of silk suture? a. Soft b.
handling ability
c. knot security
d. memory: memory
2. It is important to assess pressure points when positioning a patient prone. Which
of the following are included in this assessment to prevent pressure injury?:
genitals, knees, toes, and eyes
3. Which of the following needles are most likely to be chosen for skin closure?:
reverse cutting
4. Which of the following absorbable suture has the best tensile strength?:
Polydioxanone
5. A stitch that is placed and tied before placing another stitch is called _____.:
interrupted
6. Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery.
While assessing Mr. Jennings in the preoperative holding area, the perioperative
nurse is concerned about the risk for pressure injury because of the weight of the
patient's body pressing against the surface of the OR bed for a long surgery.
Which of the following factors might the RNFA recognize as having the potential
to produce pressure?: a self-retaining retractor post clamped to the OR bed rail and
tightened against the patient's side
7. From the following, choose the type of anesthesia that will allow patients to
tolerate potentially uncomfortable procedures while maintaining their own
airway and be easily aroused from light sleep.: moderate sedation
8. To protect the forearms, hands, and clothing from contacting bacteria on the
outside of the used gown and gloves, members of the scrubbed surgical team
should use the following procedure to remove soiled gowns and gloves. Which
choice lists the appropriate first 3 steps in the removal of the sterile gown?: Wipe
gloves clean, untie side gown closure, grasp gown at one shoulder seam
9. From the following, choose the correct statement regarding closed gloving.-
: closed gloving only for initial gowning
10. While Fowler's position offers the best respiratory excursion for the patient,
the patient is at higher risk for _______ because of dependent pooling in the hips
and legs.: Venous thrombosis
11. Proper care and handling of surgical specimens is imperative for correct
diagnosis, treatment, and prognosis planning of the patient. Select the response
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, that best reflects correct specimen care and handling.: avoid placing specimen in
formalin
12. The intracorporeal suture technique uses the suture-tying process analogous
to the:: instrument tie
13. High-pressure insufflation rates can cause overpressurization of the intra-
abdominal cavity. This overpressurization can lead to which of the following?:
hypercarbaria
14. Which statement best explains the mechanism of action of general anesthetic
agents?: inhibition of synaptic transmission of nerve impulse
15. Which statement about surgical dressings is true?: Surgical dressings cushion
and protect the wound from trauma and gross contamination, and absorb drainage
16. The surgeon used the ESU in monopolar mode to cut and coagulate through
the subcutaneous tissue on opening the abdomen during a bariatric bypass
procedure. As she began to proceed through the muscle and fascia layer, she
asked the circulating nurse to increase the cut and coagulation modes on the
ESU. What measure could the scrub person take to enhance energy delivery?:
Clean the charred tissue from the active electrode blade
17. Which of the following is correct regarding the chromium salt coating on
surgical gut suture?: Should be rinsed from the suture before use in eye cases 18.
Successful employment of the time-out can only be ensured when:: the entire team
stops and focuses attention together
19. A 19-year-old male received an intravenous peripheral nerve block for an
ORIF of an ankle fracture. The anesthesia provider injected a distal dorsal vein of
the patient's right foot with 2% lidocaine, after placing a single cuffed pneumatic
tourniquet around the upper thigh. The surgeon noticed that the cuff seemed to be
deflating and anticipated that the patient would initially complain of which of the
following?: metallic taste in mouth
20. Which of the following patients would be most likely to have a latex allergy?:
spina bifida patient
21. In several studies, it was determined that the risk of contamination and
subsequent infection to the wearer can be reduced by wearing two pairs of sterile
surgical gloves, as opposed to wearing one pair. Select the correct statement that
refers to double gloving in terms of a best practice.: The American College of
Surgeons endorses double gloving for all surgery and invasive procedures.
22. During the process of performing the spinal, the anesthesia provider
inadvertently inserted the spinal needle into the subarachnoid space, not noticing
the error until the entire syringe of lidocaine was emptied into the patient. The
patient immediately experienced rapid onset of hypotension, bradycardia, and
apnea. The resulting condition is called _______ and now must be managed with
________.: total spinal anesthesia; general endotracheal anesthesia
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