Surgical Nursing Review Questions
A surgical consent form includes which of the following?
a) all prior surgeries, medical history, and current medications
b) an estimate for the surgical procedures to be performed
c) Identification of the patient, the specific procedures to be performed along with risks, and the
physician who will perform the procedure, and the signature of the owner's consenting to the
procedures
d) Current diet
e) None of the above - ANS-c) Identification of the patient, the specific procedures to be
performed along with risks, and the physician who will perform the procedure, and the signature
of the owner's consenting to the procedures
Why is it important to use surgical instruments only for their designed purpose? - ANS-+ to
avoid damaging them
+ to protect their useful life
+ the high-quality instruments are expensive and should be handled with care
Why is it important for ratchets to remain locked when the jaw is closed? - ANS-+ the
instruments need to be a reliable mechanism of holding the target tissue or item
+ If the ratchets do not remain locked, complications (e.g., hemorrhage) could result
Which scissors is finer and more lightweight and therefore used on delicate tissues? -
ANS-Metzenbaum
Of the following needle holders, which have scissors included in the jaws?
a) Olsen-Hegar
b) Mayo-Hegar
c) Derf
d) Crile-Wood - ANS-Olsen-Hegar
Which of the following scalpel blade grips allows for a finer, more precise incision?
a) fingertip
b) Pencil
c) Palmed
d) Slide - ANS-Pencil
Ringed instruments should be held with the rings: - ANS-Distal to the first knuckle of both the
thumb and ring finger
,True or False: The Balfour retractor is self-retaining retractor that is frequently used during
abdominal exploratory procedures - ANS-True
What part of the anesthesia machine converts the liquid anesthetic into a gas anesthetic -
ANS-Vaporizer
Which valve allows for room air to enter the anesthesia system if negative pressure is detected
in the system? - ANS-Negative pressure relief valve
When might a situation of negative pressure exist in the anesthesia system? - ANS-When the
oxygen source is depleted
Which part of the anesthesia machine indicates the amount of pressure in the system? -
ANS-Pressure manometer
When the rebreathing bag is being squeezed to ventilate the patient manually, the pop-off valve
needs to be: - ANS-Closed and then opened after giving a breath
Why is it important to confirm that the pop-off valve is completely open after the anestheisa
machine and circuit are checked for leaks? - ANS-When the patient is connected to the
anesthesia machine with the pop-off valve closed, the patient will not be able to exhale
Ideally the surgery room is:
a) at least 12 x 12 ft in dimension
b) a separate room used only for surgery
c) adjacent to the scrub sinks
d) has no doors for easy communication - ANS-a separate room used only for surgery
A 27-kg patient would need what size rebreathing bag? - ANS-2L
+ Calculation for size of rebreathing bag: 5 x tidal volume = bag size in mL (round up)
Tidal volume = 10ml/kg
27 x 10 = 270 x 5 = 1350 - 2L
The suction tip best used to remove large volumes of fluid is the: - ANS-Poole
Which instrument would be used to collect large amounts of bone grafting material
intraoperatively?
a) Jacobs hand chuck
b) periosteal elevator
c) bone currette
d) biopsy needle - ANS-Bone currette
,Of the procedures listed below, which should be scheduled as the first of the day?
a) corneal laceration
b) Splenectomy
c) OHE
d) Knee replacement - ANS-Knee replacement
+ Schedule the surgery that requires the cleanest environment first
Large oxygen tanks are known as _________ tanks. - ANS-H
The universal F circuit is an example of a/an _____ circuit. - ANS-Non-rebreathing
What's the difference between hemostats and needle holders? - ANS-Hemostats are used to
stop blood and have longer jaws than needle holders, which should be the only instrument used
to hold a needle or place the scalpel blade into the scalpel handle
How should a ring-handled instrument be handled? - ANS-The thumb and ring finger should be
placed in the rings. The thumb shouldn't go beyond the first knuckle on the ring and the ring
finger should be no further than the second knuckle
What is a self-retaining retractor? - ANS-An instrument that will deflect or retract tissue or other
structures away from the field which the surgeon is working and, because of the ratchet, will
remain in place
What information is included in the patient's signalment? - ANS-Age, gender, breed
Why is it important to review all medications and supplements that a patient is taking before
beginning the surgery? - ANS-+ to avoid drug interactions
+ To know whether other diagnostic tets are indicated
+ To make any necessary adjustments to the anesthetic protocol
Why are leading questions inappropriate to ask during the history taking? - ANS-+ they make
the owner feel compelled to answer a certain way
+ They may encourage the owner to answer inaccurately
Which of the following should be assessed during the history taking?
a) attitude and mental status
b) previous medical problems and treatments
c) ability to see and hear
d) gait and body condition
e) all of the above - ANS-E all of the above
, Why should taking the patient's temperature be saved for the end of the PE? - ANS-Most
animals dislike having their temp. taken rectally, and it is easier to perform a PE on a
cooperative patient; taking the temp. early may make them uncooperative for the rest of the
exam
Which of the following should be performed on the day of the surgery?
a) thorough PE
b) review of medical hisotry with owner
c) verbal review of cosent form and obtaining owners signature
d) all of the above
e) none of the above - ANS-D) all of the above
Which tactic(s) may stop a cat from purring during thoracic auscultation? - ANS-Holding a cat
near a sink or faucet, with or without the water running
THe minimum database (MDB) for ayoung, healthy feline patient having elective surgery would
most likely include which of the following diagnostic tests?
a) CBC, parvovirus test, lytes, and blood typing
b) CBC, chem, FeLV/FIV test, intestinal parasite tet, and urinalysis
c) FeLV/FIV test, abd. rads, and ECG
d) PCV/TS, BUN, BG, and ALT
e) PCV/TS, thyroid panel, and FeLV/FIV test - ANS-PCV/TS, BUN, BG, and ALT
What is the purpose of premedicating a patient before inducing anesthesia for surgery? -
ANS-+ provide a smooth transition to anesthesia
+ provide preemptive analgesia
+ facilitate a smooth recovery
True or False: it is appropriate to premed a patient with a preexisting cardiovascular disease
with xylazine - ANS-False
True or False: anesthesia ( gas anesthetics) provide multimodal analgesia - ANS-False
A surgical consent form includes which of the following?
a) all prior surgeries, medical history, and current medications
b) an estimate for the surgical procedures to be performed
c) Identification of the patient, the specific procedures to be performed along with risks, and the
physician who will perform the procedure, and the signature of the owner's consenting to the
procedures
d) Current diet
e) None of the above - ANS-c) Identification of the patient, the specific procedures to be
performed along with risks, and the physician who will perform the procedure, and the signature
of the owner's consenting to the procedures
Why is it important to use surgical instruments only for their designed purpose? - ANS-+ to
avoid damaging them
+ to protect their useful life
+ the high-quality instruments are expensive and should be handled with care
Why is it important for ratchets to remain locked when the jaw is closed? - ANS-+ the
instruments need to be a reliable mechanism of holding the target tissue or item
+ If the ratchets do not remain locked, complications (e.g., hemorrhage) could result
Which scissors is finer and more lightweight and therefore used on delicate tissues? -
ANS-Metzenbaum
Of the following needle holders, which have scissors included in the jaws?
a) Olsen-Hegar
b) Mayo-Hegar
c) Derf
d) Crile-Wood - ANS-Olsen-Hegar
Which of the following scalpel blade grips allows for a finer, more precise incision?
a) fingertip
b) Pencil
c) Palmed
d) Slide - ANS-Pencil
Ringed instruments should be held with the rings: - ANS-Distal to the first knuckle of both the
thumb and ring finger
,True or False: The Balfour retractor is self-retaining retractor that is frequently used during
abdominal exploratory procedures - ANS-True
What part of the anesthesia machine converts the liquid anesthetic into a gas anesthetic -
ANS-Vaporizer
Which valve allows for room air to enter the anesthesia system if negative pressure is detected
in the system? - ANS-Negative pressure relief valve
When might a situation of negative pressure exist in the anesthesia system? - ANS-When the
oxygen source is depleted
Which part of the anesthesia machine indicates the amount of pressure in the system? -
ANS-Pressure manometer
When the rebreathing bag is being squeezed to ventilate the patient manually, the pop-off valve
needs to be: - ANS-Closed and then opened after giving a breath
Why is it important to confirm that the pop-off valve is completely open after the anestheisa
machine and circuit are checked for leaks? - ANS-When the patient is connected to the
anesthesia machine with the pop-off valve closed, the patient will not be able to exhale
Ideally the surgery room is:
a) at least 12 x 12 ft in dimension
b) a separate room used only for surgery
c) adjacent to the scrub sinks
d) has no doors for easy communication - ANS-a separate room used only for surgery
A 27-kg patient would need what size rebreathing bag? - ANS-2L
+ Calculation for size of rebreathing bag: 5 x tidal volume = bag size in mL (round up)
Tidal volume = 10ml/kg
27 x 10 = 270 x 5 = 1350 - 2L
The suction tip best used to remove large volumes of fluid is the: - ANS-Poole
Which instrument would be used to collect large amounts of bone grafting material
intraoperatively?
a) Jacobs hand chuck
b) periosteal elevator
c) bone currette
d) biopsy needle - ANS-Bone currette
,Of the procedures listed below, which should be scheduled as the first of the day?
a) corneal laceration
b) Splenectomy
c) OHE
d) Knee replacement - ANS-Knee replacement
+ Schedule the surgery that requires the cleanest environment first
Large oxygen tanks are known as _________ tanks. - ANS-H
The universal F circuit is an example of a/an _____ circuit. - ANS-Non-rebreathing
What's the difference between hemostats and needle holders? - ANS-Hemostats are used to
stop blood and have longer jaws than needle holders, which should be the only instrument used
to hold a needle or place the scalpel blade into the scalpel handle
How should a ring-handled instrument be handled? - ANS-The thumb and ring finger should be
placed in the rings. The thumb shouldn't go beyond the first knuckle on the ring and the ring
finger should be no further than the second knuckle
What is a self-retaining retractor? - ANS-An instrument that will deflect or retract tissue or other
structures away from the field which the surgeon is working and, because of the ratchet, will
remain in place
What information is included in the patient's signalment? - ANS-Age, gender, breed
Why is it important to review all medications and supplements that a patient is taking before
beginning the surgery? - ANS-+ to avoid drug interactions
+ To know whether other diagnostic tets are indicated
+ To make any necessary adjustments to the anesthetic protocol
Why are leading questions inappropriate to ask during the history taking? - ANS-+ they make
the owner feel compelled to answer a certain way
+ They may encourage the owner to answer inaccurately
Which of the following should be assessed during the history taking?
a) attitude and mental status
b) previous medical problems and treatments
c) ability to see and hear
d) gait and body condition
e) all of the above - ANS-E all of the above
, Why should taking the patient's temperature be saved for the end of the PE? - ANS-Most
animals dislike having their temp. taken rectally, and it is easier to perform a PE on a
cooperative patient; taking the temp. early may make them uncooperative for the rest of the
exam
Which of the following should be performed on the day of the surgery?
a) thorough PE
b) review of medical hisotry with owner
c) verbal review of cosent form and obtaining owners signature
d) all of the above
e) none of the above - ANS-D) all of the above
Which tactic(s) may stop a cat from purring during thoracic auscultation? - ANS-Holding a cat
near a sink or faucet, with or without the water running
THe minimum database (MDB) for ayoung, healthy feline patient having elective surgery would
most likely include which of the following diagnostic tests?
a) CBC, parvovirus test, lytes, and blood typing
b) CBC, chem, FeLV/FIV test, intestinal parasite tet, and urinalysis
c) FeLV/FIV test, abd. rads, and ECG
d) PCV/TS, BUN, BG, and ALT
e) PCV/TS, thyroid panel, and FeLV/FIV test - ANS-PCV/TS, BUN, BG, and ALT
What is the purpose of premedicating a patient before inducing anesthesia for surgery? -
ANS-+ provide a smooth transition to anesthesia
+ provide preemptive analgesia
+ facilitate a smooth recovery
True or False: it is appropriate to premed a patient with a preexisting cardiovascular disease
with xylazine - ANS-False
True or False: anesthesia ( gas anesthetics) provide multimodal analgesia - ANS-False
