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Perioperative registered nurses and scrub personnel have primary control over
which component of the fire triangle during an operating or other invasive
procedure?
A. Oxidizing sources
B. Fuel sources
C. Ignition sources
D. A and B
E. A and C ---------CORRECT ANSWER-----------------B. Fuel sources
Choose the FALSE statement about fire risks in the operating room.
A. Patients with their heads draped are at increased risk of fire because
supplemental oxygen can accumulate under drapes
B. Substances that would not ignite in room or medical air can do so in an
oxygen-enriched environment, which may occur in the operating room
C. Evaporated gases from flammable prep solutions can ignite, especially if they
are allowed to accumulate under drapes
D. Bowel surgeries are associated with the highest risk of surgical fires
E. A piece of equipment that is smoking unexpectedly represents an immediate
fire risk ---------CORRECT ANSWER-----------------D. Bowel surgeries are associated
with the highest risk of surgical fires
,Fire blankets should NOT be used in the operating room because they:
A. Are made of wool, which can catch fire in an oxygen-enriched environment
B. Can cause wound contamination or move instruments at the surgical site
C. Can trap fire next to or under a patient
D. All of the above
E. B and C ---------CORRECT ANSWER-----------------D. All of the above
Which of the following fire safety practices should be implemented when a laser
is used during surgery?
A. Keep wet towels and saline on the sterile field
B. Place moist sterile towels, sponges, and drapes around the surgical site
C. Use standard endotracheal tubes for upper airway procedures involving laser
D. allow fumes from flammable solutions to dissipate before activating the laser
E. A and B only
F. A, B, and C only
G. A, B, and D only
H. A and D only
I. C and D only ---------CORRECT ANSWER-----------------wrong
Which type of fire extinguisher is most appropriate to extinguish a fire on or in a
patient?
A. Carbon dioxide extinguisher
,B. Ammonium phosphate or other dry powder extinguisher
C. Water mist extinguisher
D. Foam extinguisher
E. A or C ---------CORRECT ANSWER-----------------wrong
Patients and personnel must be evacuated because of an operating room fire. The
proper order of steps to take is:
A. Alarm, confine/contain, rescue, evacuate
B. Rescue, alarm, confine/contain, evacuate
C. Rescue, evacuate, alarm, confine/contain
D. Confine/contain, alarm, rescue, evacuate
E. Alarm, rescue, evacuate, confine/contain ---------CORRECT ANSWER----------------
-B. Rescue, alarm, confine/contain, evacuate
If evacuated because of a fire, health care personnel should go:
A. To the front doors of the building
B. Outside the building
C. Behind at least two sets of fire doors
D. To the nearest stairwell
E. To the nearest safe location where they can resume caring for patients ---------
CORRECT ANSWER-----------------E. To the nearest safe location where they can
resume caring for patients
, A scrubbed perioperative registered nurse observes a fire start on a patient in the
operating room. After alerting the team, the nurse should immediately:
A. Obtain and operate the nearest fire extinguisher by using the PASS technique
B. Pat the flames with a drape
C. Smother the fire with a towel or pour nonflammable liquid on the fire
D. Lift the patient and transport him or her out of the room
E. Turn off the oxygen source ---------CORRECT ANSWER-----------------C. Smother
the fire with a towel or pour nonflammable liquid on the fire
Which practice is NOT recommended to prevent fires during surgeries at high-risk
sites?
A. use an ignition source to enter gas-distended bowel
B. pack the back of the throat with radiopaque sponges prior to tonsillectomy
C. stop supplemental oxygen or nitrous oxide for one minute before using an
ignition source
D. place an adhesive incise drape between the surgical site and the oxygen
source
E. inflate endotracheal tubes with tinted solutions prior to tracheotomy ---------
CORRECT ANSWER-----------------A. use an ignition source to enter gas-distended
bowel
Ifan airway fire occurs, perioperative team members should be prepared to help
the anesthesia professional do which of the following:
A. disconnect and remove the anesthesia circuit and turn off the flow of oxygen