Surgical Tech Exam Y

84 Questions | By Nkalawe | Updated: Mar 21, 2022 | Attempts: 202

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Appleton and Lange questions 401 - 500

Questions and Answers

1.

In the event that a child needs emergency surgery, and the parents cannot be located to sign the permission
- A.
  
  No permission is necessary
- B.
  
  Permission is signed by a court of law
- C.
  
  Permission is signed by the physician
- D.
  
  A written consultation by two physicina other than the surgeon will suffice
2.

The patient is scheduled for an appendectomy. After completing this procedure the surgeon decides to remove a mole from the shoulder while the patient is still under anesthesia. No permission was obtained for this. The circulating nurse should
- A.
  
  Report it to the anesthesiologist
- B.
  
  Report it to the chief of surgery
- C.
  
  Report it to the supervisor or proper administrative authority
- D.
  
  Let the surgeon proceed because it is his or her responsibility to obtain the consent.
3.

The surgical consent form can be witnessed by each of the following EXCEPT
- A.
  
  The surgeon
- B.
  
  A nurse
- C.
  
  An authorized hospital employee
- D.
  
  The patient's spouse
4.

The patient is premedicated and brought to the operating room for a cystoscopy and an open reduction of the wrist. Upon arrival in the operating room, it is observed that the patient has only signed for the cystoscopy. The correct procedure would be to
- A.
  
  Cancel surgery until a valid permission can be obtained
- B.
  
  Have the patient sign for the additional procedure in the operating room
- C.
  
  Ask the patient verbally for consent and have witnesses attest to it
- D.
  
  Let the surgeon make the decision as to whether surgery could be done
5.

A general consent form is
- A.
  
  A form authorizing all treatments or procedures
- B.
  
  A form for all patients having general anesthesia
- C.
  
  A form for all patients having hazardous therapy
- D.
  
  Another name for an operative permit
6.

The ultimate responsibility for obtaining consent lies with the
- A.
  
  Operating room supervisor
- B.
  
  Circulating nurse
- C.
  
  Surgeon
- D.
  
  Unit charge nurse
7.

The surgical consent is signed
- A.
  
  Before induction
- B.
  
  In the holding area
- C.
  
  The morning of surgery
- D.
  
  Before administration of preoperative medications
8.

An informed consent
- A.
  
  Authorizes routine duties carried out at the hospital
- B.
  
  Protects patient from unratified or unwanted procedures
- C.
  
  Protects the surgeon and the hospital from claims of an unauthorized operation
- D.
  
  B & C
9.

Implied consent
- A.
  
  Is the preferred option for consents
- B.
  
  Is allowed by law in emergencies when no other authorized person may be contacted
- C.
  
  In never legally vaild
- D.
  
  Is the permission for surgical action
10.

Which statement regarding the withdrawal of a consent by a patient is NOT true?
- A.
  
  The surgeon informs the patient of the dangers if the procedure is not carried out
- B.
  
  The surgeon informs the hospital administration of the patient's refusal
- C.
  
  The surgeon obtains a written refusal from the patient
- D.
  
  The surgeon may do the procedure if he documents that it is necessary as a lifesaving measure
11.

Which position would be the most desirable for a pilonidal cystectomy or a hemorrhoidectomy?
- A.
  
  Lithotomy
- B.
  
  Kraske
- C.
  
  Knee-chest
- D.
  
  Modified prone
12.

A position often used in cranial procedures is called
- A.
  
  Fowler's
- B.
  
  Kraske
- C.
  
  Trendelenburg
- D.
  
  Lithotomy
13.

In positioning for laminectomy, rolls or bolsters are placed
- A.
  
  Horizontally, one under the chest and one under the thighs
- B.
  
  Longitudinally to support the chest from axilla to hip
- C.
  
  Lonitudinally to support the chest from sternum to hip
- D.
  
  Below the knees
14.

The position used for a patient in hypovolemic shock is
- A.
  
  Mofified Trendelenburg
- B.
  
  Reverse Trendelenburg
- C.
  
  Supine
- D.
  
  Dorsal recumbent
15.

A Mayfield table would be used for which type of surgery?
- A.
  
  Ophthalmic
- B.
  
  Gynecologic
- C.
  
  Neurologic
- D.
  
  Urologic
16.

Good exposure for thyroid surgery is ensured by all of the following EXCEPT
- A.
  
  Modified dorsal recumbent with shoulder roll
- B.
  
  Hyperextension of the neck
- C.
  
  Utilization of skin-stay sutures
- D.
  
  Firm retraction of the laryngeal nerve and surrounding structures
17.

A procedure requiring the patient to be positioned supine in modified lithotomy is
- A.
  
  Colonoscopy
- B.
  
  Abdominoperineal resection (APR)
- C.
  
  Marsupilization of pilonidal cyst
- D.
  
  Ileostomy
18.

In which procedure may the patient be placed in a supine position with the right side slightly elevated by a wedge to tilt the patient to the left?
- A.
  
  Cerclage
- B.
  
  Marsupilization of Bartholin's cyst
- C.
  
  Shirodkar
- D.
  
  Cesarean section
19.

The position for most open bladder surgery would be
- A.
  
  Lithotomy
- B.
  
  Supine, bolster under pelvis
- C.
  
  Reverse Trendelenburg
- D.
  
  Fowler's modified
20.

In which circumstance could the patient sustain injury to the pudendal nerves?
- A.
  
  Positioned on the fracture table
- B.
  
  Positioned in lateral chest
- C.
  
  Positioned in lithotomy
- D.
  
  Positioned on the urological table
21.

Which factor is important to consider when positioning the aging patient?
- A.
  
  Skeletal changes
- B.
  
  Limited range of motion of joints
- C.
  
  Tissue fragility
- D.
  
  All of the above
22.

When positioning the patient for a procedure, which of the following provides maximum patient safety and maximum surgical site exposure?
- A.
  
  Patient's body does not touch metal on table
- B.
  
  Equipment, Mayo stand, or personnel are not resting on the patient
- C.
  
  Bony prominences are padded
- D.
  
  All of the above
23.

When preparing a patient for a breast biopsy, a breast scrub is either eliminated or done very gently because of
- A.
  
  Patient anxiety
- B.
  
  Dispersal of cancer cells
- C.
  
  Contamination
- D.
  
  Infection
24.

The ideal place to do the shave prep is in the
- A.
  
  Patient's room
- B.
  
  Operating room (OR) suite
- C.
  
  Holding area of the OR
- D.
  
  Room where the surgery will be performed
25.

Any area that is considered contaminated
- A.
  
  Should be scrubbed last or separately
- B.
  
  Should not be scrubbed at all
- C.
  
  Should be scrubbed first
- D.
  
  Needs no special consideration