Quiz #1 Operating Room Protocols P6-15

20 Questions | Total Attempts: 4922

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Quiz #1 Operating Room Protocols P6-15 - Quiz

Includes arrival in the OR; room and equipment setup; patient introduction; communication with surgeons, anesthesiologists and other team members; safety; and precautions.


Questions and Answers
  • 1. 
    Upon arrival in the OR, what should you do first?
    • A. 

      Set up equipment.

    • B. 

      Verify the schedule and room assignment.

    • C. 

      Perform a biomedical safety check.

    • D. 

      Check in with the charge nurse.

  • 2. 
    What is the first thing that you should put on when changing into scrubs?
    • A. 

      Scrub shirt and pants.

    • B. 

      Nametag.

    • C. 

      Head cover.

    • D. 

      Surgical mask.

  • 3. 
    With whom should you make an introduction in the OR?
    • A. 

      Surgical technologist

    • B. 

      Circulating nurse

    • C. 

      Anesthesiologist

    • D. 

      Surgeon

    • E. 

      All of the above.

  • 4. 
    When setting up equipment, which is the best strategy for positioning it?
    • A. 

      Place equipment closest to a convenient electrical outlet.

    • B. 

      Avoid placing equipment close to blood warmers, electrocautery units, or microscopes.

    • C. 

      Traffic will flow easily around your equipment, so position it early and others will navigate around it.

    • D. 

      Place equipment as close to the patient as possible.

  • 5. 
    One form of identification is needed from the patient in the preoperative holding area.
    • A. 

      True

    • B. 

      False

  • 6. 
    Why you should review the patients chart?
    • A. 

      To ensure proper patient identification.

    • B. 

      To gain a better understanding of the patient's health history.

    • C. 

      To ascertain possible conditions likely to produce neurological deficits.

    • D. 

      All of the above.

  • 7. 
    Which of the items listed below is included in the patient face sheet and used to create the patients record in the biomedical system?
    • A. 

      Patient's place of birth.

    • B. 

      Patient's email address.

    • C. 

      Patient's social security number.

    • D. 

      Patient's medical record number.

  • 8. 
    What information is important to review with the surgeon prior to the patients arrival in the OR?
    • A. 

      The planned procedure.

    • B. 

      Historical details from the patient's chart.

    • C. 

      X-rays, MRI's, and CT scans.

    • D. 

      Pathology and planned modalities.

    • E. 

      All of the above

  • 9. 
    What should be verified with the anesthesiologist prior to the start of the surgery?
    • A. 

      The type of neuromuscular blockade agent to be used.

    • B. 

      The expected duration of the action.

    • C. 

      Both A and B.

    • D. 

      None of the above.

  • 10. 
    You should offer to assist the circulating nurse in transferring the patient from the gurney to the OR table.
    • A. 

      True

    • B. 

      False

  • 11. 
    During patient positioning, which areas are of concern?
    • A. 

      Providing support to the brachial plexus.

    • B. 

      Avoidance of injury to the ulnar nerve.

    • C. 

      All of the above.

    • D. 

      None of the above.

  • 12. 
    EMG or scalp needles should be placed before the induction of general anesthesia.
    • A. 

      True

    • B. 

      False

  • 13. 
    With whom should you confer to determine the most advantageous time to place subdermal needles?
    • A. 

      The circulating nurse.

    • B. 

      The surgeon.

    • C. 

      The anesthesiologist.

    • D. 

      None of the above.

  • 14. 
    With whom should you confirm the EMG muscle selection location?
    • A. 

      The circulating nurse.

    • B. 

      The surgeon.

    • C. 

      The anesthesiologist.

    • D. 

      None of the above.

  • 15. 
    When is the best time for stick-on stimulating electrodes to be placed on the patient?
    • A. 

      After anesthesia and before the surgical procedure.

    • B. 

      In the preoperative holding area.

    • C. 

      During the induction of the anesthetic.

    • D. 

      After the patient has been transferred to the OR table.

  • 16. 
    What is the best reason for using differing lengths of wire in the OR?
    • A. 

      To provide minimal excess wire and avoid entanglements.

    • B. 

      To avoid impairment to fluoroscopic visualization.

    • C. 

      To minimize the costs associated with cabling materials.

    • D. 

      To enhance access to the stimulating box without stretching the lead wire.

    • E. 

      A and B.

  • 17. 
    How often should the equipment be calibrated?
    • A. 

      Prior to each surgery.

    • B. 

      Monthly or as required by the hospital.

    • C. 

      Semiannually or as required by the hospital.

    • D. 

      Annually.

  • 18. 
    Which is not a standard precaution in the OR?
    • A. 

      Use of aseptic technique and alcohol swabs to prep needle insertion points.

    • B. 

      Use of bent needles to closely follow patient contours.

    • C. 

      Discarding of contaminated needles.

    • D. 

      Use of gloves, protective eyewear, and surgical mask.

  • 19. 
    When should OR personnel be advised of needle placement?
    • A. 

      At the beginning of the case.

    • B. 

      At the beginning and end of the case.

    • C. 

      Prior to the start of the case.

    • D. 

      At the end of the case.

  • 20. 
    Which of the following is NOT a consideration when determining the OR table selection?
    • A. 

      Table selection affects the organization of computer leads and EMG electrodes.

    • B. 

      Table function may require modification of the monitoring procedure to accomodate structures placed at risk.

    • C. 

      Table selection can minimize abdominal pressure in turn reducing intra spinal pressure.

    • D. 

      Table type is an important part of understanding the perimeters of the sterile field.

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