Surgical Technology, Principles, Unit 1, Pre-Operative Routine(proctored practice)

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Surgical Technology, Principles, Unit 1, Pre-Operative Routine
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Pregunta 1

Pregunta
Every patient coming in for surgery needs to have which done before surgery can take place?
Respuesta
  • H&P;history and physical
  • H&H;hemoglobin and hematocrit
  • Both H&H and H&P
  • none

Pregunta 2

Pregunta
For minor surgical cases all that might need to be done is?
Respuesta
  • H&H;hemoglobin and hematocrit
  • H&H and complete blood count
  • none
  • just a complete blood count

Pregunta 3

Pregunta
Which tests most often is associated with major surgery?
Respuesta
  • H&H;hematocrit and homoglobin
  • H&P;history and physical
  • chemical profile and urinalysis
  • none

Pregunta 4

Pregunta
What is one of the most common and comprehensive blood panels available?
Respuesta
  • drug screen
  • blood donation stats when giving blood
  • CBC/Chemistry profile
  • none of the above

Pregunta 5

Pregunta
What is best known measure of protein to iron compound in blood?
Respuesta
  • red blood cell
  • blood oxygen ratio
  • hematocrit
  • hemoglobin

Pregunta 6

Pregunta
What is the protein molecule in red blood cells?
Respuesta
  • O2;oxygen
  • hematocrit
  • hemoglobin
  • none of the above

Pregunta 7

Pregunta
What is expelled as we breath?
Respuesta
  • oxygen
  • carbon monoxide
  • carbon dioxide
  • gasses

Pregunta 8

Pregunta
Normal values for hemoglobin in an average adult is?
Respuesta
  • 12-16
  • 12-18
  • 14-18
  • 10-18

Pregunta 9

Pregunta
Normal values for hemoglobin in an adult women is?
Respuesta
  • 12-18
  • 14-18
  • 12-16

Pregunta 10

Pregunta
Normal values for hemoglobin in an adult man is?
Respuesta
  • 14-18
  • 12-16
  • 12-18
  • none

Pregunta 11

Pregunta
The measurement of packed cell volume of red blood cell is known as?
Respuesta
  • hemoglobin
  • carbon dioxide
  • hematocrit
  • red blood cell count

Pregunta 12

Pregunta
The normal Hematocrit value for women is?
Respuesta
  • 43-49%
  • 42-49%
  • 37-43%

Pregunta 13

Pregunta
The normal Hematocrit value for men is?
Respuesta
  • 37-43%
  • 42-49%
  • 43-49%

Pregunta 14

Pregunta
What is best expressed as a percentage of total blood volume?
Respuesta
  • hemoglobin
  • RBC or Red blood cell count
  • CO2 or carbon dioxide levels
  • hematocrit

Pregunta 15

Pregunta
White blood cells known as WBC's which help fight infection and are apart of our immune system are also known as?
Respuesta
  • RBC's;red blood cells
  • neutrophils
  • leukocytes
  • monocyte

Pregunta 16

Pregunta
High white blood cell counts could mean?
Respuesta
  • their is not enough oxygen in the blood to carry WBC's
  • their is no infection present
  • their is an active infection
  • cancer is spreading

Pregunta 17

Pregunta
IF a patient has to high of count of this then a surgical procedure will have to wait?(pick most suitable answer)
Respuesta
  • monocytes
  • RBC's;red blood cells
  • WBC's;White blood cells
  • neutrophil

Pregunta 18

Pregunta
The normal count for White Blood Cells should be?
Respuesta
  • 5k-11k cells per cubic mm
  • 4k-10k cells per cubic mm
  • 5k-10k cells per cubic mm
  • 5k-12k cells per cubic mm

Pregunta 19

Pregunta
CBC is known as?
Respuesta
  • complete basic count
  • complete bacterial count
  • complete blood count

Pregunta 20

Pregunta
An erythrocyte is known as?
Respuesta
  • white blood cell
  • neutrophil
  • red blood cell
  • monocyte

Pregunta 21

Pregunta
Red Blood Cells do what for the body?
Respuesta
  • take oxygen out of the air
  • part of immune system to heal infection
  • transport oxygen
  • transport carbon dioxide

Pregunta 22

Pregunta
A Red Blood Cell count as part of a CBC test can help diagnose and monitor which diseases?
Respuesta
  • kidney disease
  • bleeding problems
  • polycythemia
  • all of the above

Pregunta 23

Pregunta
Normal RBC count for women is?
Respuesta
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.1-4.8 million per mm

Pregunta 24

Pregunta
Normal RBC count for men is?
Respuesta
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.2-4.9 million per mm

Pregunta 25

Pregunta
Among the many functions of this value in the body are regulation of the heartbeat and function of the muscles?
Respuesta
  • red blood cell count
  • white blood cell count
  • hematocrit
  • potassium

Pregunta 26

Pregunta
Normal values of patassium are?
Respuesta
  • 3.5-5.0 meq/l
  • 3.4-5.0 meq/l
  • 2.5-5.0 meq/l

Pregunta 27

Pregunta
Normal sodium values should fall in this area?
Respuesta
  • 125-145 meq/l
  • 130-145 meq/l
  • 135-145 meq/l

Pregunta 28

Pregunta
What is the cheif electrolyte in interstitial fluid and regulated the total amount of water in the body?
Respuesta
  • red blood cells
  • hemoglobin
  • sodium
  • potassium

Pregunta 29

Pregunta
BUN stands for?
Respuesta
  • blood urine nitrogen
  • blood urea nitris
  • blood urea nitrogen

Pregunta 30

Pregunta
Increased BUN levels suggest?
Respuesta
  • to much urine in the body
  • impaired blood flow
  • impaired kidney function

Pregunta 31

Pregunta
Low BUN levels are ?
Respuesta
  • cause of infection and concern
  • cause of to much urine in body
  • cause of to little water in body
  • usually not a cause of concern

Pregunta 32

Pregunta
what is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine?
Respuesta
  • creatine
  • carbon dioxide
  • creatinine
  • urine

Pregunta 33

Pregunta
What is examined for color, specific gravity and pH?
Respuesta
  • urinalysis
  • hemoglobin test
  • blood cell test

Pregunta 34

Pregunta
Normal pH ranges of urine should be?
Respuesta
  • 4.6-8.0
  • 3.6-8.0
  • 2.6-8.0

Pregunta 35

Pregunta
The ratio of the density of a substance to the density of another substance?
Respuesta
  • pH of urine
  • specific gravity
  • urinalysis

Pregunta 36

Pregunta
This organ plays an important part of maintaining pH levels of the body?
Respuesta
  • liver
  • gallbladder
  • kidney
  • ureters

Pregunta 37

Pregunta
Preadmission Procedures may include?
Respuesta
  • blood may be typed and cross matched
  • chest x-ray
  • EKG
  • all of the above

Pregunta 38

Pregunta
Written Instructions, Preoperative Teaching, Informed Consent and Anesthesia Visit are part of what?
Respuesta
  • post operative procedure
  • intraoperative procedure
  • preoperative procedure
  • preadmission procedure

Pregunta 39

Pregunta
Blood type and cross match, chest xrays, EKG and Diagnostic procedures are apart of what?
Respuesta
  • preoperative procedure
  • intraoperative procedure
  • postoperative procedure
  • preadmission procedure

Pregunta 40

Pregunta
Which written instructions should patients follow before surgery?
Respuesta
  • No food or fluids 8 hours before surgery
  • medications should be decided by attending physician
  • instructions of hospital
  • attending nurse
  • all jewelry needs to be removed

Pregunta 41

Pregunta
Check what is discussed during Preoperative Teaching.
Respuesta
  • What instruments will be used during procedure
  • what to expect in the recovery room
  • importance of managing pain
  • any complications to expect
  • health insurance to ensure adequate post care

Pregunta 42

Pregunta
An Informed Consent should answer which of the following questions?
Respuesta
  • what is planned for the patient for the procedure?
  • why do you want to do this procedure?
  • What things do I have to worry about?
  • what things do I not have to worry about?
  • are their any other alternatives to this plan?

Pregunta 43

Pregunta
Check which exceptions are allowed for Informed Consent,
Respuesta
  • managing nurse
  • head surgeon
  • a great surgical technician who knows their damn stuff
  • hospital administrator
  • the courts

Pregunta 44

Pregunta
Check what is covered during the preoperative anesthesia assessment visit?
Respuesta
  • History and physical
  • expectations with anesthedia
  • patients health insurance provider
  • type of anesthesia

Pregunta 45

Pregunta
Check what the patient must do before leaving for the O.R..
Respuesta
  • don clean hospital gown
  • remove prosthetics, dentures, jewelry
  • put on surgical cap for hair
  • clean feet and hands with antimicrobial soap
  • relax for 15 minutes in upright position
  • have ted hoes put on if needed for venous stasis

Pregunta 46

Pregunta
Antibiotics are administered how man hours before procedure?
Respuesta
  • 2 hours
  • 1 and half hours
  • 1 hour
  • 50 minuites

Pregunta 47

Pregunta
Before Patient leaves for the O.R. which things are done?
Respuesta
  • Preoperative medication administered
  • History and Physical dictated
  • Lab tests done and placed in chat all with in normal range
  • all of the above

Pregunta 48

Pregunta
Preanesthesia may refer to?
Respuesta
  • anesthesia visit
  • anesthesia check list
  • preoperative holding room

Pregunta 49

Pregunta
Check what may happen in preoperative holding room?
Respuesta
  • nurse identifies patient
  • Surgeon may visit patient
  • nurse verifies surgeon
  • vital signs are taken
  • patient is cleaned
  • patient is given the final checklist to be signed

Pregunta 50

Pregunta
Preoperative visit by the Circulating Nurse will perform what before the procedure?
Respuesta
  • asses anxiety levels
  • check to see all the doctors orders have been done
  • make sure surgical check list has been completed
  • all of the above

Pregunta 51

Pregunta
The patient can never walk to the O.R. in the United States as its against HIPPA for a procedure to be performed?
Respuesta
  • True
  • False

Pregunta 52

Pregunta
check whats involved with the identification process of the patient before being led into the O.R.?
Respuesta
  • Ask the patient their name
  • check response of patients name with wristband on patient and the patient information on the chart
  • ask the patient if they have health insurance
  • ask the patient who to call if their is an emergency in the O.R.
  • check what procedure is being performed; operative site, side, and surgical approach

Pregunta 53

Pregunta
The nurse will check patients name, hospital number, DOB, and Physicians name before patient is taken to the O.R.
Respuesta
  • True
  • False

Pregunta 54

Pregunta
Correct Site Surgery entails what before surgery begins?
Respuesta
  • Pre-operative verification process
  • marking the surgical site (drs initials)
  • time out performed
  • clinical documentation
  • all of the above

Pregunta 55

Pregunta
Time out consists of what steps?
Respuesta
  • Patients name and birth date are confirmed
  • procedure to be performed
  • operative site and side
  • all of the above

Pregunta 56

Pregunta
Radiography is?
Respuesta
  • process of obtaining image for diagnosis using soundwaves
  • process of obtaining image for symptoms using radiological modality
  • process of obtaining image for diagnosis using radiological modality

Pregunta 57

Pregunta
A radiographic imaging of the breast to screen for breast cancer is known as [blank_start]mammography[blank_end].
Respuesta
  • mammography

Pregunta 58

Pregunta
Radiography of the spinal cord and associated nerves after intrathecal injection of a contrast media is known as [blank_start]myelography[blank_end]
Respuesta
  • myelography

Pregunta 59

Pregunta
Examination of the body using x-ray in motion captured on a fluorescent screen is known as [blank_start]fluoroscopy[blank_end].
Respuesta
  • fluoroscopy

Pregunta 60

Pregunta
A diagnostic radiograhy of the heat and blood vessels using contrast media is known as [blank_start]angiography[blank_end].
Respuesta
  • angiography

Pregunta 61

Pregunta
Injection of a contrast medium into a blood vessel to visualize coronary artery occlusions with the use of fluoroscopy is known as?
Respuesta
  • contrast media injection
  • cardiocathy
  • cardiac catheterization
  • cardiacscopic

Pregunta 62

Pregunta
[blank_start]cholangiography[blank_end] is radiography of the bile ducts using contrast media.
Respuesta
  • cholangiography

Pregunta 63

Pregunta
A [blank_start]ctscan[blank_end] is an x-ray emitted from a specialized tube that rotates around the patients body producing images of the body parts in slices for detailed evaluation of internal dynamic procedures. P.S. (PLEASE DONE USE ANY SPACES or DASHES IN ANY FILL IN THE BLANK ANSWERS)
Respuesta
  • ctscan

Pregunta 64

Pregunta
Positron emission tomography or PET scan is defined as?
Respuesta
  • Combination of nuclear medicine and computed tomography to diagnose or asses new or current pathology.
  • Combination of photos and computed tomography to diagnose or asses new or current pathology.
  • Combination of science and computed tomography to diagnose or asses new or current pathology.

Pregunta 65

Pregunta
A type of diagnostic radiography that uses the characteristic behavior of protons when place in a powerful magnetic field to make images of soft tissue of the body is known as?
Respuesta
  • CT Scan
  • PET SCAN
  • MRI

Pregunta 66

Pregunta
[blank_start]ultrasonography[blank_end] is the use of ultrasound to produce an image or photograph of an organ or tissue
Respuesta
  • ultrasonography

Pregunta 67

Pregunta
[blank_start]Echocardiography[blank_end] is an non-invasive test that evaluates both the structure and function of the heart by transmuting sound waves to the heart and measuring those sound eaves reflecting back to the transducer.
Respuesta
  • Echocardiography

Pregunta 68

Pregunta
The Doppler Ultrasonography permits the measuring of the velocity of that which is studied.
Respuesta
  • True
  • False

Pregunta 69

Pregunta
Isotope scanning involved the injection of radioactive particles into the patient prior to the imaging study.
Respuesta
  • True
  • False

Pregunta 70

Pregunta
Radioation therapy is used to kill cancer cells with a predetermined dose or by direct tissue contact with an implantable source.
Respuesta
  • True
  • False

Pregunta 71

Pregunta
Labatory reports are done on urine and or blood to asses the physiologic condition of a patient.
Respuesta
  • True
  • False

Pregunta 72

Pregunta
The analysis of urine for diagnostic purpose is called?
Respuesta
  • urine test
  • urinalysis
  • urea test

Pregunta 73

Pregunta
Tissue specimens are taken from patient to determine?
Respuesta
  • molecular structure of disease or pathology
  • diagnosing DNA problems
  • diagnosing diseases of assessing pathology

Pregunta 74

Pregunta
[blank_start]thoracocentesis[blank_end] is a method of inserting a needle through the chest wall into the plural space to obtain fluid for diagnostic purpose.
Respuesta
  • thoracocentesis

Pregunta 75

Pregunta
what is a method of staining bacteria which is important in identifying the type?
Respuesta
  • red blood cell stain
  • white blood cell stain
  • gram stain

Pregunta 76

Pregunta
Electrocardiography is a record of the electrical conductivity of the heat.
Respuesta
  • True
  • False

Pregunta 77

Pregunta
Electroencephalography is a record of the electrical activity of the brain.
Respuesta
  • True
  • False

Pregunta 78

Pregunta
electromyography is a graphic record the muscle activity.
Respuesta
  • True
  • False

Pregunta 79

Pregunta
Spirometry is a measurement of the airflow and lung volume.
Respuesta
  • True
  • False

Pregunta 80

Pregunta
Capnography is a measurement of the end-tidal concentration of carbon dioxide.
Respuesta
  • True
  • False

Pregunta 81

Pregunta
Pulse oximetry is a measurement of the arterial oxyhemoglobin saturation,
Respuesta
  • True
  • False

Pregunta 82

Pregunta
[blank_start]endoscopy[blank_end] is the diagnostic procedure to view organs of a body cavity with the use of a telescope.
Respuesta
  • endoscopy

Pregunta 83

Pregunta
plethysmography is a record of the changes in the volume of an organ or extremity.
Respuesta
  • True
  • False

Pregunta 84

Pregunta
What is the designated room or area where patients are taken prior to going to the operating room?
Respuesta
  • a.m. admissions room
  • preanesthesia or preoperative holding room
  • ambulatory surgery room
  • P.A.C.U. room (post anesthesia care unit)

Pregunta 85

Pregunta
N.P.O. means:?
Respuesta
  • nothing per os except water during the preoperative period
  • nothing per os four hours before surgery
  • nothing per os 8 to12 hours before surgery
  • nothing per os one day (24 hours) before surgery

Pregunta 86

Pregunta
What procedure listed below would or could be part of the preadmission process for a patient less than forty years of age, in good health and is a nonsmoker?
Respuesta
  • preoperative medication given for sedation
  • intravenous injection started and IV fluids infused
  • chest x-ray taken to visualize any abnormal pathology
  • blood drawn for a chemical profile

Pregunta 87

Pregunta
A safety measure to remember when transporting a patient to the operating room via the stretcher is:
Respuesta
  • to be sure that four people are in attendance with the stretcher while it is in motion
  • to be sure to push the stretcher from the foot end while transporting the patient
  • to be sure to push the stretcher from the head end while transporting the patient
  • to open a door gently with the foot end of the stretcher as long as the patient’s feet are not hanging over the end

Pregunta 88

Pregunta
What blood tests are important to have completed before the patient is brought to surgery if they are having a major surgical procedure performed?
Respuesta
  • complete blood chemical profile
  • hemoglobin, hematocrit
  • RBC\WBC
  • hemoglobin, RBC

Pregunta 89

Pregunta
What health care provider is mainly responsible for the preoperative teaching when the patient arrives to the hospital the morning of surgery?
Respuesta
  • circulating nurse
  • surgical technologist
  • floor or unit floor nurse
  • nurse aid or CSM

Pregunta 90

Pregunta
Who can sign an informed consent?
Respuesta
  • an emancipated minor
  • spouse of a conscious, competent adult
  • a mentally incompetent adult
  • a minor

Pregunta 91

Pregunta
A witness of an informed consent must look for specific information before signing. Which of the following information is NOT important to look for before signing?
Respuesta
  • mental state of signatory
  • patient apprehension about surgery
  • voluntary signature without coercion
  • identification of the patient or legal substitute

Pregunta 92

Pregunta
An electrocardiogram is important for a patient to have before surgery:
Respuesta
  • as part of routine preoperative process
  • if the patient is less than forty years of age
  • if the patient is more than forty years of age and/or has a history of heart problems

Pregunta 93

Pregunta
Patient is told about what will happen to them during surgery and the importance of not eating or drinking anything prior surgery
Respuesta
  • preoperative teaching
  • history and physcial
  • urine analysis

Pregunta 94

Pregunta
This test measures specific gravity, pH, and color
Respuesta
  • urine analysis
  • enema

Pregunta 95

Pregunta
An important part of the preadmission procedure where the patient’s past experiences and body systems are assessed
Respuesta
  • history and physical
  • urine analysis

Pregunta 96

Pregunta
This procedure is done the night before surgery by the patient, or the floor nurse if the patient is admitted the night before
Respuesta
  • enema
  • history and physical

Pregunta 97

Pregunta
All jewelry is removed and put in safe keeping during this phase
Respuesta
  • before leaving the O.R.
  • preoperative teaching

Pregunta 98

Pregunta
This test is the measure of packed cell volume of red blood cells.
Respuesta
  • hematocrit
  • urine analysis

Pregunta 99

Pregunta
Normal values for this lab test is 12-16 g/dl
Respuesta
  • hemoglobin/women
  • hemoglobin/men

Pregunta 100

Pregunta
This test measures the amount of protein-iron compound in blood & oxygen factor in blood
Respuesta
  • hemoglobin
  • hematocrit

Pregunta 101

Pregunta
Normal values of this test is 5,000-10,000 cells per mm3
Respuesta
  • WBC(white blood cells)
  • red blood cells

Pregunta 102

Pregunta
Used to evaluate the spine for patients with neck, back or leg pain by injecting contract media & using x-ray
Respuesta
  • myelography
  • fluroscopy

Pregunta 103

Pregunta
This procedure utilizes x-ray to project images of body structures onto a monitor - Image can be view in motion (moving x-ray)
Respuesta
  • fluoroscopy
  • ultrasonography

Pregunta 104

Pregunta
This diagnostic procedure utilizes high-frequency sound waves that are directed into the body & reflected from the tissue to a recording device
Respuesta
  • ultrasonography
  • angiography

Pregunta 105

Pregunta
A preliminary diagnostic technique that visualizes vessels of the body using contrast media & x-ray
Respuesta
  • angiography
  • fluorscopy

Pregunta 106

Pregunta
Diagnostic testing is performed on tissue or fluid extracted from the patient that may be suspected of being infected - Sometimes called culture & sensitivity
Respuesta
  • bacteriologic test
  • isotope scanning

Pregunta 107

Pregunta
Involves the injection of radioactive particles into the patient prior to the imaging study - Done to study the function of certain diseased organs
Respuesta
  • isotope scanning
  • bacteriologic test

Pregunta 108

Pregunta
Uses two different forms of energy to create an image- most common is working with the magnetic field and how it reacts to different tissue densities
Respuesta
  • MRI
  • ct-scan

Pregunta 109

Pregunta
A display and recording of the electrical activity of the brain by measurement of changes in electrical potentials
Respuesta
  • electroenceohalogrphy
  • mri

Pregunta 110

Pregunta
Monitor measures blood flow that transmits the sound of moving red blood cells to a transducer - Reflected sound can be amplified
Respuesta
  • doppler ultrasonography
  • mri

Pregunta 111

Pregunta
X-rays used to view internals structures for diagnostic purposes
Respuesta
  • radiography
  • ct scan

Pregunta 112

Pregunta
A specialized x-ray machine that produces images of body parts in “slices” for evaluation
Respuesta
  • cat scan
  • ct scan

Pregunta 113

Pregunta
Device that measures arterial saturation of hemoglobin with oxygen by passing a light through the tissue - Device is usually placed on the index finger of the patient
Respuesta
  • echocardiograpy
  • mri

Pregunta 114

Pregunta
What may be administered to the patient to help calm and relax the patient prior to being transported to surgery.
Respuesta
  • sedative
  • vaso constrictor

Pregunta 115

Pregunta
What drug is administered to the patient preoperatively, intraoperatively, and postoperatively as a prophylactic measure?
Respuesta
  • antibiotics
  • vaso constrictor

Pregunta 116

Pregunta
What does NPO stand for?
Respuesta
  • nothing per os/nothing by mouth
  • nothing injected

Pregunta 117

Pregunta
What has to be dictated and/or typed and placed in the chart before surgery can start in some hospitals?
Respuesta
  • history and physical
  • patient family members
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