in which of the following situations will the patien not be allowed to sign the consent for surgery?

a. patient is of legal age

b. patient recieved pre-op medications

c. patient explained alternative treatments

d. patient is emancipated minor

who is ultimately responsible for the surgical patient?

a. circulator

b. ST

c. surgeon

d. surgical assistant

a patient signs a consent for surgery but does not speak english and does not fully understand what he/she signed. Surgery on the patient could constitute a liabilty case for?

a. assault and battery

b. improper documentation

c. invasion of privacy

d. negligence

if a patient falls from a gurney and was alone, what specific legal charge could be applied to this situation?

a. defamation

b. abandoment
c. perjury

d. assault

the lack of care or skill that anyone in the same situation would be expected to use is the legal definition of?

a. tort

b. malpractice

c. negligence

d. Iatrogenic injury

the doctrine of respondeat superior refers to?

a. the patient first

b. employer responsible for employee's actions

c. do no harm to the patient

d. harm came from a given act by defendant

A description of conduct that is expected of every ST in a given circumstance is referred to as?

a. common law

b. affidavit

c. personal liability

d. standard of care

Law that is due to the action of a legislature is called?

a. Statutory law

b. case law

c. common law

d. criminal law

an injury sustained due to the care given by a health care professional is called?

a. negligence

b. liability

c. Iatrogenic

d. larceny

the responsibilty for obtaining the consent for surgery is with the?

a. O.R supervisor

b. Circulator

c. Surgeon

d. Surgical assistant

A general consent form:

A. Authorizes all routine treatments or procedures

B. Authorizes treatment only for patients receiving genral anesthesia

C. Authorizes treatment for patients receiving experimental drugs

D. Authorizes treatment for patients who are unconscious

A minor requires emergency surgery, but the parents or closest living relatives cannot be contacted. What procedure should be followed for securing a consent for surgery?

A. court order

B. Two consulting physicians agree

C. No consent is requires

D. Surgeon signs consent

The Patients Bill of Rights establishes the patient as?

A. Dependent on health care providers

B. Dependent on surgeon to make all decisions

C. A primary decision maker in care provided

D. Having no right to refuse treatment of care

What act reinforced the Patients Bill of Rights?

A. The Patient Self-Determination Act of 1990

B. Allied Health Reinvestment Act

C. Health Insurance Portability &  Accountability Act (HIPAA)

D. Federal Food, Drug, and Cosmetic Act

Which organism is not associated with wound infection?

A. Staphylococcus

B. E-Coli

C. Treponema pallidum
D. Clostridium perfringes

"Strilke through" is used aseptically to describe?

A. perforation of sharp object through sterile wrapper

B. Rupture of heat seal during sterilization

C. Use of biological indicator for sterilization assurance

D. Soaking of moisture from unsterile to sterile layers

The most common nosocomial infections are?

A. Respirartory

B. Surgical wound infection

C. Urinary infections with catheter use

D.Gastrointestinal

A urinary tract infection following a cystoscopy?

A. Community-aquired infection

B. Nosocomial Infection

C. Recurrent infection

D. Latent infection

What is the correct procedure to follow when a sterile metal graduate is opened and water droplets are on the inside?

A. Discard the pitcher, it is contaminated

B. Use the pitcher, droplets are sterile

C. Use it, but dry out with a sterile towel

D. Let container air dry before use

When opening a sterile wrapper the unsterile person should first open the ?

A. Corner nearest the body

B. Sides of the package

C. Corner farthest from the body

D. Wrapper starting in the middle

Inanimate particles that can be vectors for infection are called?

A. Transient flora

B. Carriers

C. Fomites
D. Resident flora

Nosocomial refers to?

A. Community aquired infection

B. Hospital acquired infection

C. Pandemic

D. Epidemic

A patient who underwent a bronchoscopy is diagnosedd with a Pseudomonas aeruginosa infection, which is traced to the type of infection?

A. Sepsis

B. Pathogenic

C. Bioburden

D. Cross-contamtination

The body's first line of defense against infection is?

A. Hair

B. Intact skin

C. Respiratory

D. Peritoneal layer

Which of the following terms refers to the level of honesty and integrity that every ST must uphold in the delievery of quality patient care?

A. Respondeat superior

B. Standard precautions

C. Aseptic technique

D. Surgical conscience

For aseptic purposes, covering a sterile table for later use is?

A. Permissable forup to one hour before the procedure

B. Permissable in instances of an emergency

C. Not permissable for up to two hours before the procedure

D. Not permissable in any circumstances

The most frequent means by which infections are spread are?

A. Airborne dust particles

B. Breaks in the skin

C. Direct contact with infected person

D. Indirect contact with contaminated fomite

The purpose of the surgical hand scrub is to?

A. Reduce the number of microorganisms

B. Sterilize the hands and arms

C. Prevent wearing gown and gloves

D. Allow touching nonsterile items

Which action would not be taken following a needlstick?

A. Prevent bleeding

B. Cleanse area

C. Remove glove immediately

D. Report incident

Which of the following statements is correct?

A. Once sterile drapes have been positioned, they should not be moved

B. An item that extends below the table edge is considered sterile

C. Inside of sterile wrappers is considered sterile up to a 3-inch perimeter

D. When opening a sterile package, top flap is opened toward the body

What pathogen is most commonly associated with surgical wound infections?

A. Bacteroids fragilis

B. Clostridium tetani

C. Klebsiella pneumoniae

D. Staphylococcus aureus

A towel clip is used on the sterile field to keep a drape in place but is removed by the surgeon. How should the ST handle the towel clip?

A. Placed on sterile back table

B. Handed off the sterile field to the circulator

C. Handed to circulator for removal from O.R

D. Placed back on drape in another area

When opening sterile supplies and instruments, where should the gown and gloves for the scrub person be opened?

A. Back table

B. Mayo stand

C. O.R table

D. Anesthesia cart

When turning the gown, what is the proper procedure?

A. Hand tag to circulator, scrub person turns

B. Scrub person holds tag and turns self

C. Hand tag to circulator, circulator moves around the gown

D. Hand tag to circulator, scrub person and circulator turn

When performing closed gloving technique, how is the first glove positioned in order to don it without contamination?

A. Grasp inside of glove cuff, pull over hand

B. Back of glove to palm, fingers of glove pointing away from elbow

C. Palm of glove to plam, thumb to thumb

D. Palm of glove to palm, fingers of glove pointing away from elbow

If a sterile glove becomes contaminated during a  procedure, what action should the scrub person take?

A. Scrub pulls off glove, reglove using open glove technique

B. Circulator pulls off glove covering hand with gown cuff, scrub regloves using closed hand tehnique
C. Scrub pulls off glove covering hand with gown cuff, regloves using closed technique

D. Circulator pulls off glove, scrub is regloved by another sterile team member

What is the first step taken for an initial incorrect count of sponges?

A. Notify surgeon

B. X-ray patient

C. Repeat count

D. Complete incident report

What is the proper procedure to follow when a sponge pack contains an incorrect number of sponges?

A. Hand off field and isolate

B. Record actual number and use

C. Place on sterile back table, do not use

D. Remove from the O.R

When performing the sponge, sharp and instrument counts at the sterile field, what area should the first scrub begin when counting?

A. Kick bucket

B. Operative field

C. Back table

D. Mayo stand

When are counts performed in the O.R?

A. Begining and end of procedure

B. Before begining procedure, begining closure of cavity, skin closure

C. Procedure begins and when case is in progress

D. Before procedure begins and end of procedure

Whenvhandling drapes to the surgeon, where should the first scrub ST stand in relation to the surgeon?

A. Opposite side of the O.R table

B. Same side of the O.R table

C. Foot of the table

D. Head of the table

When applying surgical drapes?

A. Cuff drape, unfold it away from the operative site

B. Cuff drape, unfold it toward the operative side

C. Guff drape, unfold, position fenestration over operative site

D. Cuff drape shake to unfold, position over operative site

What type of drape would be used for an abdominoperineal resection performed with the patient in the lithotomy position

A. Laparotomy drape

B. Split sheet

C. Combined drape

D. Transverse drape

What type of drape would be used for a kidney procedure?

A. Transverse drape

B. Extremity drape

C. Split sheet

D. Perineal drape

Which technique is not acceptable when draping?

A. Hold the drapes 12' above patient until over draping site

B. Protect glovd hand by cuffing end drape over it

C. Unfold drape before bringing up to the O.R table

D. Place drapes on dry area when setting up back table

When draping a prep table, the first scrub ST should drape from?

A. Back to front

B. Front to back

C. Side to side

D. Open drape, lay it down

When draping the patient for an abdominal procedure, which of the four towels used to square off an incision is placed first?

A. Away from scrub person

B. Closest to scrub person

C. Bottom of incisional area first

D. Top of incisional area

Which draping technique is not correct?

A. Drape from sterile to nonsterile area

B. Stand across from surgeon

C. Drape incisional area first

D. Circulating person removes contaminated drapes