SURG TECH 131: (SEM 2) Midterm - (Chap 7 and 8) (NH)

When opening a wrapped item such as a gown on a Mayo stand, the contents and wrapper are considered sterile up to what distance from the edge of the wrapper?

A). one inch from the edge

B). two inches from the edge

C), only the item itself is sterile

D). all the way to the edge

one inch from the edge

Which of the following processes does the human body use to achieve natural hemostasis?

A). coagulation

B). compensation

C). transmission

D). transfusion

coagulation

Which of the following terms is used for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water-soluble solution?

A). greasing

B). dunking

C). bathing

D). milking

milking

During manual cleaning of surgical instruments, which of the following types of solutions should be used?

A). hot water, detergent, and enzymatic cleaner with high pH

B). cold water, detergent, and enzymatic cleaner with high pH

C). lukewarm water, detergent, and enzymatic cleaner with neutral pH

D). cold sterile water and enzymatic solution with low pH

C). lukewarm water, detergent, and enzymatic cleaner with neutral pH

The relationship of steam pressure to temperature in a steam sterilizer is:

A). increased temperature increases pressure.

B). decreased pressure increases temperature.

C). decreased temperature increases pressure.

D). increased pressure increases temperature.

increased pressure increases temperature.

The depth of compressions for adults should be:

A). two inches.

B). three inches.

C). one and a half inches.

D). one inch.

two inches

A potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle is:

A). electrolytic conduction reaction.

B). static electrical spark.

C). bioburden contamination.ui

D). alarm triggered by washer sterilizer.

A). electrolytic conduction reaction

The objectives of emergency care and trauma surgery are:

A). all of the above.

B). to prevent deterioration of patient condition.

C). to provide necessary care to restore the patient to their previous lifestyle.

D). to preserve life.

All of the Above

All of the following choices are environmental specifications for the decontamination room in CSPD EXCEPT:

A). air exchange rate, minimum of ten per hour.

B). positive air pressure maintained.

C). temperature between 64°F and 70°F.

D). humidity between 35% and 72%.

Positive Air Pressure Maintained

Which of the following types of chemical solutions is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat?

A). enzymatic

B). emulsifier

C). antiseptic

D). disinfectant

enzymatic solution

The 2010 AHA Guidelines for CPR stress activation of the ERS and follow with:

A). CAB (chest compressions, airway, breathing)

B). BCA (breathing, chest compressions, airway)

C). ABC (airway, breathing, chest compression)

D). none of the above

A). CAB (chest compressions, airway, breathing)

The biological indicator (BI) for the steam sterilization method is:

A). Bowie-Dick.

B). Geobacillus stearothermophilus.

C). Bacillus atrophaeus.

D). DART

B). Geobacillus stearothermophilus.

DIC leads to the consumption of coagulation factors and:

A). platelets ‘

B). red cells

C). plasma

D). white cells

Platelets

Which of the following concepts has replaced the previous system of assessing storage conditions and package integrity based on an arbitrary expiration designation?

A). event-related

B). double wrapping

C). Julian dating
D). time-related

event-related

Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion?

A). Moisture will prevent sterilant from reaching all surfaces.

B). Moisture will cause air bubbles to form and prevent full contact.

C). Moisture will eventually dilute the concentration to ineffective levels.

D). Moisture will create a toxic chemical reaction with sterilant.

C). Moisture will eventually dilute the concentration to ineffective levels.

Which of the following terms refers to a barrier, such as plastic-backed table cover, that does NOT allow for the passage of liquid through it?

A). imperceptible

B). integral

C). insoluble

D). impervious

Impervious

The Delayed, Immediate, Minimal, and Expectant (DIME) categories are used in:

A). labor and delivery triage.

B). disaster triage.

C). pre-op setting.

D). surgical triage.

disaster triage

Which of the following methods of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies?

A). dry heat

B). ionizing radiation

C). ethylene oxide

D). hydrogen peroxide gas plasma

Ionizing Radiation

DIME triage categories for the "walking wounded" are color coded:

A). yellow.

B). green.

C). red.

D). black.

green

The first-line drug used in the treatment of severe anaphylactic reaction is:

A). epinephrine.

B). adenosine diphosphate.

C). thrombin.

D). oxidized cellulose.

A). epinephrine.

Which of the following terms is used to describe the process of removing all soiled linen, waste, and instruments from the room and cleaning furniture, floors, or other contaminated surfaces in preparation for opening new supplies for a subsequent case?

A). concurrent cleaning

B). turnover

C). changeover

D). terminal cleaning

turnover

Which of the following patient care items would be classified as noncritical?

A). laryngoscopes

B). colonoscopes

C). pulse oximeters

D). hypodermic needles

pulse oximeters

Another name for the intermediate-level disinfectant compound phenol is:

A). muriatic acid.

B). carbolic acid.

C). peracetic acid.

D). amino acid.

carbolic acid

Which of the following choices is an emergent pathological process that creates systemic hypercoagulation followed by hypocoagulability and internal hemorrhaging?

A). malignant hyperthermia

B). coronary heart disease

C). disseminated intravascular coagulation (DIC)

D). anaphylactic reactions

C). disseminated intravascular coagulation (DIC)

The recommended biological indicator (BI) for hydrogen peroxide gas plasma is:

A). Bacillus atrophaeus

B). Geobacillus stearothermophilus

C). Bacillus subtilis

D). Staphylococcus aureus

B). Geobacillus stearothermophilus

The PRIMARY role of the surgical technologist in an intraoperative cardiac arrest would be to:

A). break scrub and dial 911.

B). break scrub and quickly pull an open-heart setup.

C). perform chest compressions on the patient.

D). protect the sterile field unless directed otherwise.

D). protect the sterile field unless directed otherwise.

The Joint Commission requires health care facilities to practice their ____ twice a year.

A). Emergency Action Plan (EAP)

B). National Incident Management System (NIMS)

C). Point of Distribution (POD)

D). Simple Triage and Rapid Treatment (START)l—0

A). Emergency Action Plan (EAP)

Which of the following types of wrapper material is compatible with the hydrogen peroxide gas plasma sterilization method?

A). Tyvek

B). muslin

C). paper

D). cloth

Tyvek

Which of the following disaster response units would include surgical technologists as volunteer members?

A). Disaster Mortuary Operations Response Team (DMORT)

B). National Pharmacy Response Team (NPRT)

C). Incident Command System (ICS)

D). Disaster Medical Assistance Teams (DMAT)

D). Disaster Medical Assistance Teams (DMAT)

Why are large steam sterilizers loaded with space between wrapped items or trays?

A). It ensures that the carts are not over-weighted.

B). It makes it easier to unload when the cycle is complete.

C). It allows for air to remain inside the packages to facilitate Steam penetration.

D). It allows adequate circulation and penetration of steam to all surfaces.

D). It allows adequate circulation and penetration of steam to all surfaces.

Which of the following conditions is a mild form of shock due to the increase in blood flow to the skin, thus causing a reduction of blood flow to vital organs?

A). heat exhaustion

B). heat stroke

C). hyperthermia

D). heat cramps

A). heat exhaustion

Which of the following conditions typically compresses the inferior vena cava in pregnant women, hindering venous return and reducing cardiac output?

A). amniotic fluid embolism

B). gravid uterus

C). ectopic pregnancy

D). placental abruption

Gravid Uterus

Which of the following factors is the MOST important in a surgical technologist's role in preventing surgieal site infections?

A). extensive knowledge of anatomy

B). high GPA while a student

C). participation in the "time out”

D). strict surgical conscience

D). strict surgical conscience

When nested basin sets are being sterilized, they should be placed in the steam sterilizer:

A). facing upright with a towel used to separate them.

B). facing upright with tape holding them together securely.

C). fold side down with tape holding them together securely.

D). fold side down with a towel used to separate them.

D). fold side down with a towel used to separate them.

Which of the following terms is the common name for the high-level disinfectant sodium hypochlorite?

A). peroxide

B). ammonia

C). bleach

D). vinegar

Bleach

Before opening any sterilely packaged item, what is MOST important to verify about the package?

A). integrity of package

B). internal indicator/integrator

C). date sterilized

D). sterilization cycle number

A). integrity of package

Under which of the following circumstances may a resternotomy be performed in the ICU for a patient experiencing cardiac arrest after cardiac surgery?

A). in the late stages of SCA

B). when open-chest CPR is required

C). always, regardless of the patient condition

D). only if the patient consent to the procedure

B). when open-chest CPR is required

A nonsterile person should approach a sterile area face forward while maintaining a distance of:

A). two feet.

B). six feet.

C). twelve inches.

D). six inches.

TWELVE INCHES

Which of the following choices is the clinical term for the lesions that appear on the skin of a patient experiencing an allergic reaction?

A). carbuncles

B). plaque

C). urticaria

D). abrasions

Urticaria

Exposure of the population to anthrax and smallpox would be a result of:

A). infrastructure incidents.

B). natural disasters.

C). bioterrorism.

D). a chemical release accident.

Bioterrism

Which of the following terms describes a life-threatening condition if not immediately treated?

A). heat exhaustion

B). heat cramps

C). heat stroke

D). heat wave

heat stroke

Which of the following substances would be appropriate for use on animate surfaces?

A). antiseptic

B). disinfectant

C). decontaminant

D). sterilant

Antiseptic

CidexT™ is the trade name for which of the following methods of sterilization?

A). peracetic acid

B). ethylene oxide

C). glutaraldehyde

D). hydrogen peroxide gas plasma

C). glutaraldehyde

The lead federal agency that coordinates treatment to victims and food and shelter during a nationally declared emergency is called:

A). CDC.

B). EPA.

C). FEMA.

D). NDMS.

FEMA

The treatment for DIC includes:

A). transfusion of fresh frozen plasma.

B). cryoprecipitate.

C). heparin

D). all of the above.

All of the Above

Which of the following terms is used for inanimate objects that harbor microorganisms that contribute to environmental contamination?

A). viruses

B). vectors

C). fomites

D). flora

fomites

Which of the following substances would be appropriate for soaking instruments covered with bioburden during a surgical procedure?

A). isopropyl alcohol

B). sterile saline

C). sterile water

D). peracetic acid

Sterile Water

Which of the following members of the U.S. government makes a federal disaster declaration and mobilizes FEMA?

A). governor

B). president

C). secretary of state

D). surgeon general

President

The physical or chemical process by which all living microorganisms, including spores, are killed is:

A). sanitization.

B). sterilization

C). decontamination.

D). disinfection

sterilization

Which of the following choices accounts for up to 90% of contamination and should be removed as soon as possible after exposure to a radiological disaster?

A). dust

B). ash

C). clothing

D). hair

clothing