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Surgical Technology Principles and Practice 6th Edition Kotcher Test Bank

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Surgical Technology Principles and Practice 6th Edition Kotcher Test Bank

ISBN-13: 978-1455725069

ISBN-10: 1455725064

 

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Surgical Technology Principles and Practice 6th Edition Kotcher Test Bank

ISBN-13: 978-1455725069

ISBN-10: 1455725064

 

 

 

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Free Nursing Test Questions:

 

Chapter 20: Surgical Skin Prep and Draping

 

MULTIPLE CHOICE

 

  1. The ________ drape is used for procedures of the nose and throat. It protects the eyes during surgery and provides a sterile barrier over the head.
A. lithotomy C. head
B. extremity D. incise

 

 

ANS:  C

The head drape is used for procedures of the nose and throat. It protects the eyes during surgery and provides a sterile barrier over the head

 

PTS:   1                    DIF:    2                    REF:   p. 409

 

  1. Tops of drapes are usually secured to _____________.
A. the patient’s head C. the head of the surgical bed
B. an anesthesia screen D. the edge of the back table

 

 

ANS:  B

The drapes are usually secured to the anesthesia screen.

 

PTS:   1                    DIF:    2                    REF:   p. 408

 

  1. When an extremity is draped, a ______________ would be used on the hand or foot to isolate bacteria from the nails.
A. tube stockinette
B. drainage bag drape
C. fenestrated sheet
D. sterile towel held with penetrating towel clamps

 

 

ANS:  A

When an extremity is draped, a tube stockinette would be used on the hand or foot to isolate bacteria from the nails.

 

PTS:   1                    DIF:    2                    REF:   p. 408

 

  1. Surgeons use ________ to hold the towels in place when draping the patient.
A. nonpenetrating towel clamps C. penetrating towel clamps
B. surgical tape D. Esmarch bandages

 

 

ANS:  A

Surgeons use nonpenetrating towel clamps to hold the towels in place when draping the patient.

 

PTS:   1                    DIF:    2                    REF:   p. 406

 

  1. When draping the patient for surgery, once a towel or drape has been placed on the patient, ________________.
A. do not shift or move it C. it must be secured
B. it may be moved once D. the skin prep is then performed

 

 

ANS:  A

When draping the patient for surgery, once a towel or drape has been placed on the patient, do not shift or move it.

 

PTS:   1                    DIF:    2                    REF:   p. 406

 

  1. When prepping the abdomen for surgery, what should you do first?
A. Prep the incision site.
B. Start at the nipple line and work downward.
C. Clean the umbilicus with swabs, then begin at the incision site.
D. Begin at sides of body and work inward.

 

 

ANS:  C

When prepping the abdomen for surgery, clean the umbilicus with swabs, then begin at the incision site.

 

PTS:   1                    DIF:    2                    REF:   p. 402

 

  1. A(n) ________ requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid-pelvic region.
A. appendectomy C. pelvic laparoscopy
B. radical mastectomy D. shoulder procedure

 

 

ANS:  B

A radical mastectomy requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid-pelvic region.

 

PTS:   1                    DIF:    2                    REF:   p. 400

 

  1. Tissue that is suspected to be cancerous must be prepped gently, using as little friction and pressure as possible. This prevents tumor cells from __________.
A. causing pain to the patient C. scarring
B. skin injury D. migrating

 

 

ANS:  D

Tissue that is suspected to be cancerous must be prepped gently, using as little friction and pressure as possible. This prevents tumor cells from migrating.

 

PTS:   1                    DIF:    2                    REF:   p. 401

 

  1. Alcohol, iodophor, or chlorhexidine prep solutions should never be used ________.
A. in or around the ears C. in the presence of infection
B. for breast reconstruction surgery D. on an area that has been shaved

 

 

ANS:  A

Alcohol, iodophor, or chlorhexidine prep solutions should never be used in or around the ears.

 

PTS:   1                    DIF:    2                    REF:   pp. 395-396

 

  1. Any area that is highly colonized with microorganisms, such as a colostomy area, is prepped ________.
A. from dirty area to clean area
B. according to the surgeon’s preference
C. with fresh sponges after the surrounding area is prepped
D. according to the manufacturer’s instructions on the prep solution

 

 

ANS:  C

Any area that is highly colonized with microorganisms, such as a colostomy area, is prepped with fresh sponges after the surrounding area is prepped.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. The basic principles for the skin prep are based on the rules of aseptic technique and ___________________.
A. do not vary C. vary according to size of patient
B. vary according to procedure D. vary according to part of body

 

 

ANS:  A

The basic principles for the skin prep are based on the rules of aseptic technique and do not vary.

 

PTS:   1                    DIF:    2                    REF:   p. 393 | p. 405

 

  1. During coronary artery bypass graft surgery, the saphenous vein is often removed and used to replace the coronary vessel. How is the patient prepped for this procedure?
A. The leg and thorax are prepped at the same time.
B. It depends on the prep solution used.
C. The leg and thorax are prepped separately, using a different setup for each site.
D. Only the thorax is prepped.

 

 

ANS:  C

During coronary artery bypass graft surgery, the saphenous vein is often removed and used to replace the coronary vessel. The leg and thorax are prepped separately, using a different setup for each site.

 

PTS:   1                    DIF:    2                    REF:   p. 397

 

  1. The purpose of draping is to provide ______________ around the surgical site.
A. exposure C. a protective barrier
B. a wide sterile area D. warmth for the patient

 

 

ANS:  B

The purpose of draping is to provide a wide sterile area around the surgical site.

 

PTS:   1                    DIF:    2                    REF:   p. 404

 

  1. ________ result(s) when preparation solutions are allowed to pool underneath the patient.
A. Nosocomial infections C. Residual activity
B. Contaminated areas D. Chemical burns

 

 

ANS:  D

Chemical burns result when prep solutions are allowed to pool underneath the patient.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. A safe prep solution for ophthalmic procedures is _______________.
A. chlorhexidine C. triclosan
B. iodophor D. alcohol

 

 

ANS:  C

Triclosan 1% solution is an antiseptic commonly found in deodorants, antibacterial soaps, and other proprietary cosmetics. Its use in surgery is limited, because its full microbicidal effect occurs only with repeated application. It is safe to use as a prep solution in ophthalmic surgery and for use on the face.

 

PTS:   1                    DIF:    2                    REF:   p. 396

 

  1. Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of _____________.
A. urinary retention C. bladder distension
B. infection D. mucosal abrasions

 

 

ANS:  B

Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of infection.

 

PTS:   1                    DIF:    2                    REF:   p. 393

 

  1. ________ removed from the patient in preparation for a craniotomy is/are considered the patient’s property and should be sent with the patient after surgery.
A. Specimens C. Hair
B. Bone flaps D. Tissue

 

 

ANS:  C

Hair removed from the patient in preparation for a craniotomy is considered the patient’s property and should be sent with the patient after surgery.

 

PTS:   1                    DIF:    2                    REF:   p. 395

 

  1. _____________ is/are generally not removed from the surgical patient but will require a surgeon’s order if it needs to be done.
A. Body piercings C. Makeup
B. Hair D. Medical alert bracelets

 

 

ANS:  B

Hair clipping requires a verbal or written order by the surgeon.

 

PTS:   1                    DIF:    2                    REF:   p. 395

 

  1. ________ is the body’s primary defense against infection.
A. Skin C. Hair
B. Immune system D. Hygiene

 

 

ANS:  A

Skin is the body’s primary defense against infection.

 

PTS:   1                    DIF:    2                    REF:   p. 394

 

  1. A cause of ________ is the normal skin bacteria of the patient and the surgical team members being introduced into the incision.
A. chemical burns C. strike-through contamination
B. desiccation D. surgical site infections (SSI)

 

 

ANS:  D

A cause of  SSI is the normal skin bacteria of the patient and the surgical team members being introduced into the incision.

 

PTS:   1                    DIF:    1                    REF:   p. 394

 

  1. A ________ catheter is the most common catheter used during a surgical procedure for continuous drainage of the bladder.
A. Foley B. straight

 

 

ANS:  A

A Foley catheter is the most common catheter used during a surgical procedure for continuous drainage of the bladder.

 

PTS:   1                    DIF:    1                    REF:   p. 391

 

  1. Before surgery, the skin must be washed or painted with a(n) ________ to reduce the number of transient and normal microorganisms to an absolute minimum.
A. disinfectant B. antiseptic solution

 

 

ANS:  B

Before surgery, the skin must be washed or painted with an antiseptic solution to reduce the number of transient and normal microorganisms to an absolute minimum.

 

PTS:   1                    DIF:    1                    REF:   p. 394

 

  1. ________ must never be shaved because of the failure to regrow or abnormal regrowth.
A. Eyebrows B. Facial hair

 

 

ANS:  A

Eyebrows must never be shaved because of the failure to regrow or abnormal regrowth.

 

PTS:   1                    DIF:    1                    REF:   p. 395

 

  1. If the patient is to be placed in the prone position for a surgical procedure, ________ must be performed before the patient is positioned.
A. the surgical prep B. urinary catheterization

 

 

ANS:  B

If the patient is to be placed in the prone position for a surgical procedure, urinary catheterization must be performed before the patient is positioned.

 

PTS:   1                    DIF:    1                    REF:   p. 391

 

  1. The surgical skin prep is performed ________ the patient is anesthetized.
A. after B. before

 

 

ANS:  A

The surgical skin prep is performed after the patient is anesthetized.

 

PTS:   1                    DIF:    1                    REF:   p. 391

 

  1. Only ________ are approved for use on skin and may be used for the surgical skin prep.
A. antiseptics B. disinfectants

 

 

ANS:  A

Antiseptics used for the surgical prep are mainly evaluated according to the following criteria: (1) effectiveness on microbes, especially gram-negative and gram-positive bacteria; (2) possible or actual toxicity; (3) ability to use in or around the eyes, ears, mucous membranes, and neural tissue; (4) flammability; and (5) residual antimicrobial action after application.

 

PTS:   1                    DIF:    1                    REF:   p. 395

 

  1. Although it normally is nonirritating to tissue, first-degree and second-degree chemical burns can result from improper prep technique or if the patient is sensitive to ______________.
A. iodine B. alcohol

 

 

ANS:  A

Although it normally is nonirritating to tissue, first degree and second-degree chemical burns can result from improper prep technique or if the patient is sensitive to iodine. Iodophor cannot be used on infants less than 2 months old because the skin of an infant of this age is highly absorbent, causing high blood levels of the chemical.

 

PTS:   1                    DIF:    1                    REF:   p. 396

 

  1. _____________ drapes are used whenever laser surgery is planned.
A. Water-soaked B. Aluminum-coated

 

 

ANS:  B

Aluminum-coated drapes are used whenever laser surgery is planned. These deflect laser energy and prevent ignition in an oxygen-rich environment, especially in head and neck surgery.

 

PTS:   1                    DIF:    1                    REF:   p. 406

 

  1. During leg prep, the limb must be elevated by an assistant or placed in a ___________ leg holder attached to the operating table.
A. vertical B. horizontal

 

 

ANS:  A

The limb must be elevated by an assistant or placed in a vertical legholder attached to the operating table.

 

PTS:   1                    DIF:    1                    REF:   p. 403

 

  1. If an area of the drape is suspected of being contaminated, the area may be ___________.
A. covered with another impervious drape
B. removed by the sterile person

 

 

ANS:  A

Strike-through contamination occurs when a drape becomes soaked during surgery and solution penetrates to a nonsterile surface. Whenever possible, use only impervious drapes.

 

PTS:   1                    DIF:    1                    REF:   p. 406

 

  1. Uncontrolled or unmonitored systems create a risk of:
A. allergies C. fire
B. chemical burn D. thermal burn

 

 

ANS:  D

Uncontrolled or unmonitored systems create a risk of thermal burns because the exact temperature is not known.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. Surgical prep agents can cause skin irritation, rash, or other:
A. allergies C. fire
B. chemical burn D. thermal burn

 

 

ANS:  A

Surgical prep agents can cause skin irritation, rash, or other allergies.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. Alcohol and alcohol-based prep solutions are volatile and flammable. When alcohol solution or volatile fumes come in contact with heat sources, they can easily cause:
A. allergies C. fire
B. chemical burn D. thermal burn

 

 

ANS:  C

Alcohol and alcohol-based prep solutions are volatile and flammable. When alcohol solution or volatile fumes come in contact with heat sources, they can easily cause a fire on or inside the patient.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. Serious _________ can occur when prep solutions are allowed to pool under the patient during surgery.
A. allergies C. fires
B. chemical burns D. thermal burns

 

 

ANS:  B

Serious chemical burns can occur when prep solutions are allowed to pool under the patient during surgery.

 

PTS:   1                    DIF:    2                    REF:   p. 398

 

  1. During the cleansing process, the surgeon removes all foreign material and trims away devitalized tissue called:
A. trauma C. autograft
B. cardiovascular D. debridement

 

 

ANS:  D

Trauma procedures may require debridement and removal of embedded foreign material as part of the prep, or just before it, with the patient under sedation.

 

PTS:   1                    DIF:    2                    REF:   p. 399

 

  1. ______________ is a type of tissue that is removed from one site on the patient and grafted to another site.
A. Trauma C. Autograft
B. Cardiovascular D. Debridement

 

 

ANS:  C

A tissue autograft is a graft that is removed from one site on the patient and grafted to another site.

 

PTS:   1                    DIF:    2                    REF:   p. 404

 

  1. ____________ wounds are almost always contaminated because they are caused by external forces and often occur in environments that are mildly or grossly contaminated.
A. Trauma C. Autograft
B. Cardiovascular D. Debridement

 

 

ANS:  A

Trauma wounds are almost always contaminated because they are caused by external forces and often occur in environments that are mildly or grossly contaminated.

 

PTS:   1                    DIF:    2                    REF:   p. 404

 

  1. ________________ require(s) a large area of exposure.
A. Trauma C. Autograft
B. Cardiac and vascular surgery D. Debridement

 

 

ANS:  B

Cardiac and vascular surgery require a large area of exposure. In cardiac cases in which a saphenous graft is taken from the legs, a complete body prep is necessary, including the full circumference of the legs bilaterally.

 

PTS:   1                    DIF:    2                    REF:   p. 404

 

  1. ____________ are folded in a specific way before sterilization so that they can be positioned over the operative site and unfolded in a way that prevents contamination.
A. Prep C. Drapes
B. Gowns D. All of the above

 

 

ANS:  C

Drapes are folded in a specific way before sterilization so that they can be positioned over the operative site and unfolded in a way that prevents contamination.

 

PTS:   1                    DIF:    2                    REF:   p. 405

 

  1. The patient is ready for skin prep and draping only after:
A. induction of general anesthesia and intubation
B. the “pause”
C. the circulator has finished the required surgical paperwork
D. the surgeon inspects the patient’s surgical site skin

 

 

ANS:  A

After the patient is under anesthesia and is intubated, the patient is then ready for the skin prep and draping.

 

PTS:   1                    DIF:    2                    REF:   p. 391

 

  1. A retention catheter with a small, inflatable balloon at the tip is called a ______ catheter.
A. Robinson C. Fogarty
B. Malcot D. Foley

 

 

ANS:  D

Foley is a type of urinary catheter that remains in place. It is also called an indwelling catheter.

 

PTS:   1                    DIF:    2                    REF:   p. 391

 

  1. Selection of the correct catheter is based on the patient’s:
A. age, mental development, and sexual preference
B. age, size, and the type of procedure
C. age, size, and gender
D. size, grade in school, and gender

 

 

ANS:  C

Selection of the correct catheter is based on the patient’s age, size, and    gender.

 

PTS:   1                    DIF:    2                    REF:   p. 391

 

  1. Catheterization of a female surgical patient requires the ______________ position.
A. supine C. lithotomy
B. prone D. knees slightly flexed

 

 

ANS:  D

A female patient is positioned with the knees slightly flexed and the hips externally rotated. A male patient is placed in the supine position for catheterization.

 

PTS:   1                    DIF:    2                    REF:   p. 392

 

  1. Which of the following statements is true regarding the technique for placing a Foley catheter?
A. The assisting hand does not contact sterile supplies, including the catheter itself.
B. Both hands must remain sterile for the procedure.
C. If the catheter is placed before the prep has been done, it is not done using aseptic technique.
D. The insertion hand does not contact sterile supplies.

 

 

ANS:  A

The assisting hand does not contact sterile supplies, including the catheter itself. The insertion hand remains sterile and is used to cleanse the area and guide the catheter into place.

 

PTS:   1                    DIF:    2                    REF:   p. 392

 

  1. The surgical skin prep is performed immediately before the risk of SSI. Skin cannot be _____________, but the number of bacteria can be reduced significantly with antiseptic cleansing or a coating of antiseptic on the skin.
A. disinfected C. cleansed
B. sterilized D. washed

 

 

ANS:  B

The surgical skin prep is performed immediately before the risk of SSI.  Skin cannot be sterilized, but the number of bacteria can be reduced significantly with antiseptic cleansing or a coating of antiseptic on the skin.

 

PTS:   1                    DIF:    2                    REF:   p. 394

 

MATCHING

 

Choose from the terms listed and match them with their most correct description. You will use the same answer more than once.

A. Before skin prep C. During skin prep
B. After skin prep  

 

 

  1. Clean the umbilicus

 

  1. Place towels around surgical site

 

  1. Clip hair

 

  1. Administer anesthesia

 

  1. Place surgical drape on the patient

 

  1. Position patient

 

  1. Blot dry with a sterile towel

 

  1. Attach top of drape to anesthesia screen

 

  1. Urinary catheterization

 

  1. Wash off gross contamination

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   pp. 401-402

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   pp. 398-402 | p. 405

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   pp. 394-395

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 397

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 406

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   p. 397

 

  1. ANS:  C                    PTS:   1                    DIF:    3                    REF:   p. 402

 

  1. ANS:  B                    PTS:   1                    DIF:    3                    REF:   p. 408

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 392

 

  1. ANS:  A                    PTS:   1                    DIF:    3                    REF:   p. 404

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