Post Operative Skills AST

A topical steroid used to reduce inflammation after eye surgery is:
a) Depo-Medrol®
b) Miochol
c) Healon
d) Wydase
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A topical steroid used to reduce inflammation after eye surgery is:
a) Depo-Medrol®
b) Miochol
c) Healon
d) Wydase
Depo-Medrol®
Plaster rolls for casting should be submerged in which of the following?
a) Lukewarm saline
b) Lukewarm water
c) Cold saline
d) Cold water
Lukewarm water
Which surgical team member determines when the patient can be transported from the OR to the PACU?
a) Anesthesia provider
b) Circulator
c) Surgeon
d) Surgical technologist
Anesthesia provider
When the surgical technologist is preparing surgical instruments for transport to the decontamination room, which statement is incorrect?
a) Instruments with multiple parts should be assembled
b) Instruments with ratchets should be unratcheted
c) String instruments with ring handles
d) Heavy instruments should be placed on tray bottom
Instruments with multiple parts should be assembled
Which solution is best for presoaking instruments in the OR at the end of a procedure?
a) Iodine-based
b) Sterile water
c) Enzyme
d) Saline
Enzyme
Which of the following is the correct postoperative sequence of actions completed by the surgical technologist?
a) Remove drapes, assist with postoperative patient care, break down sterile setup, remove gown and gloves
b) Remove drapes, remove gown and gloves, assist with postoperative patient care, break down sterile setup
c) Remove gown and gloves, remove drapes, break down sterile setup, assist with postoperative patient care
d) Break down sterile setup, remove drapes, assist with postoperative patient care, remove gown and gloves
Remove drapes, remove gown and gloves, assist with postoperative patient care, break down sterile setup
Before transporting instruments to the decontamination room, what should the surgical technologist complete?
a) Confirm instruments are dry
b) Presoak instruments in detergent solution
c) Wipe off instruments with towel
d) Rinse instruments with saline
Presoak instruments in detergent solution
A surgical technologist is talking with a patient in the PACU with arms folded and at a distance. This could be interpreted by the patient as:
a) Active listening by CST
b) Negative
c) CST is open-minded
d) Positive
Negative
When breaking down the sterile field, the surgical technologist should place the grossly contaminated instruments in which of the following?
a) Biohazardous bag
b) Mesh-bottomed flash pan
c) Basin with sterile saline
d) Basin with sterile water
Basin with sterile water
Following a TURP, a patient may have which of the following placed for bladder irrigation and compression?
a) T-tube
b) 3-way Foley
c) Robinson
d) Jackson-Pratt
3-way Foley
Which of the following would be incorrect technique when removing the sterile gown and gloves? a) Circulator unties gown b) Gown removed inside-out c) Gloves removed inside-out d) Gloves removed firstGloves removed firstIn what position would a patient be placed following a tonsillectomy? a) Sitting b) Lateral c) Trendelenburg d) Reverse TrendelenburgLateralA postoperative anesthesia complication when extubating a patient is: a) Allergic reaction b) Laryngospasm c) Hemorrhage d) Malignant hyperthermiaLaryngospasmWhich of the following is the proper procedure for removing a laparotomy drape? a) Circulator holds dressing in place and removes drape b) ST holds dressing in place; rolls drape one side to other c) Circulator holds dressing in place; ST rolls drape head to feet d) Surgical technologist (ST) holds dressing in place; rolls drape head to feetSurgical technologist (ST) holds dressing in place; rolls drape head to feetA patient that has sudden onset of shortness of breath in the PACU may indicate: a) Hypotension b) Pulmonary embolism c) Air embolism d) Asthma attackPulmonary embolismWhat is the minimum required number of people to transfer a patient from the OR table to the stretcher? a) 6 b) 5 c) 4 d) 34Which of the following is a violation of Standard Precautions during postoperative case management? a) Sterile gloves removed one layer at a time b) Linen items not thrown into hamper c) Use of bags with biohazard symbol d) Retrieve reusable trocar from sharps containerRetrieve reusable trocar from sharps containerWhat should be transported to the PACU with a patient who underwent a thyroidectomy? a) Tracheotomy tray b) Clean stent dressing c) Extra Penrose drain d) Antiembolic stockingsTracheotomy trayAfter the patient leaves the OR, the reusable items should be taken to the decontamination room: a) By covering instrument tray with bag and carry b) Carried in a basin soaking in enzymatic solution c) On the shelf of the sterilization cart d) Inside a closed case cartInside a closed case cartWhich of the following is a primary postoperative complication of carotid endarterectomy? a) Failure of graft b) Pulmonary embolus c) Pneumonia d) StrokeStrokeWhich type of drain is normally used following orthopedic procedures? a) Pleur-evac b) Hemovac c) Penrose d) T-tubeHemovacWhat type of cast would be appropriate for a fractured metacarpal? a) Short arm b) Long arm c) Cylinder d) SpicaShort armWhat part of the three-layer dressing absorbs wound secretions? a) Outer b) Inner c) Drainage d) IntermediateIntermediateWhich of the following types of dressings is used when frequent wound inspections are necessary? a) Pressure b) Montgomery straps c) Stent d) Ostomy bagsMontgomery strapsWhich of the following is a nonadherent, nonpermeable, occlusive surgical dressing? a) Telfa b) Tegasorb c) Xeroform d) TegadermXeroformWhich preoperative drug is delivered transdermally to prevent postoperative nausea? a) Scopolamine b) Bupivicaine c) Fentanyl d) PropofolScopolamineSterile dressing materials should be opened onto the sterile backtable by the: a) Surgeon b) Circulator c) Surgical technologist d) Surgical first assistantCirculatorTo prevent cross-contamination, masks should only be removed by the: a) Sides b) Front c) Strings d) Nose pieceStringsWhich kind of cast completely immobilizes a femoral shaft fracture? a) Hip spica b) Short leg c) Long leg d) Body jacketHip spicaWhat immediate postoperative complication most often occurs with pediatric patients? a) Airway difficulty b) Electrolyte imbalance c) Hypertension d) DysrhythmiasAirway difficultyWhat is the proper way to remove a patient from the lithotomy position? a) Lower legs together slowly in unison b) Lower stirrups, then remove legs c) Lower legs together quickly in unison d) Lower each leg separatelyLower legs together slowly in unisonWhat is the proper method for removing the knife blade from the handle when breaking down the Mayo stand? a) Throw handle with knife blade in sharps container b) Use fingers c) Do not remove and place handle in instrument tray d) Use a heavy hemostat or needle holderUse a heavy hemostat or needle holderAt the end of a procedure, and after the patient has been transported out of the OR, the surgical technologist should remove the: a) Hair cover b) Gloves c) Mask d) GownGownWhich closed wound drainage device requires being connected to a bulb evacuator? a) Stryker b) Jackson-Pratt c) Hemovac d) Cigarette drainJackson-PrattWhich of the following is the order for postoperative case management? a) Remove gown and gloves; don non-sterile gloves; remove drapes; break down backtable b) Remove gown; remove drapes; remove gloves; don non-sterile gloves; break down backtable c) Remove drapes; preserve sterile field until patient leaves OR; remove gown and gloves; don non-sterile gloves to break down backtable d) Remove drapes; remove gown and gloves; don non-sterile gloves; preserve sterile field until patient leaves OR; break down backtableRemove drapes; preserve sterile field until patient leaves OR; remove gown and gloves; don non-sterile gloves to break down backtableWhen the surgical technologist is breaking down the backtable, instruments with ratchets should be: a) Closed and placed in instrument tray for transport to decontamination b) Placed in a basin with enzymatic solution in open position for transport to decontamination c) Placed in a basin with saline for transport to decontamination d) Run through the steam flash sterilizer before transport to decontaminationPlaced in a basin with enzymatic solution in open position for transport to decontaminationDuring which of the following procedures is it imperative that the surgical technologist maintain the sterility of the backtable and Mayo stand until the patient is transported out of the OR? a) Tonsillectomy b) Rhinoplasty c) Tympanoplasty d) LaminectomyTonsillectomyWhat postoperative complication can result from excess or prolonged plantar flexion? a) Decubitus ulcer b) Sciatica c) Compartment syndrome d) Foot dropFoot dropWhich of the following is a type of one-layer dressing? a) Steri-strips b) Bulky c) Pressure d) RigidSteri-stripsWhich of the following is the proper method for handling disposable suction containers when turning over an OR? a) Empty contents in hopper and place in waste container b) Place container in waste disposal c) Wipe down outside of container and place in biohazard bag for disposal d) Transport with instruments in case cart to decontamination roomWipe down outside of container and place in biohazard bag for disposal