CST Perioperative Patient Care 3

Question 1

What is the correct sequence for surgical hand antisepsis using a brush-stroke method?

Accepted Answer

Nails, fingertips, hands, wrists, forearms

Answer

Forearms, wrists, hands, fingertips, nails

Answer

Hands, forearms, wrists, fingertips, nails

Answer

Nails, hands, wrists, forearms, fingertips

Question 2

Foley catheter insertion in the perioperative setting is primarily performed to:

Accepted Answer

Measure urine output and decompress the bladder during lengthy procedures

Answer

Prevent urinary tract infections in surgical patients

Answer

Administer irrigation fluids directly to the bladder

Answer

Detect renal artery injury during abdominal surgery

Question 3

Which patient position places the greatest risk for brachial plexus injury?

Accepted Answer

Supine with arms abducted more than 90 degrees

Answer

Prone

Answer

Supine with arms tucked

Answer

Lateral decubitus with axillary roll in place

Question 4

A patient's preoperative checklist reveals they took their daily aspirin this morning. This is most significant because aspirin:

Accepted Answer

Inhibits platelet aggregation and increases bleeding risk

Answer

Interacts with anesthetic gases causing hypotension

Answer

Elevates heart rate and may cause intraoperative tachycardia

Answer

Reduces the effectiveness of neuromuscular blocking agents

Question 5

When counting sponges intraoperatively, the scrub and circulator should:

Accepted Answer

Count together aloud, with the scrub separating each sponge

Answer

Count silently to avoid distracting the surgeon

Answer

Have only the circulator count since they are unsterile

Answer

Count only at the end of the procedure to save time

Question 6

Which of the following is a sign of air embolism during a surgical procedure?

Accepted Answer

Sudden decrease in end-tidal CO2 with hypotension

Answer

Gradual rise in blood pressure

Answer

Elevated core body temperature

Answer

Muscle fasciculations

Question 7

The scrub technologist's primary role during patient positioning is to:

Accepted Answer

Maintain sterility of the surgical field while assisting positioning as needed

Answer

Operate positioning devices and direct team members

Answer

Document all positional aids used in the intraoperative record

Answer

Assess pressure points and neurovascular status postoperatively