Free Certified Foundational Perioperative Nurse MCQ Questions and Answers — Questions and Answers
Question 1: Which of the following is NOT a standard that adheres to universal precautions?
- Properly cleaning and disinfecting all medical equipment and supplies prior to and after use.
- Recap or remove all needles to prevent accidental punctures. (Correct answer)
- Use proper hand washing technique and carefully dispose of all sharps (blades, needles, and pointed instruments).
- Use proper PPE, such as gloves, masks, and gowns.
Correct answer: Recap or remove all needles to prevent accidental punctures.
Hand washing techniques, careful handling of sharps (passing pointed, hooked, or bladed instruments carefully, and never recapping needles), appropriate use of personal protective equipment, such as gloves, masks, and gowns, and thorough cleaning and disinfection of all medical equipment and supplies are all universal precautions. Recapping needles or removing ones that aren't cap can actually increase the danger of being stuck, therefore doing so isn't advised.
Question 2: The right way to carry out a surgical prep is to?
- start cleaning at the incision area first, then prep in circles radiating outward. (Correct answer)
- start cleaning at the patient’s midline, then prep outward toward the extremities.
- start cleaning at the dirtiest area first to allow the prep solution time to kill the bacteria.
- none of the above
Correct answer: start cleaning at the incision area first, then prep in circles radiating outward.
The incision site serves as the starting point for surgical preparations, which spiral outward to the perimeter. To achieve optimal killing of surface germs, the majority of pretreatment solutions call for a 20-minute wait.
Question 3: The following, EXCEPT: are the main issues with jackknife positioning:
- nerve damage.
- venous pooling in the feet and chest.
- restricted diaphragm movement, which decreases cardiac output and ventilation.
- increased risk of injury to the eye and ear. (Correct answer)
Correct answer: increased risk of injury to the eye and ear.
Numerous proctological procedures involve the jackknife posture. One of the riskiest positions is jackknife. Due to venous pooling in the lower limbs and chest, the patient's mean arterial blood pressure may decrease. The reduced diaphragm movement may lead to a decrease in cardiac output and respirations. Due to the pressure points in this position, nerve injury has also been thought to be a concern from this position. In the prone position, injuries to the ear and eye are more frequent.
Question 4: Which of the following assertions about an Army-Navy retractor is accurate?
- An Army-Navy retractor is double-ended. (Correct answer)
- An Army-Navy retractor contains a suction port.
- An Army-Navy retractor is self-retaining.
- An Army-Navy retractor is like a Balfour with a blade.
Correct answer: An Army-Navy retractor is double-ended.
The Army-Navy retractor features two ends. A Weitlaner is a blade-equipped Balfour (self-retaining retractor). There is no suction port on the Army-Navy retractor.
Question 5: Which of the following sutures is not biodegradable?
- Vicryl
- Chromic gut.
- Plain surgical gut.
- Mersilene (polyester). (Correct answer)
Correct answer: Mersilene (polyester).
Mersilene is an unabsorbable polyester fiber. Absorbable sutures include Vicryl, chromic gut, and regular surgical gut.
Question 6: What is the best way to define "surgical gut"?
- suture made from nylon.
- suture derived from the collagen of the submucosal layer of sheep, cattle, or hog intestine. (Correct answer)
- type of nonabsorbable suture.
- suture made from the intestines of a cat.
Correct answer: suture derived from the collagen of the submucosal layer of sheep, cattle, or hog intestine.
The term "surgical gut" refers to suture made from submucosal layer collagen of sheep, cattle, or hog intestines. Nylon suture is non-absorbable, and the term "catgut" is a misnomer that may derive from the Arabic word kit, which meaning "dancing master's fiddle."
Question 7: Which of the following statements about surgical needles with blunt tips is FALSE?
- Blunt-tip needles are for internal suturing.
- Blunt-tip needles prevent percutaneous injuries in the OR.
- The surgeon's assistant uses a blunt-tip needle for skin closure. (Correct answer)
- Blunt-tip needles are available in several gauges.
Correct answer: The surgeon's assistant uses a blunt-tip needle for skin closure.
To avoid percutaneous injuries in the operating room, use blunt suture-tip needles. They are suitable for use on internal tissue only; they should not be used for skin closure. Suture-tip needles with blunt tips come in a variety of gauges and degrees of bluntness.
Free Certified Foundational Perioperative Nurse MCQ Questions and Answers
Which of the following is NOT a standard that adheres to universal precautions?