Test Bank For Surgical Technology for the Surgical Technologist: A Positive Care Approach, 4th Edition

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1Chapter 1: Orientation to Surgical TechnologyMULTIPLE CHOICE1.Which of the following terms is used to describe surgical intervention that does not have to beperformed immediately or within a short period of time, for example, a torn meniscus repair?a.electiveb.emergentc.optionald.urgentANS: APTS:12.Which of the following historical figures is considered the father of modern anatomy and changed thetraditional approach to anatomical studies?a.Aristotleb.Homerc.Paréd.VesaliusANS: DPTS:13.Which of the following historical figures developed the first x-ray machine?a.Celsiusb.Jennerc.Listerd.RoentgenANS: DPTS:14.How many phases of surgical case management are there?a.2b.3c.4d.5ANS: BPTS:15.Which of the following surgical team members would be primarily responsible for maintaining thepatient’s operative record and transporting the patient to the post-anesthesia care unit (PACU)?a.anesthesia providerb.circulating RNc.surgeond.surgical technologistANS: BPTS:16.Which of the following surgical team members would be responsible for separating instruments anddisassembling the sterile field in the postoperative phase?a.CRNAb.CRNFAc.CSFAd.CSTANS: DPTS:1

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27.Which organization develops national certification exams for surgical technologists and surgical firstassistants and confers the appropriate credential to eligible certificants?a.ARC/STSAb.ASTc.CAAHEPd.NBSTSAANS: DPTS:18.Which of the following symbols on the Association of Surgical Technologists (AST) logo representsthe surgical technologist performing various roles in surgery?a.empty circleb.empty rectanglec.filled circled.filled rectangleANS: CPTS:19.Which of the following roles is defined by the American College of Surgeons (ACS) as providing aidin exposure, hemostasis, and other technical functions that help the surgeon carry out a safe operationwith optimal results for the patient?a.assistant circulatorb.surgical first assistantc.first scrubd.second scrubANS: BPTS:110.A private surgical technologist is usually employed by which of the following?a.surgeon or physician groupb.ambulatory surgery centerc.instrument sales companyd.traveling staffing agencyANS: APTS:111.The termsentry-level,proficient, andexpertpractitioners are applied to which of the following?a.accreditation status of surgical technology programsb.continuing education (CE) credit categoriesc.NBSTSA certification titlesd.AST recommended clinical ladder levelsANS: DPTS:112.Which term describes the relationship between the certified surgical technologist (CST) and the othermembers of the surgical team in the OR?a.contractualb.professionalc.sociald.therapeuticANS: BPTS:113.Which term describes the relationship between the CST and the patient or the patient’s family?a.medical

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3b.professionalc.sociald.therapeuticANS: DPTS:114.In or by which of the four components of communication would “decoding” take place?a.senderb.messagec.receiverd.feedbackANS: CPTS:115.Which example of nonverbal body language might a patient perceive as anegativeattitude from ateam member?a.tightly folded armsb.direct eye contactc.leaning toward patientd.head nodding in agreementANS: APTS:116.Which of the following behaviors wouldNOTbe considered an example of “workplace violence”?a.rumors and gossipb.yielding to the other’s viewpointc.unwanted sexual advancesd.demeaning comments or criticismsANS: BPTS:117.According to the AST position statement on teamwork, which type of environment contributes mostto a safe and efficient surgical experience with positive patient outcomes?a.collaborativeb.corporatec.fast-pacedd.technologicalANS: APTS:118.Which term describes the surgical technologist’s foundational commitment to professional honesty,confidentiality, fair treatment, cost containment, and attention to the highest level of surgical patientcare?a.aseptic principlesb.job descriptionc.policy and procedured.surgical conscienceANS: DPTS:119.Which term describes a physician-group-owned hospital?a.communityb.nonprofitc.proprietaryd.tax supported

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4ANS: CPTS:120.Which acronym represents an organization that serves as both an insurer and provider of medicalservices?a.CDCb.CEOc.FDAd.HMOANS: DPTS:121.Surgical technologists and other allied health professionals in perioperative services usually workunder the direction of which hospital administrative director?a.chief executive officerb.chief financial officerc.medical directord.director of nursingANS: DPTS:122.What type of professional would have DO or DPM after his or her name?a.doctorb.directorc.dentistd.dietitianANS: BPTS:123.Through which hospital department or committee would the certified surgical first assistant (CSFA)submit a request for privileges to work in the operating room?a.risk managementb.nursing servicesc.medical staffd.auxiliary and volunteersANS: CPTS:124.Which department would provide services for repair of broken equipment or to do routine preventivechecks?a.biomedical engineeringb.diagnostic imagingc.environmental servicesd.risk managementANS: APTS:125.What does the acronymDRGstand for in the hospital setting?a.doctor of gynecologyb.department of radiographyc.drug reference guided.diagnosis related groupsANS: DPTS:126.The federal governmental insurance programs under the general heading of CMS include all of thefollowing EXCEPT:

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5a.Medicare Part Ab.Medicare Part Bc.CHAMPUSd.MedicaidANS: CPTS:127.Which of the following is the membership organization for surgical technology with a board ofdirectors elected by a house of delegates?a.ARC/STSAb.ASTc.CAAHEPd.NBSTSAANS: BPTS:128.When an ARC/STSA site visitor is sent to a surgical technology program to verify and clarify recordsand annual reporting information, to whom does he or she submit the findings?a.ACSb.ASTc.CAAHEPd.NBSTSAANS: CPTS:129.Which of the following membership organizations would the circulating RN in the operating roomlikely join as a member?a.ACSb.AMAc.AAMId.AORNANS: DPTS:130.The CST and CSFA credentials are registered trademarks of which organization?a.ARC/STSAb.ASTc.CAAHEPd.NBSTSAANS: DPTS:131.The hospital’s infection control nurse would report any suspicion of rare or mysterious infectiousdiseases to which governmental agency?a.CDCb.EPAc.FDAd.OSHAANS: APTS:132.Which organization would employees of the central sterile processing department likely join asmembers?a.AMAb.EPAc.IAHCSMM

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6d.NIOSHANS: CPTS:133.Which federal regulatory agency is dedicated to enforcing workplace safety and preventing workerinjuries?a.ANSIb.EPAc.FDAd.OSHAANS: DPTS:134.Which of the following is an independent, nonprofit national organization that develops standards forand accredits health care organizations in the United States?a.the Joint Commissionb.U.S. Department of Health and Human Servicesc.American National Standards Instituted.Centers for Disease Control and PreventionANS: APTS:135.A medical device or surgical piece of equipment that has failed would have to be taken out of serviceand any patient injury reported to which of the following agencies?a.EPAb.FDAc.OSHAd.WHOANS: BPTS:136.Which of the following pioneers of medicine and surgery first developed techniques for surgicalantisepsis?a.Billrothb.Galenc.Halstedd.ListerANS: DPTS:137.Which specialist would likely have privileges to surgically treat diseases of the breast, hepatobiliaryand gastrointestinal systems, and thyroid gland?a.endocrinologistb.general surgeonc.gynecologistd.urological surgeonANS: BPTS:138.After which of the following military conflicts did Great Britain and the United States begin to trainand employ allied health professionals predominantly in the scrub role in surgery?a.Civil Warb.Revolutionary Warc.Vietnam Ward.World War II

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7ANS: DPTS:139.Which national membership organization’s House of Delegates proposed the creation of theAssociation of Operating Room Technicians (AORT) in 1969?a.ACSb.AMAc.ANAd.AORNANS: DPTS:140.What do conscientiousness, problem solving, skills competency, teamwork, and commitment tocontinuing education represent for a CST?a.college prerequisitesb.legal doctrinesc.professional traitsd.religious philosophiesANS: CPTS:1MATCHINGMatch each term below with its description.a.Resumef.Roleb.Surgical assistantg.Allied Healthc.Job descriptionh.Feedbackd.Organizational structurei.Intraoperative case managemente.Career ladderj.Problem-solving skills1.Set of responsibilities or expected results associated with a job; descriptions are broad in scope2.Prioritizing, considering alternatives, evaluating abilities, working with others to address challenges topatient care3.Maintaining sterile field, passing instruments to surgeon, performing surgical counts, handlingmedications, preparing specimens and dressings4.Individual with training and credentials to help position, drape, and transfer patient as well as providevisualization of operative site and close body planes5.Title, requirements for employment, nature of position, duties, accountability for actions6.Pathway or program of upward movement to positions of increased responsibility within anorganization7.Overview of career objectives, qualifications, experience, education and skills; used as reference inemployment search8.Important goal of communication process when the sender knows message was understood byreceiver; may be either verbal or nonverbal.9.Hierarchical layers of hospital administrative departments, services, directors, and trustees10.Classification of cell saver, medical lab, radiology, EEG, and orthopedic technicians, and otherhospital employees1.ANS: FPTS:12.ANS: JPTS:13.ANS: IPTS:14.ANS: BPTS:15.ANS: CPTS:16.ANS: EPTS:1

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87.ANS: APTS:18.ANS: HPTS:19.ANS: DPTS:110.ANS: GPTS:1TRUE/FALSE1.A physician who is a contracted provider in a PPO or HMO will receive reimbursement for fees basedon a capitated rate of payment.ANS: TPTS:12.The ARC/STSA administers the national certification examination for surgical technologists andowns the CST® and CSFA® credentials.ANS: FPTS:13.Professionalism is a lifelong commitment for a surgical technologist who has specific duties andresponsibilities for providing the highest quality surgical patient care.ANS: TPTS:14.AST’s mission statement is, “Enhancing the profession to ensure quality patient care.”ANS: TPTS:15.Surgical technologists may discuss details of their daily experiences as long as they are not in a publicplace.ANS: FPTS:1Chapter 2: Legal Concepts, Risk Management, and Ethical IssuesMULTIPLE CHOICE1.Which of the following is an example of an intentional tort pertaining to surgical patient care?a.A patient suffers a burn due to hot instruments.b.Restraints are used on a patient who threatens to leave.c.A tissue specimen is misplaced by a transporter.d.A retained surgical sponge is discovered in subsequent procedure.ANS: BPTS:12.Which of the following legal doctrines would MOST likely apply in the case of a wrong site surgeryor retained foreign body?a.aeger primob.caveat emptorc.primum non nocered.res ipsa loquiturANS: DPTS:13.The phrase “departure from the standard of care” BEST describes which of the following legal terms?

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9a.larcenyb.liabilityc.malpracticed.negligenceANS: DPTS:14.Which of the following legal terms is BEST described as “professional misconductthat results inharm to another”?a.allegationb.liabilityc.malpracticed.negligenceANS: CPTS:15.What is the term that describes a method of pretrial discovery in which a surgical team member mightanswer questions under oath?a.allegationb.depositionc.indictmentd.precedentANS: BPTS:16.Which of the following torts would be classified as unintentional?a.batteryb.defamationc.foreign bodies left in patientd.invasion of patient privacyANS: CPTS:17.Which type of consent applies when emergency circumstances exist when reasonable providersbelieve that a patient would agree to treatment, even if no form was signed or verbal permissiongiven?a.directb.impliedc.informedd.generalANS: BPTS:18.A special consent form would be required for which of the following situations during a hospitaladmission?a.chest x-rayb.phlebotomyc.respiratory therapyd.surgical procedureANS: DPTS:19.Which member of the surgical team is ultimately responsible for obtaining a written, informedsurgical consent from a patient?a.anesthesia providerb.circulating RN

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10c.surgeond.surgical technologistANS: CPTS:110.All of the following are components of the surgical patient’s medical record EXCEPT:a.anesthesia recordb.history and physicalc.interdepartmental communicationsd.surgeon’s preference cardANS: DPTS:111.In 2004, which of the following agencies created the “Do Not Use” abbreviation list?a.the Joint Commission (JC)b.American Medical Association (AMA)c.Association of periOperative Registered Nurses (AORN)d.Occupational Safety and Health Administration (OSHA)ANS: APTS:112.What is the name of the type of report sent to risk management in an effort to decrease the chance ofharm to patients or staff or damage to hospital property?a.advance directiveb.informed consentc.Safe Medical Device Actd.sentinel eventANS: DPTS:113.Which of the following surgical patients would be legally authorized to sign an informed surgicalconsent, based on medical practice acts and state law?a.premedicated competent adultb.adult in a persistent vegetative statec.an emancipated 16-year-old minord.a foreign language speaker without an interpreterANS: CPTS:114.Which of the following pertains to a patient’s wishes about medical treatment and self-determinationin the event of incapacitation or inability to communicate?a.advance directiveb.depositionc.informed consentd.sentinel eventANS: APTS:115.Which of the following terms best describes the process of keeping thorough, accurate, and legalrecords of a patient’s medical care?a.accountabilityb.consentc.documentationd.liabilityANS: CPTS:1

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1116.All of the following carry the force of state or national legal enforcement EXCEPT:a.implementation of the neutral zoneb.Health Insurance Portability and Accountability Actc.Patient Self-Determination Actd.scope of practiceANS: APTS:117.The American Hospital Association replaced its “Patient’s Bill of Rights” with which of thefollowing?a.doctrine of personal liabilityb.Health Insurance Portability and Accountability Actc.Patient Self-Determination Actd.Patient Care PartnershipANS: DPTS:118.The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include allof the following EXCEPT:a.eliminate medical errorsb.improve patient servicesc.protect patient privacyd.reduce health care fraudANS: APTS:119.Which of the following terms describes a civil wrong that may be intentional or unintentional?a.complaintb.indictmentc.liabilityd.tortANS: DPTS:120.The most common types of patient-care errors committed by operating room personnel, includingnegligence and malpractice, are categorized as:a.intentional tortsb.corporate liabilityc.unintentional tortsd.standard of careANS: CPTS:121.In a common adage, what is the “best medicine” in health care?a.conscienceb.documentationc.judgmentd.preventionANS: DPTS:122.According to the Joint Commission’s definition regarding consent to surgical intervention, whichparty has “autonomy”?a.anesthesia providerb.circulating RN

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12c.the patientd.the surgeonANS: CPTS:123.Which of the following terms describes the system of principles that become standards of conduct forprofessionals?a.doctrinesb.ethicsc.moralsd.precedentsANS: BPTS:124.Which of the following terms describes the principles such as benevolence, trustworthiness, andhonesty for the care and well-being of others in society?a.doctrinesb.ethicsc.moralsd.precedentsANS: CPTS:125.Which of the following would NOT be considered an example of a potential ethical dilemma?a.patient privacyb.genetic engineeringc.elective abortiond.right to die, termination of careANS: APTS:126.The legal term that identifies the knowledge and skills required for a profession and describes a healthcare provider’s core accountability, based on education, experience, and credentialing is:a.professional liabilityb.policies and proceduresc.recommended standards of practiced.scope of practiceANS: DPTS:127.Which of the following is NOT a form of individual professional credentialing that protects the publicfrom unqualified health care providers?a.accreditationb.certificationc.licensured.registrationANS: APTS:128.Verification that educational programs meet minimum accreditation standards is done by:a.ASTb.CAAHEPc.HIPAAd.NBSTSAANS: BPTS:1

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1329.Graduates of CAAHEP or ABHES programs are eligible to sit for the CST or CSFA examinationsadministered by:a.ARC/STSAb.ASTc.CSPSd.NBSTSAANS: DPTS:130.The best assurance of safe and individual professional behavior by the CST or CSFA is a well-developed, unyielding:a.core curriculumb.liability insurancec.scope of practiced.surgical conscienceANS: DPTS:131.Which legal doctrine would be MOST applicable in a case involving failure by the RN and CST to doproper surgical counts resulting in retention of a foreign object and the surgeon being found notliable?a.captain of the ship doctrineb.doctrine of borrowed servantc.doctrine of corporate negligenced.primum non nocereANS: BPTS:132.Which legal doctrine would be MOST applicable in a case involving injury to a patient as a result of ahospital employee’s lack of proper training or credentialing?a.captain of the ship doctrineb.doctrine of borrowed servantc.doctrine of corporate negligenced.primum non nocereANS: CPTS:133.Which type of legal action is MOST likely in cases involving tort law and operating room personnel?a.civilb.criminalc.federald.statutoryANS: APTS:134.If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad,the individual team member responsible may be found guilty in a lawsuit of which of the following?a.assaultb.batteryc.intentional tortd.negligenceANS: DPTS:135.Specimen loss, mislabeling, and improper preparation are examples of which of the following?

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14a.batteryb.defamationc.intentional tortd.negligenceANS: DPTS:136.Which of the following terms meets the following definition: a voluntary and informed act in whichone party gives permission to another party to “touch”?a.advance directiveb.batteryc.consentd.time-outANS: CPTS:137.Which of the following forms of consent is defined by the Joint Commission as “agreement orpermission accompanied by full notice about what is being consented to”?a.generalb.impliedc.informedd.specialANS: CPTS:138.Surgical team members who fail to monitor and protect a medicated patient from falling could becharged with:a.abandonmentb.assaultc.batteryd.larcenyANS: APTS:139.Which part of the patient’s medical record documentation would contain pre-op and post-opdiagnoses, positioning, skin prep, start and stop times, counts, and dressings?a.advance directiveb.anesthesia recordc.informed consentd.intraoperative recordANS: DPTS:140.For which of the following processes are identification and reporting of unsafe conditions and hazardsMOST critical?a.advance directivesb.informed consentc.risk managementd.unintentional tortsANS: CPTS:141.Which of the following was identified in the late 1990’s as causing more deaths in the United Statesthan car accidents, AIDS, and breast cancer combined?a.equipment manufacturing flawsb.H1N1 influenza

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15c.medical errorsd.terrorist attacksANS: CPTS:142.What is the name of the organization whose focus is on patient and worker safety and is a uniquecoalition of surgeons (ACS), anesthesiologists (ASA), operating room (AORN) and perianesthesia(ASPAN) nurses, CRNAs (AANA), surgical physician assistants (AASPA), and surgicaltechnologists (AST)?a.American National Standards Institute (ANSI)b.Council on Surgical and Perioperative Safety (CSPS)c.Occupational Safety and Health Administration (OSHA)d.the Joint Commission (TJC)ANS: BPTS:143.What is establishing a neutral zone designed to do?a.diffuse potential violence in high-stress situationsb.prevent sharps injuries during surgical proceduresc.reduce cross-contamination in the OR suited.quarantine patients with airborne diseasesANS: BPTS:144.Which governmental agency has authority as outlined in the Safe Medical Device Act?a.EPAb.FDAc.HIPAAd.OSHAANS: BPTS:145.The first scrub surgical technologist performs intraoperative tasks under the broad delegatoryauthority of the:a.anesthesiologistb.circulating RNc.OR supervisord.surgeonANS: DPTS:1MATCHINGMatch each term below with its description.a.Plaintiffk.Code of conductb.Malpractice insurancel.Iatrogenic injuryc.Defamationm.Accreditationd.Aeger primon.Time-oute.Precedento.Medical recordf.Larcenyp.Credentialg.Patientq.Federal lawh.Allegationr.Guardiani.Criminal negligences.Intentional tortj.Primum non noceret.Assault

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