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Chapter 22 Surgical Asepsis

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Fundamentals of Nursing Care

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Allegany College Of Maryland Somerset Campus

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Chapter 22: Surgical Asepsis

Multiple Choice
Identify the choice that best completes the statement or answers the question.

1. The nurse prepares to perform a sterile dressing change. Which finding will cause the most concern for the
nurse when gathering supplies?
1. A sterile unopened package of 4´4s are in the client’s room
2. A partial bottle of sterile saline is open in the client’s room
3. A wrapper on a package of sterile gloves has dry water marks
4. A mask with a face protection shield is unavailable

2. The nurse understands the importance of sterile technique during certain client care procedures. Which
procedure will require sterile technique?
1. Subcutaneous injection given
2. Oral medication administration
3. Client contact lens placement
4. Oxygen administration

3. The nurse is observing as a health-care provider places a central line in a client. The nurse notes that the
health-care provider’s tie is touching the sterile field. Which action must be taken by the nurse?
1. Refrain from saying anything to avoid stopping the procedure.
2. Inform the health-care provider after the procedure and away from the client.
3. Tell the health-care provider to stop the procedure immediately and why.
4. Refrain from using contaminated items that were touched by the tie.

4. In order to develop a sterile conscience, the nurse needs to be aware of the conditions that impact sterility.
Which equation is helpful to the nurse?
1. Sterile + sterile = unsterile
2. Unsterile + unsterile = sterile
3. Unsterile + sterile = sterile
4. Sterile + sterile = sterile

5. The nurse established a sterile field for a dressing change. Which location is outside of the boundaries when
considering the location of the safety zone for the sterile field?
1. Above waist level
2. Above the nipple line
3. In front of the body
4. Below the draped surface

6. The newly hired surgery nurse is preparing to open a sterile pack for the first time. Which principle will the
nurse apply to maintain the sterile field?
1. The right-side flap of the sterile pack is opened first.
2. The pack is turned so the first flap faces the nurse’s body.
3. The pack is placed unopened on top of a surgery table.
4. The nurse touches the inner surface of the inner wrapper.

7. The RN is observing an LPN/LVN perform a sterile procedure. Which observed behavior requires the RN to
intervene?
1. The LPN/LVN turns away from the sterile field.

, 2. The LPN/LVN drops items into the trash can in order to discard them.
3. The LPN/LVN opens the first flap of the sterile pack away from the body.
4. The LPN/LVN keeps sterile, gloved hands below eye level and above the waist.

8. The LPN/LVN prepares to assist the RN in teaching a client how to perform in-home self-catheterization.
The client asks, “Will you be sending a crate of sterile gloves home with me?” Which reply is correct?
1. “The hospital usually provides a 2-week supply of materials.”
2. “The social worker can help you order supplies for delivery.”
3. “It depends on what type of insurance coverage you have.”
4. “You will not need sterile gloves to do this at home.”

9. The RN teaches a group of LPN/LVNs about sterile technique in long-term care facilities. Which comment
by an attending LPN/LVN indicates understanding of the teaching?
1. “Long-term care is a residential setting, so sterile technique is not important.”
2. “Residents do not have the need for procedures that require sterile technique.”
3. “The rate of infection varies from one facility to another, so no standards are enforced.”
4. “The presence of pathogens in a long-term facility is just as concerning as in a hospital.”
10. The nurse is preparing a sterile field using a drape provided inside a sterile pack. Which area of the sterile
drape can the nurse touch in order to maintain sterility?
1. The anterior surface of the drape
2. The outer 1-inch border of the drape
3. The posterior aspect of the drape
4. The bottom inner corners of the drape

11. The surgery nurse knows that a surgical hand scrub should be performed for a minimum of which time frame?
1. 30 seconds
2. 2 minutes
3. 3 minutes
4. 10 minutes

12. The nurse needs to add sterile dressings in peel-open packages to an established sterile field. Which method
will the nurse use to prevent contamination of the field or the added items?
1. The nurse opens the sterile package facing the opening toward the nurse.
2. The nurse approaches from the side to drop the items on the sterile field.
3. The nurse drops the additional items onto the edge of the sterile field.
4. The nurse reaches across the sterile field to place the items in the center.

13. The circulating nurse is assisting in the operating room and is asked to open a sterile pack and give the
contents to the surgeon. Which action should the nurse perform?
1. Apply sterile gloves before opening the sterile pack.
2. Open the sterile pack and place the contents on the instrument tray.
3. Peel open the sterile pack and drop contents into the surgeon’s hand.
4. Hold the contents by the opened outer wrapper for the surgeon to grasp.

14. The hospital is focusing on cost containment related to client care. The nurse recognizes that which situation
requires medical asepsis?
1. Inserting a catheter into the urinary bladder
2. Changing linens for a client with infection
3. Establishing an intravenous (IV) line
4. Administering subcutaneous medication

, 15. A newly hired surgical nurse is being oriented. The nurse should expect to see surgery personnel rinse their
hands following the performance of a surgery scrub by holding fingertips:
1. Parallel to the elbows.
2. Above the elbows.
3. Below the wrists.
4. Level with the wrists.
16. The nurse is deciding about how to determine what size of sterile gloves fit properly. Which information will
help the nurse make a correct decision?
1. The gloves should fit closely to the skin.
2. There should be additional space at the fingertips.
3. Wrinkles should be noted across the palm of the hand.
4. Making a fist will cause the glove to lift from the back of the hand.
17. The nursing staff educator observes a nurse who collects and prepares sterile supplies for a procedure. Which
behavior indicates to the staff educator that additional teaching is needed?
1. The nurse checks the expiration date on each pack of supplies.
2. The nurse rejects packs with dark hash marks on the sterilization tape.
3. The nurse chooses sterile gloves in a size that fits properly.
4. The nurse uses a bedside table that is above waist level.
18. A nurse requires supplies and equipment that have been prepared for surgery. Which preparation method does
the nurse recognize as being inadequate for surgical asepsis?
1. Ionizing radiation
2. Ultrasound
3. Autoclaving
4. Chemical disinfection
19. A surgery technician is using a liquid to sterilize some rubber-based catheters for urological procedures.
Which method of sterilization does the nurse recognize?
1. Ionizing radiation
2. Gaseous disinfection
3. Autoclaving
4. Chemical disinfection
20. A piece of indicator tape has been applied to the outer wrapper of a set of surgical instruments. Which finding
causes the nurse to reject the instruments?
1. The tape shows black marks every half-inch.
2. There are initials and a date written on the tape.
3. A strike-through line is present on the tape.
4. The tape is applied across the final flap.
21. The nurse manager recognizes that a nurse requires further teaching about infection prevention when which
comment is made by the nurse?
1. “Surgical asepsis is based on maintaining a clean client environment.”
2. “Surgical asepsis requires the use of sterile supplies and equipment.”
3. “Sterile technique prevents contamination during invasive procedures.”
4. “Sterile technique is used when handling needles, syringes, and lancets.”

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