Deck 49: Surgical Supplies and Instruments

Question 1

Surgical instruments generally are classified according to use. Which is not a classification for instruments?

A) Cutting
B) Grasping
C) Restabilizing
D) Probing and dilating

Answer 1

Restabilizing

Question 2

Which of the following ophthalmologic and otolaryngologic instruments is used to remove foreign bodies or polyps?

A) Krause Nasal Snare
B) Hartmann "Alligator" Ear Forceps
C) Ivan Laryngeal Metal Applicator
D) "Buck" Ear Curette
E) All of the above

Answer 2

All of the above

Question 3

How should instruments be handled after the surgery is complete?

A) Place heavier instruments at the bottom of a collection basin.
B) Keep all instruments locked to prevent accidental injury.
C) Wait until any blood on the instrument has dried before cleaning.
D) Use a detergent with a neutral pH that creates a high level of suds.
E) Both A and D are correct.

Answer 3

Place heavier instruments at the bottom of a collection basin.

Question 4

Which antiseptic is the most effective for a surgical hand scrub or patient skin preparation for surgery?

A) Hydrogen peroxide
B) Hibiclens
C) Isopropyl alcohol
D) Povidone-iodine
E) B and D

Question 5

Choose the smallest diameter of a suture strand.

A) 0
B) 5-0
C) 5
D) 1-0

Question 6

Which of the following gynecologic instruments is used to remove polyps, secretions, and bits of placental tissue?

A) Sims Uterine Curette
B) Endocervical Curette
C) Schroeder Uterine Tenaculum Forceps
D) Schroeder Uterine Vulsellum Forceps
E) Both A and B

Question 7

Research indicates that chlorhexidine topical (Hibiclens), Triseptin, gluconate products (Triseptin or Hibiclens), and povidone-iodine (Betadine) are safe and effective antiseptics. Research also shows that the use of an alcohol-based hand rub is not as effective as an extensive surgical scrub done before sterile gloves are applied to limit bacterial contamination of the hands during a surgical procedure.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 8

Which of these anesthetic agents is injected into subcutaneous tissue, resulting in temporary cessation of feeling at the site of the injection?

A) Nesacaine
B) Ethyl chloride
C) Fluori-Methane
D) Sensorcaine
E) A and D

Question 9

These instruments have very sharp hooks.

A) Bayonet forceps
B) Needle holders
C) Splinter forceps
D) Towel forceps (towel clamps)

Question 10

Which are the largest hemostat forceps?

A) Mosquito forceps
B) Crile forceps
C) Kelly forceps
D) Curved forceps

Question 11

Which of the following forceps are used to grasp tissue and in suturing?

A) Adson forceps
B) Allis tissue forceps
C) Adson thumb forceps
D) Toothed tissue forceps
E) Both A and C

Question 12

This instrument tip has a groove or hook to slide under sutures.

A) Bayonet forceps
B) Littauer stitch or suture scissors
C) Probe tip
D) Needle holders

Question 13

The recommended method for cleaning sharp instruments is to

A) use an ultrasonic cleaner.
B) wear appropriate PPE.
C) use the proper concentration of disinfectant.
D) rinse instruments with sterile water before sterilizing.

Question 14

The jaws of this instrument are shorter and look stronger than hemostat jaws.

A) Needle holder
B) Bayonet forceps
C) Splinter forceps
D) Towel forceps (towel clamp)

Question 15

This instrument has a fine tip for retrieval of foreign objects.

A) Nasal speculum
B) Splinter forceps
C) Needle holder
D) Littauer stitch or suture scissors

Question 16

These instruments have valves that can be spread to facilitate viewing.

A) Splinter forceps
B) Bayonet forceps
C) Nasal specula
D) None of the above

Question 17

Which of the following is used as a diluent for medications?

A) Single one-time use vials of sterile water
B) 0.9% Sodium Chloride Injection USP single-dose vial
C) Bacteriostatic 0.9% Sodium Chloride Injection USP multiple-dose vial
D) 0.9% Sodium Chloride Irrigation USP

Question 18

Which of the following catheters is designed to allow it to navigate past obstructions in the urinary tract, such as a swollen prostate in men?

A) Foley Catheter with Inflated Balloon
B) Red Robinson Catheter
C) Coude Tip Catheter
D) Both A and B

Question 19

Which of the following is a smooth-tipped instrument that is used to insert packing into or remove objects from the nose and ear?

A) Bayonet forceps
B) Nasal speculum
C) Splinter forceps
D) All of the above

Question 20

Which solution is typically used to preserve excised tissue for specimens?

A) Silver nitrate (AgNO₃)
B) Ethyl chloride
C) Epinephrine
D) Formalin

Question 21

__________________________ are used to hold tissue while a tissue specimen is obtained or to lift the cervix to view the fornix.

Question 22

The ridged teeth on the inner surface of the tip of some instruments are called __________. They help prevent tissue from slipping out of the jaws of the instrument.

Question 23

__________ is a procedure in which a body cavity or internal organ (e.g., the uterus) is scraped with a surgical instrument.

Question 24

A trocar is placed within a(n) __________ to drain fluid.

Question 25

Match the Iris scissors with the appropriate description and/or function. (Select all that apply.)

A) 4 to 5 inches long
B) Most frequently used length is 5 inches
C) Usual length is 4 inches
D) 5 to 6 inches long
E) Blade has beak or hook
F) Curved or straight blade tips
G) Used to cut and dissect fascia and muscle
H) Can be used as suture scissors

Question 26

A(n) __________ is a metal rod with a smooth, rounded tip that is placed into a hollow instrument to reduce injury to body tissues during insertion of the instrument.

Question 27

____________, which resemble gears, have three or more positions and are located just below the ring handle of an instrument so that the instrument can be locked in a particular position.

Question 28

Match the Metzenbaum (Metz) scissors with the appropriate description and/or function. (Select all that apply.)

A) 4 to 5 inches long
B) Most frequently used length is 5 inches
C) Usual length is 4 inches
D) 5 to 6 inches long
E) Blade has beak or hook
F) Curved or straight blade tips
G) Used to cut and dissect fascia and muscle
H) Used to cut and dissect tissue

Question 29

A(n) ________ is a metal probe that is inserted into or passed through a catheter, needle, or tube to clear the equipment of secretions or to help pass it into a body orifice.

Question 30

___________ forceps are small (4 inches) and are used to clamp small blood vessels or tissues.

Question 31

A localized collection of pus that causes tissue destruction is called a(n) __________.

Question 32

Match the Littauer scissors with the appropriate description and/or function. (Select all that apply.)

A) 4 to 5 inches long
B) Most frequently used length is 5 inches
C) Usual length is 4 inches
D) 5 to 6 inches long
E) Blade has beak or hook
F) Curved or straight blade tips
G) Used to cut and dissect fascia and muscle
H) Can be used as suture scissors

Question 33

Match the Mayo scissors with the appropriate description and/or function. (Select all that apply.)

A) 4 to 5 inches long
B) Most frequently used length is 5 inches
C) Usual length is 4 inches
D) 5 to 6 inches long
E) Blade has beak or hook
F) Curved or straight blade tips
G) Used to cut and dissect fascia and muscle
H) Can be used as suture scissors

Question 34

A(n) __________ surgical needle comes packaged with the suture material attached to the needle.

Question 35

Which of the following are the strongest nonabsorbable sutures?

A) Dacron and Prolene
B) Dexon and Maxon
C) Silk
D) Vicryl
E) Both A and B

Question 36

_________ refers to a body cavity or canal that is in its normal open position, such as the trachea remaining open during surgery.

Question 37

Opening or widening the circumference of a body orifice (e.g., the cervix) with a surgical instrument is called ___________.

Question 38

Sterile ________ forceps are used to arrange items on a sterile tray.

Question 39

__________ are used to hold tissue away from the surgical incision to better expose the surgical site.

Question 40

__________ forceps are available in different lengths and are used to grasp tissue, muscles, or skin surrounding a wound.

Question 41

Describe the proper care of surgical instruments.

Question 42

Surgical sponges used to absorb blood and drainage during a surgical procedure do not have to be sterile.

Question 43

Each instrument should always be locked before it is immersed in the chemical decontaminant so that the entire surface area can be cleansed.

Question 44

Sterile technique does not have to be followed in the preparation of a site for surgery.

Question 45

Placenta forceps are used to remove tissue from the uterus.

Question 46

The physician may spray a topical anesthetic (e.g., Exactacain) on a surgical site before injecting a local anesthetic.

Question 47

Ethyl chloride is a topical anesthetic spray that acts as a vapocoolant to control pain associated with minor surgical procedures.

Question 48

Proper preparation of a surgical site removes all organisms from the area.

Question 49

Hydrogen peroxide is the preferred antiseptic for skin preparation before surgery.

Question 50

After instruments have been immersed in a chemical sterilizing agent, they should be rinsed with sterile water.

Question 51

One method of controlling epistaxis is to apply silver nitrate sticks to the bleeder site.

Question 52

Bandage scissors have a pointy, sharp probe tip that is inserted under the bandage to aid removal.

Question 53

Describe the general purpose of sutures. What characteristics should they have?

Question 54

List and explain the purpose of at least four supplies that may be used in a minor surgical procedure.

Question 55

Epinephrine may be included in local anesthetics because of its vasodilating effect.

Question 56

Local anesthesia can last as long as 5 hours.

Question 57

Nylon suture material is nonabsorbent and strong and has a high degree of elasticity.

Question 58

Explain the system for identifying suture sizes.

Question 59

A probe is used to search for foreign objects in a wound.

Question 60

Suture scissors have a beak or hook tip that can slide under the suture for removal.

Question 61

Local anesthetics with epinephrine are not recommended for use in suturing a finger laceration.

Question 62

Ratchets are used to lock an instrument into position.

Question 63

Ethyl chloride is an effective local anesthetic that can be used when the physician performs minor surgery with electrical cauterizing equipment.