Pharmacology For The Surgical Technologist 3rd Edition By Katherine C. Snyder – Test Bank
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Sample
Questions
Snyder
& Keegan: Pharmacology for the Surgical Technologist, 3rd Edition
Chapter 04: Medication Administration
Test Bank
MULTIPLE
CHOICE
1. Which
member of the surgical team must document the medications that are used at the
surgical field?
|
a. |
Surgeon |
|
b. |
Circulator |
|
c. |
Surgical first assistant |
|
d. |
Surgical technologist in
the scrub role |
ANS: B
The circulator is responsible for documenting all medications
used from the sterile field according to institutional policy.
DIF:
2 REF:
60
2. When
changing shifts, the incoming surgical technologist notices one of the
medications on the sterile field is not accurately labeled. What should she or
he do?
|
a. |
Discard the medication and
ask the circulator for a new dose. |
|
b. |
Ask the scrub person to
label the medication before leaving. |
|
c. |
Ask the circulator to show
him or her the empty vial and then label it properly. |
|
d. |
Ask the surgeon what to do. |
ANS: A
Occasionally, the scrubbed surgical technologist may be replaced
during a procedure (e.g., shift change, lunch break). All medications must be
plainly labeled and reported to the new scrub person. If any doubt remains as
to the identity of a solution, then it must be discarded and a new medication
must be obtained.
DIF:
3 REF:
72
3. The
five rights of medication administration include all of the following except:
|
a. |
Right drug |
|
b. |
Right dose |
|
c. |
Right patient |
|
d. |
Right physician |
|
e. |
Right time |
ANS: D
Team members must work together to ensure that the right drug is
given in the right dose, by the right route, to the right patient, and at the
right time.
DIF: 2
REF: 61
4. Which
statement does not apply
to the required steps for proper medication identification?
|
a. |
Read the label on the
container. |
|
b. |
Check the integrity of the
container. |
|
c. |
Check the expiration date. |
|
d. |
Show the label to the surgeon. |
ANS: D
Both the scrub person and the circulator are responsible for
correctly identifying the medications delivered to and used from the sterile
field. This dual responsibility minimizes the potential for errors in
medication administration, as does following a logical series of steps (Box
4-3) to identify drugs properly.
DIF:
2 REF:
64
5. Medication
labels must contain all of the following information except:
|
a. |
Generic and trade names |
|
b. |
Contraindications |
|
c. |
Strength of medications |
|
d. |
Amount of medication |
ANS: B
The medication label contains important information about the
drug (Table 4-1). The most crucial information is the drug name (both generic
and trade), the strength, the amount, and the expiration date. Special handling
instructions (e.g., refrigeration, keeping medication from direct light), the
drug form, and its intended administration route are also key pieces of drug
information contained on the label. (For more details, see Chapter 2.)
DIF:
2 REF:
64
6. When
handling medications in the surgical department, which one of the following
statements does not apply?
|
a. |
Both the scrub person and
the circulator must follow aseptic technique. |
|
b. |
Multidose vials may be recapped
aseptically and dated to enable the remaining portions to be used at a later
time. |
|
c. |
Medications in a powder
form must be reconstituted by the circulator before delivery to the sterile
field. |
|
d. |
When the circulator is
delivering solutions to the sterile field, the scrub person should hold the
receiving container away from the sterile table. |
ANS: B
Unused portions should not be saved for later use; sterility
cannot be ensured.
DIF:
3 REF:
68
7. Improper
or inadequate labeling of medications may be considered which one of the
following?
|
a. |
Malpractice |
|
b. |
Tort |
|
c. |
Materia medica |
|
d. |
Negligence |
ANS: D
No excuse is acceptable for the presence of unlabeled
(unidentified) medications on the sterile back table. Improper or inadequate
labeling of drugs may be considered negligent.
DIF:
3 REF:
72
8. Which
of the following steps does not apply
once a medication error has occurred?
|
a. |
Notify the surgeon
immediately. |
|
b. |
Notify the unit supervisor. |
|
c. |
Follow institutional
policy. |
|
d. |
An incident report is not
required. |
ANS: D
If a medication error is made, it must be immediately
acknowledged to ensure that corrective measures are taken. The surgeon is
notified immediately; then institutional policy is followed. Usually, when a
medication error occurs, the unit supervisor is notified and an incident or
occurrence report is completed. Above all, immediate action is taken to correct
the error.
DIF:
2 REF:
73
9. A 30-gauge
hypodermic needle is larger in diameter than an 18-gauge needle.
|
a. |
True |
|
b. |
False |
ANS: B
The larger the gauge of a needle, the smaller the diameter of
the lumen (inside channel). Therefore an 18-gauge needle has a significantly
larger lumen than does a 25-gauge needle.
DIF:
2 REF:
74
10. Before
medications are delivered into the sterile field, they must be identified by:
|
a. |
Scrub person and circulator |
|
b. |
Two scrub personnel |
|
c. |
Physician and circulator |
|
d. |
Nurse anesthetist and
circulator |
ANS: A
The drug should be delivered to the sterile field only after the
steps to identify the medication have been completed.
DIF:
2 REF:
64
11. All
of the following must be read aloud when identifying a drug except:
|
a. |
Drug name |
|
b. |
Manufacturer |
|
c. |
Strength |
|
d. |
Expiration date |
ANS: B
The most crucial information is the drug name (both generic and
trade), the strength, the amount, and the expiration date. The circulator reads
vital label information aloud just before delivery to the sterile field and
shows the label to the scrub person (Fig. 4-6). Finally, the scrub person
repeats the label information aloud to confirm the correct drug. Alternately,
both the scrub person and the circulator may read the information aloud
together before delivering the medication to the sterile field.
DIF:
2 REF:
61
12. The
scrub person may receive medications into the sterile field in all of the
following ways except:
|
a. |
Circulator places the
bottle on the corner of the back table. |
|
b. |
Circulator pours the
medication into a sterile container. |
|
c. |
Scrub person draws up the
medication from the bottle held by the circulator. |
|
d. |
All of the above are
correct. |
ANS: A
The circulator (a nonsterile team member) cannot place anything
directly on the back table. In addition, a medication container is not sterile;
therefore it cannot be placed directly on the sterile back table.
DIF:
3 REF:
68
13. The
most common type of syringe used in surgery is the:
|
a. |
Plain tip |
|
b. |
Luer-loc |
|
c. |
Tuberculin |
|
d. |
Insulin |
ANS: B
The most common type of syringe tip used in surgery is the
Luer-loc tip, which has a screw-type locking mechanism used to attach a hypodermic
needle securely.
DIF:
2 REF:
74
14. When
recapping a needle you should:
|
a. |
Throw the needle into the
trash. |
|
b. |
Use the two-handed method. |
|
c. |
Use the one-handed method. |
|
d. |
Hand the uncapped needle to
the circulator. |
ANS: C
Standard precautions state that used needles must never be
recapped, because most needle puncture injuries are the result of attempting to
recap a used needle. However, leaving an unsheathed hypodermic needle exposed
on the sterile table during a surgical procedure is also dangerous. If a needle
must be recapped for protection between repeated uses during a surgical
procedure, a one-handed technique (Fig. 4-21) should be used or a recapping
device intended for that purpose can be used.
DIF: 3
REF: 75
MATCHING
Match the following terms with the correct definitions.
|
a. |
Asepsis |
|
b. |
Carpule |
|
c. |
Contamination |
|
d. |
Diluent |
|
e. |
Reconstitute |
1. Glass
tube containing a medication
2. Liquid
such as saline or water used to reduce the concentration of an agent
3. Turning
a solid medication into a liquid by adding water or saline
4. Transmission
of microorganisms to a sterile field or item
5. Without
infection
1. ANS:
B DIF:
1 REF:
74
2. ANS:
D DIF:
2 REF:
73
3. ANS:
E DIF:
3 REF:
65
4. ANS:
C DIF:
3 REF:
65
5. ANS:
A DIF:
3 REF:
68
ESSAY
1. List
the five rights of medication administration.
ANS:
Right drug
Right dose
Right time
Right patient
Right route
Traditionally, the five “rights” of medication administration
are (1) right drug, (2) right dose, (3) right route, (4) right patient, and (5)
right time.
DIF:
1 REF:
61
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