Adpo 520603 MCQ Set1 - Stdnts

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REVISION 19.03.

2020

1. General progression of laparoscopic procedure includes:

A. adequate abdominal incision.


B. establish the pneumoperitoneum.
C. complete general steps of the procedure.
D. extract specimen, irrigate wound and close incision.

2. Preparation by perioperative nurse for patient undergo


abdominoperineal resection procedure includes:

A. foley catheter.
B. nasogastric tube.
C. standby ureteral stents and cystoscopy setup.
D. arrange a complete instrument table and a mayo stand.

3. Technical principles for gastrointestinal anastomosis are:

A. water tight.
B. adequate lumen.
C. good hemostasis.
D. adequate tension.

4 Requirement for abdominal access via closed technique in general


laparoscopy surgery are:

A. 11 size blade.
B. 10 ml syringe.
C. hasson trocar.
D. veress needle.

5. The following statement is regarding appendectomy procedure.

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A. A complete end to end or side anastomosis is involved.


B. Metzenbaum scissor may be used to complete the incision.
C. Protective gauze sponges are placed over the cecum around the
base of the appendix.
D. The mesoappendix is grasped near the tip with a Babcock
forceps for gentle traction.

6. The following are statements concerning laparoscopy choleycystectomy


procedure.

A. It includes a pneumoperitoneum.
B. It is done under epidural anaesthesia.
C. The patient is placed in Trendelenburg’s position.
D. The scope is inserted through a small ptannensteil incison.

7. Nursing interventions for impaired gas exchange post thyroidectomy


patient in recovery bay.

A. Monitor and report difficulty swallowing.


B. Keep suction ready until patient discharge.
C. Instruct patient in coughing and deep breathing exercise.
D. Keep vein open postoperatively until patient can swallow.

8. The matter must be considerate in Modified radical mastectomy are

A. loculations are broken up by exploring the cavity with the index


finger.
B. tissue removed during surgery will be submitted for microscopic
analysis.
C. a curved hemostat is directed into the cavity to determine the
extent tumour.
D. the arm on the operation side is extended to less than 90 degrees
on padded armboard.

9. Procedural consideration for laparoscopic cholecystectomy.

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A. Surgeon stand at the left side of the patient.


B. Three trocars inserted into peritoneal cavity.
C. Instrument include a ballon tipped fogatty catheter.
D. Patient placed in trandelenberg position 10 to 20 degree.

10. Nursing diagnoses related to the care of post operating hernia surgery
include the following.

A. Risk for urinary retention.


B. Fear of sexual dysfunction.
C. Risk for perioperative positioning injury.
D. Risk for ineffective tissue perfusion of the scrotal area.

11. Median sternotomy is one of the thoracic incisional approaches used for

A. repair of hiatul hernia.


B. treatment of mediastinal neoplasm or trauma.
C. simultaneous bilateral pulmonary surgical procedures.
D. permit maximum exposure to diaphragm and descending aorta.

12. Procedure of percutaneous nephrostolithotomy or nephrolithotripsy is/are


as follows.

A. Patient placed in lithotomy position


B. Guidewire introduced into renal pelvis under fluoroscopy
C. Dilator placed over guidewire to enlarge the nephrostomy tract
D. Renal calculi removed with ellik evacuator and dormia basket

13. A dynamic hip screw is the implant of choice in the fixation of which of
these fractures.

A. Femoral head fracture.

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B. Base of femoral neck fracture.


C. Stable intertrochanteric femur fracture.
D. Greater trochanter fracture of the femur.

14. In orthopaedic operation, osseous bleeding is stopped with

A. bone wax.
B. cottonoid strips.
C. Electrocoagulation.
D. haemostatic silver clips.

15. The principles and techniques for open reduction and internal fixation
include the following.

A. Screw fixation: reduction of patellar fracture.


B. Pin fixation: application of a unilateral frame.
C. Wire fixation: correction of scaphoid fracture.
D. Nail fixation: correction fracture of the femoral shaft.

16. The following statement describes the general considerations for


surgical procedures of the ear.

A. Local anesthesia used for a minor procedure.


B. Moisted gauze are frequently used rather than cottonoids.
C. Nitrous oxide is discontinued after placement of a graft in the
middle ear.
D. Bone instruments and powered drills, are used for opening the
temporal bone.

17. Preparation patients for surgery of craniotomy is/are:

A. a sterile disposable marker is available at operation site.

B. hair removal and its disposition are documented on chart.

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C. the drapes over the patients head are attached to the table’s
drapes.

D. gels pads in configuration to an egg crate should be used if the


patient is supine on the or bed.

18. Nursing intervention for nursing diagnosis risk for hypothermia related
to loss of body surface heat to environment and immature control
mechanism are:

A. keep child covered as much as possible.


B. adjust room temperature on arrival of infants.
C. use warmers during administration of blood products.
D. provide radiant heat lamp for use during placement of
monitoring lines.

19. Responsibilities of a scrub nurse as soon as the baby delivered in


caesarean section are:

A. the cord is clamped and cut.


B. place placenta in the receiver and pass to circulator.
C. pass doyen retractor and green armitages to surgeon.
D. prepare suture for surgeon closure of peritoneum cavity.

20. The following is performed by the scrub nurse during an abdominal


hysterectomy.

A. Change glove after washout the peritoneum.


B. Counting swabs and sharps before closure of peritoneum.

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C. Keeping remaining sutures after closing vaginal vault for later


use.
D. Returning clamps that were used to clamp vagina vault on to
Mayo tray.

21. Air or gas is not used for uterine insufflation in hysteroscopy procedure
because of the risk for

A. toxicity.
B. air embolism .
C. gas embolism.
D. cellular changes.

22. The following specific special supplies are frequently added for plastic
and reconstructive procedures.

A. Ruler.

B. Skin hook.

C. Sterile marking pen.

D. Metzenbaum scissor.

23. Perioperative nursing considerations by perioperative team members


in assisting procedure Cystourethroscopy are:

A. Place telescope on a towel, to act as a padding.


B. Irrigation solutions should be used at body temperature.
C. Apply the ground pad at patient buttock after positioning.
D. The sheath and obturator must be in the different diameter.

24. The following thoracic incision may be used for first-rib resection;
lobectomy.

A. Lateral thoracotomy.
B. Anterolateral thoracotomy.

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C. Posterolateral thoracotomy.
D. Left anterior mini-thoracotomy.

25. Post transplantation hypertension can be caused by:

A. portal vein thrombosis.

B. cyclosporine nephrotoxicity.

C. renal transplant artery stenosis.

D. recurrent disease in the allograft.

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