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Surgical Nursing Flashcards

7 cards from real VTNE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Surgical Nursing flashcards as text

  1. Which of the following is the primary reason for using a cuffed endotracheal tube in surgical patients under general anesthesia?

    Answer: To prevent anesthetic gas leakage and protect the airway from aspiration

    A cuffed ETT seals the trachea to prevent aspiration of fluid or ingesta and reduces waste anesthetic gas leakage into the room.

  2. What is the primary purpose of a sterile drape during surgery?

    Answer: To establish and maintain a sterile field around the incision site

    Sterile drapes demarcate and maintain the sterile field surrounding the incision, preventing contamination from nonsterile surfaces.

  3. During a splenectomy, the circulating nurse notices a sponge count discrepancy. The CORRECT immediate action is to:

    Answer: Notify the surgeon immediately so the body cavity can be searched

    A sponge count discrepancy before closure requires immediate notification of the surgeon to search the cavity before it is closed to prevent a retained foreign body.

  4. Which anesthetic monitoring parameter MOST directly reflects cardiac output during surgery?

    Answer: End-tidal CO2 (EtCO2)

    EtCO2 closely reflects cardiac output because CO2 delivery to the lungs depends on pulmonary perfusion; a sudden drop often indicates reduced cardiac output.

  5. Monofilament suture material is preferred over multifilament in contaminated wounds primarily because:

    Answer: It has less capillarity and reduces bacterial wicking

    Monofilament suture has a smooth surface with no interstices, reducing capillarity and the risk of bacteria being wicked along the suture into the wound.

  6. A dog undergoing orthopedic surgery receives a tourniquet for hemostasis. The maximum recommended tourniquet time before releasing to reperfuse the limb is approximately:

    Answer: 90 minutes

    Tourniquet application should generally not exceed 90 minutes without reperfusion to prevent ischemic muscle and nerve damage.

  7. Which surgical instrument is specifically designed to crush and ligate blood vessels or tissue pedicles?

    Answer: Rochester-Carmalt forceps

    Rochester-Carmalt forceps have longitudinal serrations that crush and hold vascular pedicles (such as ovarian or uterine stumps) during ligation.