2024 VTNE Exam Prep Surgical Nursing Part 2 New Full Questions and Answers ( Included ) 100% Correct
- A dog has dislocated his hip joint and the doctor has reduced the dislocation. What can be
used to hold the hip in place?Ehmer sling External fixator Robert Jones bandage Strict cage rest
Answer: Ehmer sling
The Ehmer sling is a figure-eight type of bandage that keeps the affected hindlimb in the flexed position. When the hip is dislocated, the joint capsule becomes torn. The goal of the Ehmer sling is to hold the hip joint in place after the joint has been reduced back to normal positioning to allow the joint capsule to heal. This sling provides abduction and internal rotation of the femur and flexion of the knee.
- A suture pack with a cutting needle would be used on which of the following?
Gall bladder Skin Intestine Urinary bladder
Answer: Skin
A cutting needle is ideal for skin. Cutting edge needles are not typically used when an airtight or watertight suture line is needed (like the bladder, intestines, etc.)
- The pancreas connects to which part of the intestine?
Duodenum Ileum Cecum Jejunum 1 / 4
Answer: Duodenum
The pancreas connects to the duodenum (the first segment of the small intestine). It secretes digestive enzymes into the duodenum via the pancreatic duct.
- A toggle-pin fixation for a luxated hip is going to be performed this after- noon. How will
the patient be ultimately positioned for surgery after it is has surgically prepped?Dorsal recumbency Ventral recumbency Lateral recumbency Hanging leg technique
Answer: Lateral recumbency
A toggle-pin fixation is performed to reduce a luxated hip. This is the most common surgical procedure performed for repair of a luxated hip. The approach is made with a curvilinear incision over the lateral aspect of the coxofemoral joint; it is therefore best to have the patient in lateral recumbency.A hanging leg technique would be performed to aseptically prep the limb prior to surgery, but the limb would not remain in that position for the duration of the surgery and is therefore not the best answer choice.
- The veterinarian you work for is referring a Cocker Spaniel for an ear canal ablation
procedure. What will this procedure entail?Opening of the tympanic membrane and flushing of the middle ear Surgical excision and closure of the external ear canal Ligation of the 8th cranial nerve A deep flush and culture of the ear canal
Answer: Surgical excision and closure of the external ear canal
Ear canal ablation is often performed in dogs with chronic stenotic, painful, and infected ears in which ancillary therapies have failed. It entails surgical removal and closure of the external ear canals.
- Which substance should never be used for prepping the digits for a declaw if a laser is going
to be used? 2 / 4
0.9% sodium chloride Chlorhexidine Alcohol Povidone iodine
Answer: Alcohol
Alcohol is flammable and laser may ignite the area.
- A puppy presents for his caudectomy procedure. What is being performed?
Soft palate repair Tail removal Dewclaw removal Testicle removal
Answer: Tail removal
Caudectomy is the removal of an animal's tail. Tail "docking" and tail amputation are caudectomy procedures.
- A client presents with her 8-week old puppy. She wants to know when she can be spayed.
What is the ideal recommended age for spays and neuters?10-12 weeks The younger the better, as young as 2 weeks 8-10 months 5-6 months
Answer: 5-6 months
The ideal age for this procedure is 5-6 months of age. This helps to decrease the anesthetic risk that may occur in younger animals but allows for the procedure before the first heat cycle. The first heat cycle typically occurs around 6-8 months of age.Most shelter facilities conduct the procedure earlier so that the pets may be adopted.
- An elastrator band is used for which purpose?
To hold pressure on the abdomen in cases of hemoabdomen 3 / 4
Castration To aid in ambulation for pets that have had back or orthopedic surgery To reduce stomach size in obese pets Valve replacement in the heart
Answer: Castration
An elastrator band is used to castrate young calves. It is placed on the scrotum. In 2-3 weeks after placement, the scrotum and testes are sloughed.
- A client's dog has been diagnosed with a splenic mass that requires sur- gical removal.
The dog has also been previously diagnosed with liver disease. The owner has pet insurance and is submitting a claim for the laparotomy. She is afraid the insurance company will deny the claim because of the liver disease and asks you to omit that from the medical record until the claim is approved.Of the following, which would be the most appropriate action to take?By law you must report attempted fraud to the insurance company.Explain to the owner that by law you can not change the medical record.Explain to the owner that the medical record can not be altered but you can omit the liver disease from the claim form.Let the owner fill out the claim form by herself and you will be absolved of any responsibility of committing insurance fraud.
Answer: Explain to the owner that by law you can not change the medical record.
Explaining to the owner that you can not change the medical record by law is the appropriate response.
- A tibial fracture needs to be repaired. The surgeon is intending to place a bone plate on the
- / 4
medial aspect of the tibia. How should the patient be positioned and prepped?Dorsal recumbency with leg tied to the table Lateral recumbency with affected side down Lateral recumbency with affected side up Dorsal recumbency with affected leg temporarily hung until the patient is draped Answer: Dorsal recumbency with affected leg temporarily hung until the patient is draped The best positioning is that which will allow the surgeon good access to the proposed surgical site while ideally keeping the patient comfortable. Any time surgery is being performed on the tibia, the leg should be hung while it is being prepped for surgery. Sometimes the surgeon will prefer the leg to stay hung while performing the repair. Such an approach helps maintain