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Module Test: Donning Sterile Gown and Gloves - ECSACONM

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Use the quiz below to check your understanding of the material.

Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

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1

While setting up the sterile field, the scrub nurse notices that the gown pack has been stored near an open window, and the outer wrap feels slightly damp to the touch. The sterile field setup has just begun. What is the best course of action?

Proceed to open and use the pack as long as there is no visible contamination
Dry the surface gently with sterile gauze and continue setup
Have the circulator replace the pack with one verified as dry and sterile
Move the pack aside and use it later for a lower-risk case

2

Midway through a procedure, one of the scrub nurses suddenly feels unwell and must step away. The circulator and surgeon remain. What is the safest immediate adjustment for maintaining sterility and workflow continuity?

The team pauses briefly to cover the sterile field while the circulator summons another scrub nurse
The unwell scrub nurse should remove her gown and gloves within the sterile field to save time
The circulating nurse performs an immediate hand scrub and gowns in to take over the scrub role
The surgeon continues unaided until another staff member can arrive

3

During a complex orthopedic procedure, the scrub nurse’s glove tears while handling bone fragments but replacing gloves would interrupt a critical step. Considering infection control and team dynamics, what is the most appropriate action?

Continue with one compromised glove until the next natural pause
Remove both gloves, perform hand antisepsis, re-scrub, re-gown, and re-glove
Signal to the circulator for immediate assisted gloving, maintaining sterility
Switch to open gloving for the rest of the procedure

4

A scrub nurse has a mild, untreated dermatitis patch on the forearm that she says is “just dry skin.” A complex intra-abdominal surgery is scheduled. What is the best role assignment, combining ethics and infection control reasoning?

Permit scrub role under supervision, but do not allow her to handle critical instruments
Let her scrub only after covering the area with an occlusive dressing
Allow her to scrub in but wear two pairs of gloves and document the dermatitis
Assign her as the circulating nurse for this case, and arrange for her to scrub in future once healed

5

During setup, the circulator opens a large sterile drape and accidentally lets one corner droop below waist before unfolding. Which decision best integrates sterile field principles and pragmatic response?

Quickly lift the corner above waist level without discarding
Discard that drape and ask for a new sterile drape to re-cover the field
Continue with the drape as is, but avoid touching the lower edge
Trim off the contaminated segment and use the rest

6

You are the scrub nurse and the circulator presents your glove pack after gowning. You notice the glove pack’s inner wrapper flap is folded under itself. What should you do to maintain correct sterile sequence and safety?

Ask the circulator to reorient the glove pack so the inner wrapper opens upward
Move the glove pack aside and select a different set
Flip the wrapper manually to correct it before opening
Accept and open it, since the gloves inside should still be sterile

7

In an emergency situation, the scrub nurse’s gown and gloves are not yet ready, but the surgeon must proceed within 2 minutes. What ethical and procedural compromise aligns best with module principles?

Delay incision until full sterile attire is donned
Perform a rapid surgical scrub and don available gown/gloves with open gloving
Proceed without gown/gloves, using maximum caution
Have the circulating nurse act as scrub and proceed

8

While maintaining the sterile field, the scrub nurse drops a sterile instrument near the table’s edge, where it partially contacts a non-sterile area. What is the correct immediate action?

Retrieve it quickly before full contact occurs
Wipe the instrument with antiseptic solution and reuse it
Ask the circulating nurse to remove and replace it with a sterile instrument
Discard the entire sterile tray and start over

9

After a long procedure, the scrub nurse notices perspiration accumulating under the sterile gown sleeves, causing the cuffs to become damp. Which action best integrates infection control and procedural continuity?

Step back from the sterile field and request a change of gown and gloves
Continue the case but minimize arm movement
Ask the circulator to blot the cuffs with sterile gauze
Ignore it since moisture under sleeves is normal

10

During the “time-out” before incision, the surgeon notices a discrepancy in instrument count. How should the scrub nurse integrate sterile practices with communication and patient safety?

Ask the circulator to independently recount without disturbing the field
Proceed with incision but flag the discrepancy afterward
Ignore it and proceed to avoid delaying the procedure
Alert the team, pause, recount and resolve before proceeding


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Page data
Part of Skin Preparation - ECSACONM#Module Self Assessment
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors
License CC-BY-SA-4.0
Organizations ECSACONM, SELF
Language English (en)
Related 0 subpages, 2 pages link here
Views 2 page views (analytics)
Created October 13, 2025 by KatKor
Last edit October 13, 2025 by KatKor
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