Module Test: Laparoscopy Setup

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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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During a laparoscopic sigmoid colectomy, the tower is positioned on the patient’s right. Midway through, the surgeon complains of neck strain and a lag in visualization. Which adjustment most directly corrects the ergonomic and visual issue?

	Lower the tower height to eye level with the anesthetist’s monitor
	Increase light intensity and move the tower closer to the sterile field
	Reposition the camera head to a 0° setting
	Shift the tower to the patient’s left, aligning it with the surgeon’s natural sight line

At setup, the insufflator alarms immediately when flow begins. The tubing and trocar are connected, but pressure rises rapidly. Which step best addresses the root cause?

	Disconnect and purge the tubing to remove trapped air
	Replace the CO₂ cylinder and reattempt entry
	Reduce target pressure and continue insufflation
	Switch to a higher flow setting for faster stabilization

A dim, yellow-tinged image appears on the monitor after 15 minutes of surgery. The scope lens is clear. Which check should be performed first?

	Swap the camera head
	Replace the insufflator filter
	Verify the light cable is securely fitted into the source port
	Perform another white balance

While draping, the circulating nurse notices that the light cable lies across the sterile field to reach the scope. Which action best maintains both safety and sterility?

	Shorten the cable by coiling it near the light source
	Re-route the cable along the drape edge and secure it with non-perforating clips
	Reposition the tower to the opposite side of the patient
	Cover the cable with a sterile sleeve and proceed

During dissection, the surgeon notes poor current delivery from a bipolar forceps. Inspection reveals intact insulation and a functioning generator. What should be checked next?

	Reconnect the light cable to the correct source port
	Replace the insufflation tubing to improve circuit integrity
	Inspect for dried fluid or debris between the forceps’ tips
	Verify the trocar port’s electrical grounding

During laparoscopic cholecystectomy, the operative field repeatedly clouds with smoke despite active evacuation. Which modification best optimizes visibility without destabilizing pneumoperitoneum?

	Switch the evacuation port to the same side as the insufflation tubing
	Balance flow by reducing evacuation suction strength
	Increase insufflation flow rate to 8 L/min
	Replace the CO₂ cylinder with a high-capacity one

Postoperatively, a nurse discovers that packaging for a disposable stapler was discarded before the lot number was recorded. What is the most appropriate immediate action?

	Retrieve packaging from waste and document the lot and UDI
	Continue documentation with the device’s product name only
	Replace the documentation with the backup stapler’s label
	Notify sterile processing but omit record since device was used safely

During a bariatric procedure, the camera head fails, leaving a blank monitor. The assistant suggests using a non-sterile spare to avoid delay. What should the circulating nurse do first?

	Inform the surgeon and prepare the sterile backup camera head for quick exchange
	Proceed with the non-sterile unit after verifying function
	Drape the non-sterile camera in a sterile sleeve and reconnect immediately
	Attempt to troubleshoot by adjusting the tower brightness

At the end of the case, the scrub nurse notices insulation cracking on a reusable dissector but fears reporting it might delay turnover. What is the most appropriate professional response?

	Request repair later but keep the instrument available if urgently needed
	Note the defect privately and replace it at the next scheduled maintenance
	Clean and store the instrument for the next procedure
	Tag and isolate the instrument, then notify sterile processing staff

Mid-procedure, the image darkens and the abdomen appears partially deflated. What sequential troubleshooting step is most appropriate before calling for technical support?

	Inspect the lens, verify light intensity, then assess insufflation adequacy
	Replace the light source bulb, then re-insufflate
	Adjust monitor contrast, then test trocar seals
	Recalibrate the camera white balance, then change the filter

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Page data
Part of	Laparoscopy Setup - 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	1 page views (analytics)
Created	October 19, 2025 by KatKor
Last edit	October 19, 2025 by StandardWikitext bot
Cite as	KatKor (2025). "Module Test: Laparoscopy Setup - ECSACONM". Appropedia. Retrieved June 4, 2026.
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