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SELF/Perioperative Nursing/Surgical First Assistant/Suturing Techniques and Wound Closure Assistance Quiz

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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

Which suturing technique consists of a single continuous strand with knots placed only at the beginning and end of the closure?

Vertical mattress
Continuous (running)
Horizontal mattress
Simple interrupted

2

During continuous suturing, what is the Surgical First Assistant's primary responsibility?

Selecting the suture material independently
Tightening every knot after the surgeon completes it
Cutting each suture immediately after every needle pass
Maintaining smooth strand control while ensuring consistent tension and preventing loops or tangles

3

While assisting during wound closure, a loop develops in the suture strand. What is the most appropriate action?

Lift and straighten the strand immediately before it tightens
Pull the strand firmly to tighten the loop
Wait until the surgeon notices the problem
Cut the suture and replace it

4

Why should the Surgical First Assistant prepare the next suture before the current layer has been completed?

To reduce the total number of sutures used
To maintain a smooth workflow and minimize interruptions during wound closure
To allow the assistant to choose the next closure technique
To avoid the need for communication with the scrub nurse

5

When assisting with interrupted suturing, which technique best promotes accurate tissue approximation?

Pull the free end firmly toward the wound until the tissues blanch
Hold the free end loosely to allow the surgeon to control all tension
Maintain steady counter-tension on the free end approximately 30–45 degrees away from the wound edge
Release the suture immediately before the knot is tightened

6

Which practice best demonstrates safe management of sutures and sharps during wound closure?

Passing loose needles directly from hand to hand to speed the procedure
Leaving trailing suture strands loose on the sterile field so they remain easy to reach
Placing used needles beneath surgical drapes until the procedure is finished
Managing needles using neutral zone principles where appropriate and securing trailing suture strands with haemostats

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Page data
Part of Setting Up the Operating Room - ECSACONM
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Ian-laurel
License CC-BY-SA-4.0
Organizations ECSACONM, SELF
Language English (en)
Related 0 subpages, 1 pages link here
Views 0 page views (analytics)
Created July 13, 2026 by 2600:387:C:6A1B:0:0:0:4
Last edit July 13, 2026 by StandardWikitext bot
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