Download AORN PERIOP 101 EXAM QUESTIONS & CORRECT ANSWERS GRADED A LATEST 2024 EXAM and more Exams Nursing in PDF only on Docsity!
AORN PERIOP 101 EXAM QUESTIONS &
CORRECT ANSWERS GRADED A LATEST 2024
EXAM
When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. Correct ans
- A. It involves mental discipline & the ability to speak out B. It is essential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: Correct ans - A. Air flow in the OR rooms should be cleaned by HEPA filters. C. Mask are required when open sterile supplies are present. E. Temperature is maintained between 68 and 75 degree F. You are assigned to relieve a surgical technologist for lunch. You will need: Correct ans - A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. Correct ans - A. Preoperative verification B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterile field?
Correct ans - D. Use a sterile transfer device Which of the following practices is recommended for handling of natural absorbable suture? Correct ans - C. Open the package carefully over a small basin to prevent splashing of the packaging solution Recommended sponge count procedures include all of the following EXCEPT? Correct ans - B. Counting silently so it doesn't distract other personnel. What is the correct definition of incisional biopsy? Correct ans - D. A small portion of tissue is incised and sent for examination. Which of the following methods listed below may prevent mishap, event, or fire from occurring when handling electrosurgical equipment? Select all that apply. Correct ans
- A. Allow enough time for alcohol based skin preparations to completely dry.
D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage occurs. E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use. After initial administration, which statement below the proper order of the 4 stages of general anesthesia affecting the patient? Correct ans - A. Administration, excitement, intrasurgery, respiratory failure What responsibilities do OR staff members have in maintaining a safe OR environment? Select all that apply. Correct ans
- A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia should the nurse anticipate and prepare for? Correct ans - B. Provide 100% oxygen, used iced saline to cool patient. An important difference between minimally invasive (MIS) and open surgical procedures is that MIS: Correct ans - A. Can be performed through smaller incisions. While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of systemic toxicity related to which of the following patient complaints? Select all that apply. Correct ans - B. Metallic taste C. Numbness of the lips D. Tinnitus E. Visual Disturbances To place a patient safely in TRENDELENBURG position, which of the following practices is indicated? Correct ans - B. Position knees over the break in the procedure bed to allow for knee flexion. The first step in the sterilization process of surgical instruments that have been used in case is: Correct ans - A. Cleaning By using a high radio frequency electrical current, surgeons routinely use electrosurgery to the tissue. Correct ans - C. Cut and coagulate The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? Correct ans - A. Improve patient satisfaction
Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. Correct ans - A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning transfer. D. Secure lines and catheters prior to the move and dislodging. Which of the following statements about regional anesthesia is correct? Correct ans - B. Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. Correct ans
- B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent. Which PNDS outcome is the most important when draping the surgical patient? Correct ans- A. The patient is free from signs and symptoms of infection Which of the following components should be included in documentation of intraoperative patient position? Select all that apply. Correct ans - A. Identification of specific positioning devices used B. Names of personnel assisting with positioning C. Placement of arms D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should include: Select all that apply. Correct ans
- A. The body area prepped B. Name of the person performing the prep C. Preoperative assessment of the skin at the operative site. D. Skin prep agent used. Which of the following statements about proper attire of surgical team members are true? Select all that apply. Correct ans - C. Sterile gowns should resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants Preoperative safety concerns that should be considered when caring fro a patient with an implanted electrical device (IED) include which of the following? Select all that apply. Correct ans - A. Bipolar surgery should be used whenever possible B. The active electrode and dispersive electrode are close together but as far away from the IED as possible.
A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges C. Traffic should be controlled to limit access to those trained in handling of sterile supplies D. Sterile supplies are able to bet stored in a manner that allows adequate air circulation. E. When storing items on the top shelf of a supply cart one to consider the distance between the top of an item and the ceiling The types of questions that a novice perioperative nurse might NOT ask her preceptor about an upcoming cardiovascular surgery include which of the following? Correct ans - A. How does the conduction system of the heart work? Which of the following are advantages of disposable drapes? Select all that apply. Correct ans - A. Disposable drapes are lint free.
D. Using disposable drapes can minimize strike-through because of their moisture repellent quality. During your preoperative assessment of a patient undergoing a laparoscopic cholecystectomy, which of the following considerations would be important to you as a preoperative nurse. Select all that apply. Correct ans
- A. Patients previous abdominal surgery. B. History of DVT. C. Voiding in the prep area prior to going to the OR. Which of the following is the best definition of sterile technique? Sterile technique is: Correct ans - D. Implemeted during surgical procedures to prevent microbial contamination Which of the following is NOT a characteristic that promotes a culture of safety within a healthcare organization? Correct ans - C. Prompt disciplinary action when errors occur. When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative nurse should: Select all that apply. Correct ans - A. Have a backup tank available C. Verify that the CO2 pressure and supply alarms are on and functioning When faced with an electrical power outage in the OR it is most important for the preoperative RN to remember that: Correct ans - C. The nurse is responsible for knowing, understanding and complying with the facilities emergency electrical outage pace
E. Wash your hands and forearms with soap and running water Put the following steps in order when opening a wrapped sterile package: Correct ans - 1. Open the farthest wrapper flap
2. Open side flaps 3. Open the nearest wrapper flap Preoperative documentation should include: Select all that apply: Correct ans - A. Administration of ordered preoperative medication C. Performance of the Universal Protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment The following information is important in the management of forensic specimens. Select all that apply. Correct ans - A. Forensic specimens include but are not limited to hair, fibers, debris, body fluids and foreign bodies B. Forensic specimens require special handling when the surgeon is using metal instruments C. Hospitals need to have policies to give guidance to the preoperative nurse about the management of forensic specimens According to the CDC, which surgical wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? Correct ans - D. Class IV (Dirty/Infected) The preoperative nurse should avoid placing the dispersive electrode on the following areas. Match the area with the rational listed below: Correct ans - A. Scar tissue: May act as insulation B. Tattoo sites: contain metallic elements that could attract current
C. Implanted prosthesis: Contain metal which could attract current and impede return current flow D. Hairy sites: Inhibits the flow of electrical current Which of the following strategies should be considered for implementing successful infection control? Correct ans - B. Washing your hands prior to greeting the patient in the pre- operative room Which of the following practices help to prevent contamination in the surgical suite? Select all that apply Correct ans - B. All horizontal surfaces should be damp dusted before the first scheduled procedure of the day. C. hands should be washed with soap and water for at least 15 seconds D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber cloth moistened with detergent for disinfectant and water.
Which of the following are qualities of skin adhesive products? Select all that apply. Correct ans - B. They can be used in place of sutures. D. They are primarily used on facial, extremity, and torso wounds. Which of the following practices violates a patient's ethical right to self- determination? Correct ans - A. Automatic intrapoperative suspension of a don-not-resusucitate decision Which of the following is NOT an example of an ethical dilemma that preoperative nurses may encounter? Correct ans - C. Family disagreement about a below knee amputation of an 19 year old who has already given consent
Identify the general guidelines for identifying and labeling specimens. Select all that apply Correct ans - A. Ask the surgeon to identify the specimen B. Complete the laboratory or pathology requisition C. Label the outside of the specimen container with the patients name, identification number, description and source of the specimen and surgeon Which of the following statements about the gowning procedure are correct? Correct ans - D. Step back from the table into an unobstructed area to let the gown unfold A psychosocial assessment may include the patient's: Select all that apply Correct ans - A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure Proper OR attire for restricted areas includes: Select all that apply Correct ans - C. Two-piece scrub suit with top tucked into the pants and secured at the waist D. Warm-up jacket snapped, with cuffs down to wrists How can the preoperative nurse directly contribute to financial efficiency in the OR? Select all that apply. Correct ans - B. Manage the length of cases by having all needed supplies ready C. Participate in product evaluation and waste reduction activities D. Reducing turnover time E. Working to attain on-time starts All of the following organization provide guidance related to tissue banking EXCEPT: Correct ans - D. American National Standards Institute (ANSI)
The dispersive electrode should: Correct ans - C. Be placed as close to the operative site as possible Which of the following latex sensitivity categories match the description provided? Correct ans - C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove power and chemical agents added to raw latex If the preoperative team is unable to extinguish the fire in the OR, recommendations include: Correct ans - C. Evacuating the patient and the preoperative team following the organization fire plan The best intervention to prevent intraoperative pressure ulcer development on the patient's heels would be to: Correct ans - A. Elevate (offload) heels off the bed Important values affecting the clinical setting include which of the following? Correct ans - C. Fair and equitable care During which phase of wound healing does contraction occur? Correct ans - C. Proliferation Which of the following recommendation for enhancing the future of nursing included in the 21011 Institute of Medicine report? Select all that apply. Correct ans - A. Nurses should engage in life long learning C. Nurses should achieve higher levels of education D. Academic institutions should improve their systems to provide academic progression Safety precaution when handling and caring for powered instruments include: Select all that apply. Correct ans
- A. Handling powered instrument to the surgeon with the safety mechanism on B. Having irrigation ready to use the drill or saw D. Using the instrument with the blade guard or drill guard in place During admission of a patient to Phase 1 of post anesthesia care, the perianesthesis nurse is responsible for which of the following? Select all that apply Correct ans - A. Assessing the patient's level of consciousness B. Assessing the patients pain level C. Maintaining a patent airway D. Monitoring blood pressure, heart rate and oxygen saturation Which of the following environmental sanitation practices is used to limit transmission of microorganisms? Correct ans
- D. Use personal protective equipment when handling body fluid spills
