2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest upd, Exams of Nursing

Download 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest upd and more Exams Nursing in PDF only on Docsity! 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. 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: 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: 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. 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? Ans - D. Use a sterile transfer 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update device Which of the following practices is recommended for handling of natural absorbable suture? 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? Ans - B. Counting silently so it doesn't distract other personnel. What is the correct definition of incisional biopsy? 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.Ans - A. Allow enough time for alcohol based to completely dry. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update By using a high radio frequency electrical current, surgeons routinely use electrosurgery to the tissue. Ans - C. Cut 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia should the nurse anticipate and prepare for? 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: 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. 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? 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: Ans-A. Cleaning 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE abbreviations, Acronyms and 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? Ans - A. Improve patient satisfaction When a "Time Out" discrepancy occurs, the nurse's priority action should be to: Ans - A. Call the patient's family to make them aware of the situation. B. Document the "Time Out" discrepancy C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam sterilization is the recommended practice? Ans - D. Instruments may be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. 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? 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. 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? 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. 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 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 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? Ans- A. How does the conduction system of the heart work? Which of the following are advantages of disposable drapes? Select all that apply. Ans- A. Disposable drapes are lint free. D. Using disposable drapes can minimize strike-through because of their moisture repellent quality. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 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. 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: 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? 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. 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: Ans- C. The nurse is responsible for knowing, understanding and complying with the facilities emergency electrical outage pace What interventions can the preoperative nurse preform to protect elderly 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update patients? Select all that apply Ans - A. Employ deep vein thrombosis prophylactic devices B. Position the patient for effective air exchange D. Use warming devices to maintain normothermia Which type of human factor is responsible for an error that occurs when a preoperative nurse is trying to attend to several tasks at once? Ans - C. Situational A surgical hand scrub includes the following steps: Select all that apply: Ans - A. Clean the sublingual areas of both hands using a disposable nail cleaner B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side E. Wash your hands and forearms with soap and running water 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. C. All sponges must remain in the OR room until the sponge count is complete. E. Two people, one of them whom is the RN circulator, must preform the sponge count An immediate latex allergic response has 3 stages. Which of the following states is matched with the appropriate symptoms? Ans - C. Can progress to a sudden drop in blood pressure, increased heart rate and potential circulatory collapse The surgeon's preference for the preoperative skin pre includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: Ans - B. Fumes trapped underneath the drapes and could ignite Which of the following is a method for preventing blood-borne pathogen exposure? Ans - A. Changing gloves during regular intervals during a procedure Which elements are required to create an environment where the culture of safety is embraced? Select all that apply. Ans - A. A sense of trust among all team members B. Development of a proactive approach instead of a reactive approach D. Sincere commitment to affirming safety as the first priority E. Verification of receipt of all information at all levels of the organization 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following are qualities of skin adhesive products? Select all that apply. 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? 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? 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 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 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update How can the preoperative nurse directly contribute to financial efficiency in the OR? Select all that apply. Ans - B. Manage All of the following organization provide guidance related to tissue banking EXCEPT: Ans - D. American National Standards 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following statements about the gowning procedure are 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 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 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 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 After setting up for a total joint procedure, a dirty instrument is discovered 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 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 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? Ans - D. Use personal protective equipment when handling body fluid spills Which type of needle point should you expect to be needed for suturing viable tissue such as the liver? Ans - A. Blunt You have been asked to give a presentation for your unit colleagues on preventing surgical site infections, which of the following discussion points is 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update NOT recommended in AORN guidelines? Ans - C. Using soap and water to perform surgical skin prep A patient is unable to transfer independently to the procedure bed, to achieve the outcomes related to safe patient transfer, which measures may be used to prevent shearing injury? Select all that apply. Ans- B. Request additional personnel to assist with patient transfer C. Use a friction-reducing transfer sheet. D. Use a slider or roller board E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the skeletal structures When documenting medications, which of the following elements should be included? Select all that apply.Ans - B. Drug name, concentrations, route of administration, dose and time it was administered. D. Verbal orders During an inguinal hernia repair the surgeon asks for a self-retaining retractor. Which of the following retractors would be most appropriate to chose? Ans - D. Weitlaner The Aldrete scale, used to determine readiness for discharge, measures all of the following Ans - A. Circulation C. Patient mobility D. Pulse oximetry E. respiratory status 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Match the thermal hemostasis device with the correct action Ans - - Laser: an intense and concentrated beam of light that coagulates and cuts at the same time while minimizing tissue destruction - Electrosurgery: The electrosurgical unit ESU is used to apply electrical current through the patient's tissue to cute and/or coagulate the tissue - Argon Beam: a device that uses ionized gas and electrical current. In which order do the body's defense mechanisms take place during healing? Ans - 1. Stop the blood loss 2. Clean up pathogens and debris in the wound 3. Seal the wound against infection 4. Regenerate the natural epidermal covering 5. Repair the deeper tissue damage. Which process should be performed before construction begins, after demolition, and at the end of an OR construction project? Ans - A. Air sampling 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Performance of the "time out" for patient safety includes verbal team agreement on which of the following items: Select all that apply. Ans - A. Patient identification using two patient identifiers B. Site of the procedure, including right-left distinction D. Procedure to be performed The principle elements required for an infection to occur are: Select all that apply. Ans- A. A method of transmission B. A source or reservoir C. A susceptible host with a portal of entry to receive an infection While waiting for the prep solution to dry, the circulator observes the laparotomy drape fall below the waist level of the scrub person. What is the best action for the nurse to take? Ans- A. Alert the team that the drape is contaminated and replace with a sterile drape The purpose of conducting postoperative phone calls within 24-48 horns for outpatient procedures is: Select all that apply. Ans- A. Ask about patient satisfaction with care D. Direct future hospital performance activities E. Note any surgical complications The goals of patient and family education include all of the following EXCEPT: Ans - A. Achieve long-lasting improvements in patient health status B. Improve patient satisfaction 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update C. Provide information/knowledge to the patient and and family What are the three methods used to accomplish hemostasis? Ans - A. Mechanical, chemical and thermal Which of the following statement is true concerning the use of the AORN Guideline for Preoperative Practices? Ans - D. Work setting and situations variations may determine the extent to which the AORN Guidelines can be applied Which of the following statements about gloving is true? Ans - B. The gown should be fastened in the back before donning gloves All of the following statements indicate an understanding of the recommended attire for the circulating nurse during and invasive procedure EXCEPT:Ans - C. Jewelry should on the outside of constantly monitored 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following practices is recommended to reduce the patient's risk of intraoperative skin injury Ans - D. Protect 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update The preoperative nurse's role in the patient and family education should include: Select all that apply Ans - A. Explaining what the patient will experience C. Providing emotional support to enhance coping D. Teaching specific skills that the patient will need to perform postoperatively Interventions to help prevent a surgical site infection (SSI) in the patient undergoing a laparoscopic appendectomy include: Select all that apply Ans - A. Performing the surgical skin prep beginning at the planned incision site and moving out towards the periphery in all directions C. Confirming that antibiotics are administered as ordered before the start of the case Which of the following components should be included in documenting the placement of a surgical drain? Ans- B. Location of the drain with appropriate padding Which of the following is an example of synthetic absorbable material? Ans - D. Vicryl Which of the following physiological effects is most likely to result from positioning a patient in lithotomy position? Ans - A. Circulatory and respiratory compromise due to pressure on the abdomen 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update environment prior to starting your case? Select all that apply Ans - A. One of the surgical lights are dim D. There are no specimen containers available To follow the AORN Guidelines for positioning the patient , the perioperative nurse should: Ans - D. Use additional precautions as appropriate based on unique considerations WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT APPLY. Ans - B. Drains expedite healing by removing blood, serosanguinous fluid and purulent material C. Drains function by passive (gravity) or active means (suction) D. Hand-of f report to the PACU nurse should include; the type location and patency of the drain Types of powered cutting instruments include: Select all that apply. Ans - A. Bone Reamers B. Ultrasonic dissectors C. Saws 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Based on your understanding of chemical safety issues, identify the best strategy to reduce the risk associated with ignition of prep solution vapor. Ans - A. Allow the prep to dry before draping to 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update D. Tissue shavers The goals of the surgical skin prep are to: Select all that apply. Ans - A. Inhibit rapid rebound growth of microorganisms B. Reduce the risk of postoperative site infection C. Remove soil and transient microorganisms and to reduce the number of resident microorganisms Endoscopic instrumentation maintenance may be enhanced by all of the following EXCEPT: Ans - C. Irrigating channels with normal saline at the end of each case Which of the following statements concerning mentors and preceptors are correct? Select all that apply Ans - A. Both model professional nursing behaviors B. Mentors guide nurses through global professional activities C. Preceptors guide nurses through defined clinical activities Which nursing diagnosis is a PRIORITY for the patient who is being positioned for a posterior lumbar laminectomy? Select all that apply. Ans - A. Impaired gas exchange 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update D. Risk for preoperative positioning injury When performing a plastic surgery skin closure, which choice of suture size would be most appropriate? Ans- C. 5-0 Over-oressurizaiton of a tourniquet cull may cause: Ans - B. Compression injuries to blood vessels The most important reason for maintaining endoscopic instruments at an optimal level of suction that Ans - A. Insulation defects can cause unseen burns Which is the following a disadvantage of using skin clips? Ans - C. They often cause more scarring than other skin closure methods Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: Ans - D. Begin with higher surfaces and finish with lower surfaces 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update authenticity of the patients signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgery with the patient and the patient has signed the consent. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include: Select all that apply. Ans - A. Duration of the procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition The choice of anesthesia is influenced by all of the following: Ans - A. Length of surgery C. Past experience with anesthesia D. Surgical procedure Indirect expenses include which of the following: Select all that apply. Ans - B. Utilities C. Support services E. Administrative personnel What responsibilities do OR staf f members have in maintaining a safe OR environment? Select all that apply. Ans - A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update D. Monitor, identify and report safety hazards. Which PNDS outcome is the most important when draping the surgical patient? Ans- A. The patient is free from signs and symptoms of infection All of the following are important examples of activities that re made possible with preoperative nursing EXCEPT: Ans - B. Ability to freely distribute information regarding surgical procedure and iqsgnosis to patient's family and employer postoperatively Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. Ans - A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges B. Outside shipping containers are segregated from items on shelves C. Traffic should be controlled to limit access to those trained in the handling of sterile supplies 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update D. Sterile supplies are able to be stored in a manner that allows adequate air circulation Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? Select all that apply. Ans - A. Applying cricoid pressure if necessary B. Double checking blood if administered D Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure In which type of healing does the wound remain open and allowed to heal on its own without additional surgery?Ans - B. Granulation You are circulating on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters non-purulent inflammation and ask for a culture. The procedure is completed using the laparoscope without need to open the abdomen, in completing your documentation of wound class the best choice would be: Ans- C. Contaminated Which item blow is typically subjected to non-biologic testing? Ans - C. Bullet from a crime scene Which of these practices is recommended during decontamination of used instruments? Select all that apply. Ans- B. Open box locks and dissemble instruments with multiple parts D. Use enzymatic detergent on heavily soiled instruments E. Wear PPE 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following are examples of the Guidelines - A sterile field should be maintained and monitored constantly. Select all that apply. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update possible with preoperative nursing documentation EXCEPT? Ans - D. Ability to freely distribute information regarding surgical procedure and diagnosis to patient's family and employer Which of these practices is recommended during decontamination of used instruments? Select all that apply. Ans- B. Open box locks and disassemble instruments with multiple parts D. Use an enzymatic detergent on heavily soiled instruments E. Wear PPE To prevent or minimize electrosurgical injuries to patients the preoperative nurse should Select all that apply. Ans - A. Assure that the prep solutions have dried and vapors evaporated before the device is used B. Confirm each requested power setting orally with the surgeon C. Inspect each circuit component if the surgeon repeatedly requests high power settings D. Inspect the electrosurgical unit before each use to verify the electrical integrity. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update If a delay occurs after a sterile field is set up, it may be covered with sterile drapes until the delay is resolved. C. If a delay occurs after a sterile field is set up, personnel my leave the room as long as someone remains in the room to maintain continuous visual observation of the sterile field D. The sterile field should be prepared as close as possible to the time of use. Safety precautions when handling and caring for powered instruments include. Select all that apply.Ans - A. Handling the powered instrument to the surgeon with the safety mechanism on B. Having irrigation ready to use with the drill or saw D. Using the instrument with the blade guard in place What are the requirements for hospital disinfectants? Select all that apply. Ans - A. Labeled as an EPA registered germicide B. Meets the required indications of use C. Has passed the potency test against 3 representative microorganisms The preoperative nurse's role in preparing and administering medications includes: Select all that applyAns - B. Assessing the patients medications allergies and use of herbal or dietary supplements. C. Documenting and reading back the surgeon's oral orders before preparing the medications D. Verifying the administration of the correct medication, dose, and route. The open assisted gloving technique should be used: Select all that apply. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Ans - B. Everytime gloves are changed during a case C. When close assisted gloving is not possible. D. When the surgeon requests this specific technique Proper OR attire for restricted area includes: Select all that apply. Ans - B. Shoe coverings required for all team members during c-section deliveries 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. When the tourniquet has been used for a surgical procedure the circulating nurse should document the following: Select all that apply. Ans - B. Limp Occlusion Pressure (LOP) and cup pressure C. Location of tourniquet and time of inflation and deflation D. Skin protective measures and preoperative and post-operative skin assessments Bases on your knowledge of universal protocol, which of the following are acceptable methods to correctly identify your patient. Select all that apply. Ans - B. Aks the patient to state his or her date of birth 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update D. Respiratory Which of the following statements is generally true about the coping styles of pediatric patients between the ages of 3 and 6 years? Ans- A. This age group interprets term literally The perioperative team implements aseptic technique practices to meet all of the following primary goals except: Ans - A. Improve patient satisfaction Which of the following strategies are recommended to reduce the occurrence of retained surgical items? Select all that apply Ans - - Avoid distractions during the counting process. - Count items including radiopaque soft goods, sharps and other miscellaneous items and instruments. - Use a standardized approach each time a count is conducted. Based on your knowledge of the Universal Protocol, Which of the following are acceptable ways to identify your patient? SELECT ALL THAT APPLY. Ans - - Ask the patient to state his or her date of birth. - Ask the patient to state his or her full name Which nerves are most frequently injured as a result of improper positioning of the patients arms? Select all that apply. Ans - - brachial plexus 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update - ulnar The surgeon's preference for the preoperative skin prep includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: Ans - Fumes trapped underneath the drapes could ignite What factors increase the risk for skin injury? Select all that apply. Ans - - Diabetes - Prolonged length of surgery - Unusual positions or positioning devices Documentation of intraoperative surgical specimens includes which of the following: Select all that apply Ans - - Identification of the specimens in the intra-operative record and the pathology requisition - No abbreviations - Notation of markers or tags such as clips or sutures, with a statement of what they represent The choice of anesthetic is determined after patient evaluation by and anesthesia professional. Some factors that may impact this decision include which of the following? Select all that apply. Ans- - Age 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update Which of the following reflects examples of a preceptor's role working with a new preoperative RN. Ans - Limiting support to 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update - ASA physical status classification - Length of surgery - Past experience with anesthesia - Surgical procedure Timely administration of Dantrolene or Ryanodex is a critical measure in resolving a malignant hyperthermia crisis. Which of the following are also corrective measures that should be implemented? Select all that apply. Ans - - Provide 100% oxygen - Stop administration of trigging agents - Stop surgery all together if possible - Used iced saline to cool patient Asking questions, and supporting growth and development The AORN guideline for Environmental Cleaning gives director to preoperative staf f on cleaning and disinfection in the surgical environment. Which recommendations in that guideline address interim cleaning? Select all that apply. Ans - - A safe, clean environment should be reestablished after each surgical procedure. - Contaminated disposable items should be handled safely accordingly to state and federal regulations - Personnel should take precautionary measures to limit transmission of microorganisms when performing environmental cleaning and disinfection activities. 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history of smoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. Based on this history, your would be concerned about which of the following. Ans - 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update - Extend the perimeter of the floor area being mopped to include all areas that are visibly soiled You are second scrubbing today with another nurse. As you are both changing in the locker room, you notice the following aspects of her surgical attire. Which aspects of her surgical attire are acceptable? Select all that apply. Ans- - Hair is contained in a facility approved bouffant head covering - Scrub top is secured by tucking it into her pants - Putting on a long sleeved warm-up jacket to prepare for her circulating role Two types of regional anesthesia include spinal and epidural blocks. Which of the following reflect complications of an epidural block? Ans - hypotension, high spinal paralysis, spinal headache 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update What are the 3 main factors to consider when assessing the patient for allergies? Ans - Prior reaction, hereditary, type To follow AORN Guidelines for positioning the patient, the preoperative nurse should Ans- use additional precautions as appropriate based on unique patient considerations Which of the following statements is TRUE concerning use of the AORN guidelines for Preoperative Practice? Ans - Work setting and situation variations may determine the extent to which the AORN guidelines can be applied Proper OR attire for restricted areas include: Select all that apply. Ans - - Two piece scrub suit with top tucked into pants and secured at waist. - Warm up jacket snapped with cuffs down to wrists shoe coverings required for all team members during c-section When documenting medications, which of the following elements should be included? Select all that apply Ans - - Drug name, concentration, route of administration, dose and time it was administered - Verbal orders Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. Ans - - The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges - Traffic should be controlled to limit access to those trained in the 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update handling of sterile supplies - Sterile supplies are able to be stored in a manner that allows adequate air circulation 2022 Perioperative 101-Final EXAM questions and answers with complete solutions latest update