Download AORN Periop 101 Exam: Multiple Choice Questions and Answers and more Exams Health sciences in PDF only on Docsity!
AORN Periop 101 Exam-with 100%
verified solutions- 2023 - 2024
When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. - ANSWERA. 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: - ANSWERA. 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: - ANSWERA. 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. - ANSWERA. 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? - ANSWERD. Use a sterile transfer device Which of the following practices is recommended for handling of natural absorbable suture? - ANSWERC. 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? - ANSWERB. Counting silently so it doesn't distract other personnel. What is the correct definition of incisional biopsy? - ANSWERD. 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. - ANSWERA. Allow enough time for alcohol based skin preparations to completely dry. B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient. D. Visually check the integrity and insulation of all cords and coagulation instruments before use. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include: Select all that apply. - ANSWERA. Duration of the procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition Which of the following statements reflect the concept of critical thinking? Select all that apply. - ANSWERC. Informed practice D. Holistic thinking E. Unbiased thinking F. Reasoned application of a step by step process What is the best drape to use for an umbilical hernia repair? - ANSWERB. Laparotomy
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. - ANSWERB. 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? - ANSWERB. 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: - ANSWERA. Cleaning By using a high radio frequency electrical current, surgeons routinely use electrosurgery to the tissue. - ANSWERC. Cut and coagulate The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? - ANSWERA. Improve patient satisfaction Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE abbreviations, Acronyms and Symbols? - ANSWERA. MS When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - ANSWERA. 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? - ANSWERD. Instruments may be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. - ANSWERA. 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? - ANSWERB. 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. - ANSWERB. 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? - ANSWERA. 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. - ANSWERA. 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.
- ANSWERA. The body area prepped B. Name of the person performing the prep
Your manager has asked you to provide an in-service to team members regarding hand hygiene. Important information for you to include is: - ANSWERD. Skin is a major source of contamination in the surgical environment Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. - ANSWERA. 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? - ANSWERA. How does the conduction system of the heart work? Which of the following are advantages of disposable drapes? Select all that apply. - ANSWERA. 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. - ANSWERA. 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: - ANSWERD. 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? - ANSWERC. Prompt disciplinary action when errors occur. When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative nurse should: Select all that apply. - ANSWERA. 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: - ANSWERC. 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 patients? Select all that apply - ANSWERA. 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? - ANSWERC. Situational A surgical hand scrub includes the following steps: Select all that apply: - ANSWERA. 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 Put the following steps in order when opening a wrapped sterile package: - ANSWER1. Open the farthest wrapper flap
- Open side flaps
Which of the following practices help to prevent contamination in the surgical suite? Select all that apply
- ANSWERB. 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 statements about counts is correct? Select all that apply. - ANSWERA. All preoperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts 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? - ANSWERC. 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: - ANSWERB. Fumes trapped underneath the drapes and could ignite Which of the following is a method for preventing blood-borne pathogen exposure? - ANSWERA. 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. - ANSWERA. 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 Which of the following are qualities of skin adhesive products? Select all that apply. - ANSWERB. 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? - ANSWERA. 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? - ANSWERC. 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 - ANSWERA. 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? - ANSWERD. 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 - ANSWERA. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure
Which of the following latex sensitivity categories match the description provided? - ANSWERC. 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: - ANSWERC. 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: - ANSWERA. Elevate (offload) heels off the bed Important values affecting the clinical setting include which of the following? - ANSWERC. Fair and equitable care During which phase of wound healing does contraction occur? - ANSWERC. Proliferation Which of the following recommendation for enhancing the future of nursing included in the 21011 Institute of Medicine report? Select all that apply. - ANSWERA. 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. - ANSWERA. 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 - ANSWERA. 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? - ANSWERD. 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? - ANSWERA. 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 NOT recommended in AORN guidelines? - ANSWERC. 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. - ANSWERB. 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. - ANSWERB. 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? - ANSWERD. Weitlaner
D. Tissue shavers When setting up the insufflator for a robotic hysterectomy procedure, the perioperative nurse should do all of the following except: - ANSWERD. Set the initial insufflators pressure to 12mmHg 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. You are concerned about his wound healing post-operatively based on the following factors: Select all that apply - ANSWERB. Corticosteroids may potentially delay wound healing C. People with diabetes have a higher risk for infection due to the increase in glucose levels D. Smoking as been documented to increase the probability of nonunion at a fracture site When making the preoperative assessment, the nurse should take the following into considerations. Select all that apply - ANSWERA. Mobility C. Planned duration of the procedure D. Preexisiting healthy conditions E. Type of anesthesia Barriers to effective patient and family education in perioperative settings include: select all that apply - ANSWERA. Anxiety about an uncertain outcome B. Discomfort or pain C. Fear of the unknown D. Limited time for assessment and teaching Place the four basic steps of fire safety in the correct order: - ANSWERRACE: Rescue patients and staff members in immediate danger Notify the fire department Confine the fire. Shut the doors
Evacuate according to the facility plan Preoperative fluid management is important because excessive amounts of fluid could lead to which of the following conditions? Select all that apply. - ANSWERB. Hypervolemia C. Hyponatremia Performance of the "time out" for patient safety includes verbal team agreement on which of the following items: Select all that apply. - ANSWERA. 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. - ANSWERA. 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? - ANSWERA. 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. - ANSWERA. 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: - ANSWERA. Achieve long- lasting improvements in patient health status B. Improve patient satisfaction
Which of the following practices is recommended to reduce the patient's risk of intraoperative skin injury
- ANSWERD. Protect sensitive areas of the skin with appropriate padding Which of the following is an example of synthetic absorbable material? - ANSWERD. Vicryl Which of the following physiological effects is most likely to result from positioning a patient in lithotomy position? - ANSWERA. Circulatory and respiratory compromise due to pressure on the abdomen When you are receiving a handoff report at a shift change, you notice there appears to be an unlabeled medication on the field. What is the best course of action in this situation? - ANSWERC. Discard the medication and replace with an unopened container Which AORN guideline most directly pertains to interim cleaning in the perioperative environment? - ANSWERA. A safe, clean environment should be reestablished after each surgical procedure. The Joint Commission Universal Protocol consists of: Select all that apply - ANSWERA. Preoperative verification B. Surgical site marking C. Time Out Preoperative documentation should include: Select all that apply - ANSWERA. Administration of ordered medications C. Performance of the universal protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment
The preoperative nurse's role in preparing and administering medications includes: - ANSWERB. Assessing the patient's medication allergies and use of herbal or dietary supplements C. Documenting and reading back the surgeon's oral orders before preparing medications D. Verifying the administration of the correct medication, dose and route What special care procedures are required for microsurgical instruments? Select all that apply - ANSWERB. Keep stainless and titanium instruments separated C. Use a non-birous sponge wipes to clean the instruments recommended D. Use tip covers or protective sleeves when instruments are not used. To minimize the potential for injury to patients related to the use of the ESU, the perioperative nurse should employ which of the following safety measure? Select all that apply - ANSWERA. Ensure that the audible alarm can be heard if it is activated B. If expecting fluids, encase the footswitch in an impervious cover C. Never pour fluids on the generator or foot switch You are preparing your OR for a laparoscopic splenectomy. Which of the following would you need to address after inspecting the surgical environment prior to starting your case? Select all that apply - ANSWERA. 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: - ANSWERD. Use additional precautions as appropriate based on unique considerations WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT APPLY. - ANSWERB. Drains expedite healing by removing blood, serosanguinous fluid and purulent material C. Drains function by passive (gravity) or active means (suction) D. Hand-off report to the PACU nurse should include; the type location and patency of the drain
