Download AORN Periop 101 Final Exam Questions and Answers (2026/2027) and more Exercises Nursing in PDF only on Docsity!
2026/ 2027 Version | Questions & Correct
Answers (100% Correct)
Using mechanical friction will not aid in Removal of Resident bacteria Reduction in resident bactiera is aided by Antimicrobials Prolonged contact of skin atisepsis agents due to pooling of solutions can cause patient injuries that inlude Chemical and thermal burns Which one of the following statements is TRUE? Heating povidone-iodine may decrease it's effectiveness Documentation of the preoperative skin prep includes all of the following except Hair Removal ++Manufacture of solutions used Allergies Name of person who performed the prep
2026/ 2027 Version | Questions & Correct
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When prepping an exremity, which one of the following is always required Positioing the extremity to prevent prep solution from running toward the incision site Surgical wound infections can result in decreased Income for hospitals Pre-operative skin prep is accomlished by Removing soil and transient microbes Reducing resident microbes Using antimicrobial agents that inhibit growth of microbes According to AORNs guidelines for skin prep of pt's, hair at the operative site is Allowed to remain unless it interferes with the surgical procedure The concept of prepping from clean to dirty means Beginning at the surgical site and using circular strokes toward the periphery Common resident bacteria include all except Staphylococcus epidermis
2026/ 2027 Version | Questions & Correct
Answers (100% Correct)
The principle of preoperative skin prep include all of the following except Prep from clean to dirty Use aseptic technique +++Prep stomas first Prevent pooling Which of the following topical antimicrobial agents is neurotoxic CHG Which statement is TRUE about iodophor with alcohol? It provides rapid reduction in microbial counts of skin Persistence or residual activity is excellent Non toxic and nonirritating +++Percutaneous absorption does not occur across mucous membranes Which statement is FALSE about eye, extremity, or vaginal prep? A 5% sterile opthalmic prep solution is commercially available for eye preps +++The vagina should be prepped first as part of the vag prep When prepping an extremity, it should be positioned so that the incision site is the upper-most portion of the prep If fingers or toes are included in the surgical field (extremity prep), it may be necessary to scrub the nail with a brush and soap solution
2026/ 2027 Version | Questions & Correct
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Hand hygiene should be performed after which of the following Touching the OR bed controls Adjusting a pt bed linens Marking the surgical site All of the above When should peri-operative team members use an alcohol based rub for hand hygiene? After hands have been exposed to blood or other bodily fluids After using the restroom +++When hands are not visibly soiled When caring for patients with spore-forming organisms What is the maximum length of time perioperative team members should spend performing hand hygiene with soap and water? 7, 15, 20, or 30 seconds Answer: 15 seconds How much of an alcohol based hand rub should be used when performing hand hygiene The amount recommended by the manufacturer
2026/ 2027 Version | Questions & Correct
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Which of the parts of the surgical gown is considered sterile Front from the chest to the sterile field Which method of gloving should be used by team members during the initial gowning and gloving process for surgical procedures Assisted gloving with gown cuffs at fingertips How often should surgical gloves be changed during an invasive surgical procedure Every 60 to 90 minutes Every 90 to 150 minutes Surgical gloves only require chnaging if a known or suspected break occurs or tear identified There is no recommended time for changing gloves Which of the following is the preferred method for assessing hand hygiene in the perioperative setting Direct observation Measurement of product usage Automated monitoring Self-reporting
2026/ 2027 Version | Questions & Correct
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Approximately what percentage of surgical patients develop a surgical site infection during hospitalization 5% Which of the following terms is used to refer to seepage of fluid through a sterile material with subsequent bacterial penetration Strike-through Which of the following types of drape is to be tubular Stockinette Which of the following is recommended when opening a sterile field in the perioperative setting Cables and tubing should be secured with non-perforating devices Which surface of the sterile field drapes are considered sterile TOP ONLY Drapes are considered contaminated under which of the following conditions A hole is discovered The drape drops below waist level
2026/ 2027 Version | Questions & Correct
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Which of the following is an acceptable position for the hands and arms of a scrubbed person for maintaining the integrity of the sterile field Above WAIST level When should perioperative team members wear surgical attire and a surgical head covering Any time they enter an operating room for any reason Which of the following is the most important practice for minimizing the risk for transmission of infectious organism transmission HAND WASHING Which of the following parts of a surgical gown are considered sterile? The sleeves from the cuff to 2" above the elbow Which of the following statements about preoperation of sterile fields is most accurate Perioperative team members should perform surgical hand anitsepsis before entering the sterile field Which of the following areas of properly draped sterile field is considered sterile The TOP
2026/ 2027 Version | Questions & Correct
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Which of the following isolation technique procedures should be followed to prevent the spread of cancer cells from one area to another during resection of metatstatis tumors Changing Surgical gloves when soiled Covering existing sterile drapes with new sterile drapes after the resection Discontinuing use of instruments after they were used for the tumor excision Organizing sterile field in a way that minimizes risk of exposure to cancerous cells ALL OF THE ABOVE Which of the followng practices should be followed when transfering sterile items to the sterile field Present heavy or sharp sterile items directly to a scrubbed team member recieving the items onto the sterile field What is the best practice to follow if a contaminated item is discovered in a set of sterilized instruments Consider the entire set to be contaminated Which of the following statements regarding the use of a unidirectional ultra clean air delivery system is most accurate Heater cooler devices should be positioned inside the air curtain Scrubbed team members should stand outside the air curtain
2026/ 2027 Version | Questions & Correct
Answers (100% Correct)
+++Decreased core body temp Which of the following is NOT a common physiological effect pneumatic tourniquet deflation following a period of inflation are characterized by Hypotension Decreased heart rate +++Increased core body temp Decreased core body temp The acid base effect of penumatic tourniquet deflation ollowing a period of onfaltion are characterized by Elevated PaCO2 with resp acidosis and metabolic alkalosis +++Elevated PaCO2 with resp acidosis and met. acidosis Decreased PaCO2 with resp alkalosis and met acidosis Decreased PaCO2 with resp alkalosis and met alkalsosis A type of tissue in the extremites that is highly susceptible to ischemia is ++Skeletal muscle Nerves Bone Skin
2026/ 2027 Version | Questions & Correct
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A perioperative nurse is performing a preoperative assessment of a patient scheduled for total knee arthroplasty. Which of the following is NOT a primary contrindication for pneumatic tourniquet use Significant vascualr disease, including recent bypass, history of deep venous thrombosis, or impaired peripheral circulation Sickle cell anemia and other forms of hemoglobinopathy History of pain or weakness in the bones of muscles of the extermities +++History of ulcerative colitis Choose the FALSE statement about pneumatic tourniquet safety Wider, contoured cuffs are generally safer than narrow cuffs because they require less pressure to achieve a near bloodless field Increased tourniquet time increases the risk of postoperative complications +++Narrow cuffs are generally safer than wide contoured cuffs because they require less pressure to achieve a near bloodless field Increased cuff pressure increases the risk of postoperative complications Chiose the false stemant regarding intravous regional anesthesia (Bier's Block) +++After a procedure is over, the perioperative nurse should leave the cuff inflated for at least 60 minutes Intermittently delfating and reinflating the cuff for several cycles after the procedure is over may help minimize peak blood concentration of the local anestetic and reduce the risk of a systemic toxic reactoin
2026/ 2027 Version | Questions & Correct
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700 to 1000 2000 to 2500 2500 to 2700 Choose the FALSE statement about perioperative fire prevention and management plans They should be developed by a multidisciplinary group of key stakeholders They should describe key content and frequency of fire safety education activities They should specify policies and procedures for fire prevention and response +++They generally are not needed unless required by a health care facility's insurance policy They should specify team members roles and responsibilities during the fire prevention and response The three components of the Fire Triangle are oxidizing source, ignition source, and fuel source TRUE Examples of ingtion sources include Electrocautery units and active electrosurgical electrodes Fiber optic light cords Lasers ALL OF THE ABOVE
2026/ 2027 Version | Questions & Correct
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A fire risk assessment should be performed Only before procedures involving electrocautery, an ectrosurgical unit, or a laser Only if requested by the surgeon of first assistant +++Before all operative procedures Only before surgical procedures above the xiphoid process and in the nasopharynx Only if the patient requires more than 30% supplemental oxygen The flash point of flammable meterials is (), while the flash point of combustible materials is () <100F, >100F
100, < =100F, >100F <120F, >120F 120F, <120F Oxidizing sources in the operating room include +++Oxygen +++Nitrous Oxide Carbon Dioxide +++A and B A,B, and C
2026/ 2027 Version | Questions & Correct
Answers (100% Correct)
Fire balnkets should NOT be use in the operating room becuase they Are made of wool, which can catch fire in an oxygen enriched environment Can cause wound contamination or move instruments at the surgical site Can trap fire next to or under a patient ALL OF THE ABOVE Which of the following fire safety practices should be implented when a lasrer is used during surgery Keep wet towels and saline on the sterile field Place moist sterile towels, sponges, and drapes around the surgical site Use standard endotracheal tubes for upper airway procedures involving laser Allow fumes from flammable solutions to dissipate before activating the laser Which type of fire extinguisher is most approraite to extignuish a fire on or in a patient +++Carbon dioxide extinguisher Ammonium phosphate or other dry powder extinguisher Water mist extinguisher Foam extinguisher
2026/ 2027 Version | Questions & Correct
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PAtients and personnel must be evacuated becuase of an operating room fire The proper order of steps is RACE Rescue Alarm Confine Evacuate If evacuated becuase of a fire, health care personnel should go To the nearest safe location where they can resume caring for patients A scrubbed perioperative registerd nurse observes a fire start ojn a patient in the operating room. After alerting the team, the nurse should immediately Obtain and operate the nearest fire extinguisher by using the PASS technique Pat the flames with a drape +++Smother the fire with a towel or pour flammable liquid on the fire Lift the patient and transport him or her out of the room Turn off the oxygen source Which practice is NOT recommended to prevent fires during surfgeries at high risk sites +++Use an ignition source to enter gas-distended bowel Pack the back of the throat with radiopaque sponges prior to tonsillectomy Stop supplemental oxygen or nitrous oxide for one minute before using an ignition source Plan an adhesive incise drape between the surgical site and the oxygen source Inflate endotracheal tubes with tinted solutions prior to tracheostomy
