AORN Periop 101 Exam Study Guide: Questions and Answers 2023, Quizzes of Advanced Education

This study guide provides exam questions and answers for the aorn periop 101 final exam, covering topics such as surgical instrument handling, patient positioning, sterile techniques, and safety protocols. It includes questions on wound closure methods, ethical considerations, and the role of the perioperative nurse in ensuring patient safety. The guide also addresses environmental sanitation, risk reduction, and the importance of continuous education and certification in healthcare organizations. Useful for students and professionals in the field of perioperative nursing, offering a comprehensive review of key concepts and best practices. It is designed to help individuals prepare for the aorn periop 101 final exam and enhance their understanding of perioperative care principles. The guide also touches on the significance of critical thinking and patient-centered care in the surgical setting, emphasizing the need for competent and ethical practice within legal standards.

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AORN Periop 101 Final Exam Study Guide
Exam Question And Answers 2023
1.This type of needle point is what you would expect to be needed for
suturing friable tissue such as the liver. - Correct Answer What is a
Blunt needle point?
2.These particular wound closing items are available in a wide variety of
instrument sizes. - Correct Answer What are disposable stapler
sets?
3.Give one example from TJC list of Do-Not-Use Abbreviations,
Acronyms, and Symbols. - Correct Answer What is cc?
5.The surgical wound classification for a total abdominal hysterectomy. -
Correct Answer What is Clean contaminated?
4.Following an excisional breast biopsy, the circulating nurse would
anticipate the need to have available this type of drain - Correct Answer
What is a Jackson-Pratt?
6.This position can cause physiological effects of circulatory and
respiratory compromise due to pressure on the abdomen. - Correct
Answer What is Lithotomy Position?
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Exam Question And Answers 2023

1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver. - Correct Answer ✅What is a Blunt needle point? 2.These particular wound closing items are available in a wide variety of instrument sizes. - Correct Answer ✅What are disposable stapler sets? 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols. - Correct Answer ✅What is cc? 5.The surgical wound classification for a total abdominal hysterectomy. - Correct Answer ✅What is Clean contaminated? 4.Following an excisional breast biopsy, the circulating nurse would anticipate the need to have available this type of drain - Correct Answer ✅What is a Jackson-Pratt? 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen. - Correct Answer ✅What is Lithotomy Position?

Exam Question And Answers 2023

7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this: - Correct Answer ✅What is to reduce the patient's risk of intraoperative skin injury. 8.An environmental sanitation practice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills - Correct Answer ✅What is personal protective equipment? 9.It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS - Correct Answer ✅What is capacitive coupling?

  1. According to AORN RP for positioning the patient, the perioperative nurse should: What is... a. Use a consistent method of procedure-specific position for each patient b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning c. use additional precautions as appropriate based on unique patient considerations d. Depend on the patient's natural defense mechanisms to indicate the need for positioning alterations - Correct Answer ✅c. use additional precautions as appropriate based on unique patient considerations

Exam Question And Answers 2023

16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care. - Correct Answer ✅What is Phase II? 17.According to the Institute of medicine recommendations for improving patient safety, this organization has the greatest potential impact to make changes on improving pt safety - Correct Answer ✅What are Healthcare organizations?

  1. This statement about gloving technique is true What is... a. When gloving another person, always glove the left hand first. b. The scrub gown should be fastened in the back before donning gloves c. Open glove technique is used for initial donning of the sterile gown and gloves. d. Closed glove technique is used to glove the surgeon or assistant. - Correct Answer ✅b. The scrub gown should be fastened in the back before donning gloves
  2. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer) - Correct Answer ✅What is fuel source?

Exam Question And Answers 2023

  1. The safest way to pass a cutting instrument to a surgeon is: - Correct Answer ✅What is place it in a designated neutral zone with a verbal cue
  2. To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion. - Correct Answer ✅What is Trendelenberg?
  3. A packaging system for items undergoing sterilization should possess this characteristic: What is....
  4. Made of only disposable materials
  5. to permit aseptic delivery of contents to the sterile field
  6. Maintain sterility of the items for a specified length of time.
  7. Compatible with all sterilization processes - Correct Answer ✅2. to permit aseptic delivery of contents to the sterile field
  8. Silicone catheters should be stocked on this particular cart in the surgical suite. - Correct Answer ✅What is a Latex-safe cart?
  9. Open this package carefully over a small basin to prevent splashing of the packaging solution. - Correct Answer ✅What is handling natural absorbable sutures (plain, chromic)

Exam Question And Answers 2023

  1. A recommended means of promoting the safety of personnel in the surgical suite is: What is.... a. Routine screening of patients for HIV and hepatitis C b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment c. Double-glove for every procedure d. Leaving the room when x-rays are being used, even if scrubbed. - Correct Answer ✅b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment
  2. This type of healing the wound remains open - Correct Answer ✅What is Granulation?
  3. An abstract concept that has been developing since Socrates. - Correct Answer ✅What is Critical thinking?
  4. This item is placed as close to the operative site as possible - Correct Answer ✅What is the dispersive electrode?
  5. This is desired patient outcome most closely related to the use of local anesthesia for a procedure: What is....

Exam Question And Answers 2023

a. The pt is the recipient of competent and ethical care within legal standards of practice. b. The pt is normothermic at the conclusion of the procedure c. The patient reports adequate pain control throughout the perioperative process d. The pt's respiratory function is consistent with preoperative baseline levels. - Correct Answer ✅c. The patient reports adequate pain control throughout the perioperative process

  1. Antibiotics are most commonly administered during the intraoperative phase through this route - Correct Answer ✅What is Irrigation solution?
  2. Recent research studies on the value of certification found that: WHAT is.... a. Non-certified nurse managers saw little value in certification related to professional growth. b. The most frequent reason for achieving certification is the expectation of higher salary and career advancement c. Most facilities do not offer any incentives for achieving certification. d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse. - Correct Answer ✅d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse.

Exam Question And Answers 2023

  1. A critical perioperative nursing diagnosis within the PNDS is: - Correct Answer ✅What is risk for perioperative positioning injury?
  2. There are 3 process monitors in the sterilization process; this particular monitor indicates that the intended physical conditions in the sterilizer were met. - Correct Answer ✅What is biological monitoring?
  3. This is the most reliable early indication of malignant hyperthermia - Correct Answer ✅What is unexplained increase in end-tidal CO2?
  4. This statement concerning the use of AORN Recommended Practices is true: a. RPs supersede departmental and institutional policies b. Work setting and situation variations may determine the extent to which the RPs can be applied c. RPs are based on scientific evidence of how nurses actually practice in perioperative settings d. Licensed and accredited institutions are required to comply with the RPs - Correct Answer ✅b. Work setting and situation variations may determine the extent to which the RPs can be applied
  5. Lock the wheels of the stretcher and the OR bed is a recommendation when: - Correct Answer ✅What is transferring pt from OR bed to gurney?

Exam Question And Answers 2023

  1. Begin this task with higher surfaces and finish with the lowest levels
  • Correct Answer ✅What is recommended for damp dusting in the OR?
  1. Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery.
  • Correct Answer ✅What is using a time-out before beginning the procedure?
  1. This can be performed through smaller incisions - Correct Answer ✅What is the Difference between MIS and open surgical procedures?
  2. After this is procured by the surgeon, the scrub person should keep it moist with saline and in a sterile basin until it can be passed to the circulating nurse. - Correct Answer ✅What is a surgical specimen?
  3. Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs. - Correct Answer ✅What is proper handling of explants Skin prep agent contraindicated for use during reconstruction of the external ear. - Correct Answer ✅What is CHG?

Exam Question And Answers 2023

  1. Decreased color and depth perception - Correct Answer ✅What are sensory assessment findings common among elderly patients?
  2. Principle of asepsis that is most directly related to the concept of surgical conscience - Correct Answer ✅What is consider items of doubtful sterility contaminated?
  3. Most important reason for maintaining endoscopic instruments at optimal level of function - Correct Answer ✅What are insulation defects that can cause unseen thermal burns?
  4. What type of thinking is required to deliver safe patient care based on the statement "safe care requires teamwork and care tailored to the individual patient?" - Correct Answer ✅What is critical thinking? Evaluation of pt outcomes, Nursing plan of care, Occurrence of any unusual events, and Periop nurses legal signature are components that should be included in this - Correct Answer ✅perioperative nursing documentation.
  5. According to Dewey and Glaser this statement about critical thinking is incorrect. a. Logical inquiry and thoughtful reasoning

Exam Question And Answers 2023

b. Active, persistent and careful consideration of the evidence supporting a decision c. Passive acceptance of an unreflective jump to conclusion required in the OR. d. Skill in applying the methods of logical inquiry and reasoning - Correct Answer ✅Passive acceptance of an unreflective jump to conclusion required in the OR.

  1. During this phase of wound healing contraction occurs - Correct Answer ✅What is proliferation phase?
  2. Placing the light in standby mode when not in use - Correct Answer ✅What are guidelines for safe use of an endoscopic light source?
  3. What is a kocher? - Correct Answer ✅an example of an occluding clamp
  4. The surgical team member responsible for preparing the surgical specimen to be sent to the lab - Correct Answer ✅Who is the circulating nurse?
  5. Exposure to this sterilization method is potentially carcinogenic and mutagenic to personnel and patients. - Correct Answer ✅What is EO

Exam Question And Answers 2023

  1. Name the perioperative nurse's role in pt and family education? - Correct Answer ✅a. Explain what the patient will experience - b. Provide emotional support to enhance coping - c. Teaching specific skills that the pt will need to perform post-op -
  2. Why should the perioperative nurse ask about a patient's use of herbal preparations, alcohol, tobacco products, and recreational drugs during the perioperative interview. - Correct Answer ✅a. Herbal supplements may affect the metabolism of drugs administered - b. Recreational drug use may affect choice of preoperative sedation - c. Smoking may affect circulatory and respiratory system assessment results -
  3. List 4 team members who wear sterile gowns and gloves. - Correct Answer ✅a. Scrub person - b. Surgical assistant - c. Surgeon d. Medical student/resident/PA/NP
  4. Name 3 risks to patients and staff members associated with laser use: - Correct Answer ✅a. Eye injury - b. Fire hazards - c. Inhalation of laser plume -

Exam Question And Answers 2023

  1. Name 4 types of powered cutting instruments used in surgery - Correct Answer ✅a. Bone reamers - b. Dissectors - c. Saws - d. Tissue shavers -
  2. Name 2 ways that health care workers are most likely to become sensitized to latex - Correct Answer ✅a. Airborne contact - b. Cutaneous contact -
  3. During admission of a patient to Phase 1 in PACU, what is the Perianesthesia nurse responsible for? - Correct Answer ✅a. Assessing patient's level of consciousness - b. Assessing the patient's pain level - c. Assessing the surgical dressing - d. Maintaining a patent airway - e. Monitoring BP, HR, and O2 saturation -
  4. Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells - Correct Answer ✅a. Bone marrow- b. Muscle-

Exam Question And Answers 2023

  1. AORN guidelines for a "time-out" specify that all surgical team members must agree on the following 3 things - Correct Answer ✅a. Name of pt- b. Procedure to be performed- c. Site of procedure-
  2. 4 Barriers to effective pt and family education in the perioperative setting. - Correct Answer ✅a. Anxiety about an uncertain outcome- b. Discomfort or pain- c. Fear of unknown- d. Short period of time for assessment and teaching- a. Anxiety about an uncertain outcome b. Discomfort or pain c. Fear of unknown d. Short period of time for assessment and teaching - Correct Answer ✅a. Diabetes- b. Protein deficiency- c. Smoking- d. Steroid use-

Exam Question And Answers 2023

The purposes of the surgical hand scrub - Correct Answer ✅a. Reduce risk of microbial contamination- b. Remove soil and debris- c. Suppress growth of microorganisms-

  1. List Recommended Practices for sponge count procedures - Correct Answer ✅a. Count all sponges at the beginning of the case- b. Separate sponges as they are counted- c. Simultaneous counting by two people, including an RN circulator- d. Count out loud e. Document all counts
  2. List 2 ways that the Perioperative nurse assists with general anesthesia induction - Correct Answer ✅a. Apply cricoid pressure if needed during intubation- b. Remain at the pts side to offer reassurance and promote safety-
  3. List 3 steps that should be followed to remove of the gown and gloves at the end of the procedure - Correct Answer ✅a. Grasp gown at shoulders and pull downward, turning sleeves inside out- b. Remove gown first- c. Use a glove-to-glove and skin-to-skin technique to remove gloves-