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AORN Periop 101 Final Exam Test
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- When an incorrect surgical count occurs, the search for the missing item begins with the: a. kick bucket b. trash c. incision site d. floor Answer incision site
- When placing the dispersive electrode on the patient, the
perioperative nurse should not place it: a. over scar tissue b. near the incision site c. over muscle mass d. near an active electrode Answer over scar tissue
- When considering teaching an adolescent about ostomy self care, it is important to realize that they may have concerns relating to their: a. impact on career b. financial issues c. independence d. body image Answer body image
c. 5 d. 6 Answer 4 Preliminary, uterine closure, abdominal closure, final count The additional extra sponge count is UVA specific and not AORN
- What position is associated with complications of increased intraocular pressure, corneal abrasions and retinal artery occlusion? a. Lithotomy b. Prone c. Supine d. Lateral Recumbent Answer Prone Lateral also has an increased risk for intraocular pressure
- Mrs. H is a 42 year old obese, diabetic, smoker with end- stage renal disease. Which of her comorbidities is not a contributing factor to her risk for developing a surgical site infection? a. diabetes b. smoking c. obesity d. renal disease Answer renal disease
- The mechanism of lethality with steam sterilization is achieved with this event: a. time, temperature, and steam pressure b. reduced and limited mitosis within the bioburden c. saturated vaporization of the microbial cytoplasm
7 / b. Geobacillus stearothermophilus c. Enterococcus d. Escherichia coli Answer Geobacillus stearotherophilus
- Which of the following surgical complications is unlikely to be related to improper positioning? a. Joint dislocation b. hypoglycemia c. Peripheral nerve damage d. Hypoventillation Answer Hypoglycemia
- Before accepting an item to the sterile field, the scrub person is responsible for checking the:
8 / a. color of the indicator tape b. chemical indicator of integrator inside the package c. wrapper for stains or wetness d. expirations date Answer chemical indicator or integrator inside the package
- In an operating room department, which area is most likely to be unrestrict- ed? a. Scrub sinks b. Instrument processing area c. Patient preoperative area d. Clean storage supply area Answer Patient preoperative
- What is the unrestricted zone: personnel may wear street clothes
10 / b. shearing c. pressure d. none Answer friction
- An injury to the patient that results from prolonged pressure over bony prominences is caused by: a. friction b. shearing c. pressure d. none Answer pressure
- Before the first procedure of the day, the perioperative nurse should do which of the following? a. Damp dust furniture, equipment, and lights with hospital-
11 / grade, high-level disinfectant registered with the EPA b. Damp dust furniture, equipment, and lights with EPA registered, hospital grade disinfectant c. Damp dust furniture, equipment, and lights with EPA registered, hospital grade chlorhexidine gluconate d. Damp dust furniture, equipment, and lights with EPA registered, hospital grade alcohol: Damp dust furniture, equipment and lights with EPA registered, hospital grade disinfectant
- To prevent potential chemical or thermal burns from occurring after skin antisepsis, the circulating nurse would: a. use disposable towels to avoid pooling b. prohibit use of alcohol based skin cleaners c. wipe excess cleaning solution from surgical site d. Heat cleaning solutions to decrease drying time Answer
13 / right upper arm avoid bone, scar, adipose, metal
- Which of the following actions best describes an element of the perioper- ative nursing assessment? a. scanning the surgical schedule for the day before morning report
14 / b. reading the pick preferences list attached to the case cart c. reviewing the patient medical record d. studying an on line tutorial about the intended surgical procedure Answer review- ing the patient medical record
- ADPIE: Assessment Diagnosis Planning Implementation Evaluation
- Maintaining normothermia during surgery reduces the patients risk of: (select all that apply) a. pressure ulcers b. infection c. pneumonia d. bleeding
16 / Answer Predicting pressure ulcer risk Scale of 6 - 23 with low being high risk and high being low risk
- What categories are in the braden scale Answer perception moisture activity mobility nutrition friction/shear
- When prepping the patient for surgery, you should take the following precautions except? a. make sure prep does not pool under the patient b. make sure to avoid the incision site c. make sure patient has no allergies to solution d. make sure prep in completely dry prior to draping Answer make sure to avoid the incision site
- All of the pathogenic organisms below are commonly associated with surgical site infections except:
17 / a. staphylococcus aureus b. enterococcus spp. c. streptococcus pneumoniae d. staphylococcus epidermis Answer streptococcus pneumoniae
19 /
- Wound dressings containing silver are especially useful for: a. large wounds where additional absorbency is required b. wounds at risk of infection c. wounds that require additional support during and after healing d. none of the above Answer wounds at risk for infection
- Injury while being intubated is most likely in the patient who has: a. dentures b. a tongue stud c. cracked lips d. all of the above Answer all of the above
11 /
- Irregular breathing, increased muscle tone, and involuntary motor activity describe which of the following stages of anesthesia according to Guedel's schema? Answer excitement
- The systematic and ongoing collection of data used to make judgements and predictions about a patient's response to illness is known as: a. assessment b. diagnosis c. planning d. evaluation Answer assessment
- How often should the OR be terminally cleaned, regardless of wether or not it was used a. each day after every 24 hour period b. there is no need to terminally clean an unused OR
