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Which age group has shown the most rapid increase in terms of percentage?
A. 65-69
B. 70-74
C. 75-79
D. 80-84
E. 85-89 ✔Correct answer-A. 65-69
Instrumental activities of daily living include which of the following?
A. Walking
B. Bathing
C. Cooking
D. Eating
E. Dressing ✔Correct answer-C. Cooking
Which of the following patient behaviors is potentially indicative of hearing impairment?
A. Frequent requests for clarification
B. Intent observation of facial movements
C. Speaking in a loud voice
D. Speaking in a quiet voice
E. All of the above ✔Correct answer-E. All of the above
Which of the following is an effective strategy for interacting with a patient who has impaired
hearing?
A. Speaking more slowly than normal
B. Shouting when speaking to the patient
C. Exaggerating mouth movements when speaking
D. Reinforcing words with facial expressions
E. All of the above ✔Correct answer-D. Reinforcing words with facial expressions
Which of the following is an effective strategy for interacting with a patient who has impaired vision?
A. Addressing the patient by name when speaking to them
B. Facing the patient
C. Offering to describe a new location if the patient must be moved
D. Ensuring the patient is able to touch a wall or piece of furniture
E. All of the above ✔Correct answer-E. All of the above
The quality of clinical care received by a patient is believed to account for what percentage of health
outcomes?
A. 5%
B. 20%
C. 50%
D. 80%
E. 95% ✔Correct answer-B. 20%
,Social determinants of health refer to which of the following?
A. The conditions in which people are born
B. The conditions in which people grow
C. The conditions in which people live
D. The conditions in which people work
E. All of the above ✔Correct answer-E. All of the above
Which of the following types of advance directive specifies the types of medical treatment that a
patient would or would not desire in order to prolong their life?
A. Living will
B. Durable power of attorney
C. Do-not-resuscitate order
D. Do-not-intubate order
E. Allow-natural-death order ✔Correct answer-A. Living will
Which of the following most accurately reflects the consensus of professional medical organizations
regarding advance directives during the perioperative period?
A. Advance directives should be automatically enforced
B. Advance directives should be automatically suspended
C. The operating surgeon should determine whether the advance directive should be enforced,
modified, or suspended
D. Physicians responsible for the patient's care should consult with the patient to determine
whether the advance directive should be enforced, modified, or suspended
E. The hospital ethics committee should determine whether the advance directive should be
enforced, modified, or suspended ✔Correct answer-D. Physicians responsible for the patient's care
should consult with the patient to determine whether the advance directive should be enforced,
modified, or suspended
According to American College of Surgeons recommendations, when should perioperative antibiotics
be administered to a patient undergoing surgery?
A. 3 to 6 hours before surgical incision
B. 1 to 3 hours before surgical incision
C. 1 hour or less before surgical incision
D. Immediately before surgical incision
E. Immediately after surgical incision ✔Correct answer-C. 1 hour or less before surgical incision
Which of the following are acceptable agents to use for environmental cleaning in the perioperative
setting?
A. Alcohols
B. Chemicals used for high-level disinfection
C. Chemicals used for instrument sterilization
D. EPA-registered disinfectants ✔Correct answer-D. EPA-registered disinfectants
Which of the following is an acceptable method for applying cleaning solutions to an environmental
surface?
A. Apply the cleaning solution onto a cloth and wipe the surface
B. Pour the cleaning solution onto a surface and wipe using a cloth
C. Spray the cleaning solution onto a surface and wipe using a cloth
D. All of the above
E. A and B only ✔Correct answer-E. A and B only
,Which pattern of cleaning is recommended for cleaning the perioperative areas?
A. Clean from the wall to horizontal surfaces
B. Clean from vertical to horizontal areas
C. Clean from the lowest areas to the highest areas
D. Clean using a semi-clockwise pattern ✔Correct answer-C. Clean from the lowest areas to the
highest areas
Which statement related to the OR floor is TRUE?
A. Clean the OR floor by starting at the center of the room and then outward to the periphery
B. Items that are dropped on the OR floor are considered clean if picked up immediately
C. The OR floor is considered clean until a patient enters the room
D. The OR floor should always be considered contaminated ✔Correct answer-D. The OR floor
should always be considered contaminated
. Which of the following are acceptable tools for cleaning the floor in restricted and semi-restricted
areas?
A. Brooms with bristles
B. Damp or wet mops
C. Dry mops
D. A and B only ✔Correct answer-B. Damp or wet mops
Which of the following body fluids is the least potentially infectious?
A. Pericardial fluid
B. Saliva
C. Sweat
D. Synovial fluid ✔Correct answer-C. Sweat
How long can Clostridioides difficile spores survive on environmental surfaces?
A. 1 week
B. 2 months
C. 5 months
D. 9 months ✔Correct answer-C. 5 months
When disinfecting a perioperative area after care of a patient with Candida auris, it is recommended
to use a disinfectant proven to be effective against which of the following organisms?
A. Carbapenem-resistant enterobacteria species
B. Clostridioides difficile spores
C. Klebsiella pneumoniae
D. Methicillin-resistant Staphylococcus aureus ✔Correct answer-B. Clostridioides difficile spores
A patient who is diagnosed with Creutzfeldt-Jakob disease has been transported out of the OR after
surgery. If the equipment and environment were not exposed to the patient's brain or spinal cord
tissues, which cleaning procedure is recommended?
A. Close the OR until it can be decontaminated by a certified hazardous materials team
B. Decontaminate the OR by applying a sodium hypochlorite solution to the furniture and
equipment
C. Decontaminate the OR by applying a sodium hydroxide solution to the furniture and equipment
D. Use standard cleaning procedures for the OR ✔Correct answer-Use standard cleaning
procedures for the OR
, When should perioperative team members receive education related to principles and practices of
environmental cleaning?
A. When assigning tasks that put them at risk for exposure to blood or body fluids
B. At least twice per year
C. Whenever changes in assigned tasks decrease the risk for exposure to blood or body fluids
D. Whenever new equipment is introduced ✔Correct answer-B. At least twice per year
Which of the following is a risk factor for intraoperative pressure injuries in older surgical patients?
A. Diabetes mellitus
B. High American Society of Anesthesiologists physical status classification
C. Obesity
D. Underweight
E. All of the above ✔Correct answer-E. All of the above
The Centers for Medicare and Medicaid Services classifies in-hospital falls as which of the following
types of conditions?
A. Abusive
B. Hospital-acquired
C. Negligent
D. Pre-existing
E. Unavoidable ✔Correct answer-B. Hospital-acquired
Which of the following are considered critical devices?
A. Eyeglasses
B. Hearing aids
C. Indwelling urinary catheters
D. Pneumatic compression devices
E. All of the above ✔Correct answer-C. Indwelling urinary catheters
10. What percentage of older adults develops new disabilities related to activities of daily living
during hospitalization?
A. 5%
B. 15%
C. 30%
D. 50%
E. 65% ✔Correct answer-C. 30%
Which of the following procedures is associated with the highest risk for intraoperative pressure
injuries in older adults?
A. Cataract surgery
B. Colonoscopy
C. Hip fracture surgery
D. Mastectomy
E. Pacemaker placement ✔Correct answer-C. Hip fracture surgery
Which of the following antipsychotic medications is most recommended for treatment of
postoperative delirium?
A. Haloperidol
B. Midazolam
C. Olanzapine
D. Quetiapine