ALEXANDERS CARE OF THE PATIENT IN
SURGERY AUTHOR: JANE C. ROTHROCK
17th EDITION
,Table of contents
1. Unit I foundations for practice
2. Concepts basic to perioperative nursing
3. Patient safety and risk management
4. Workplace issues and staff safety
5. Infection prevention and control
6. Anesthesia
7. Positioning the patient for surgery
8. Sutures, sharps, and instruments
9. Surgical modalities
10. Wound healing, dressings, and drains
11. Postoperative patient care and pain management
12. Unit ii surgical interventions
13. Gastrointestinal surgery
14. Surgery of the biliary tract, pancreas, liver, and spleen
15. Hernia repair
16. Gynecologic and obstetric surgery
17. Genitourinary surgery
18. Thyroid and parathyroid surgery
19. Breast surgery
20.Ophthalmic surgery
21. Otorhinolaryngologic surgery
22.Orthopedic surgery
23.Neurosurgery
24.Reconstructive and aesthetic plastic surgery
25.Thoracic surgery
26.Vascular surgery
27.Cardiac surgery
28.Unit iii special considerations
29.Pediatric surgery
30.Geriatric surgery
31. Trauma surgery
32.Integrative health practices
,Chapter 01: concepts basic to perioperative nursing test bank
Multiple choice
1. The perioperative patient focused model presents key components of nursing
influence that guide patient care. Select the statement that best describes the dynamic
relationship within the model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
Ans: a
The perioperative patient focused model consists of domains or areas of nursing concern:
nursing diagnoses, nursing interventions, and patient outcomes. These domains are in
continuous interaction with the health system that encircles the focus of perioperative
nursing practice—the patient.
Reference: page. 3
2. The association of perioperative registered nurses’ (aorn) standards of
perioperative nursing practice that describes nursing interactions, interventions, and
activities with patients falls under which standards category? A. Evidence-based
b. Process
c. Outcome
d. Structural
Ans: b
Process standards relate to nursing activities, interventions, and interactions. They are
used to explicate clinical, professional, and quality objectives in perioperative nursing.
Reference: page. 3
, 3. Which order best describes the process used to implement evidence-based
professional nursing?
Identify issue, analyze scientific evidence, implement change, evaluate process
Ans: d
Evidence-based practice is a systematic, thorough process by which to identify an issue,
to collect and evaluate the best evidence to design and implement a practice change, and
to evaluate the process.
Reference: page. 15
4. The ambulatory surgery unit is planning to develop a standardized skin preparation
practice for their unit. The best process to gather scientific information is to:
a. Conduct a survey of skin prep policies at the next aorn chapter meeting.
b. Review their surgical site infection data from the last 6 months.
c. Conduct a literature search on antimicrobial agents and infection prevention.
d. Review the scientific literature from the leading manufacturers of prep solutions.
Ans: c
Perioperative nurses have an ethical responsibility to review practices and to modify them
based upon the best available scientific evidence. Using research to guide practice is
called evidence-based practice (ebp).
Reference: page. 10
5. The cardiac team is developing a standardized sterile back table setup and is
unable to find sufficient research evidence for their project. Where might they look for
information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review aorn’s standards and recommended practices on sterilization
d. Consult with facility instrument vendor representatives for
their advice ans: b
When there is not enough evidence to guide practice, perioperative nurses should consider
gathering information from varied trusted sources that reflect best practices.