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AORN Periop 101 Final Exam TEST BANK ()
Questions and Revised Correct Answers. with 100% Guarantee
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➢TEST BANK () Questions and Revised
,Question 1
During the preoperative interview, the RN should ask the pt about use of any herbal
preparations and/or botanicals. Why is this a critical component of the assessment?
a. These products can affect bleeding times
b. An alteration of medication metabolism can ensure
c. Anesthetic toxicity can occur
d. All of the above
Correct Answer: d. All of the above
Rationale: Herbal preparations can have multiple dangerous interactions with anesthesia
,and surgery. They can increase bleeding risk (e.g., garlic, ginkgo), alter the metabolism
of anesthetic drugs (e.g., St. John's Wort), and contribute to cardiovascular instability or
toxicity.
Question 2
What is an important consideration r/t transferring a pt who has received general
anesthesia from the OR bed today gurney for transport to PACU?
a. One staff member should routinely be available for pt transfers
b. Transfer with a minimum of 4 staff members in attendance
c. Pre medicate the pt to make them less anxious during transport
d. Wait until the pt it's fully awake and able to transfer himself
Correct Answer: b. Transfer with a minimum of 4 staff members in attendance
Rationale: A patient under the effects of general anesthesia is completely dependent
and at high risk for injury during transfer. A minimum of four staff members is required to
safely log-roll or lift the patient, ensuring the airway is maintained and the patient is not
dropped. (Note: The document's key had "A B" listed, but this is the safest standard
practice.)
Question 3
In relation to transcultural needs of the pt, it is important to include needs in the
nursing assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual
Correct Answer: d. spiritual
Rationale: A holistic nursing assessment must include spiritual and cultural needs. These
factors can significantly impact a patient's perception of illness, pain, treatment
decisions, and coping mechanisms.
, Question 4
One potential source for injury while positioning a pt are shearing forces. Shearing
forces result when:
a. 2 surfaces rub against each other
b. Tissue is exposed to excess moisture during surgery
c. Heat and moisture combine with excessive pressure
d. The folding of underlying tissue when the skeletal structure moves and the skin
remains stationary
Correct Answer: d. The folding of underlying tissue when the skeletal structure moves
and the skin remains stationary
Rationale: Shearing forces occur when the skin is fixed (e.g., by friction against the OR
table) while the underlying deep fascia and skeleton move, often due to gravity (as in
Trendelenburg position). This causes blood vessels to stretch and kink, leading to tissue
ischemia and damage.
Question 5
Which is not a local anesthetic drug used for regional?
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine
Correct Answer: c. Fentanyl
Rationale: Bupivacaine, lidocaine, and tetracaine are all local anesthetics that work by
blocking sodium channels. Fentanyl is an opioid (narcotic) analgesic, used for pain
management but not as a local anesthetic.
Question 6
AORN Periop 101 Final Exam TEST BANK ()
Questions and Revised Correct Answers. with 100% Guarantee
Pass
Gradegurus
➢
➢
➢TEST BANK () Questions and Revised
,Question 1
During the preoperative interview, the RN should ask the pt about use of any herbal
preparations and/or botanicals. Why is this a critical component of the assessment?
a. These products can affect bleeding times
b. An alteration of medication metabolism can ensure
c. Anesthetic toxicity can occur
d. All of the above
Correct Answer: d. All of the above
Rationale: Herbal preparations can have multiple dangerous interactions with anesthesia
,and surgery. They can increase bleeding risk (e.g., garlic, ginkgo), alter the metabolism
of anesthetic drugs (e.g., St. John's Wort), and contribute to cardiovascular instability or
toxicity.
Question 2
What is an important consideration r/t transferring a pt who has received general
anesthesia from the OR bed today gurney for transport to PACU?
a. One staff member should routinely be available for pt transfers
b. Transfer with a minimum of 4 staff members in attendance
c. Pre medicate the pt to make them less anxious during transport
d. Wait until the pt it's fully awake and able to transfer himself
Correct Answer: b. Transfer with a minimum of 4 staff members in attendance
Rationale: A patient under the effects of general anesthesia is completely dependent
and at high risk for injury during transfer. A minimum of four staff members is required to
safely log-roll or lift the patient, ensuring the airway is maintained and the patient is not
dropped. (Note: The document's key had "A B" listed, but this is the safest standard
practice.)
Question 3
In relation to transcultural needs of the pt, it is important to include needs in the
nursing assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual
Correct Answer: d. spiritual
Rationale: A holistic nursing assessment must include spiritual and cultural needs. These
factors can significantly impact a patient's perception of illness, pain, treatment
decisions, and coping mechanisms.
, Question 4
One potential source for injury while positioning a pt are shearing forces. Shearing
forces result when:
a. 2 surfaces rub against each other
b. Tissue is exposed to excess moisture during surgery
c. Heat and moisture combine with excessive pressure
d. The folding of underlying tissue when the skeletal structure moves and the skin
remains stationary
Correct Answer: d. The folding of underlying tissue when the skeletal structure moves
and the skin remains stationary
Rationale: Shearing forces occur when the skin is fixed (e.g., by friction against the OR
table) while the underlying deep fascia and skeleton move, often due to gravity (as in
Trendelenburg position). This causes blood vessels to stretch and kink, leading to tissue
ischemia and damage.
Question 5
Which is not a local anesthetic drug used for regional?
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine
Correct Answer: c. Fentanyl
Rationale: Bupivacaine, lidocaine, and tetracaine are all local anesthetics that work by
blocking sodium channels. Fentanyl is an opioid (narcotic) analgesic, used for pain
management but not as a local anesthetic.
Question 6
