AORN PERIOP 101 ALL EXAM TEST PAPER ANSWERS
AND QUESTIONS SET A+
✔✔Biofilm forms on a medical device when the following are present: colonizing
microorganisms and - ✔✔acceptable temperature conditions, sufficient time, and
sufficient nutrients for growth
✔✔Who can perform sterilization activities at a health care facility? - ✔✔Personnel
whose competencies in performing sterilization activities are verified and documented
✔✔What are methods to actively warm a patient? - ✔✔*NOT* Warm IV and irrigation
fluids, forced air warming, and cotton blankets (a forced-air warming device (eg,
blanket, gown),
• a water-filled mattress,
• a circulating-water garment,
• an electric warming blanket,
• a carbon-fiber blanket,
• a resistive polymer blanket,
• a thermal exchange chamber,
• a negative pressure warming system,
• warmed anesthesia gases,
• warmed IV fluids,
• warmed irrigation fluids,
• radiant warming, and
• warmed insufflation gases)
✔✔The Bowie-Dick test is used for which of the following? - ✔✔Detecting air leaks,
ineffective air removal, and non-condensable gases in the chamber of a dynamic air
removal steam sterilizer
✔✔What method of preservation is recommended when storing autologous skin for
replantation to the same patient at the same facility? - ✔✔Refrigeration at 4C (39.2F)
,✔✔Evidence based practice questions are typically formatted as PICO questions. What
does PICO stand for? - ✔✔Patient, intervention, comparison, outcome
✔✔Limb occlusion pressure is the pneumatic tourniquet pressure required to occlude
_______ blood flow in the extremity. - ✔✔arterial
✔✔Which of the following is an example of a recommended quality improvement activity
to monitor and improve the prevention of sharps injuries? - ✔✔Developing processes to
measure rates of percutaneous injuries and near misses
✔✔Prion diseases or transmissible spongiform encephalopathies include - ✔✔CJD
✔✔The periop team should use assistive technology if any team member is required to
lift more than ____ - ✔✔35 lbs
✔✔When applying cricroid pressure during the induction of anesthesia, it is most
important to - ✔✔maintain pressure until intubation is completed
✔✔Managing the patient's anxiety by providing time and an opportunity for talking about
fears and feelings is an example of - ✔✔implementation
✔✔When positioning the patient in reverse trendelenburg for a computer-assisted
procedure, the periop RN should be aware that this position - ✔✔reduces venous return
and cardiac output and increases peripheral and pulmonary resistance
✔✔Which of the low temp sterilization methods is an alkylating agent that disrupts
proteins and DNA and is lethal to microbes? - ✔✔Ethylene oxide
✔✔In addition to the patient's identity, which of the following should be confirmed to
help decrease the risk for wrong site surgery? - ✔✔procedure and site
✔✔A 2013 safety communication issued by the FDA related to the antiseptic products
for preoperative skin preparation requested manufacturers to - ✔✔package these
products in single-use containers to be used only one time for one patient
✔✔The scrub person is setting up the back table for a lap appy and comments to the
OR RN that there is decreased visibility in the fiber-optic light cable. What should the
OR RN do? - ✔✔*NOT* Instruct scrub person to stretch the cable
✔✔The role of the health care industry rep includes all of the following except -
✔✔opening sterile implants and instructing the surgeon and assistants how to implant
the medical devices
, ✔✔Which of the following processes facilitates an accurate manual count? - ✔✔Using a
logical progression (counting from large to small items)
✔✔A primary concern for an RN preparing a premature infant for surgery is to initiate
measures to - ✔✔prevent loss of body heat
✔✔The sterility of an item is - ✔✔event related and dependent on whether the integrity
of the item has been maintained
✔✔The evidence supports performing medication reconciliation during all phases of
patient care to - ✔✔reduce medication errors
✔✔If the patient's urine becomes dark brown after the patient has experienced a MH
crisis, it is likely due to - ✔✔breakdown of myoglobin
✔✔A periop RN assesses an adult female patient who is scheduled for a breast biopsy
and local anesthesia. She learns that the patient has a HX of an MI. What should the
periop RN do? - ✔✔*NOT* postpone the surgery and request a cadiology consult
✔✔The timing of the administration of a preoperative prophylactic antibiotic ordered for
a patient whose plan of care includes the use of a pneumatic tourniquet should be
based on the - ✔✔goal of achieving optimal tissue concentration
✔✔What medications can reduce ICP? - ✔✔Furosemide and mannitol
✔✔A patient in hypovolemic shock is brought to the OR for an emergency laparotomy.
There is no time to perform an instrument count. What is the most appropriate course of
action for the RN circulator to take? - ✔✔Document that the instrument count has been
omitted and state the reason
✔✔After intubating the patient using a flexible laryngoscope, the anesthesia
professional requests that the flexible endoscope stay in the room. What should the
periop RN do? - ✔✔*NOT* leave the laryngoscope with the anesthesia provider as
requested
✔✔If exposure to blood or other potentially infectious materials is anticipated, team
members at the sterile field should - ✔✔wear two pairs of sterile surgical gloves, one
over the other
✔✔When using graduated compressions stockings, the periop RN should - ✔✔assess
the fit of the stockings for each patient
AND QUESTIONS SET A+
✔✔Biofilm forms on a medical device when the following are present: colonizing
microorganisms and - ✔✔acceptable temperature conditions, sufficient time, and
sufficient nutrients for growth
✔✔Who can perform sterilization activities at a health care facility? - ✔✔Personnel
whose competencies in performing sterilization activities are verified and documented
✔✔What are methods to actively warm a patient? - ✔✔*NOT* Warm IV and irrigation
fluids, forced air warming, and cotton blankets (a forced-air warming device (eg,
blanket, gown),
• a water-filled mattress,
• a circulating-water garment,
• an electric warming blanket,
• a carbon-fiber blanket,
• a resistive polymer blanket,
• a thermal exchange chamber,
• a negative pressure warming system,
• warmed anesthesia gases,
• warmed IV fluids,
• warmed irrigation fluids,
• radiant warming, and
• warmed insufflation gases)
✔✔The Bowie-Dick test is used for which of the following? - ✔✔Detecting air leaks,
ineffective air removal, and non-condensable gases in the chamber of a dynamic air
removal steam sterilizer
✔✔What method of preservation is recommended when storing autologous skin for
replantation to the same patient at the same facility? - ✔✔Refrigeration at 4C (39.2F)
,✔✔Evidence based practice questions are typically formatted as PICO questions. What
does PICO stand for? - ✔✔Patient, intervention, comparison, outcome
✔✔Limb occlusion pressure is the pneumatic tourniquet pressure required to occlude
_______ blood flow in the extremity. - ✔✔arterial
✔✔Which of the following is an example of a recommended quality improvement activity
to monitor and improve the prevention of sharps injuries? - ✔✔Developing processes to
measure rates of percutaneous injuries and near misses
✔✔Prion diseases or transmissible spongiform encephalopathies include - ✔✔CJD
✔✔The periop team should use assistive technology if any team member is required to
lift more than ____ - ✔✔35 lbs
✔✔When applying cricroid pressure during the induction of anesthesia, it is most
important to - ✔✔maintain pressure until intubation is completed
✔✔Managing the patient's anxiety by providing time and an opportunity for talking about
fears and feelings is an example of - ✔✔implementation
✔✔When positioning the patient in reverse trendelenburg for a computer-assisted
procedure, the periop RN should be aware that this position - ✔✔reduces venous return
and cardiac output and increases peripheral and pulmonary resistance
✔✔Which of the low temp sterilization methods is an alkylating agent that disrupts
proteins and DNA and is lethal to microbes? - ✔✔Ethylene oxide
✔✔In addition to the patient's identity, which of the following should be confirmed to
help decrease the risk for wrong site surgery? - ✔✔procedure and site
✔✔A 2013 safety communication issued by the FDA related to the antiseptic products
for preoperative skin preparation requested manufacturers to - ✔✔package these
products in single-use containers to be used only one time for one patient
✔✔The scrub person is setting up the back table for a lap appy and comments to the
OR RN that there is decreased visibility in the fiber-optic light cable. What should the
OR RN do? - ✔✔*NOT* Instruct scrub person to stretch the cable
✔✔The role of the health care industry rep includes all of the following except -
✔✔opening sterile implants and instructing the surgeon and assistants how to implant
the medical devices
, ✔✔Which of the following processes facilitates an accurate manual count? - ✔✔Using a
logical progression (counting from large to small items)
✔✔A primary concern for an RN preparing a premature infant for surgery is to initiate
measures to - ✔✔prevent loss of body heat
✔✔The sterility of an item is - ✔✔event related and dependent on whether the integrity
of the item has been maintained
✔✔The evidence supports performing medication reconciliation during all phases of
patient care to - ✔✔reduce medication errors
✔✔If the patient's urine becomes dark brown after the patient has experienced a MH
crisis, it is likely due to - ✔✔breakdown of myoglobin
✔✔A periop RN assesses an adult female patient who is scheduled for a breast biopsy
and local anesthesia. She learns that the patient has a HX of an MI. What should the
periop RN do? - ✔✔*NOT* postpone the surgery and request a cadiology consult
✔✔The timing of the administration of a preoperative prophylactic antibiotic ordered for
a patient whose plan of care includes the use of a pneumatic tourniquet should be
based on the - ✔✔goal of achieving optimal tissue concentration
✔✔What medications can reduce ICP? - ✔✔Furosemide and mannitol
✔✔A patient in hypovolemic shock is brought to the OR for an emergency laparotomy.
There is no time to perform an instrument count. What is the most appropriate course of
action for the RN circulator to take? - ✔✔Document that the instrument count has been
omitted and state the reason
✔✔After intubating the patient using a flexible laryngoscope, the anesthesia
professional requests that the flexible endoscope stay in the room. What should the
periop RN do? - ✔✔*NOT* leave the laryngoscope with the anesthesia provider as
requested
✔✔If exposure to blood or other potentially infectious materials is anticipated, team
members at the sterile field should - ✔✔wear two pairs of sterile surgical gloves, one
over the other
✔✔When using graduated compressions stockings, the periop RN should - ✔✔assess
the fit of the stockings for each patient
