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To promote facility-wide best prac ces in sterile technique, AORN recommends that registered
nurses:
a. prac ce collabora on, leadership, and teamwork in the periopera ve environment
b. take part in ongoing quality assurance, monitoring, and performance ac vi es
designed to improve the performance of sterile technique
c. help establish a culture in which concerns about breaches in sterile technique are
communicated immediately and appropriately
d. all of the above
Team building can increase efficiency and produc vity resul ng in:
a. improved outcomes in delivery of services
b. higher staff morale
c. increased pa ent sa sfac on
d. all of the above
A thorough preopera ve assessment is cri cal during which the periopera ve nurse
must iden fy unique pa ent considera ons that may require addi onal precau ons or
contraindica ons related to MIS procedures. This assessment must include
iden fica on of risk factors related to 1. Extreme posi oning 2. Preven on of venous
stasis 3. Informed consent. 4. Fluid management
a. 3 and 4
b. 1 and 2
c. 1, 2, 3, and 4
d. 1, 2, and 4
When coun ng needles in a mul ple needle suture pack:
a. it is safe to assume that the package count is correct
b. the empty suture package may be used to reconcile a discrepancy in the count
,c. only the scrub person is responsible for coun ng the needles
d. the scrub person should verify the number of needles when the package is opened
The electrosurgical dispersive pad should be applied ________________.
a. on a rough, irregular body surface
b. to a muscular area
c. to a bony prominence
d. to an area of moisture
When gathering informa on about medica ons that the pa ent is taking, it is important to
include:
a. physician prescribed medica ons
b. over the counter medica ons and vitamins
c. herbal medica ons that the pa ent may be taking
d. all of the above
ECG leads can be the site of alternate burns. What ac ons can help prevent these?
a. make sure that hard electrical contact engages the pa ent and the ground
b. use electrodes that concentrate the current
c. locate ECG leads as far as possible from the opera ve site
d. place ground pad as far away from the opera ve site as possible
When decontamina ng and cleaning a pneuma cally powered surgical instrument
a. the gas hose should remain a6ached to the handpiece.
b. all of the above.
c. a detergent/disinfectant solu on should be use
d. the outside should be dried with lint free towels.
One of the two strongest layers in ssue closure includes the:
Core Curriculum for the RN First Assistant, 5th ed., p. 75
a. Subcutaneous ssue
b. Fascia
,c. Re nacullum
d. Muscle
The RNFA should be aware of the possibility that a laparoscopic case could become an open
case. A reason for this conversion in a cholecystectomy would be for which of the following
reasons?
Core Curriculum for the RN First Assistant, 5th ed., p. 103
a. An extremely thin walled gallbladder
b. Previous le; colon surgery
c. A gallbladder that contains sludge
d. Inability to remove a stone from the CBD via ERCP
A pa ent has the following lab values noted intraopera vely. pH < 7.35, PCO2<35
mmHg, HCO3 < 22 mEq/L. This pa ent is in:
Core Curriculum for the RN First Assistant, 5th ed., p. 314
a. Respiratory Alkalosis
b. Respiratory Acidosis
c. Metabolic Alkalosis
d. Metabolic Acidosis
All of the following wound healing complica ons are a6ributed to smoking except:
Core Curriculum for the RN First Assistant, 5th ed., p. 86
a. Increased blood viscosity
b. Decreased blood viscosity
c. Diminshed collagen synthesis
d. Infec on
The usual dry me for most skin preps is ___________minutes.
Core Curriculum for the RN First Assistant, 5th ed., p. 47
a. 2-3
b. 1-3
c. 3-5
, d. 3-4
Due to excellent healing results with minimal scarring, which suturing technique is commonly
chosen for plas c surgery?
Core Curriculum for the RN First Assistant, 5th ed., p. 65
a. Subdermal
b. Running locking
c. Subcu cular
d. Intradermal
The aor c root is located:
Core Curriculum for the RN First Assistant, 5th ed., p. 243
a. At the junc on of the pulmonary artery and the le; atrium
b. At the junc on of the pulmonary artery and the right atrium
c. At the junc on of the origin of the ascending aorta and the le6 ventricle
d. At the junc on of the origin of the ascending aorta and the right ventricle
Suture should be selected based on which of the following?
Core Curriculum for the RN First Assistant, 5th ed., p. 61
a. Tissue resistance
b. Surgical outcome
c. Ease of handling
d. Poten al for scarring
The humidity levels of the OR should range between _____% and ______%.
Core Curriculum for the RN First Assistant, 5th ed., p. 320
a. 40-70
b. 35-60
c. 30-70
d. 30-65
The "Gold Standard" for open hernia repair is called the:
Core Curriculum for the RN First Assistant, 5th ed., p. 115