WGU C215 AORN Periop 101 FINAL EXAM Q&A (REAL) New Update 2023

WGU C215 AORN Periop 101 FINAL EXAM Q&A (REAL) New Update 2023 Which one of the following statements is TRUE? A. Povidone-iodine's mechanism of action is to disrupt the cell membrane B. Povidone-iodine is nonirritating to the skin C. Povidone-iodine cannot be used on mucous membranes D. Heating povidone-iodine may decrease its effectiveness Correct Ans - D. Heating povidone-iodine may decrease its effectiveness Documentation of the preoperative skin prep includes all of the follow EXCEPT: A. Hair removal B. Manufacturer of solutions used C. Allergies D. Name of the person who performed the prep Correct Ans - B. Manufacturer of solutions used When prepping an extremity, which one of the following is ALWAYS required? A. Positioning the extremity to prevent prep solution from running toward the incision site B. Assistance in holding the limb C. Scrubbing nails with a brush before the formal prep D. Prepping so that the entire limb can be draped Correct Ans - A. Positioning the extremity to prevent prep solution from running toward the incision site Surgical wound infections can result in decreased . A. Hospitalization time B. Intraoperative time C. Income for hospitals D. Workload for perioperative nurses Correct Ans - C. Income for hospitals Preoperative skin preparation is accomplished by . A. Removing soil and transient microbes B. Reducing resident microbes C. Using antimicrobial agents that inhibit growth of microbes D. All of the above Correct Ans - D. All of the above According to AORN's guidelines for skin preparation of patients, hair at the operative site is . A. Allowed to remain unless it interferes with the surgical procedures B. Always removed with a depilatory C. Removed at least two hours before surgery D. Dry shaved as opposed to wet shaved Correct Ans - A. Allowed to remain unless it interferes with the surgical procedures The concept of prepping from clean to dirty means . A. Cleaning all stomas or open wounds first B. Beginning at the incision site and using circular strokes toward the periphery C. Prep solution is changed after cleaning contaminated areas D. Surgical scrub solutions used first and then surgical paint Correct Ans - B. Beginning at the incision site and using circular strokes toward the periphery Common resident bacteria include all EXCEPT: A. Staphylococcus epiermidis B. Staphylococcus aureus C. Diphtheroid bacillus D. Pseudomonas aeruginosa Correct Ans - wrong Which one of the following statements about the skin prep is FALSE? A. Povidone-iodine should not be allowed to dry B. Manufacturers' guidelines should be followed C. Skin prep is performed after the patient has been positioned D. The name of the person performing the prep should be documented Correct Ans - A. Povidone-iodine should not be allowed to dry Objectives of the surgical prep include all EXCEPT: A. Removal of dirt, skin oil, and microbes from the skin B. Sterilization of skin C. Reduction of bacterial count D. Prevention of regrowth of microbes for several hours Correct Ans - B. Sterilization of skin The generally recognized length of time required for contact of antimicrobial agents to be effective is A. 1 to 3 minutes B. 2 to 5 minutes C. 3 to 5 minutes D. According to manufacturers' directions Correct Ans - D. According to manufacturers' directions The principles of preoperative skin preparation include all of the following EXCEPT: A. Prep from clean to dirty B. Use aseptic technique C. Prep stomas first D. Prevent pooling Correct Ans - C. Prep stomas first Which one of the following topical antimicrobial agents is neurotoxic? A. Povidone-iodine B. Alcohol C. PCMX (parachlorometaxylenol) D. Chlorhexidine gluconate Correct Ans - D. Chlorhexidine gluconate Using mechanical friction when prepping will NOT aid in A. Removal of resident bacteria B. Removal of dirt and oil C. The effectiveness of antimicrobials D. Removal of transient bacteria Correct Ans - A. Removal of resident bacteria Reduction in resident bacteria is aided by: A. Use of a degreaser B. Use of antimicrobials C. Prepping clean to dirty D. Mechanical friction Correct Ans - B. Use of antimicrobials Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause patient injuries that include: 1. Chemical burns 2. Thermal burns 3. Injuries related to equipment malfunction Correct Ans - A. 1 and 2 Which statement is TRUE about iodophor with alcohol? A. It provides rapid reduction in microbial counts of skin B. Persistence or residual activity is excellent C. It has been shown to be nontoxic and nonirritating D. Percutaneous absorption does not occur across mucous membranes Correct Ans - wrong Which statement is FALSE about eye, extremity, or vaginal preps? A. A 5% sterile ophtalmic prep solution is commercially available for eye preps B. The vagina should be prepped first as part of a vaginal prep C. When prepping an extremity, it should be positioned so that the incision site is the upper-most portion of the prep D. If fingers or toes are included in the surgical field (extremity prep), it may be necessary to scrub the nail with a brush and soap solution Correct Ans - B. The vagina should be prepped first as part of a vaginal prep Hand hygiene should be performed after which of the following? A. Touching the operating room bed controls B. Adjusting a patient's bed linens C. Eating D. Marking the surgical site E. All of the above Correct Ans - E. All of the above When should perioperative team members use an alcohol-based rub for hand hygiene? A. After hands have been exposed to blood or other bodily fluids B. After using the restroom C. When the hands are not visibly soiled D. When caring for patients with spore-forming organisms Correct Ans - C. When the hands are not visibly soiled What is the minimum length of time perioperative team members should spend performing hand hygiene by washing with soap and water? A. 7 seconds B. 15 seconds C. 20 seconds D. 30 seconds Correct Ans - B. 15 seconds How much of an alcohol-based hand rub should be used when performing hand hygiene? A. A dime-sized amount B. A quarter-sized amount C. 10 drops D. The amount recommended by the manufacturer Correct Ans - D. The amount recommended by the manufacturer Perioperative team members should maintain fingernails at a maximum of what length? A. 2 mm (0.08 inch) B. 6 mm (0.24 inch) C. 10 mm (0.4 inch) D. 12 mm (0.5 inch) Correct Ans - A. 2 mm (0.08 inch) Which of the following measures is helpful for maintaining healthy skin and minimizing the risk of hand dermatitis? A. Completely drying hands before putting on gloves B. Avoiding water hotter than 80° F (27° C) C. Using approved moisturizing products D. Using glove liners E. All of the above Correct Ans - E. All of the above Which of the following types of jewelry is acceptable for perioperative team members to wear in patient care areas? A. One ring per hand B. Watch C. Loose bracelet D. Fitness monitor E. No jewelry is acceptable Correct Ans - E. No jewelry is acceptable Which of the following is a primary line of defense for protecting the patient from the transmission of pathogens during surgical procedures? A. Sterile gloves B. Sterile gowns C. Surgical hand antisepsis D. Surgical masks Correct Ans - C. Surgical hand antisepsis Which of the following parts of the surgical gown is considered sterile? A. The axillary region B. The back C. The cuf f of the gown sleeve D. The front from the chest to the level of the sterile field E. The shoulders Correct Ans - D. The front from the chest to the level of the sterile field Which method of gloving should be used by team members during the initial gowning and gloving process for surgical procedures? A. Assisted gloving with gown cuffs at fingertips B. Assisted gloving with gown cuffs at wrists C. Open gloving D. Open assisted gloving E. Any of the above Correct Ans - A. Assisted gloving with gown cuffs at fingertips How often should surgical gloves be changed during an invasive surgical procedure? A. Every 60 to 90 minutes B. Every 90 to 150 minutes C. Surgical gloves only require changing if a known or suspected break in technique occurs or a tear is identified in the glove D. There is no recommended time for changing gloves Correct Ans - wrong