AORNPeriop101FinalExamQuestions&Answers
(2022/2023)(CompleteRevisedVerifiedAnswersby
Expert)
Whenapplyingtheconceptofsurgicalconsciencewhichofthefollowingstatement
shouldbeconsidered?Selectallthatapply.Correctans-A.Itinvolvesmental
discipline&theabilitytospeakout
B.Itisessentialtothedeliveryofoptimalcareandpreventharm.
D.Surgicalconscienceallowsfornocompromiseintheprinciplesofaseptictechnique.
Inpreparingforaregulatorysurvey,yourqualityconsultantquestionsyouaboutthe
restrictedzoneinyourORsuite.Thefollowingstatementsaretrue:Correctans
-A.AirflowintheORroomsshouldbecleanedbyHEPAfilters.
C.Maskarerequiredwhenopensterilesuppliesarepresent.
E.Temperatureismaintainedbetween68and75degree
F.
TheJointCommissionUniversalProtocolconsistsof:Selectallthatapply.Correct
ans-A.Preoperativeverification
B.Surgicalsitemarking
C.TimeOut
Youareassignedtorelieveasurgicaltechnologistforlunch.Youwillneed:
Correctans-A.Asterilegownandglovesopenedonatable(otherthanthemain
instrumenttable)forclosedgloving.
Whichofthefollowingpracticesisrecommendedforhandlingofnaturalabsorbable
suture?Correctans-C.Openthepackagecarefullyoverasmallbasinto
preventsplashingofthepackagingsolution
Whichofthefollowingproceduresreflectsbestpracticefortransferringamedication
vialtothesterilefield?Correctans-D.Useasteriletransferdevice
RecommendedspongecountproceduresincludeallofthefollowingEXCEPT?
Correctans-B.Countingsilentlysoitdoesn'tdistractotherpersonnel.
Whatisthecorrectdefinitionofincisionalbiopsy?Correctans-D.Asmall
portionoftissueisincisedandsentforexamination.
Whichofthefollowingmethodslistedbelowmaypreventmishap,event,orfirefrom
occurringwhenhandlingelectrosurgicalequipment?Selectallthatapply.Correct
ans-A.Allowenoughtimeforalcoholbasedskinpreparationstocompletelydry. B.Donotuseinanoxygen-enrichedenvironment,suchasthetracheawhenoxygenis
being"blownover"thepatient.
D.Visuallychecktheintegrityandinsulationofallcordsandcoagulationinstruments
beforeuse.
Intrinsicandextrinsicfactorsthatmayleadtodevelopmentofpreoperativepressure
ulcerinclude:Selectallthatapply.Correctans-A.Durationoftheprocedure
B.Exaggeratedpositions
C.Circulatorydisorders
D.Malnutrition
Whichofthefollowingstatementsreflecttheconceptofcriticalthinking?Selectallthat
apply.Correctans-C.Informedpractice
D.Holisticthinking
E.Unbiasedthinking
F.Reasonedapplicationofastepbystepprocess
Whatisthebestdrapetouseforanumbilicalherniarepair?Correctans-B.
Laparotomy
Whichofthefollowingstatementscorrectlydescribesrecommendationsfor
preoperativepatientskinantisepsis?Correctans-D.Prepshouldstartatthe
siteoftheincisionandmoveoutwards.
Whatarethe3mainfactorstoconsiderwhenassessingthepatientforallergies?
Correctans-C.Priorreaction,heredity,typeofreaction
Thefollowingstepscanbeusedtoreducepersonnelexposuretospecimenfixatives
suchasformalin.Selectallthatapply.Correctans-A.Avoidsplashingwhile
pouring
C.Whenpouringwearglovesandamask.
D.Useabsorbentmaterialandthentriplerinsewithwateranyareaorsurfacewhere
accidentalformalinspillageoccurs.
E.Storefixativessecurelysotheyareinaccessibletopersonsunfamiliarwiththeiruse.
Afterinitialadministration,whichstatementbelowtheproperorderofthe4stagesof
generalanesthesiaaffectingthepatient?Correctans-A.Administration,
excitement,intrasurgery,respiratoryfailure
WhatresponsibilitiesdoORstaffmembershaveinmaintainingasafeORenvironment?
Selectallthatapply.Correctans-A.Adheringtofacilitypoliciesrelatedto
safety
B.ConsistentlyapplyingORspecificsafetypractices
D.Monitor,identifyandreportsafetyhazards. InadditiontogivingDantrolene,whichofthefollowingtreatmentoptionsformalignant
hyperthermiashouldthenurseanticipateandpreparefor?Correctans-B.
Provide100%oxygen,usedicedsalinetocoolpatient.
Animportantdifferencebetweenminimallyinvasive(MIS)andopensurgicalprocedures
isthatMIS:Correctans-A.Canbeperformedthroughsmallerincisions.
Whilemonitoringapatientundergoinglocalanesthesia,thenurseshouldbesuspicious
ofsystemictoxicityrelatedtowhichofthefollowingpatientcomplaints?Selectallthat
apply.Correctans-B.Metallictaste
C.Numbnessofthelips
D.Tinnitus
E.VisualDisturbances
ToplaceapatientsafelyinTRENDELENBURGposition,whichofthefollowingpractices
isindicated?Correctans-B.Positionkneesoverthebreakintheprocedure
bedtoallowforkneeflexion.
Thefirststepinthesterilizationprocessofsurgicalinstrumentsthathavebeenusedin
caseis:Correctans-A.Cleaning
Byusingahighradiofrequencyelectricalcurrent,surgeonsroutinelyuseelectrosurgery
to_________thetissue.Correctans-C.Cutandcoagulate
Thepreoperativeteamimplementsaseptictechniquepracticestomeetallofthe
followingprimarygoalsEXCEPT?Correctans-A.Improvepatientsatisfaction
Whichofthefollowingexamplesisincludedonthe"JointCommission"listofDO-NOT-
USEabbreviations,AcronymsandSymbols?Correctans-A.MS
Whena"TimeOut"discrepancyoccurs,thenurse'spriorityactionshouldbeto:
Correctans-A.Callthepatient'sfamilytomakethemawareofthesituation.
B.Documentthe"TimeOut"discrepancy
C.Notifythemanageroradministrator
D.Stoptheprocedurefrombeginninguntilthediscrepancyisresolved
Whichofthefollowingstatementsabouttheimmediateusesteamsterilizationisthe
recommendedpractice?Correctans-D.Instrumentsmaybeimmediateuse
steamsterilizedonlywhenthereisinsufficienttimetotprocessbythepreferred
wrappedorcontainermethod.
(2022/2023)(CompleteRevisedVerifiedAnswersby
Expert)
Whenapplyingtheconceptofsurgicalconsciencewhichofthefollowingstatement
shouldbeconsidered?Selectallthatapply.Correctans-A.Itinvolvesmental
discipline&theabilitytospeakout
B.Itisessentialtothedeliveryofoptimalcareandpreventharm.
D.Surgicalconscienceallowsfornocompromiseintheprinciplesofaseptictechnique.
Inpreparingforaregulatorysurvey,yourqualityconsultantquestionsyouaboutthe
restrictedzoneinyourORsuite.Thefollowingstatementsaretrue:Correctans
-A.AirflowintheORroomsshouldbecleanedbyHEPAfilters.
C.Maskarerequiredwhenopensterilesuppliesarepresent.
E.Temperatureismaintainedbetween68and75degree
F.
TheJointCommissionUniversalProtocolconsistsof:Selectallthatapply.Correct
ans-A.Preoperativeverification
B.Surgicalsitemarking
C.TimeOut
Youareassignedtorelieveasurgicaltechnologistforlunch.Youwillneed:
Correctans-A.Asterilegownandglovesopenedonatable(otherthanthemain
instrumenttable)forclosedgloving.
Whichofthefollowingpracticesisrecommendedforhandlingofnaturalabsorbable
suture?Correctans-C.Openthepackagecarefullyoverasmallbasinto
preventsplashingofthepackagingsolution
Whichofthefollowingproceduresreflectsbestpracticefortransferringamedication
vialtothesterilefield?Correctans-D.Useasteriletransferdevice
RecommendedspongecountproceduresincludeallofthefollowingEXCEPT?
Correctans-B.Countingsilentlysoitdoesn'tdistractotherpersonnel.
Whatisthecorrectdefinitionofincisionalbiopsy?Correctans-D.Asmall
portionoftissueisincisedandsentforexamination.
Whichofthefollowingmethodslistedbelowmaypreventmishap,event,orfirefrom
occurringwhenhandlingelectrosurgicalequipment?Selectallthatapply.Correct
ans-A.Allowenoughtimeforalcoholbasedskinpreparationstocompletelydry. B.Donotuseinanoxygen-enrichedenvironment,suchasthetracheawhenoxygenis
being"blownover"thepatient.
D.Visuallychecktheintegrityandinsulationofallcordsandcoagulationinstruments
beforeuse.
Intrinsicandextrinsicfactorsthatmayleadtodevelopmentofpreoperativepressure
ulcerinclude:Selectallthatapply.Correctans-A.Durationoftheprocedure
B.Exaggeratedpositions
C.Circulatorydisorders
D.Malnutrition
Whichofthefollowingstatementsreflecttheconceptofcriticalthinking?Selectallthat
apply.Correctans-C.Informedpractice
D.Holisticthinking
E.Unbiasedthinking
F.Reasonedapplicationofastepbystepprocess
Whatisthebestdrapetouseforanumbilicalherniarepair?Correctans-B.
Laparotomy
Whichofthefollowingstatementscorrectlydescribesrecommendationsfor
preoperativepatientskinantisepsis?Correctans-D.Prepshouldstartatthe
siteoftheincisionandmoveoutwards.
Whatarethe3mainfactorstoconsiderwhenassessingthepatientforallergies?
Correctans-C.Priorreaction,heredity,typeofreaction
Thefollowingstepscanbeusedtoreducepersonnelexposuretospecimenfixatives
suchasformalin.Selectallthatapply.Correctans-A.Avoidsplashingwhile
pouring
C.Whenpouringwearglovesandamask.
D.Useabsorbentmaterialandthentriplerinsewithwateranyareaorsurfacewhere
accidentalformalinspillageoccurs.
E.Storefixativessecurelysotheyareinaccessibletopersonsunfamiliarwiththeiruse.
Afterinitialadministration,whichstatementbelowtheproperorderofthe4stagesof
generalanesthesiaaffectingthepatient?Correctans-A.Administration,
excitement,intrasurgery,respiratoryfailure
WhatresponsibilitiesdoORstaffmembershaveinmaintainingasafeORenvironment?
Selectallthatapply.Correctans-A.Adheringtofacilitypoliciesrelatedto
safety
B.ConsistentlyapplyingORspecificsafetypractices
D.Monitor,identifyandreportsafetyhazards. InadditiontogivingDantrolene,whichofthefollowingtreatmentoptionsformalignant
hyperthermiashouldthenurseanticipateandpreparefor?Correctans-B.
Provide100%oxygen,usedicedsalinetocoolpatient.
Animportantdifferencebetweenminimallyinvasive(MIS)andopensurgicalprocedures
isthatMIS:Correctans-A.Canbeperformedthroughsmallerincisions.
Whilemonitoringapatientundergoinglocalanesthesia,thenurseshouldbesuspicious
ofsystemictoxicityrelatedtowhichofthefollowingpatientcomplaints?Selectallthat
apply.Correctans-B.Metallictaste
C.Numbnessofthelips
D.Tinnitus
E.VisualDisturbances
ToplaceapatientsafelyinTRENDELENBURGposition,whichofthefollowingpractices
isindicated?Correctans-B.Positionkneesoverthebreakintheprocedure
bedtoallowforkneeflexion.
Thefirststepinthesterilizationprocessofsurgicalinstrumentsthathavebeenusedin
caseis:Correctans-A.Cleaning
Byusingahighradiofrequencyelectricalcurrent,surgeonsroutinelyuseelectrosurgery
to_________thetissue.Correctans-C.Cutandcoagulate
Thepreoperativeteamimplementsaseptictechniquepracticestomeetallofthe
followingprimarygoalsEXCEPT?Correctans-A.Improvepatientsatisfaction
Whichofthefollowingexamplesisincludedonthe"JointCommission"listofDO-NOT-
USEabbreviations,AcronymsandSymbols?Correctans-A.MS
Whena"TimeOut"discrepancyoccurs,thenurse'spriorityactionshouldbeto:
Correctans-A.Callthepatient'sfamilytomakethemawareofthesituation.
B.Documentthe"TimeOut"discrepancy
C.Notifythemanageroradministrator
D.Stoptheprocedurefrombeginninguntilthediscrepancyisresolved
Whichofthefollowingstatementsabouttheimmediateusesteamsterilizationisthe
recommendedpractice?Correctans-D.Instrumentsmaybeimmediateuse
steamsterilizedonlywhenthereisinsufficienttimetotprocessbythepreferred
wrappedorcontainermethod.
