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m m m m m m m m m m m m
n Phillips m
Chapter m02:mFoundations mofmPerioperative mPatientmCaremStandards mPhilli
ps:mBerry m&mKohn’smOperating mRoommTechnique,m14thmEdition
MULTIPLEmCHOICE
1. Whomismresponsiblemformdocumentingmthemfinalmcountsmat mthemend mof mthemcasemasmcorrect
m ormincorrect?
a. Scrubmperson
b. Surgeon
c. Anesthesiologist
d. Circulatingmnurse
ANS:m D
Themcirculatingmnursemismresponsiblemformfinalmdocumentation.
REF:m m p.m22 m|mp.m23
2. Optimalmpatient mcaremrequiresmwhichmelement?
a. Deterringmanmadmissionmof mfault minmsterilemtechnique
b. Anatomicmseparation
c. Dynamicmtensionmof msurgicalmteammmembers
d. Applicationmof masepsismand msterilemtechniquemprinciples
ANS:m D
Asepsismand msterilemtechniquemaremexpected mand mnecessarympracticesminmthemORmsettingmformfavo
rablempatient moutcomes.
REF:m m p.m22
3. Themcirculatingmnursemshould massessmampatient mformwhichmtypemof minjurymbeforementeringmthemOR
?
a. Medicationmerror
b. WrongmIVmsite
c. Skinminjury
d. Sharpmobject
ANS:m C
Skinminjuriesmcanmbemcaused mbymmanymthingsminmthemOR.mThemnursemshould massessmthemskinmbefo
remand maftermthemproceduremtommakemsuremnomdamagemhasmbeenmdone.
REF:m m p.m23
4. Caregiversmshould malwaysmknow mwhymtheymaremdoingmamparticularmaction.mActionsmshould m
bembased monm .
a. self-taught mmethods
b. preceptormactions
c. nursingmprocess
d. evidence-based mpractice
ANS:m D
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,DOWNLOAD THE Test Bank for Berry & Kohn's Operating Room Technique 14th Editio
m m m m m m m m m m m m
n Phillips m
Evidence-
based mpracticemismamsystematicmprocessmthat mismbased monmresearch.m Themresearch mismthembasemform
best mpractices.mPracticesmaremconstantlymevaluated mformthembest mmethodsmformperformingmpatient m
care.
REF:m m p.m25 m|mp.m26
5. Whenmdoesmthemintraoperativemphasembegin?
a. Placement mof mthempatient monmthemORmbed
b. Whenmthempatient mentersmthemOR
c. Whenmwaitingminmthemholdingmarea
d. WhenmtakenmtomthemrecoverymareamormPACU
ANS:m A
Themintraoperativemphasembeginsmwithmthempatient monmthemORmbed mand mcontinuesmuntilmthempatie
nt mismtransported mtomthemPACU.
REF:m m p.m28
6. What mdocumentationmgoesmintomthempatient’smchart mand mbecomesmpart mof mthempermanent mrecord?
a. Specimenmresults
b. Intraoperativemnotesmonly
c. Allmroutinemand mindividualized mcare
d. Physicalmchanges
ANS:m C
Allmpatient mcareminterventionsmand mobservationsmaremdocumented.mStandardizedmlanguagemprovi
desmlegalmevidencemformthemplansmof mcaremand mrevisionsmof mthosemplans.
REF:m m p.m31
7. Whichmidentifiesmonemaspect mof msafempatient mmovement mfrommthemORmtablemtomthemstretcher?
a. Themcirculatingmnursemcountsmtomsynchronizemthempatient’smmovement.
b. Thempersonmguidingmthemhead mcountsmtomsynchronizemthemmovement.
c. Thempersonmat mthemleft msidemof mthempatient malsomguidesmthemhead mand mcountsmtomstart m
themmovement.
d. Twompeoplemaremneeded mtommovemanmanesthetized mpatient mfrommthemtablemtomt
hemstretcher.
ANS:m B
Theremshould mbemat mleast monempersonmonmeithermsidemof mthempatient,monemat mthemfoot,mand monemat m
themhead mtommonitormthemairway.mThempersonmguidingmthempatient’smhead mshould mbemthemonemw
homcountsm“one,mtwo,mthree”mtompacemthemsynchronized mmovement mfrommonemsurfacemtomanothe
r.
REF:m m p.m22
8. Whichmismonemof mthem“sevenmrights”mof mmedicationmadministrationmformeachmpatient?
a. Right mpharmacy
b. Right mcolor
c. Right mroute
d. Right manswer
ANS:m C
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, DOWNLOAD THE Test Bank for Berry & Kohn's Operating Room Technique 14th Editio
m m m m m m m m m m m m
n Phillips m
Themsevenmrightsmof mmedicationmadministrationmincludemright mpatient,mright mdrug,mright mdose,mr
ight mreason,mright mtime,mright mroute,mand mright mdocumentation.
REF:m m p.m24
9. Allmaremincluded minmthemdefinitionmof mprofessionalismmexcept
a. self-centered mformprofit mgroup.
b. requiresmspecialmskillsmand mknowledge.
c. hasmitsmownmstandardsmand mcodemof methics.
d. actsmresponsiblymtomgainmpublicmtrust.
ANS:m A
Professionalismmismthemcombinationmof mknowledge,mskills,methics,mand mideasmthat mregulatemamprof
ession.mIt malsomusesmcriticalmthinkingmand mjudgement.
REF:m m p.m25
10. Whichmevent mismincluded monmMedicare’sm“NomPaymList”mand mwillmnot mbemreimbursed?
a. Myocardialminfarction
b. Wrongmsitemsurgery
c. Documented mAlzheimer’s
d. Incisionmand mdrainagemof mamchronicmhipmabscess
ANS:m B
Wrongmsitemsurgerymismanmeasilympreventablemoccurrencem and mismnot mreimbursed mformbymMedicar
e.
REF:m m p.m18
TRUE/FALSE
1. Surgicalmconsciencemismconsidered mthemGoldenmRule:mDomuntomthempatientmasmyoumwouldmha
vemothersmdomuntomyou.
ANS:m T
Surgicalmconsciencemdevelopsmovermtime.mThemcaregiverm should mconsidermeachmpatient masmhimsel
f mormherself mormasmamloved mone.mIt mismjust monemelement mformoptimalmpatient mcare.
REF:m m p.m16
2. A mpatient madvocatemismthempersonmwhomaccompaniesmthempatient mtomthemfacility.
ANS:m F
A mpatient madvocatemismamcaregiver,mwhomrecognizesmthempatient mand mfamily’smneed mforminforma
tionmand massistance.mTheymact masmthempatient’smrepresentativemtomhelpmmakeminformed mdecisions
.mTheymidentifymspecificmcaremneedsmand massist minmcoping.
REF:m m p.m16
3. Accessmtomhealthmcaremismamprivilegemof meverymhumanmbeing.
ANS:m F
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m m m m m m m m m m m m
n Phillips m
Chapter m02:mFoundations mofmPerioperative mPatientmCaremStandards mPhilli
ps:mBerry m&mKohn’smOperating mRoommTechnique,m14thmEdition
MULTIPLEmCHOICE
1. Whomismresponsiblemformdocumentingmthemfinalmcountsmat mthemend mof mthemcasemasmcorrect
m ormincorrect?
a. Scrubmperson
b. Surgeon
c. Anesthesiologist
d. Circulatingmnurse
ANS:m D
Themcirculatingmnursemismresponsiblemformfinalmdocumentation.
REF:m m p.m22 m|mp.m23
2. Optimalmpatient mcaremrequiresmwhichmelement?
a. Deterringmanmadmissionmof mfault minmsterilemtechnique
b. Anatomicmseparation
c. Dynamicmtensionmof msurgicalmteammmembers
d. Applicationmof masepsismand msterilemtechniquemprinciples
ANS:m D
Asepsismand msterilemtechniquemaremexpected mand mnecessarympracticesminmthemORmsettingmformfavo
rablempatient moutcomes.
REF:m m p.m22
3. Themcirculatingmnursemshould massessmampatient mformwhichmtypemof minjurymbeforementeringmthemOR
?
a. Medicationmerror
b. WrongmIVmsite
c. Skinminjury
d. Sharpmobject
ANS:m C
Skinminjuriesmcanmbemcaused mbymmanymthingsminmthemOR.mThemnursemshould massessmthemskinmbefo
remand maftermthemproceduremtommakemsuremnomdamagemhasmbeenmdone.
REF:m m p.m23
4. Caregiversmshould malwaysmknow mwhymtheymaremdoingmamparticularmaction.mActionsmshould m
bembased monm .
a. self-taught mmethods
b. preceptormactions
c. nursingmprocess
d. evidence-based mpractice
ANS:m D
mynursytest.store
,DOWNLOAD THE Test Bank for Berry & Kohn's Operating Room Technique 14th Editio
m m m m m m m m m m m m
n Phillips m
Evidence-
based mpracticemismamsystematicmprocessmthat mismbased monmresearch.m Themresearch mismthembasemform
best mpractices.mPracticesmaremconstantlymevaluated mformthembest mmethodsmformperformingmpatient m
care.
REF:m m p.m25 m|mp.m26
5. Whenmdoesmthemintraoperativemphasembegin?
a. Placement mof mthempatient monmthemORmbed
b. Whenmthempatient mentersmthemOR
c. Whenmwaitingminmthemholdingmarea
d. WhenmtakenmtomthemrecoverymareamormPACU
ANS:m A
Themintraoperativemphasembeginsmwithmthempatient monmthemORmbed mand mcontinuesmuntilmthempatie
nt mismtransported mtomthemPACU.
REF:m m p.m28
6. What mdocumentationmgoesmintomthempatient’smchart mand mbecomesmpart mof mthempermanent mrecord?
a. Specimenmresults
b. Intraoperativemnotesmonly
c. Allmroutinemand mindividualized mcare
d. Physicalmchanges
ANS:m C
Allmpatient mcareminterventionsmand mobservationsmaremdocumented.mStandardizedmlanguagemprovi
desmlegalmevidencemformthemplansmof mcaremand mrevisionsmof mthosemplans.
REF:m m p.m31
7. Whichmidentifiesmonemaspect mof msafempatient mmovement mfrommthemORmtablemtomthemstretcher?
a. Themcirculatingmnursemcountsmtomsynchronizemthempatient’smmovement.
b. Thempersonmguidingmthemhead mcountsmtomsynchronizemthemmovement.
c. Thempersonmat mthemleft msidemof mthempatient malsomguidesmthemhead mand mcountsmtomstart m
themmovement.
d. Twompeoplemaremneeded mtommovemanmanesthetized mpatient mfrommthemtablemtomt
hemstretcher.
ANS:m B
Theremshould mbemat mleast monempersonmonmeithermsidemof mthempatient,monemat mthemfoot,mand monemat m
themhead mtommonitormthemairway.mThempersonmguidingmthempatient’smhead mshould mbemthemonemw
homcountsm“one,mtwo,mthree”mtompacemthemsynchronized mmovement mfrommonemsurfacemtomanothe
r.
REF:m m p.m22
8. Whichmismonemof mthem“sevenmrights”mof mmedicationmadministrationmformeachmpatient?
a. Right mpharmacy
b. Right mcolor
c. Right mroute
d. Right manswer
ANS:m C
mynursytest.store
, DOWNLOAD THE Test Bank for Berry & Kohn's Operating Room Technique 14th Editio
m m m m m m m m m m m m
n Phillips m
Themsevenmrightsmof mmedicationmadministrationmincludemright mpatient,mright mdrug,mright mdose,mr
ight mreason,mright mtime,mright mroute,mand mright mdocumentation.
REF:m m p.m24
9. Allmaremincluded minmthemdefinitionmof mprofessionalismmexcept
a. self-centered mformprofit mgroup.
b. requiresmspecialmskillsmand mknowledge.
c. hasmitsmownmstandardsmand mcodemof methics.
d. actsmresponsiblymtomgainmpublicmtrust.
ANS:m A
Professionalismmismthemcombinationmof mknowledge,mskills,methics,mand mideasmthat mregulatemamprof
ession.mIt malsomusesmcriticalmthinkingmand mjudgement.
REF:m m p.m25
10. Whichmevent mismincluded monmMedicare’sm“NomPaymList”mand mwillmnot mbemreimbursed?
a. Myocardialminfarction
b. Wrongmsitemsurgery
c. Documented mAlzheimer’s
d. Incisionmand mdrainagemof mamchronicmhipmabscess
ANS:m B
Wrongmsitemsurgerymismanmeasilympreventablemoccurrencem and mismnot mreimbursed mformbymMedicar
e.
REF:m m p.m18
TRUE/FALSE
1. Surgicalmconsciencemismconsidered mthemGoldenmRule:mDomuntomthempatientmasmyoumwouldmha
vemothersmdomuntomyou.
ANS:m T
Surgicalmconsciencemdevelopsmovermtime.mThemcaregiverm should mconsidermeachmpatient masmhimsel
f mormherself mormasmamloved mone.mIt mismjust monemelement mformoptimalmpatient mcare.
REF:m m p.m16
2. A mpatient madvocatemismthempersonmwhomaccompaniesmthempatient mtomthemfacility.
ANS:m F
A mpatient madvocatemismamcaregiver,mwhomrecognizesmthempatient mand mfamily’smneed mforminforma
tionmand massistance.mTheymact masmthempatient’smrepresentativemtomhelpmmakeminformed mdecisions
.mTheymidentifymspecificmcaremneedsmand massist minmcoping.
REF:m m p.m16
3. Accessmtomhealthmcaremismamprivilegemof meverymhumanmbeing.
ANS:m F
mynursytest.store