TEST BANK FOR ALEXANDERS CARE OF THE
PATIENT IN SURGERY 16TH EDITION BY
ROTHROCK ISBN10: 0323479146 ISBN13:
9780323479141
This study source was downloaded by 100000818837220 from CourseHero.com on 03-14-2023 20:36:44 GMT -05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table of Contents
Unit 1: Foundations for Practice
1. Concepts Basic to Perioperative Nursing
2. Patient Safety and Risk Management
3. Workplace Issues and Staff Safety
4. Infection Prevention and Control
5. Anesthesia
6. Positioning the Patient for Surgery
7. Sutures, Sharps, and Instruments
8. Surgical Modalities
9. Wound Healing, Dressings, and Drains
10. Postoperative Patient Care and Pain Management
Unit 2: Surgical Interventions
11. Gastrointestinal Surgery
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
13. Hernia Repair
14. Gynecologic and Obstetric Surgery
15. Genitourinary Surgery
16. Thyroid and Parathyroid Surgery
17. Breast Surgery
18. Ophthalmic Surgery
19. Otorhinolarygologic Surgery
20. Orthopedic Surgery
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery
22. Thoracic Surgery
23. Vascular Surgery
24. Cardiac Surgery
Unit 3: Special Considerations
26. Pediatric Surgery
27. Geriatric Surgery 28. Trauma Surgery
29. Interventional and Image-Guided Procedures
30. Integrative Health Practices: Complementary and Alternative Therapies
This study source was downloaded by 100000818837220 from CourseHero.com on 03-14-2023 20:36:44 GMT -05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide patie
q q q q q q q q q q q q q
statement that best describes the dynamic relationship within the model.
q q q q q q q q q
a. The patient experience and the nursing presence are in continuous interaction.
q q q q q q q q q q
b. Structure, process, and outcome are the foundation domains of the model.
q q q q q q q q q q
c. The perioperative nurse is the central dynamic core of the model.
q q q q q q q q q q
d. The interrelated nursing process rings bind the patient to the model.
q q q q q q q q q q
ANS: A q
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing dia
q q q q q q q q q q q q q q
interventions, and patient outcomes. These domains are in continuous interaction with the health system
q q q q q q q q q q q q q
perioperative nursing practice—the patient. q q q
2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing desc
q q q q q q q q q q q
interventions, and activities with patients. This is based on which standards category?
q q q q q q q q q q q
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B q
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
q q q q q q q q q q q q q q
quality objectives in perioperative nursing.
q q q q
3. Which order best describes the process used to implement evidence-based professional nursing?
q q q q q q q q q q q
a. Literature search, theory review, data analysis, policy development
q q q q q q q
b. Regional survey, literature search, meta-analysis, practice change
q q q q q q
c. Identify problem, scientific evidence, develop policy, evaluate outcome
q q q q q q q
d. Identify issue, analyze scientific evidence, implement change, evaluate process
q q q q q q q q
ANS: D q
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and e
q q q q q q q q q q q q q q q q
design and implement a practice change, and to evaluate the process.
q q q q q q q q q q
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their un
q q q q q q q q q q q q q q q
gather scientific information is to:
q q q q
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
q q q q q q q q q q q q
b. review their surgical site infection data from the last 6 months.
q q q q q q q q q q
c. conduct a literature search on antimicrobial agents and infection prevention.
q q q q q q q q q
d. review the scientific literature from the leading manufacturers of prep solutions.
q q q q q q q q q q
ANS: C q
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
q q q q q q q q q q q q q q q q
evidence. Using research to guide practice is called evidence-based practice (EBP).
q q q q q q q q q q
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient res
q q q q q q q q q q q q q q q q q
project. Where might they look for information on best practices?
q q q q q q q q q
a. Survey regional surgical technology programs for their back table models
q q q q q q q q q
b. Review case studies and expert opinions on sterile back table setups
q q q q q q q q q q
c. Review AORN’s Guidelines for Perioperative Practice on sterilization and
q q q q q q q q q
disinfection
d. Consult with facility instrument vendor representatives for their advice
q q q q q q q q
ANS: B q
When there is not enough evidence to guide practice, perioperative nurses should consider gathering info
q q q q q q q q q q q q q q
, 7. Which of the following actions best describes an element of the perioperative nursing assessment?
q q q q q q q q q q q q q
a. Scanning the surgical schedule for the day before morning report. q q q q q q q q q
b. Reading the pick/preference list attached to the case cart.
q q q q q q q q
c. Reviewing the patient medical record. q q q q
d. Studying an on-line tutorial about the intended surgical procedure.
q q q q q q q q
ANS: C q
Assessment is the collection and analysis of relevant health data about the patient. Sources of data may b
q q q q q q q q q q q q q q q q q
with the patient and the patient’s family; review of the planned surgical or invasive procedure; review
q q q q q q q q q q q q q q q q
record; examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia
q q q q q q q q q q q q q q
other personnel. q
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk f
q q q q q q q q q q q q q q q q q
factors related to her preexisting conditions and overall health status. As part of developing a plan to gui
q q q q q q q q q q q q q q q q q
standardized descriptive terms. This step of the nursing process is called:
q q q q q q q q q q
a. nursing diagnosis. q
b. nursing assessment. q
c. nursing outcome. q
d. nursing intervention. q
ANS: A q
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way
q q q q q q q q q q q q q q q q
nursing care. Nursing diagnosis components include a definition of the diagnostic term, defining chara
q q q q q q q q q q q q q q
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-walk
q q q q q q q q q q q q
activities are what stage of the nursing process?
q q q q q q q
a. Assessment
b. Implementation
c. Outcome identification q
d. Evaluation
ANS: B q
Implementation is performing the nursing care activities and interventions that were planned and respo
q q q q q q q q q q q q q
and orderly action to changes in the surgical procedure, patient condition, or emergencies. Implementati
q q q q q q q q q q q q q
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the perioperati
q q q q q q q q q q q q q
patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list and rea
q q q q q q q q q q q q q q q
cart setup to reflect this new information and change in care delivery. Which two phases of the nursing
q q q q q q q q q q q q q q q q q
the nurse’s actions?
q q
a. Assessment and planning q q
b. Assessment and implementation q q
c. Planning and implementation q q
d. Nursing diagnosis and intervention q q q
ANS: q C
Planning is preparing in advance for what will or may happen and determining the priorities for care. Pl
q q q q q q q q q q q q q q q q q
assessment results in knowing the patient and the patient’s unique needs. Implementation is performing
q q q q q q q q q q q q q
and interventions that were planned and responding with critical thinking and orderly action. Implemen
q q q q q q q q q q q q q
nursing.
11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by therm
q q q q q q q q q q q q q q
accomplishment of this intervention would meet which of the following desired nursing outcomes? q q q q q q q q q q q q
a. The patient is free from signs and symptoms of injury from anxiety.
q q q q q q q q q q q
b. The patient is free from signs and symptoms of impaired skin integrity.
q q q q q q q q q q q
c. The patient is free from signs and symptoms of surgical site infection.
q q q q q q q q q q q
d. The patient is free from signs and symptoms of hyperthermia.
q q q q q q q q q
ANS: B q
Chemical and thermal sources used in surgery can cause skin and tissue burns (e.g., electrosurgery, pov
q q q q q q q q q q q q q q q
lasers). The patient being free from signs and symptoms of chemical injury, radiation injury, and electr
q q q q q q q q q q q q q q q
PATIENT IN SURGERY 16TH EDITION BY
ROTHROCK ISBN10: 0323479146 ISBN13:
9780323479141
This study source was downloaded by 100000818837220 from CourseHero.com on 03-14-2023 20:36:44 GMT -05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table of Contents
Unit 1: Foundations for Practice
1. Concepts Basic to Perioperative Nursing
2. Patient Safety and Risk Management
3. Workplace Issues and Staff Safety
4. Infection Prevention and Control
5. Anesthesia
6. Positioning the Patient for Surgery
7. Sutures, Sharps, and Instruments
8. Surgical Modalities
9. Wound Healing, Dressings, and Drains
10. Postoperative Patient Care and Pain Management
Unit 2: Surgical Interventions
11. Gastrointestinal Surgery
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
13. Hernia Repair
14. Gynecologic and Obstetric Surgery
15. Genitourinary Surgery
16. Thyroid and Parathyroid Surgery
17. Breast Surgery
18. Ophthalmic Surgery
19. Otorhinolarygologic Surgery
20. Orthopedic Surgery
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery
22. Thoracic Surgery
23. Vascular Surgery
24. Cardiac Surgery
Unit 3: Special Considerations
26. Pediatric Surgery
27. Geriatric Surgery 28. Trauma Surgery
29. Interventional and Image-Guided Procedures
30. Integrative Health Practices: Complementary and Alternative Therapies
This study source was downloaded by 100000818837220 from CourseHero.com on 03-14-2023 20:36:44 GMT -05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide patie
q q q q q q q q q q q q q
statement that best describes the dynamic relationship within the model.
q q q q q q q q q
a. The patient experience and the nursing presence are in continuous interaction.
q q q q q q q q q q
b. Structure, process, and outcome are the foundation domains of the model.
q q q q q q q q q q
c. The perioperative nurse is the central dynamic core of the model.
q q q q q q q q q q
d. The interrelated nursing process rings bind the patient to the model.
q q q q q q q q q q
ANS: A q
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing dia
q q q q q q q q q q q q q q
interventions, and patient outcomes. These domains are in continuous interaction with the health system
q q q q q q q q q q q q q
perioperative nursing practice—the patient. q q q
2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing desc
q q q q q q q q q q q
interventions, and activities with patients. This is based on which standards category?
q q q q q q q q q q q
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B q
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
q q q q q q q q q q q q q q
quality objectives in perioperative nursing.
q q q q
3. Which order best describes the process used to implement evidence-based professional nursing?
q q q q q q q q q q q
a. Literature search, theory review, data analysis, policy development
q q q q q q q
b. Regional survey, literature search, meta-analysis, practice change
q q q q q q
c. Identify problem, scientific evidence, develop policy, evaluate outcome
q q q q q q q
d. Identify issue, analyze scientific evidence, implement change, evaluate process
q q q q q q q q
ANS: D q
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and e
q q q q q q q q q q q q q q q q
design and implement a practice change, and to evaluate the process.
q q q q q q q q q q
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their un
q q q q q q q q q q q q q q q
gather scientific information is to:
q q q q
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
q q q q q q q q q q q q
b. review their surgical site infection data from the last 6 months.
q q q q q q q q q q
c. conduct a literature search on antimicrobial agents and infection prevention.
q q q q q q q q q
d. review the scientific literature from the leading manufacturers of prep solutions.
q q q q q q q q q q
ANS: C q
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
q q q q q q q q q q q q q q q q
evidence. Using research to guide practice is called evidence-based practice (EBP).
q q q q q q q q q q
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient res
q q q q q q q q q q q q q q q q q
project. Where might they look for information on best practices?
q q q q q q q q q
a. Survey regional surgical technology programs for their back table models
q q q q q q q q q
b. Review case studies and expert opinions on sterile back table setups
q q q q q q q q q q
c. Review AORN’s Guidelines for Perioperative Practice on sterilization and
q q q q q q q q q
disinfection
d. Consult with facility instrument vendor representatives for their advice
q q q q q q q q
ANS: B q
When there is not enough evidence to guide practice, perioperative nurses should consider gathering info
q q q q q q q q q q q q q q
, 7. Which of the following actions best describes an element of the perioperative nursing assessment?
q q q q q q q q q q q q q
a. Scanning the surgical schedule for the day before morning report. q q q q q q q q q
b. Reading the pick/preference list attached to the case cart.
q q q q q q q q
c. Reviewing the patient medical record. q q q q
d. Studying an on-line tutorial about the intended surgical procedure.
q q q q q q q q
ANS: C q
Assessment is the collection and analysis of relevant health data about the patient. Sources of data may b
q q q q q q q q q q q q q q q q q
with the patient and the patient’s family; review of the planned surgical or invasive procedure; review
q q q q q q q q q q q q q q q q
record; examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia
q q q q q q q q q q q q q q
other personnel. q
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk f
q q q q q q q q q q q q q q q q q
factors related to her preexisting conditions and overall health status. As part of developing a plan to gui
q q q q q q q q q q q q q q q q q
standardized descriptive terms. This step of the nursing process is called:
q q q q q q q q q q
a. nursing diagnosis. q
b. nursing assessment. q
c. nursing outcome. q
d. nursing intervention. q
ANS: A q
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way
q q q q q q q q q q q q q q q q
nursing care. Nursing diagnosis components include a definition of the diagnostic term, defining chara
q q q q q q q q q q q q q q
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-walk
q q q q q q q q q q q q
activities are what stage of the nursing process?
q q q q q q q
a. Assessment
b. Implementation
c. Outcome identification q
d. Evaluation
ANS: B q
Implementation is performing the nursing care activities and interventions that were planned and respo
q q q q q q q q q q q q q
and orderly action to changes in the surgical procedure, patient condition, or emergencies. Implementati
q q q q q q q q q q q q q
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the perioperati
q q q q q q q q q q q q q
patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list and rea
q q q q q q q q q q q q q q q
cart setup to reflect this new information and change in care delivery. Which two phases of the nursing
q q q q q q q q q q q q q q q q q
the nurse’s actions?
q q
a. Assessment and planning q q
b. Assessment and implementation q q
c. Planning and implementation q q
d. Nursing diagnosis and intervention q q q
ANS: q C
Planning is preparing in advance for what will or may happen and determining the priorities for care. Pl
q q q q q q q q q q q q q q q q q
assessment results in knowing the patient and the patient’s unique needs. Implementation is performing
q q q q q q q q q q q q q
and interventions that were planned and responding with critical thinking and orderly action. Implemen
q q q q q q q q q q q q q
nursing.
11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by therm
q q q q q q q q q q q q q q
accomplishment of this intervention would meet which of the following desired nursing outcomes? q q q q q q q q q q q q
a. The patient is free from signs and symptoms of injury from anxiety.
q q q q q q q q q q q
b. The patient is free from signs and symptoms of impaired skin integrity.
q q q q q q q q q q q
c. The patient is free from signs and symptoms of surgical site infection.
q q q q q q q q q q q
d. The patient is free from signs and symptoms of hyperthermia.
q q q q q q q q q
ANS: B q
Chemical and thermal sources used in surgery can cause skin and tissue burns (e.g., electrosurgery, pov
q q q q q q q q q q q q q q q
lasers). The patient being free from signs and symptoms of chemical injury, radiation injury, and electr
q q q q q q q q q q q q q q q
