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1. Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients: D. Pediatric patients
2. The National Patient Safety Goals directed at improving staff communica-
tion review the need for
A. ensuring important test results are communicated to the right person on
time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia
care unit
D. Conducting a daily huddle on the unit: A, ensuring important test results are
communicated to the right person on time
3. Which of the following is a potential contraindication to the use of a pneu-
matic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved: C. Sickle cell anemia
4. Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses: B. Whether any special equipment, devices
or implants will be needed
5. A pt taking ginger preoperatively is at risk for surgical complications that
include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction: B. Bradycardia
6. A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt
should be counselled to discontinue taking the medication _________ prior to
surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks: B. 2 weeks
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7. A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet: A. previous history of stroke
8. Actively warming surgical patients with forced air to prevent hypothermia
should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision: C. in the preoperative holding area
9. Which of the following indicators demonstrates a patient who is at increased
risk of developing a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status: D. Poor preoperative nutritional status
10. Based on data collected during the patient assessment, the perioperative
RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions: B. formulates a nursing diagnosis
11. Liquid peracetic acid low-temperature sterilant is used for devices that
meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed: C. Device must be aerated
12. During surgery the patients respirations become increasingly shallow, and
the pupils become smaller and smaller until they are pinpoint. How should this
situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as
naloxone (Narcan) should be administered
D. Oxygen should be increased while anesthetic is decreased: C. The anes-
thetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan)
should be administered
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13. NPO Guidelines:
Food and fluids as desired: Up to 8 hours
14. NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk): Up to 6 hours
15. NPO Guidelines
Breast Milk: Up to 4 hours
16. NPO Guidelines
Clear liquids only, NO solid food or foods with fat content: Up to 2 hours
17. NPO Guidelines
No solids or liquids: During the 2 hours until surgical times
18. After a person with an airborne disease has been cared for in the OR, the
OR should be closed and not cleaned until..: 99% of the airborne particles have
been removed from the air (eg 15 air exchanges/hour for 28 minutes)
19. Airborne precautions are instated for pathogens that are how big?: Small,
5 micrometers or less and can therefore can stay suspended in the air.
20. Which precaution has pathogens greater than 5 micrometers in size: -
Droplet
21. What diseases are present for Contact precautions: HIV
HEP B
HEP C
Staph aureus
C-Diff
22. What Herbs may increase bleeding: Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
23. What Herbs may cause liver Inflammation: Echinacea
Kava
24. What Herbs may elevate Blood Pressure: Goldenseal
Licorice
25. What Herbs may prolong the effects of anesthesia: Kava
St. johns Wort
Valerian
26. What are the three tenets that radiation safety is based on: Time, distance
and sheilding
27. A patients life threatening injuries prevent required hair removal before
transfer to the OR. The best course of action for the perioperative nurse to