PeriOp 101 Review Questions
Which of the following are examples of the recommendation - A sterile field should be maintained and
monitored constantly?
1. A sterile field that has been set up for more than 1 hour before the procedure begins should be
broken down and new set-up prepared.
2. If a delay occurs after a sterile field is set, it may be covered with sterile drapes until the delay is
resolved.
3. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as someone
maintains continuous visual observation of the sterile field.
4. The sterile field should be prepared as close as possible to the time of use. ANS: 2. If a delay occurs
after a sterile field is set, it may be covered with sterile drapes until the delay is resolved.
3. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as someone
maintains continuous visual observation of the sterile field.
4. The sterile field should be prepared as close as possible to the time of use.
During which phase of wound healing does contraction occur?
1. Epithelialization
2. Inflammation
3. Proliferation
4. Remodeling ANS: 3. Proliferation
Which of the following physiological effects is most likely to result from positioning a pt in the lithotomy
position?
1. Circulatory and respiratory compromise due to pressure on the abdomen
2. Circulatory pooling in the lower legs
3. Decreased brainstem perfusion
4. Pressure on the brachial nerves ANS: 1. Circulatory and respiratory compromise due to pressure on
the abdomen
,To place a pt safely in the trendelenberg position, which of the following practices is indicated?
1. Position the knees over the break in the procedure bed to allow for knee flexion
2. Rapidly return the pt to the supine position at the end of the procedure
3. Use shoulder braces to prevent the pt's sliding toward the head of the bed
4. Apply anti embolic stockings to encourage venous return ANS: 1. Position the knees over the break
in the procedure bed to allow for knee flexion
Which of the following activities should be performed during post procedure cleaning of an OR?
1. Clean the floor as needed moving the OR bed to clean underneath
2. Damp dust all horizontal surfaces
3. Dry dust all horizontal surfaces
4. Clean up spills of biohazardous materials, outside of the sterile field ANS: 1. Clean the floor as
needed moving the OR bed to clean underneath
Which of the following statements is true concerning use of AORN recommended practices (RP's)?
1. RP's are based on scientific evidence of how nurses actually practice in perioperative settings
2. Work setting and situation variations may determine the extent to which the RP's can be applied
3. Licensed and accredited institutions are required to comply with the RP's
4. RP's supersede departmental and institutional policies ANS: 2. Work setting and situation variations
may determine the extent to which the RP's can be applied
Which of the following is a finding of recent research studies on the value of certification?
1. Most facilities do not offer incentives for achieving certification
2. Non certified nurse managers saw little value in certification related to professional growth
3. Nurse managers would prefer to hire a certified nurse over an otherwise equally qualified non
certified nurse
,4. The most frequent reason for achieving certification is the expectation of higher salary and career
advancement ANS: 3. Nurse managers would prefer to hire a certified nurse over an otherwise equally
qualified non certified nurse
Which of the following characteristics are elements of a culture of safety within a healthcare
organization?
1. Commitment to safety as the first priority in providing care
2. Ongoing education of staff members about pt safety
3. Prompt disciplinary action when errors occur
4. Trust among healthcare members ANS: 1. Commitment to safety as the first priority in providing
care
2. Ongoing education of staff members about pt safety
4. Trust among healthcare members
A pt is unable to transfer independently to the procedure bed. To achieve the PNDS outcomes related to
safe pt transfer, which measures may be used to prevent shearing injury?
1. Pull the draw sheet toward the procedure bed while someone lifts the pt's head
2. Request additional personnel to assist with the pt transfer
3. Use a friction-reducing transfer sheet
4. Use a slider or roller board
5. Use the draw sheet to lift the pt slightly to allow the skin to realign with the skeletal structure ANS:
2. Request additional personnel to assist with the pt transfer
3. Use a friction-reducing transfer sheet
4. Use a slider or roller board
5. Use the draw sheet to lift the pt slightly to allow the skin to realign with the skeletal structure
Which of the following sensory assessment findings is common among elderly pts?
1. Decreased ability to understand explanations
, 2. Increased perception of pain
3. Memory impairment
4. Decreased color and depth perception ANS: 4. Decreased color and depth perception
A pt is scheduled for reconstruction of her external ear following a dog bite injury. Which of the
following prep agents is contraindicated for use in this case?
1. Chlorhexidine Gluconate
2. Povidone iodine
3. Alcohol
4. Cationic Phenolic Mixture ANS: 1. Chlorhexidine Gluconate
When performing a skin prep for a pt scheduled for a bunionectomy, which of the following steps should
be indicated?
1. Prop the foot to allow ample access to all surfaces during the prep
2. Start between the toes and move up to the foot and lower leg
3. Use an impervious drape to protect the tourniquet before starting the prep
4. Wash between the toes and dry before applying the prep solution ANS: 1. Prop the foot to allow
ample access to all surfaces during the prep
3. Use an impervious drape to protect the tourniquet before starting the prep
4. Wash between the toes and dry before applying the prep solution
What should be the most important consideration when selecting draping materials?
1. Convenience of use
2. Cost
3. Surgeon preference
4. Risk of contaminating pts with endogenous and exogenous microorgranisms
Which of the following are examples of the recommendation - A sterile field should be maintained and
monitored constantly?
1. A sterile field that has been set up for more than 1 hour before the procedure begins should be
broken down and new set-up prepared.
2. If a delay occurs after a sterile field is set, it may be covered with sterile drapes until the delay is
resolved.
3. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as someone
maintains continuous visual observation of the sterile field.
4. The sterile field should be prepared as close as possible to the time of use. ANS: 2. If a delay occurs
after a sterile field is set, it may be covered with sterile drapes until the delay is resolved.
3. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as someone
maintains continuous visual observation of the sterile field.
4. The sterile field should be prepared as close as possible to the time of use.
During which phase of wound healing does contraction occur?
1. Epithelialization
2. Inflammation
3. Proliferation
4. Remodeling ANS: 3. Proliferation
Which of the following physiological effects is most likely to result from positioning a pt in the lithotomy
position?
1. Circulatory and respiratory compromise due to pressure on the abdomen
2. Circulatory pooling in the lower legs
3. Decreased brainstem perfusion
4. Pressure on the brachial nerves ANS: 1. Circulatory and respiratory compromise due to pressure on
the abdomen
,To place a pt safely in the trendelenberg position, which of the following practices is indicated?
1. Position the knees over the break in the procedure bed to allow for knee flexion
2. Rapidly return the pt to the supine position at the end of the procedure
3. Use shoulder braces to prevent the pt's sliding toward the head of the bed
4. Apply anti embolic stockings to encourage venous return ANS: 1. Position the knees over the break
in the procedure bed to allow for knee flexion
Which of the following activities should be performed during post procedure cleaning of an OR?
1. Clean the floor as needed moving the OR bed to clean underneath
2. Damp dust all horizontal surfaces
3. Dry dust all horizontal surfaces
4. Clean up spills of biohazardous materials, outside of the sterile field ANS: 1. Clean the floor as
needed moving the OR bed to clean underneath
Which of the following statements is true concerning use of AORN recommended practices (RP's)?
1. RP's are based on scientific evidence of how nurses actually practice in perioperative settings
2. Work setting and situation variations may determine the extent to which the RP's can be applied
3. Licensed and accredited institutions are required to comply with the RP's
4. RP's supersede departmental and institutional policies ANS: 2. Work setting and situation variations
may determine the extent to which the RP's can be applied
Which of the following is a finding of recent research studies on the value of certification?
1. Most facilities do not offer incentives for achieving certification
2. Non certified nurse managers saw little value in certification related to professional growth
3. Nurse managers would prefer to hire a certified nurse over an otherwise equally qualified non
certified nurse
,4. The most frequent reason for achieving certification is the expectation of higher salary and career
advancement ANS: 3. Nurse managers would prefer to hire a certified nurse over an otherwise equally
qualified non certified nurse
Which of the following characteristics are elements of a culture of safety within a healthcare
organization?
1. Commitment to safety as the first priority in providing care
2. Ongoing education of staff members about pt safety
3. Prompt disciplinary action when errors occur
4. Trust among healthcare members ANS: 1. Commitment to safety as the first priority in providing
care
2. Ongoing education of staff members about pt safety
4. Trust among healthcare members
A pt is unable to transfer independently to the procedure bed. To achieve the PNDS outcomes related to
safe pt transfer, which measures may be used to prevent shearing injury?
1. Pull the draw sheet toward the procedure bed while someone lifts the pt's head
2. Request additional personnel to assist with the pt transfer
3. Use a friction-reducing transfer sheet
4. Use a slider or roller board
5. Use the draw sheet to lift the pt slightly to allow the skin to realign with the skeletal structure ANS:
2. Request additional personnel to assist with the pt transfer
3. Use a friction-reducing transfer sheet
4. Use a slider or roller board
5. Use the draw sheet to lift the pt slightly to allow the skin to realign with the skeletal structure
Which of the following sensory assessment findings is common among elderly pts?
1. Decreased ability to understand explanations
, 2. Increased perception of pain
3. Memory impairment
4. Decreased color and depth perception ANS: 4. Decreased color and depth perception
A pt is scheduled for reconstruction of her external ear following a dog bite injury. Which of the
following prep agents is contraindicated for use in this case?
1. Chlorhexidine Gluconate
2. Povidone iodine
3. Alcohol
4. Cationic Phenolic Mixture ANS: 1. Chlorhexidine Gluconate
When performing a skin prep for a pt scheduled for a bunionectomy, which of the following steps should
be indicated?
1. Prop the foot to allow ample access to all surfaces during the prep
2. Start between the toes and move up to the foot and lower leg
3. Use an impervious drape to protect the tourniquet before starting the prep
4. Wash between the toes and dry before applying the prep solution ANS: 1. Prop the foot to allow
ample access to all surfaces during the prep
3. Use an impervious drape to protect the tourniquet before starting the prep
4. Wash between the toes and dry before applying the prep solution
What should be the most important consideration when selecting draping materials?
1. Convenience of use
2. Cost
3. Surgeon preference
4. Risk of contaminating pts with endogenous and exogenous microorgranisms
