AORN PERIOP 101 FINAL EXAM LATEST QUESTIONS
AND ANSWERS
NUMBER OF VENTILATION EXCHANGES FOR AN INDIVIDUAL OR - ANSWER-20 PER HOUR WITH 4
EXCHANGES FROM OUTDOOR AIR
HUMIDITY RANGE FOR AN INDIVIDUAL OR - ANSWER-20-60%
TEMPURATURE RANGE FOR AN INDIVIDUAL OR - ANSWER-68-75 DEGREES FAHRENHEIT
20-24 DEGREES CELSIUS
THIS LOSES PLIABILITY IF DRIED OUT
OPEN OVER SMALL BASIN
SURGICAL GUT (PLAIN OR CHROMIC) AND COLLAGEN - ANSWER-NATURAL ABSORBABLE SUTURE
MAXON
MONOCRYL
VICRYL
DEXON
PDS & PDS II
DO NOT SOAK OR DIP IN WATER (THIS CAUSES HYDROLYSIS AND REDUCTION OF TENSILE STRENGTH) -
ANSWER-SYNTHETIC ABSORBABLE SUTURE
SILK
SURGICAL COTTON (WEAKEST; GAINS STRENGTH WHEN WET)
LINEN
STAINLESS STEEL (USED FOR CLOSURE OF STERNUM, RETENTION SUTURE, SECONDARY REPAIR, RESP
TRACT, ORTHO, NEUROSURGERY) - ANSWER-NATURAL NONABSORBABLE SUTURE
NYLON SUTURE
-MONOFILAMENT (ETHILON & DERMALON)
-COATED (SURGILON)
-UNCOATED (NEUROLON)
POLYESTER FIBER SUTURE
-COATED (TICRON, ETHIBOND, TEFLON)
-UNCOATED (MERSILENE & DACRON)
POLYPROPYLENE (PROLENE & SURGILENE)
POLYBUTESTER (NOVAFIL)
POLY ETHYLENE (DERMALENE) - ANSWER-SYNTHETIC NONABSORBABLE SUTURE
-NO INFLAMMATION
-RESP, AILMENTARY, AND GU TRACTS NOT ENTERED
-EX. EYE SURGERY, HERNIA REPAIRS, BREAST SURGERY, NONTRAUMATIC NEURO & ORTHO SURGERY,
CARDIAC, OR PERIPHERAL VASCULAR SURGERY - ANSWER-CLASS I-CLEAN WOUNDS
-RESP, AILMENTARY, OR GU WOUNDS ENTERED UNDER CONTROLLED CONDITIONS AND WITHOUT
CONTAMINATION OF SURROUNDING TISSUE
-NO EVIDENCE OF INFECTION OR MAJOR BREAK IN ASEPTIC TECHNIQUE
, -EX. D&C, TOTAL HYSTERECTOMY, GASTRECTOMY, CHOLE WITHOUT SPILLAGE, ELECTIVE APPY,
CYSTOSCOPY, TURP ON PT W/ NEGATIVE URINE CULTURES, SIGMOID COLON RESECTION - ANSWER-
CLASS II-CLEAN CONTAMINATED
-OPEN, FRESH, TRAUMATIC WOUNDS
-MAJOR BREAK IN STERILE TECHNIQUE
-GROSS SPILLAGE FROM GI TRACT
-INCISIONS WITH ACUTE NONPURULENT INFLAMMATION
-EX. LAPAROTOMY W/ SIGNIFICANT SPILLAGE, TRAUMATIC WOUNDS, ACUTE APPENDICITIS OR
CHOLECYSTITIS, COMPOUND FRACTURES - ANSWER-CLASS III-CONTAMINATED WOUNDS
-OLD, TRAUMATIC WOUNDS WITH DEVITALIZED TISSUE, PERFORATED VISCERA, DELAYED PRIMARY
WOUND CLOSURE
-EX. INCISION AND DRAINAGE, TOTAL EVISCERATION, PERFORATED VISCERA - ANSWER-CLASS IV-
DIRTY WOUNDS
PURPOSE OF STANDARDIZED NURSING LANGUAGE SUCH AS PNDS - ANSWER-MAINTAIN PT SAFETY,
INFECTION CONTROL, AND MANAGEMENT OF SUPPLY COST
PLAN OF CARE
HELPS TO
-PLAN NURSING INTERVENTIONS
-ASSESS AND DEVELOP NURSING DIAGNOSES
-ASSESS AND EVALUATE PT STATUS
-EVALUATE RESPONSES TO POSITIONING
REQUIREMENTS OF STORAGE AND MOVEMENT OF DIRTY, CLEAN AND STERILE SUPPLIES WITHIN THE
OPERATING ROOM - ANSWER-KEEP COVERED IN ENCLOSED CARTS
LABELED, KEEP APART CLEAN, DIRTY AND STERILE
ELEMENTS OF PROFESSIONALISM - ANSWER--GOVERNED BY PRACTICE ACTS THAT OUTLINE LEGAL
SCOPE OF PRACTICE
-MAINTAIN CURRENT KNOWLEDGE
-SEEK OUT COLLEAGUES TO ASSESS THEIR PRACTICE
-ACTIVATE PARTICIPANTS IN PROFESSIONAL ORGANIZATIONS
-ENGAGE IN ONGOING PROFESSIONAL DEVELOPMENT
-MAINTAIN COMPETENCE ACTIVITIES THROUGOUT CAREER
PICO - ANSWER-POPULATION, PATIENT, PROBLEM
INTERVENTION
COMPARISON
OUTCOME
3 MAIN CATEGORIES OF DIRECT COSTS - ANSWER-MEDICAL SUPPLIES
PERSONNEL
PURCHASING SERVICES
IOM REPORT - ANSWER-INSTITUTE OF MEDICINE SAYS THAT NURSES SHOULD PRACTICE TO TE FULL
EXTENT OF THEIR EDCUCATION AND TRAINING
AREAS OF THE STERILE GOWN TAHT ARE CONSIDERED STERILE - ANSWER-CHEST, GOWN SLEEVES AT
2 INCHES ABOVE ELBOW TO CUFF CIRCUMFERENTIALLY, CHEST TO LEVEL OF STERILE FIELD
WHY IS THERE A RECOMMENDATION TO CHANGE SURGICAL GLOVES AFTER MAX TIME OF 150
MINUTES - ANSWER-PERFORATION RATES INCREASE AFTER 150 MINUTES RELATED TO INCREASED
WATER ABSORPTION CAUSING INCREASED PERMEABILITY AND POROSITY
AND ANSWERS
NUMBER OF VENTILATION EXCHANGES FOR AN INDIVIDUAL OR - ANSWER-20 PER HOUR WITH 4
EXCHANGES FROM OUTDOOR AIR
HUMIDITY RANGE FOR AN INDIVIDUAL OR - ANSWER-20-60%
TEMPURATURE RANGE FOR AN INDIVIDUAL OR - ANSWER-68-75 DEGREES FAHRENHEIT
20-24 DEGREES CELSIUS
THIS LOSES PLIABILITY IF DRIED OUT
OPEN OVER SMALL BASIN
SURGICAL GUT (PLAIN OR CHROMIC) AND COLLAGEN - ANSWER-NATURAL ABSORBABLE SUTURE
MAXON
MONOCRYL
VICRYL
DEXON
PDS & PDS II
DO NOT SOAK OR DIP IN WATER (THIS CAUSES HYDROLYSIS AND REDUCTION OF TENSILE STRENGTH) -
ANSWER-SYNTHETIC ABSORBABLE SUTURE
SILK
SURGICAL COTTON (WEAKEST; GAINS STRENGTH WHEN WET)
LINEN
STAINLESS STEEL (USED FOR CLOSURE OF STERNUM, RETENTION SUTURE, SECONDARY REPAIR, RESP
TRACT, ORTHO, NEUROSURGERY) - ANSWER-NATURAL NONABSORBABLE SUTURE
NYLON SUTURE
-MONOFILAMENT (ETHILON & DERMALON)
-COATED (SURGILON)
-UNCOATED (NEUROLON)
POLYESTER FIBER SUTURE
-COATED (TICRON, ETHIBOND, TEFLON)
-UNCOATED (MERSILENE & DACRON)
POLYPROPYLENE (PROLENE & SURGILENE)
POLYBUTESTER (NOVAFIL)
POLY ETHYLENE (DERMALENE) - ANSWER-SYNTHETIC NONABSORBABLE SUTURE
-NO INFLAMMATION
-RESP, AILMENTARY, AND GU TRACTS NOT ENTERED
-EX. EYE SURGERY, HERNIA REPAIRS, BREAST SURGERY, NONTRAUMATIC NEURO & ORTHO SURGERY,
CARDIAC, OR PERIPHERAL VASCULAR SURGERY - ANSWER-CLASS I-CLEAN WOUNDS
-RESP, AILMENTARY, OR GU WOUNDS ENTERED UNDER CONTROLLED CONDITIONS AND WITHOUT
CONTAMINATION OF SURROUNDING TISSUE
-NO EVIDENCE OF INFECTION OR MAJOR BREAK IN ASEPTIC TECHNIQUE
, -EX. D&C, TOTAL HYSTERECTOMY, GASTRECTOMY, CHOLE WITHOUT SPILLAGE, ELECTIVE APPY,
CYSTOSCOPY, TURP ON PT W/ NEGATIVE URINE CULTURES, SIGMOID COLON RESECTION - ANSWER-
CLASS II-CLEAN CONTAMINATED
-OPEN, FRESH, TRAUMATIC WOUNDS
-MAJOR BREAK IN STERILE TECHNIQUE
-GROSS SPILLAGE FROM GI TRACT
-INCISIONS WITH ACUTE NONPURULENT INFLAMMATION
-EX. LAPAROTOMY W/ SIGNIFICANT SPILLAGE, TRAUMATIC WOUNDS, ACUTE APPENDICITIS OR
CHOLECYSTITIS, COMPOUND FRACTURES - ANSWER-CLASS III-CONTAMINATED WOUNDS
-OLD, TRAUMATIC WOUNDS WITH DEVITALIZED TISSUE, PERFORATED VISCERA, DELAYED PRIMARY
WOUND CLOSURE
-EX. INCISION AND DRAINAGE, TOTAL EVISCERATION, PERFORATED VISCERA - ANSWER-CLASS IV-
DIRTY WOUNDS
PURPOSE OF STANDARDIZED NURSING LANGUAGE SUCH AS PNDS - ANSWER-MAINTAIN PT SAFETY,
INFECTION CONTROL, AND MANAGEMENT OF SUPPLY COST
PLAN OF CARE
HELPS TO
-PLAN NURSING INTERVENTIONS
-ASSESS AND DEVELOP NURSING DIAGNOSES
-ASSESS AND EVALUATE PT STATUS
-EVALUATE RESPONSES TO POSITIONING
REQUIREMENTS OF STORAGE AND MOVEMENT OF DIRTY, CLEAN AND STERILE SUPPLIES WITHIN THE
OPERATING ROOM - ANSWER-KEEP COVERED IN ENCLOSED CARTS
LABELED, KEEP APART CLEAN, DIRTY AND STERILE
ELEMENTS OF PROFESSIONALISM - ANSWER--GOVERNED BY PRACTICE ACTS THAT OUTLINE LEGAL
SCOPE OF PRACTICE
-MAINTAIN CURRENT KNOWLEDGE
-SEEK OUT COLLEAGUES TO ASSESS THEIR PRACTICE
-ACTIVATE PARTICIPANTS IN PROFESSIONAL ORGANIZATIONS
-ENGAGE IN ONGOING PROFESSIONAL DEVELOPMENT
-MAINTAIN COMPETENCE ACTIVITIES THROUGOUT CAREER
PICO - ANSWER-POPULATION, PATIENT, PROBLEM
INTERVENTION
COMPARISON
OUTCOME
3 MAIN CATEGORIES OF DIRECT COSTS - ANSWER-MEDICAL SUPPLIES
PERSONNEL
PURCHASING SERVICES
IOM REPORT - ANSWER-INSTITUTE OF MEDICINE SAYS THAT NURSES SHOULD PRACTICE TO TE FULL
EXTENT OF THEIR EDCUCATION AND TRAINING
AREAS OF THE STERILE GOWN TAHT ARE CONSIDERED STERILE - ANSWER-CHEST, GOWN SLEEVES AT
2 INCHES ABOVE ELBOW TO CUFF CIRCUMFERENTIALLY, CHEST TO LEVEL OF STERILE FIELD
WHY IS THERE A RECOMMENDATION TO CHANGE SURGICAL GLOVES AFTER MAX TIME OF 150
MINUTES - ANSWER-PERFORATION RATES INCREASE AFTER 150 MINUTES RELATED TO INCREASED
WATER ABSORPTION CAUSING INCREASED PERMEABILITY AND POROSITY
