Test Bank for Alexander's Care of the
u u u u u u
Patient in Surgery 17th Edition
u u u u u
by Jane C. Rothrock
u u u
Chapter Guide 1-17|A+ PASS
u u u
1|P a g e
u u u u u
, Table of Contents
u u
Unit 1: Foundations for Practice
u u u u
1. Concepts Basic to Perioperative Nursing
u u u u
2. Patient Safety and Risk Management
u u u u
3. Workplace Issues and Staff Safety
u u u u
4. Infection Prevention and Control
u u u
5. Anesthesia
6. Positioning the Patient for Surgery
u u u u
7. Sutures, Sharps, and Instruments
u u u
8. Surgical Modalitiesu
9. Wound Healing, Dressings, and Drains
u u u u
10. Postoperative Patient Care and Pain Management u u u u u
Unit 2: Surgical Interventions
u u u
11. Gastrointestinal Surgery u
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
u u u u u u u u
13. Hernia Repair
u
14. Gynecologic and Obstetric Surgery u u u
15. Genitourinary Surgery u
16. Thyroid and Parathyroid Surgery
u u u
17. Breast Surgery
u
18. Ophthalmic Surgery u
19. Otorhinolaryngologic Surgery u
20. Orthopedic Surgery u
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery u u u u
23. Vascular Surgery u
24. Cardiac Surgery
u
Unit 3: Special Considerations
u u u
26. Pediatric Surgery u
2|P a g e
u u u u u
,27. Geriatric Surgery u
28. Trauma Surgery u
29. Interventional and Image-Guided Procedures u u u
30. Integrative Health Practices: Complementary and Alternative Therapies
u u u u u u
Chapter 01: Concepts Basic to Perioperative Nursing
u u u u u u
MULTIPLE CHOICE
u u
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
u u u u u u u u u u u u
patient care. Select the statement that best describes the dynamic relationship within the model.
u u u u u u u u u u u u u u
a. The patient experience and the nursing presence are in continuous interaction.
u u u u u u u u u u
b. Structure, process, and outcome are the foundation domains of the model.
u u u u u u u u u u
c. The perioperative nurse is the central dynamic core of the model.
u u u u u u u u u u
d. The interrelated nursing process rings bind the patient to the model.
u u u u u u u u u u
u ANS: Au
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
u u u u u u u u u u u u u
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with
u u u u u u u u u u u u u
the health system that encircles the focus of perioperative nursing practice—the patient.
u u u u u u u u u u u u
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
u u u u u u u u u u
describes nursing interactions, interventions, and activities with patients. This is based on which
u u u u u u u u u u u u u
standards category?
u u
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
u u
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
u u u u u u u u u u u u u
clinical, professional, and quality objectives in perioperative nursing.
u u u u u u u u
3. Which order best describes the process used to implement evidence-based professional nursing?
u u u u u u u u u u u
a. Literature search, theory review, data analysis, policy development
u u u u u u u
3|P a g e
u u u u u
, b. Regional survey, literature search, meta-analysis, practice change
u u u u u u
c. Identify problem, scientific evidence, develop policy, evaluate outcome
u u u u u u u
d. Identify issue, analyze scientific evidence, implement change, evaluate process
u u u u u u u u
u ANS: D u
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
u u u u u u u u u u u u u u u
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
u u u u u u u u u u u u u u u u
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their
u u u u u u u u u u u u u u
unit. The best process to gather scientific information is to:
u u u u u u u u u u
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
u u u u u u u u u u u u
b. review their surgical site infection data from the last 6 months.
u u u u u u u u u u
c. conduct a literature search on antimicrobial agents and infection prevention.
u u u u u u u u u
d. review the scientific literature from the leading manufacturers of prep solutions.
u u u u u u u u u u
u ANS: C u
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
u u u u u u u u u u u u u u u
best available scientific evidence. Using research to guide practice is called evidence-based practice
u u u u u u u u u u u u u
(EBP).
u
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient
u u u u u u u u u u u u u u u u
research evidence for their project. Where might they look for information on best practices?
u u u u u u u u u u u u u u
a. Survey regional surgical technology programs for their back table models
u u u u u u u u u
b. Review case studies and expert opinions on sterile back table setups
u u u u u u u u u u
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
u u u u u u u u u
d. Consult with facility instrument vendor representatives for their advice
u u u u u u u u
u ANS: B u
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
u u u u u u u u u u u u u
information from varied trusted sources that reflect best practices.
u u u u u u u u u
6. How do institutional standards of care, such as policies and procedures, differ from national standards,
u u u u u u u u u u u u u u
such as AORN‘s Standards of Perioperative Nursing?
u u u u u u
a. They are written by nurses.
u u u u
4|P a g e
u u u u u
u u u u u u
Patient in Surgery 17th Edition
u u u u u
by Jane C. Rothrock
u u u
Chapter Guide 1-17|A+ PASS
u u u
1|P a g e
u u u u u
, Table of Contents
u u
Unit 1: Foundations for Practice
u u u u
1. Concepts Basic to Perioperative Nursing
u u u u
2. Patient Safety and Risk Management
u u u u
3. Workplace Issues and Staff Safety
u u u u
4. Infection Prevention and Control
u u u
5. Anesthesia
6. Positioning the Patient for Surgery
u u u u
7. Sutures, Sharps, and Instruments
u u u
8. Surgical Modalitiesu
9. Wound Healing, Dressings, and Drains
u u u u
10. Postoperative Patient Care and Pain Management u u u u u
Unit 2: Surgical Interventions
u u u
11. Gastrointestinal Surgery u
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
u u u u u u u u
13. Hernia Repair
u
14. Gynecologic and Obstetric Surgery u u u
15. Genitourinary Surgery u
16. Thyroid and Parathyroid Surgery
u u u
17. Breast Surgery
u
18. Ophthalmic Surgery u
19. Otorhinolaryngologic Surgery u
20. Orthopedic Surgery u
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery u u u u
23. Vascular Surgery u
24. Cardiac Surgery
u
Unit 3: Special Considerations
u u u
26. Pediatric Surgery u
2|P a g e
u u u u u
,27. Geriatric Surgery u
28. Trauma Surgery u
29. Interventional and Image-Guided Procedures u u u
30. Integrative Health Practices: Complementary and Alternative Therapies
u u u u u u
Chapter 01: Concepts Basic to Perioperative Nursing
u u u u u u
MULTIPLE CHOICE
u u
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
u u u u u u u u u u u u
patient care. Select the statement that best describes the dynamic relationship within the model.
u u u u u u u u u u u u u u
a. The patient experience and the nursing presence are in continuous interaction.
u u u u u u u u u u
b. Structure, process, and outcome are the foundation domains of the model.
u u u u u u u u u u
c. The perioperative nurse is the central dynamic core of the model.
u u u u u u u u u u
d. The interrelated nursing process rings bind the patient to the model.
u u u u u u u u u u
u ANS: Au
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
u u u u u u u u u u u u u
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with
u u u u u u u u u u u u u
the health system that encircles the focus of perioperative nursing practice—the patient.
u u u u u u u u u u u u
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
u u u u u u u u u u
describes nursing interactions, interventions, and activities with patients. This is based on which
u u u u u u u u u u u u u
standards category?
u u
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
u u
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
u u u u u u u u u u u u u
clinical, professional, and quality objectives in perioperative nursing.
u u u u u u u u
3. Which order best describes the process used to implement evidence-based professional nursing?
u u u u u u u u u u u
a. Literature search, theory review, data analysis, policy development
u u u u u u u
3|P a g e
u u u u u
, b. Regional survey, literature search, meta-analysis, practice change
u u u u u u
c. Identify problem, scientific evidence, develop policy, evaluate outcome
u u u u u u u
d. Identify issue, analyze scientific evidence, implement change, evaluate process
u u u u u u u u
u ANS: D u
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
u u u u u u u u u u u u u u u
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
u u u u u u u u u u u u u u u u
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their
u u u u u u u u u u u u u u
unit. The best process to gather scientific information is to:
u u u u u u u u u u
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
u u u u u u u u u u u u
b. review their surgical site infection data from the last 6 months.
u u u u u u u u u u
c. conduct a literature search on antimicrobial agents and infection prevention.
u u u u u u u u u
d. review the scientific literature from the leading manufacturers of prep solutions.
u u u u u u u u u u
u ANS: C u
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
u u u u u u u u u u u u u u u
best available scientific evidence. Using research to guide practice is called evidence-based practice
u u u u u u u u u u u u u
(EBP).
u
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient
u u u u u u u u u u u u u u u u
research evidence for their project. Where might they look for information on best practices?
u u u u u u u u u u u u u u
a. Survey regional surgical technology programs for their back table models
u u u u u u u u u
b. Review case studies and expert opinions on sterile back table setups
u u u u u u u u u u
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
u u u u u u u u u
d. Consult with facility instrument vendor representatives for their advice
u u u u u u u u
u ANS: B u
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
u u u u u u u u u u u u u
information from varied trusted sources that reflect best practices.
u u u u u u u u u
6. How do institutional standards of care, such as policies and procedures, differ from national standards,
u u u u u u u u u u u u u u
such as AORN‘s Standards of Perioperative Nursing?
u u u u u u
a. They are written by nurses.
u u u u
4|P a g e
u u u u u
