Association of Perioperative Registered Nurses (AORN)
Core Curriculum | Featuring Topics such as Surgical
Asepsis, Sterile Technique, and Patient Safety , Most
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A 72-y/o patient who has atherosclerosis of both legs (more
severe in the right leg) is scheduled for laser-assisted balloon
angioplasty under local anesthesia. After the patient has been
positioned on the OR table, which one of the following
perioperative nursing actions would be most appropriate? a)
Provide a small roll in the lumbar area
b) Provide padding under the lower extremities allowing the
heels to float
c) Place a foam headrest under the
occiput
d) Provide protectors for the olecranon processes
- ANSWER-b
Which surgical position does not adversely affect the
diaphragmatic movement? a) Trendelenburg position
b) Prone position
c) Sitting or Semi-Sitting position
,d) Lateral position - ANSWER-c
In the supine position, areas especially susceptible to skin
breakdown include
the:
a) Occipital area, shoulder blades, coccyx,
and elbows
b) Elbows, the ileum, and the back of
the heels
c) Coccyx, back of the heels, and
brachial plexus
d) Shoulder blades, the buttocks, and the clavicle -
ANSWER-a
What response is the result of tissue layers moving
on each other?
a) Pressure
ulcers
b)
Maceration
c)
Shearing
d) Friction -
ANSWER-c
The minimum number of personnel that should be
available to move an anesthetized patient from a supine-
to-prone position is: a) Two
b) Three
,c) Four
d) Five - ANSWER-c
What is included in the Universal Protocol for Preventing
Wrong Site, Wrong Procedure, and Wrong Person Surgery?
a) Briefing and time out
b) Preoperative verification and handover report
c) Preoperative verification, surgical site marking, and time out
d) Surgical site marking and time out
e) Transfer de-briefing, site marking, and time out - ANSWER-c
During the surgical count before closure of the peritoneum, the
scrub person and the RN circulator are unable to locate a
laparotomy sponge. What is the FIRST thing the RN Circulator
should do?
a) Contact the radiology dept. scheduler to obtain a stat x-ray
for instrument and sponge verification
b) Inform the RN supervisor and ask for assistance
c) Notify and receive verbal acknowledgment of the discrepancy
from the surgeon
d) Re-open all bagged and discarded sponges, and recount
them - ANSWER-c
According to the Universal Protocol for Preventing Wrong Site,
Wrong Procedure, and Wrong Person Surgery, what is an
acceptable method to identify a patient?
a) Ask a patient his or her room number
b) Confirm the patient's name by reviewing the surgical consent
c) Ask the patient to state his/her full name and date of birth
, d) Check the patient's armband for a hospital MRN and social
security number -
ANSWER-c
Match the latex sensitivity categories with their
correct description:
a) Delayed Type IV
Hypersensitivity
b) Immediate
Type I
c) Irritant contact
dermatitis
1 - Localized delayed allergic reaction occurring 24-72 hrs.
after exposure 2 - Non-allergic skin reaction usually
aggravated by glove powder and chemical agents added to raw
latex
3 - Occurs within 5-30 min. after exposure. The onset may be
delayed 10-12 hrs.
*Use numbers separated w/commas to match - ANSWER-1, 3, 2
An immediate latex allergy response has three stages. Match
the following stages with the appropriate symptoms:
a) Can progress to a sudden drop in blood pressure, increased
HR, and potential circulatory collapse
b) Contact urticaria presenting as redness and swelling at the
site of exposure