VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
Which of the following statements is TRUE concerting use of the AORN guidelines for
Perioperative practice?
A. Both medical and nursing licensing boards require health care institutions to comply
with AORN guidelines
B. The AORN guidelines legally supersede departmental and institutional policies
C. The AORN guidelines reflect scientific evidence of how nurses actually practice in the
perioperative settings
D. Work setting and situation variations may determine the extent to which AORN
guidelines can be applied - answer>>>d. Work setting and situation variations may
determine the extent to which AORN guidelines can be applied
Which of the following is the best way to conduct time out?
A. The time out is done in the room where the proceeder while be performed and should
involve the entire surgical team
B. The time out is done before the patient enters the room
C. The time out is led by the circulating nurse and documented on the count board within
the OR for all to agree
D. The time out takes place after the initial incision - answer>>>a
Primary purpose of documentation is to
A. Be prepared in case a court cased filed
B. Make sure everything is written down
C. Record the chornological order of events during the nursing care of a patient
D. Related any conversations and discussion with the patient of family in detail -
answer>>>c
When documenting the placement of a surgical drain, which of the following
components should be included?
A. Date of expiration noted on the packaging
B. Manufacturers mame
C. Serial number
D. Where the drain was place d on the patient - answer>>>d
The regulatory agency responsible for surveying facilities compliance with the universal
protocol is;
,A institute of medicine
B. The joint commission
C. National quality forum
D. Occupational safety and health administration - answer>>>b
Which of the following examples is included on the Join commissions list of don to use
abbreviations, acronyms and symbols?
A MS
B mcg
C ml
D unit - answer>>>a
What is the most consistent indicator of malignant hyperthermia during a surgical
intervention?
A . Tachycardia
B. Unexplained increased in end tidal CO2
C. Elevated temperature
D. Sustained muscle contraction - answer>>>b
Which method is used to prevent aspiration during endotracheal intubation?
A. Applying cricoid pressure
B. Inserting a nasal/oral airway
C. Larynogoscopy
D. Invasive techniques - answer>>>a
A precision way of looking at general anesthesia is to divide it into 3 phases: -
answer>>>induction
Maintenance
Emergence
During a surgical procedure, the perioperative nurse notices that the patient has
tachycardia, and a continuously rising temperature, and the blood in the operative field
has turned dark red. These assessment findings are consistent with?
A. Malignant hyperthermia
B. Blood transfusion reaction
C. Hypovolemic shock
D. Malignant hyper metabolism - answer>>>a
During intubation, the patient has chest movement but no air exchange. The
perioperative nurses first priority is to:
,A. Prepare for reintubation
B. Assure that suction is available for the anesthesia care provider
C. Provide racemic epinephrine for the anesthesia care provider
D. Priced positive pressure ventilation - answer>>>b
Early signs of malignant hyperthermia (MH) include:
A. Blood pressure changes, reduced pulse oximetry readings, and tachycardia
B. Muscle rigidity, elevated temperature, and bradycardia
C. Elevated temperature, alkalosis, and increased respirations
D. Unexplained tachycardia, rapid respirations, and muscle righty - answer>>>d
In addition to giving dantrolene, which of the following treatment options for MH should
the nurse anticipate and prepare?
A/ cool patient , restart succinylcholine at lower doses
B. Provide 100% O2, used iced saline to oil patient
C. Replace potassium loss, continue with safe anesthetic agents
D. Avoid patient shivering, contact book bank for platelets - answer>>>b
Which of the following drugs should be avail to treat MH crisis?
A diazepam (valium)
B. Meperidine (demerol)
C. Dantrolene (Dantrium
D. Sodium bicarbonate - answer>>>c
Your patient is scheduled for removal of multiple nevi on is face and neck. The anesthesia
professional will provide monitored anesthesia care, including administering oxygen via
nasal cannula. What should the team include in their fire safety precautions for this
patient?
A. Anesthesia professional administers the highest tolerable level of oxygen to the
patient
B. Scrub person wipes off the skin prep solution at the site of proposed incision with an
alcohol soaked sponge immediately before draping the patient
C scrub person moistens sponges and places them near the incision site
D. Surgeon uses only monopoly technolgy - answer>>>c
What should the perioperative team do if they are unable to extinguish a fire in the OR?
A. Continue to fight the fire until it is extinguished
B. Evacuate the patient and the perioperative team following the organizational fire plan
C. Obtain and use a different type of fire extinguisher
D. Request additional perforative team members to assist - answer>>>b
, Waht is the BEST strategy to reduce the risk associated with ignition of the perp solution
vapors?
A. Allow the prep solution to dry before draping
B. Insert blotting towels after performing skin prep to prevent the solution from pooling
on the patients skin
C. Reduce the amount ofpreop solution applied if an ignition source will be used during
surgery
D. Use a suction device to remove the vapors during the orcedure - answer>>>a
What is a method to reduce risk of a mishap, event or fire when ESU epquipment is
used?
A. Always use alcohol based skin preparation when ESU will be utilized
B. Use monpolar ESU during a facial procedure when oxygen is being delivered by nasal
cannula to the patient
C. If the ESU is not functioning properly at normal settings, ask the surgeon by ow much
the power setting should be increased
D. Visually check the integrity and insulation of all cords and coagulation instruments
before use - answer>>>d
Over pressurization of a tourniquet cuff may cause
A. Blood in the surgical field
B. Compression injuries to blood vessels
C. Muscle spasms
D. Shock - answer>>>b
During laparoscopic surgery, perioperative RN can reduce the chances of capacitive
coupling injuries by :
A using a combination of insulated and on insulated instruments
B. Using coagulation wave form and high setting
C. Using metal and plastic cannulas together
D. Using the lowest power setting and the low-voltage cutting waveform - answer>>>d
The perioperative RN should be aware that risks for patient injury from argon-enhanced
ESU include
A. Cardiac arrest
B. Gas embolsim
C. Respiratory arrest
D. VTE - answer>>>b