AORN PERIOP 101 MODULE QUESTIONS WITH 100% CORRECT ANSWERS

AORN PERIOP 101 MODULE QUESTIONS WITH 100% CORRECT ANSWERS "Which items of attire are required when entering the sterile processing area? SATA a. scrub suit b. head cover c. shoe covers d. surgical mask - CORRECT ANSWER A & B" "What phases of the nursing process does the periop nurse practice during the preop phase of the surgical experience? SATA a. assessment b. eval c. identification of desired outcomes d. implementation e. nursing dx f. planning - CORRECT ANSWER A, C, E, F" "Data collection is part of which phase in the nursing process? - CORRECT ANSWER Assessment" "Competency statements: a. direct a nurse's activity in the periop arena b. provide a basic model to eval the quality of nursing practice c. ascertain a level of skills and abilities necessary to fulfill the processional role d. all of the above. - CORRECT ANSWER D" "True or False: it is important for perioperative nurses to practice within the context of professional standards and to maintain current knowledge of nursing practice? - CORRECT ANSWER True" "based on what you have learned about various sources of information, identify the ways in which the periop nurse can improve professionally? - CORRECT ANSWER The different ways in which a perioperative nurse can improve professionally are: AORN continuing education conferences, attending chapter meetings, reading AORN Journals, and visiting AORN websites." "True or False: AORN guidelines can replace departmental and institutional policies? - CORRECT ANSWER False" "non-research parts of evidence ratings include the following: SATA a. summaries of the evidence b. organizational experience c. consensus on appraisal scores d. community standards e. clinician experience and expert opinion f. consumer preferences - CORRECT ANSWER Everything except C" "Some of the ways by which professional nurses can protect themselves from legal action include maintaining; A. Documentation of performance appraisals B. Documentation of administrative competencies C. Documentation of continuing education D. Knowledge of state nurse practice act - CORRECT ANSWER A, C, D" "Based on the knowledge you have gained about legal and risk management issues, identify ways to enhance one's professional practice. A. documentation of orientation program B. documentation of clinical competency C. documentation of employee performance evaluations D. knowledge of the nursing practice act in your state E. documentation of continuing education activities F. revision of all departmental policies and procedures - CORRECT ANSWER A, B, D, E" "birth - one month ability for learning and understanding - CORRECT ANSWER baby is only able to express through crying" "one month - twelve months ability for learning and understanding - CORRECT ANSWER baby will smile, babble, and gurgle" "one - three years ability for learning and understanding - CORRECT ANSWER baby is able to understand and respond to simple commands" "three- six years ability for learning and understanding - CORRECT ANSWER the child is able to literally interpret terms" "Patients in which of the following age groups have the greatest blood volume per unit of body weight? A. children B. elderly C. middle adults D. young adults - CORRECT ANSWER A" "During the preoperative interview, why should the perioperative nurse ask patients about their use of herbal preparations, alcohol, tobacco products, and recreational drugs? SATA A. herbal supplements may affect the metabolism of drugs administered B. Patients who use alcohol heavily are unable to tolerate general anesthesia C. Recreational drug use may affect the choice of preoperative sedation D. Smoking may affect circulatory and respiratory system assessment results - CORRECT ANSWER A, C, D" "Why is it important to assess herbal supplements or recreational drugs before surgery? SATA A. herbal preparations can decrease the toxicity of other drugs administered during anesthesia B. Herbal preparations can affect bleeding times C. herbal preparations can interfere with drug metabolism D. recreational drugs can result in withdrawal symptoms E. recreational drug users may require higher doses of anesthetics - CORRECT ANSWER B, C, D, E" "What interventions can perioperative nurses do to protect elderly patients? SATA A. employ DVT prophylactic devices B. position patient for effective air exchange C. slide patient onto OR bed without use of assistive device D. use warming devices to maintain normothermia - CORRECT ANSWER A, B, D" "A child in which of the following age groups would be described as "likes to socialize and interpret terms" ? A. 1 month- 12 months B. 1-3 years old C. 3-6 years old D. 6-12 years old - CORRECT ANSWER C" "The IOM report describes the importance of setting standards and expectations for patient safety. The report states that setting standards can __________________? SATA A. help in reviewing the work of the organization B. set expectations for health professionals C. establish consistency across individuals and organizations D. help set expectations of consumers and purchasers - CORRECT ANSWER B, C, D" "Which of the following "AORN Position Statement on Correct Site Surgery" statement is true? A. Family members should NOT be involved in identifying the correct site B. the surgical site should be marked with a washable marker C. staff member should verbally verify the correct site with each member of the surgical team D. wrong site surgery is most common in ophthalmologic procedures - CORRECT ANSWER C" "Individual staff members play the biggest role in maintaining a safe OR environment. Staff members are required to: SATA A. Monitor, identify, and report safety hazards B. set appropriate electrical and fire safety hazards C. understand and comply with the emergency power outage plan D. Practice sound, basic, and OR specific electrical and fire safety. - CORRECT ANSWER A, C, D" "Which of the elements required for an infection to occur is related to inanimate environmental surfaces? A. method of transmission b. susceptible host c. source of reservoir - CORRECT ANSWER c. source of reservior" "One of the most effective ways to prevent disease transmission and control infections in health care settings is: A. Cough etiquette B. Effective cleaning of healthcare surfaces C. hand hygeine D. Use of PPE - CORRECT ANSWER c. hand hygiene" "match the three types of transmission based precautions with the correct examples of precautions that should be implemented for them: a. contact b. droplet c. airborne ---- 1. donning PPE and patient placement 2. donning PPE and env cleaning 3. donning PPE and wearing a surgical mask with a respirator level of N95 or higher - CORRECT ANSWER 1=b 2=a 3=c" "Immunizations and testing of healthcare workers should include all of the following except: A. Hep B B. MMR C. Tetanus toxoid D. Seasonal influenza E. Shingles - CORRECT ANSWER E" "What wound class... -Procedure does not involve the resp, alimentary, or GU tract and no infection/inflammation is present - CORRECT ANSWER Wound class 1: clean" "What wound class... -Procedure does involve the resp, alimentary, or GU tract, entered under controlled conditions - CORRECT ANSWER Wound class 2: clean-contaminated" "What wound class... -Gross spillage from the GI tract occurs or unsterile instruments are used - CORRECT ANSWER Wound class 3: contaminated" "What wound class... -a clinical infection exists or an internal organ perforation is present - CORRECT ANSWER Wound class 4: dirty, infected" "Droplet precautions include all of the following except: A. Donning PPE B. Consulting with the risk manager C. Placing a mask on the patient during transport D. Placing the patient in a single patient room E. using an isolation room for the patient - CORRECT ANSWER B." "Plastic Incise drapes... a. may increase moisture and bacterial growth under the drape b. are recommended for use only for certain procedures c. are NOT recommended for use d. all of the above e. A and C only - CORRECT ANSWER A & C only" "Which of the following best describes sterile technique? Sterile technique is: A. applied when stocking supplies in the surgical suite B. carried out by non-scrubbed personnel by maintaining a distance of at least 6in from the sterile field C. employed during the terminal cleaning to assure a sterile environment D. implementing during surgical procedures to prevent microbial contamination - CORRECT ANSWER D" "Select the statements below that are correct: A. During open assisted gloving, the team members's gown sleeve is pulled down so that the gown cuff is at fingertip level B. Closed assisted gloving should be used to glove team members during the initial gowning and gloving C. Once the scrubbed team member's hands pass through the cuff, the cuffs are considered contaminated D. Scrubbed team members should wear two pairs of surgical gloves - CORRECT ANSWER B, C, D" "In creating a sterile field, which of the following are recommended by AORN? SATA A. Cuff the drapes over your gloved hand to prevent contamination B. Handle drapes as needed to get the best coverage C. Place drapes in sequence from the surgical site to peripheral areas D. Places drapes on the patient and any furniture & equipment that will be in the sterile field E. When placing drapes do not lean across unsterile areas - CORRECT ANSWER A.B,D,E" "What action below is the best course to take when is hair is found in an instrument tray on the back table? A. Using a sterile clamp, the scrub person should remove hair and pass it off to the circulator B. the scrub person should pass off the entire instrument tray and request a replacement C. the entire sterile field should be broken down and reestablished D. The scrub person should pass off the instrument tray and change gown and gloves. - CORRECT ANSWER C" "Which of the following practices are NOT examples of the recommendation that "A sterile field should be maintained and monitored constantly" SATA A. A sterile field that has been set up for more than 1 hour before the procedure begins should be broken down and a new set up prepared. B. If a delay occurs after a sterile field is set up, it may be covered with sterile drapes until the delay is resolved C. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as the room has been secured D. The sterile field should be prepared as close as possible to the time of use - CORRECT ANSWER A & C" "When transferring medication and solutions to the sterile field the perioperative nurse should adhere to which of the following recommendations? SATA A. Avoid removing stoppers from vials B. Discard unused, opened irrigation or IV solutions at the end of the procedure C. Dispense the entire content of the container slowly D. Replace caps on opened medication to maintain sterility E. Use a sterile transfer device - CORRECT ANSWER A, B, C, E" "Which of the following practices is recommended when transferring a patient from the OR bed to the gurney? A. Apply a safety strap around the patients's hips once the patient is centered on the gurney B. Lock the wheels of the gurney and the OR bed before beginning the transfer C. One person may transfer a patient who is alert and able to cooperate D. remove the sheet covering the patient before asking the patient to move laterally - CORRECT ANSWER B" "Which of following practices is recommended to reduce the patient's risk of intraoperative skin injury? A. allow prep solution to remain on the skin postop to prevent infection B. Leaving the blotting towels in places after the skin prep is complete C. Place the hose of the patient warmer under the patient's blankets, avoiding contact with the skin D. Protect sensitive areas of the skin with appropriate padding - CORRECT ANSWER D" "Which of the following factors increase the patient's risk for skin injury? SATA A. use of the wrong type of linen B. Unusual positions or positioning devices C. Use of electrical equipment D. Use of chemical agents E. Prolonged length of surgery - CORRECT ANSWER B, C, D, E" "When using chemical products, the perioperative nurse should: SATA A. Use skin prep solutions according to the manufacturer's recommendations B. Never remove the skin prep solutions C. Ensure the prep solution does not pool on the drapes D. Apply blotting towels before performing a skin prep E. Allow skin prep solutions to dry before draping - CORRECT ANSWER A, C, D, E" "The purposes of performing a surgical hand scrub include: SATA A. To accomplish personal hygiene B. To kill microorganisms C. To reduce the resident microbial count to a minimum D. To inhibit rapid rebound growth of microorganisms E. To remove soil, debris, and transient microorganisms - CORRECT ANSWER C, D, E" "After the surgical hand scrub, the scrub person should keep the fingers pointed in which direction to allow water to drip off away from the attire? A. Downwards B. Upwards C. Straight D. Curled towards the palm - CORRECT ANSWER B" "Which actions can the RN circulator take to assist the scrub personnel during gowning? SATA A. Touch only the ties, Velcro, or snaps to secure the back of the gone at the neck and the waist B. Don the sterile gloves before fastening the gown to prevent contamination from the gown flaps C. Grasp the ties 4-6 inches from the tag and pull D. Adjust the gown by grasping the bottom edge and pulling down to eliminate any blousing - CORRECT ANSWER A & D" "Because skin is a major source of contamination in the surgical environment, which of the following statements is true? A. Hand hygiene is only necessary before providing care to a patient B. Hand hygiene should be considered effective only if you are using an antimicrobial solution C. Hand lotions with petroleum as an ingredient are acceptable for use with gloves D. Health care personnel who have cuts on their hands should not provide direct patient care - CORRECT ANSWER D" "You have just finished a surgical procedure and are removing your gown and gloves. Place the steps in order from 1-4 A. Wash hands with soap and water B. Remove and discard the gloves using glove-to-glove and skin-to-skin technique C. Pull the gown downward from the shoulders and off the arms D. Fold the contaminated side of the gown to the inside, roll it up, and discard it. - CORRECT ANSWER 1-C 2-D 3-B 4-A" "Which of the following statements are correct? A. The closed glove method is used for subsequent gloving B. The open glove method is used for the initial donning of sterile gown and gloves C. The open method is used for subsequent gloving D. The open glove method is used while performing sterile procedures when a gown is not worn - CORRECT ANSWER C & D" "The surgical hand scrub controls resident microorganisms by: A. the mechanical action of scrubbing B. the chemical action of microbial agents used C. the temperature of the water combined with chemical action D. none of the above - CORRECT ANSWER B" "to follow the AORN guidelines for positioning the patient, the perioperative nurse should: A. depend on the patient's natural defense mechanisms to indicate the need for positioning alterations B. rely on the surgeon's and anesthesia professional's assessment to guide positioning C. use a consistent method of procedure-specific positioning for each patient D. use additional precautions as appropriate based on unique patient considerations - CORRECT ANSWER D" "Which of the following physiological effects is most likely to result from positioning a patient in the lithotomy position? A. Circulatory and respirator compromise due to pressure on the abdomen B. Circulatory pooling in the lower legs C. Decreased brainstem perfusion D. pressure on the brachial nerves - CORRECT ANSWER A" "The following safety measures should be considered when placing a patient in the lateral position SATA A. The upper leg is straight and supported with pillows between the legs B. Lower arm on same plane as OR bed mattress; forearm and wrist in neutral position; palm up C. A safety strap is applied at the chest level D. The patient's dependent ear should be assessed to ensure that is is not folded - CORRECT ANSWER A, B, D" "Documentation of the perioperative nursing care should include, but not be limited to: SATA A. Type of positioning devices used B. Name of the operating surgeon C. Names of persons positioning the patient D. Preoperative outcome evaluation - CORRECT ANSWER A & C" "Which of the following patient factors should be considered in the perioperative assessment? SATA A. Age B. Ethnicity C. Nutritional status D. Preexisting conditions E. Gender - CORRECT ANSWER A, C, & D" "Which intraoperative factors should be considered during the perioperative assessment? SATA A. Type of anesthesia delivered B. Duration of the surgery C. Position required D. Type of draping used - CORRECT ANSWER A, B, C" "The table is flexed 90 degrees for the __________ position, which is a variation of the __________ position A. lateral, prone B. Jack-knife, prone C. Trendelenburg, supine D. Jack-knife, supine - CORRECT ANSWER B" "Which surgical position adversely affects the diaphragmatic movement? SATA A. Trendelenburg B. Prone position C. Sitting or Semi-sitting position D. Lateral position - CORRECT ANSWER A, B, & D" "The use of the PNDS helps a perioperative nurse to: SATA A. plan the nursing interventions B. assess and develop the nursing diagnoses C. assess and evaluate the patient's status D. evaluate responses to positioning E. determine medical diagnoses - CORRECT ANSWER A, B, C, D" "Which of the following statements is correct regarding hair removal from a surgical patient? A. Hair should be removed from the surgical site before any surgical procedure B. Hair should be removed from the surgical site by using clippers or razors C. Hair should be removed from the surgical site only when the hair is so thick that it will interfere with the procedure D. all of the above - CORRECT ANSWER C" "What does AORN Guideline for Preoperative Patient Skin Antisepsis recommend for prepping areas with high microbial counts? A. Prep them first B. Prep them last C. Prep them during the procedure D. Prep them whenever necessary - CORRECT ANSWER B" "Which of the following should be avoided during hair removal? A. use of clippers B. clipping of hair against the grain of hair growth C. nicking or cutting the skin d. removal of loose hair from prepped area - CORRECT ANSWER C" "Which of the following is true about iodophor paint and iodophor scrub? A. a paint has a detergent additive, a scrub does not B. a scrub has a detergent additive, a paint does not C. Iodophors have a low fungicidal and high bacterial kill rate D. iodophors have a high persistence activity - CORRECT ANSWER B" "Periop nursing documentation of the skin prep should include which of the following components? A. antiseptic agent used B. hair removal if performed C. name of person holding the limb if applicable D. name of the person performing the prep E. placement of blotting towels F. Preop assessment of the skin at the operative site - CORRECT ANSWER A, B, D, F" "When selecting drapes to create a sterile field for the patient, which of the following drape qualities are most essential to maintaining the sterile field? A. barrier protection B. cost/benefit ratio C. limitation of environmental impact D. flexibility and flammability - CORRECT ANSWER A" "Choose the correct statements about incise drapes: SATA A. are a type of fenestrated sheet B. are available with or without adhesive backing C. are made up of plastic and impermeable material D. may be used in eye or ear procedures E. may be impregnated with iodophor - CORRECT ANSWER B, C, E" "AORN recommends that the following factors be considered when selecting drape products: SATA A. amount of irrigation fluid that is anticipated B. anticipated blood loss C. duration of procedure D. potential for linting E. surgeon preference - CORRECT ANSWER A, B, C, E" "Potential sources of fuel for surgical fires include: A. draping materials B. fiberoptic cables C. lasers D. nitrous oxide - CORRECT ANSWER A" "The nominal hazard zone for laser use is the: A. area outside the maximum permissible exposure B. area within 3 ft of the surgical field C. distance from the laser delivery device to the target tissue D. Space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure - CORRECT ANSWER D" "Risks to patients and staff members associated with laser use include: SATA A. eye injury B. fire hazards C. inhalation of laser plume D. radiation hazards - CORRECT ANSWER A, B, C" "Nursing documentation for the pneumatic tourniquet use includes: SATA A. identification/serial number and model of the specific tourniquet B. location of the cuff C. name of the company who manufactured the cuff D. skin and tissue integrity under the cuff before the use of the pneumatic tourniquet E. skin temperature F. Time of inflation and deflation - CORRECT ANSWER A, B, D, F" "Which of the following is a correct application of the AORN guidelines for perioperative practice for use of appropriate eyewear during laser use? A. Personnel should not use protective eyewear in common B. Protective eyewear is required only for certain types of lasers C. Regular corrective lenses, including contact lenses, are sufficient for most types of lasers D. The eyewear should be matched to the type of laser, optical density, and wavelength - CORRECT ANSWER D" "In addition to back-up electrical power in the case of a power outage, ORs may plan for outrages by: SATA A. having a generator in each hospital wing B. identifying which outlets in the OR are connected to emergency power C. maintaining battery-operated lights in each OR D. Routinely checking the operating and availability of back-up equipment - CORRECT ANSWER B, C, D" "Radiation exposure safety controls include: SATA A. nonessential personnel should leave the room B. Pregnant health care workers should avoid or limit exposure C. OR nurses all should be trained to operate x-ray machines D. Lead protective aprons, gloves, and thyroid collars should be worn - CORRECT ANSWER A, B, D" "Indirect fire hazards and risks specific to the OR include: SATA A. anesthetic complication risks B. gas emboli risks C. postop infections D. postop surgical complications - CORRECT ANSWER A, C, D" "Components of the electrosurgical circuit include: A. active electrode, dispersive electrode, and generator B. dispersive electrode, fiber, and generator C. active electrode, dispersive electrode, generator, and scratch pad D. dispersive electrode, fiber, generator, and key - CORRECT ANSWER A" "To reduce the possibility of an injury or burn, which of the following most accurately describes where the periop nurse should place the dispersive electrode? A. as far from the operating site as feasible B. Directly on the operative site C. As close to the operative site as feasible D. Anywhere it will be easy to access - CORRECT ANSWER C" "Which statement best describes the path for bipolar surgical current? A. current leaves the generator, is applied to tissue using a pencil device, is collected in the dispersive pad, and returns to the generator B. current leaves the generator, is applied to tissue using a pencil device, and returns to the generator C. current leaves the generator, is applied to tissue using a two-poled instrument, and returns to the generator - CORRECT ANSWER C" "If the surgeon continuously asks for higher power settings, what is the first action the periop RN should take? A. Get another ESU unit immediately B. Check the circuitry for possible disruption C. Switch to a bipolar generator and electrode D. Change the active electrode and dispersive electrode - CORRECT ANSWER B" "Alternate pathway burns can occur because of improper placement of the dispersive electrode. The dispersive electrode should NOT be applied on which of the following: SATA A. hairy skin surfaces B. burn tissue C. well-perfused muscle D. bony prominences - CORRECT ANSWER A, B, D" "When using argon- enhanced coagulation (AEC), there is a risk of _______. A. electrosurgical injuries B. carbon dioxide purge C. gas emboli D. decreased insufflator pressure - CORRECT ANSWER C" "The term local exhaust ventilation (LEV) is used to describe the process of evacuation smoke from the surgical site. Which of the following are considered LEV? A. Central suction system with 0.1 micrometer in-line filter B. central suction system with HEPA in-line filter C. High filtration surgical masks D. N95 respirators E. Smoke evacuator unit - CORRECT ANSWER A, B, E" "Which precautions should be taken for a patient who has an implantable electronic device? SATA A. all team members should be informed about the IED B. Insist that the surgeon use bipolar current instead of monopolar current C. There should be intermittent EKG monitoring D. The active and dispersive electrodes should be located as close together as possible - CORRECT ANSWER A & D" "According to the AORN guideline for safe use of energy-generating devices, which of the following are recommended components of documentation when using an ESU? SATA A. location of the dispersive electrode B. serial or biomedical device number C. ESU brand name D. Patient's skin condition before and after applying the dispersive pad - CORRECT ANSWER A, B, D" "During laparoscopic surgery, periop RNs can reduce the chances of capacitive-coupling injuries by: A. using a combination of insulated and noninsulated instruments B. using coagulation waveform and a high setting C. using metal and plastic cannulas together D. using the lowest power setting and low voltage cutting waveform - CORRECT ANSWER D" "In which surgical wound category should a total abdominal hysterectomy be classified? A. clean B. clean contaminated C. contaminated D. dirty - CORRECT ANSWER B" "immediate-use steam sterilization can be used: A. for implants B. in urgent situations C. under no circumstances D. for all items - CORRECT ANSWER B" "A packing system for items undergoing sterilization should: A. be compatible with all sterilization processes B. be made of only disposable materials C. maintain sterility of the items for a specified length of time D. permit aseptic delivery of contents to the sterile field - CORRECT ANSWER D" "Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and: A. proper packaging B. aeration C. chamber humidity D. pressure - CORRECT ANSWER C" "Which of the following is true about ethylene oxide sterilization? A. EO exposure is potentially carcinogenic and mutagenic to personnel and patients B. It cannot be used for heat-sensitive items C. It is effective against prions D. Items processed by EO sterilization may be used immediately - CORRECT ANSWER A" "Which of the following is true about the use of peracetic acid on surgical items? A. Items can be stored for future use B. items must be aerated C. items can withstand high temperatures D. items must be isolated for 7 days E. items must be immersible - CORRECT ANSWER E" "An integrator is a multiparameter indicator designed to measure which of the following parameters? A. pressure, steam, and temperature B. Temperature, time, and presence of steam C. Pressure and sterility - CORRECT ANSWER B" "Which of the following are true about low temperature hydrogen peroxide gas plasma sterilization? SATA A. exhaust monitoring required B. items can be stored for future use C. no toxic residue is produced D. the sterilant is bactericidal, virucidal, and fungicidal E. It can be used for items that are heat sensitive - CORRECT ANSWER B, C, D, E" "Shelf life is related to: SATA A. exposure to external events B. methods of sterilization C. type of packaging material used D. number of personnel who may have handled the package E. time from initial sterilization - CORRECT ANSWER A, C, D" "What biting instrument is used for cutting tough tissue or bone? A. rongeur B. rasp C. osteotome D. curette - CORRECT ANSWER A" "Which of the concepts below are appropriate for the care of forceps during the procedure? A. cleaning the tips of blood or tissue frequently B. handing them off the sterile field to the circulating RN if the surgeon say they aren't working correctly C. organizing them on the back table by nesting them D. Standing them upright along the sides of the instrument tray so the handles are easily grasped - CORRECT ANSWER A & B" "What powered instruments are used in orthopedic surgery? A. Dermatomes B. Tissue shavers C. Bone reamers D. Phacoemulsifiers - CORRECT ANSWER B & C" "Select the correct statements about spray bottles SATA A. Spray bottles can aerosolize potentially infectious materials B. Spray bottles are occasionally used to apply disinfectant C. Spray bottles are not used to apply disinfectant D. Spray bottles are an easy way to clean the environmet - CORRECT ANSWER A & C" "What pathogens are common to the OR? - CORRECT ANSWER Staph E Coli Strep MRSA Pseudomonas C Diff" "Nurse to patient ratio for Extended Care Unit - CORRECT ANSWER 1:3/5" "Nurse to patient ratio for patients under age 8 - CORRECT ANSWER 1:2" "Nurse to patient ratio upon PACU admission - CORRECT ANSWER 1:1" "Nurse to patient ratio for patient recovering in the CCU - CORRECT ANSWER 2:1" "By which route are antibiotics most commonly administered by the periop nurse during the intraoperative phase? - CORRECT ANSWER Irrigation solution" "When medication is administered from the sterile field, the RN should immediately and clearly label it with... SATA A. concentration and amount B. date prepared C. expiration date when used within 24hr D. expiration time if less than 24hr E. initials of the RN preparing the medication - CORRECT ANSWER A,B,D,E" "Which types of staples are used in thoracic and alimentary procedures? - CORRECT ANSWER linear staples" "During what phase of wound healing does contraction occur? - CORRECT ANSWER Proliferation" "Identify the proper sequence of events in the body's defense mechanism for wound healing - CORRECT ANSWER Hemostasis Cleaning up the pathogens wound sealing regeneration of epidermal covering repairing deeper tissue damage" "At what point in the healing process do most wound disruptions occur? A. beginning of proliferative phase (2-10 days) B. End of proliferative phase (10-22 days) C. Beginning of maturation phase (21 days - 6 weeks) D. End of maturation phase (6 weeks-2 years) - CORRECT ANSWER A" "prolonged high dosages of steroids preoperatively delay _______ A. hemoglobin formations B. bile production C. insulin production D. collagen formation - CORRECT ANSWER D" “In addition to the surgeon which surgical team members wear sterile gowns and gloves during the procedure? SATA a. anesthesia b. circulating nurse c. scrub d. surgical assistant - CORRECT ANSWER C & D: Scrub and Surgical assistant" "The pathology laboratory and blood bank are usually situated in which of the following areas? - CORRECT ANSWER Unrestricted area" "Defining nursing goals and intervention strategies is a part of which phase in the nursing process? - CORRECT ANSWER Outcome Identification" "The goals of perioperative nursing interventions are to deliver optimal patient care.... SATA A. conveniently B. effectively C. efficiently D. safely E. skillfully - CORRECT ANSWER B, C, D, E" "Which of the following is considered a critical perioperative nursing diagnosis within the PNDS? A. Impaired tissue integrity B. Pain C. Risk for fluid volume deficit D. Risk for perioperative positioning injury - CORRECT ANSWER D" "Professional nurses seek to support and encourage peers by... - CORRECT ANSWER Through precepting, mentoring, and role modeling, and providing feedback, the professional nurse is a daily example of excellence in the perioperative setting" "Perioperative nurses can enhance their professionalism by... - CORRECT ANSWER A nurse can improve professionally by making use of the various online and independent study resources developed by AORN and by participating in continuing the facility's education activities and accessing perioperative textbooks" "When using the forum for public commenting on clinical guidelines and offering a suggested change in the comment field, it is very important that you: SATA a. suggest alternate phrasing b. cite evidence to support your change c. provide rationale for your suggestion d. call the consult line to clarify the content with the guideline author - CORRECT ANSWER A, B, & C: suggest alternate phrasing, cite evidence to support your change, provide rationale for your suggestion" "Key business metrics over which you can have control to affect the bottom line are: SATA a. length of procedures b. on time starts c. physician satisfaction d. turnover time e. volume of procedures - CORRECT ANSWER A, B, D, E" "Based on knowledge you have gained about ethics and ethical decision making, identify the situations where a decision would be made on ethical grounds A. Using new technology B. Implementing or suspending the DNR order on a patient C. After the patient gives consent to surgery: refusing to proceed until all involved personnel discuss the situation D. Participating in human experiments that are conducted at your facility E. Strongly supporting organ donation even though the family disagrees - CORRECT ANSWER A, B, D, E" "Which of the following statements reflect the importance of certification? A. certification is mandatory B. certification relates to a sense of personal accomplishment C. certification help to validate specialized knowledge D. certification relates to professional growth - CORRECT ANSWER B, C, D" "Which of the following statements are true about objective data? SATA A. Data that consists of the patient's own feelings and perceptions B. Age, religion, or culture are examples of objective data C. Data that is the information written in the patient's record and nursing notes D. History, physical and lab data are objective data examples - CORRECT ANSWER C & D" "Which items are included in the psychsocial evaluations? SATA A. Coping styles B. Cultural beliefs and practices C. Expectations of perioperative care D. sensory impairment E. religious or spiritual beliefs - CORRECT ANSWER A, B, C, E" "Which of the following statements is true? A. blood pressure remains constant with age B. body temperature increases with increasing age C. heart rate increases with increasing age D. lung capacity decreases with increasing age - CORRECT ANSWER D" "Which of the following factors make geriatric patients more sensitive to injury and cold? A. decreases in subcutaneous fat B. lung capacity decreases with age C. bilirubin and hemoglobin shift D. range of medication absorption is altered - CORRECT ANSWER A" "Professional organizations and societies, as well as individual organizations can proactively create a culture that supports patient safety through which of the following mechanisms? SATA A. set processes rather than standards B. convene and communicate with members about safety C. incorporate attention to safety into training programs D. collaborate across disciplines - CORRECT ANSWER B, C, D" "Many medical errors occur due to three types of human errors. Which of the following statements are true? SATA A. a nurse programs a new electrosurgery unit incorrectly is a skill based error B. a nurse misinterprets test results is a knowledge based error C. juggling multiple activities is a knowledge based error D. a nurse fails to provide indicated prophylactics is a knowledge based error E. physical stamina due to occupational musculoskeletal injuries is a situational factor - CORRECT ANSWER A, B, D, E" "Elements required to create a culture of safety include: SATA A. sense of trust among team members B. sincere commitment to affirming safety as the first priority C. development and support of a proactive approach rather than a reactive, blaming approach D. development of a reporting mechanism for grievances and complaints. E. dissemination of receipt of information to all levels of staff - CORRECT ANSWER A, B, C, E" "Which of the following practices should be used to implement the Joint Commission's Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery? A. Asking the patient to mark the correct surgical site with an "x" B. Asking the patient to verify the procedure in writing C. using a time out procedure before beginning the procedure D. using three unique patient identifiers - CORRECT ANSWER C" "The purpose of the National Patient Safety Goals is to: SATA A. Promote specific improvements in patient safety B. highlight problematic issues in health care C. describe evidence based and expert based hospital wide solutions to problems D. Create a monitoring mechanism for health organizations and personnel - CORRECT ANSWER A, B, C" "OSHA bloodborne pathogens standard requires health care personnel to wear the following when splashes, spray, splatter, or droplets of blood or other infectious materials can be reasonably anticipated. SATA A. masks B. shoe coverings C. eye protection devices D. gloves E. paper gown - CORRECT ANSWER A, B, C, D" "Which factor determine the likelihood of transmission and persistence of multi-drug resistant organisms? SATA A. decreased antimicrobial use B. Effectiveness of prevention methods C. Numbers of colonized patients D. Vulnerability of the patients - CORRECT ANSWER B, C, D" "Effective methods for preventing SSIs include: A. effective environmental cleaning procedures B. performance of sterile technique C. use of surgical attire and other barriers D. all of the above - CORRECT ANSWER D" "Match the terms given below with their definitions: 1. Surgical conscience 2. Sterile 3. Sterile Technique A. the use of specific actions and activities to prevent contamination and sterility of identified areas during operative or other invasive areas during operative and other invasive procedures B. Allows for no compromise in the principles of sterile technique C. the absence of all living microorganisms - CORRECT ANSWER 1- B 2- C 3- A" "Recommendations for draping include: A. handling sterile drapes as little as possible B. Cuffing the drape material over the gloved hands C. Holding the drapes in a controlled manner D. All of the above - CORRECT ANSWER D" "Select the areas of the sterile gown that are considered sterile. SATA 1. The back of the gown from the nape of the neck to the level of the elbows. 2. Gown sleeves from two inches above the elbow to the cuff, circumferential. 3. The front of the gown from the chest to the level of the sterile field. 4. The part of the sleeve cuff that is covered by the sterile glove. - CORRECT ANSWER B & C" "Which activities should the transport person complete before transferring a patient? SATA A. Identify the patient and the surgical procedure B. Verbally confirm that the preoperative orders have been completed C. Identify the surgeon D. Reconcile medication the patient may have been taking preoperatively - CORRECT ANSWER A. B, D" "Mechanical issues and problems that can cause skin injury include: SATA A. Placing heavy objects on the patient B. Placing an electrosurgical unit hand piece on the patient C. Dragging the patient's body across the sheets D. Improperly applying sequential compression stockings E. Allowing prep solution to pool under the patient - CORRECT ANSWER A, C, D" "AORN guidelines for the time out recommend that all team members verbally verify their agreement on the following: SATA a. the name of the surgeon b. the name of the pt. c. the site of the procedure including R/L distinction d. the procedure to be performed - CORRECT ANSWER B, C, D" "sponge and instrument counts are performed according to facility policy and procedure. Generally, the times during surgical procedure that sponges are counted are: SATA a. at skin closure b. before the procedure begins c. when new sponges are added to the field d. when wound closure begins e. when either the scrub or RN has completed gowning - CORRECT ANSWER A, B, C, D" "when a count discrepancy occurs, what should be the FIRST action by the RN circulator? a. call for anterior and lateral x-ray b. inform the nurse supervisor c. inform the surgical team of the discrepancy d. instruct the scrub person to search for the missing item - CORRECT ANSWER C" "Which of the following actions should be included in the perioperative nursing care of a patient with suspected latex allergy? SATA A. Assess the patient's cross sensitivities and previous reactions to latex B. Indicate latex precautions on door signs for every room the patient occupies C. Schedule the patient as the last procedure of the day if possible D. Use latex free supplies for IVs, hair covering, and dressing materials E. Verify that the surgeon is aware of the allergy - CORRECT ANSWER A, B, D, E" "Which of the following statements are true in relation to scrubbing for the first procedure of the day? SATA A. Clean under your fingernails using a brush B. Consider your hands and arms as two dimensional to ensure covering all aspects when washing C. First, wash your hands under running water with soap D. Use an approved antimicrobial scrub agent on wet hands and arms - CORRECT ANSWER C & D" "Where should the scrub person's sterile gown be opened? A. as far away from the instrument tray as possible B. in the back corner of the instrument table C. on a separate Mayo stand D. on top of the gloves for the scrub person - CORRECT ANSWER C" "Correct surgical attire for the restricted areas include: SATA A. Facility identification on a lanyard B. Head covering that covers all hair C. Long sleeved jacket with the sleeves pushed up D. Scrub top tucked into scrub pants and a warm up jacket E. A lab coat when leaving the department - CORRECT ANSWER B & D" "What response is the result of tissue layers moving on each other? A. Pressure ulcers B. Maceration C. Shearing D. Friction - CORRECT ANSWER C" "Chlorhexidine gluconate (CHG) is a antimicrobial skin prepping agent used: A. above the neck B. for topical skin application only below the neck C. for vaginal or mucous membrane preps D. in the brain or meninges - CORRECT ANSWER B" "What agents are effective in removing resident microorganisms? A. Mechanical agents B. Chemical agents C. Biochemical agents D. Hydrostatic agents - CORRECT ANSWER B" "Which of the following are desired characteristics of antimicrobial agents? SATA A. Broad spectrum B. High log reduction capability C. Effective for long periods of time D. High toxicity E. Low toxicity - CORRECT ANSWER A, B, C" "Which of the following observations are critical when doing skin antisepsis on pediatric patients? A. take measures to prevent the loss of body heat b. the relatively small bodies of pediatric patients require smaller amounts of antimicrobial agents C. children are not sensitive to chemical agents D. the whole body must be prepped irrespective of the operative site - CORRECT ANSWER A" "Which actions should the periop nurse take in prepping an extremity when a tourniquet is used? SATA A. Drape the tourniquet with a cloth towel to keep solution from going under the tourniquet B. start prepping at the level of the tourniquet C. Start the prep at the incision site and extend both distally and proximally to include the entire extremity D. use and assistive device to support the extremity during the prep E. Use an impervious drape to protect the tourniquet - CORRECT ANSWER C, D, E" "Identify the correct draping considerations SATA A. Drape from a sterile area to an unsterile area by draping the nearest first B. Start draping from the periphery to the operating site C. Ensure that surgical drapes are applied after prepping solutions have dried D. After a drape is placed, it can be moved if necessary E. When draping the opposite side, the scrubbed person should walk around the OR bed to drape - CORRECT ANSWER A, C, E" "What precautions should a scrub person take during the draping procedure? SATA A. never cuff the drapes over a gloved hand B. be careful not to contaminate gown when placing drapes C. never reach across an unsterile area to drape D. use perforating towel clips - CORRECT ANSWER B & C" "Draping the patient involves... A. covering the patient with the sterile barrier B. covering the patient and the surrounding areas with a sterile barrier C. covering the patient and the surrounding areas with sterile materials to create and maintain a barrier between nonsterile and sterile areas D. covering the patient, the surrounding areas, and the instruments with a sterile barrier - CORRECT ANSWER C" "Safety measures to prevent complications or injury due to the use of a pneumatic tourniquet includes: SATA A. Apply three layers of padding around the extremity at the most proximal point B. Keep fluids from pooling under the cuff C. only minimal effective pressure should be used to create a bloodless field D. there should be a complete preoperative patient assessment E. The cuff should fit properly on the patient F. the inflation time should be monitored - CORRECT ANSWER B, C, D, E, F" "When working with electrical equipment, the periop nurse must: SATA A. Ensure that the active electrocautery is switched on before starting the procedure B. ensure that warming therapy devices are used at appropriate settings C. ensure that users are educated in the safe use of electrical equipment D. never place the hose of a patient warmer directly under the patient's blankets E. ensure that laser electrodes are discharged after each use - CORRECT ANSWER B, C, D"