AORN exam questions with complete
solutions18
Sterile technique is implemented during surgical procedures to prevent, what? - ANSWERS-
Microbial contamination.
The use of specific actions or activities to prevent contamination and maintain sterility of
identified areas during operative or other invasive procedures. - ANSWERS-Sterile technique.
Absence of all living microorganisms. - ANSWERS-Sterile.
Allows for no compromise in the principles of sterile technique. - ANSWERS-Surgical conscience.
Recommendations for sterile draping: - ANSWERS--handle sterile drapes as little as possible
-cuffing of drape material over the gloved hand
-holding drapes in a controlled manner
Adhesive incision drapes: - ANSWERS--may be used in according to the manufacturer's
instructions for use
-should have antimicrobial properties unless contraindicated (if the patient is allergic to iodine)
Areas of the sterile gown that are considered sterile: - ANSWERS--gown sleeves from 2 inches
above the elbow to the cuff, circumferentially
-front of the gown from the chest to the level of the sterile field
,When creating a sterile field: - ANSWERS--cuff drapes over the gloved hands to prevent
contamination
-place drapes in sequence from surgical site to peripheral areas
-place drapes on patient and any furniture or equipment that will be used in the sterile field
-when placing drapes do not lean across unsterile areas
Instruments should be considered contaminated when found assembled or clamped closed
and/or with organic material or debris found on or in the instrument. - ANSWERS-Entire
instrument tray is considered contaminated if one or more instrument are found with organic or
other debris.
When transferring medications and solutions: - ANSWERS--avoid removing stoppers from vials
-discard unused, opened irrigation or IV solutions at the end of the procedure
-dispense entire contents of the container slowly
-use a sterile transfer device
Surgical gown and gloves: - ANSWERS--surgical gloves should be changed after touching methyl
methacrylate, optic eye pieces, and surgical helmet systems
-the cuff of the sterile gown is considered contaminated once the hands pass through the cuff
When covering the sterile field: - ANSWERS--covering portions of the sterile field that are not in
active use may minimize potential air contamination of the field
-sterile field should be covered for instances that include procedural delays, for bowel or cancer
surgery wound closures, or in the pre-incision time frame
Professional organizations and societies, ass well as individual organizations can proactively
create a culture that supports patient safety through: - ANSWERS--convene and communicate
with members about safety
-incorporate attention to patient safety into training programs
, -collaborate across disciplines
Staff members should verbally verify the correct site with each member of the surgical team. -
ANSWERS-True
OR staff members are required to: - ANSWERS--monitor, identify, and report safety hazards
-understand and comply with emergency power outage plan
-practice sound basic and OR specific electrical and fire safety
Culture of safety: - ANSWERS--sense of trust among team members
-sincere commitment to affirming safety as the first priority
-development and support of a proactive approach rather than a reactive, blaming approach
-dissemination of receipt of information to all levels of staff
To implement Joint Commission's universal protocol for preventing wrong site, wrong
procedure, wrong person surgery: - ANSWERS-Use a timeout before beginning the procedure.
The purpose of National Patient Safety Goals: - ANSWERS--promote specific improvements in
patient safety
-highlight problematic areas in healthcare
-describe evidence and expert-based system-wide solutions to the problems
Which of the following practices is recommended when transferring a patient from the OR bed
to a gurney? - ANSWERS-Lock the wheels of the gurney and OR bed before beginning the
transfer.
Which of the following practices is recommended to reduce the patient's risk of intraoperative
skin injury? - ANSWERS-Protect sensitive areas of the skin with appropriate padding.
solutions18
Sterile technique is implemented during surgical procedures to prevent, what? - ANSWERS-
Microbial contamination.
The use of specific actions or activities to prevent contamination and maintain sterility of
identified areas during operative or other invasive procedures. - ANSWERS-Sterile technique.
Absence of all living microorganisms. - ANSWERS-Sterile.
Allows for no compromise in the principles of sterile technique. - ANSWERS-Surgical conscience.
Recommendations for sterile draping: - ANSWERS--handle sterile drapes as little as possible
-cuffing of drape material over the gloved hand
-holding drapes in a controlled manner
Adhesive incision drapes: - ANSWERS--may be used in according to the manufacturer's
instructions for use
-should have antimicrobial properties unless contraindicated (if the patient is allergic to iodine)
Areas of the sterile gown that are considered sterile: - ANSWERS--gown sleeves from 2 inches
above the elbow to the cuff, circumferentially
-front of the gown from the chest to the level of the sterile field
,When creating a sterile field: - ANSWERS--cuff drapes over the gloved hands to prevent
contamination
-place drapes in sequence from surgical site to peripheral areas
-place drapes on patient and any furniture or equipment that will be used in the sterile field
-when placing drapes do not lean across unsterile areas
Instruments should be considered contaminated when found assembled or clamped closed
and/or with organic material or debris found on or in the instrument. - ANSWERS-Entire
instrument tray is considered contaminated if one or more instrument are found with organic or
other debris.
When transferring medications and solutions: - ANSWERS--avoid removing stoppers from vials
-discard unused, opened irrigation or IV solutions at the end of the procedure
-dispense entire contents of the container slowly
-use a sterile transfer device
Surgical gown and gloves: - ANSWERS--surgical gloves should be changed after touching methyl
methacrylate, optic eye pieces, and surgical helmet systems
-the cuff of the sterile gown is considered contaminated once the hands pass through the cuff
When covering the sterile field: - ANSWERS--covering portions of the sterile field that are not in
active use may minimize potential air contamination of the field
-sterile field should be covered for instances that include procedural delays, for bowel or cancer
surgery wound closures, or in the pre-incision time frame
Professional organizations and societies, ass well as individual organizations can proactively
create a culture that supports patient safety through: - ANSWERS--convene and communicate
with members about safety
-incorporate attention to patient safety into training programs
, -collaborate across disciplines
Staff members should verbally verify the correct site with each member of the surgical team. -
ANSWERS-True
OR staff members are required to: - ANSWERS--monitor, identify, and report safety hazards
-understand and comply with emergency power outage plan
-practice sound basic and OR specific electrical and fire safety
Culture of safety: - ANSWERS--sense of trust among team members
-sincere commitment to affirming safety as the first priority
-development and support of a proactive approach rather than a reactive, blaming approach
-dissemination of receipt of information to all levels of staff
To implement Joint Commission's universal protocol for preventing wrong site, wrong
procedure, wrong person surgery: - ANSWERS-Use a timeout before beginning the procedure.
The purpose of National Patient Safety Goals: - ANSWERS--promote specific improvements in
patient safety
-highlight problematic areas in healthcare
-describe evidence and expert-based system-wide solutions to the problems
Which of the following practices is recommended when transferring a patient from the OR bed
to a gurney? - ANSWERS-Lock the wheels of the gurney and OR bed before beginning the
transfer.
Which of the following practices is recommended to reduce the patient's risk of intraoperative
skin injury? - ANSWERS-Protect sensitive areas of the skin with appropriate padding.
