Reduction in resident bacteria is aided by:
A. Use of a degreaser
B. Use of antimicrobials
C. Prepping clean to dirty
D. Mechanical friction - ANSWER B. Use of antimicrobials
Using mechanical friction when prepping will NOT aid in ____
A. Removal of resident bacteria
B. Removal of dirt and oil
C. The effectiveness of antimicrobials
D. Removal of transient bacteria - ANSWER A. Removal of resident bacteria
Which one of the following statements is TRUE?
A. Povidone-iodine's mechanism of action is to disrupt the cell membrane
B. Povidone-iodine is nonirritating to the skin
C. Povidone-iodine cannot be used on mucous membranes
D. Heating povidone-iodine may decrease its effectiveness - ANSWER D. Heating pov-
idone-iodine may decrease its effectiveness
Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause patient
injuries that include:
1. Chemical burns
2. Thermal burns
3.Injuries related to equipment malfunction - ANSWER A. 1 and 2
1
,Documentation of the preoperative skin prep includes all of the follow EXCEPT:
A. Hair removal
B. Manufacturer of solutions used
C. Allergies
D. Name of the person who performed the prep - ANSWER B. Manufacturer of solutions
used
When prepping an extremity, which one of the following is ALWAYS required?
A. Positioning the extremity to prevent prep solution from running toward the incision site
B. Assistance in holding the limb
C. Scrubbing nails with a brush before the formal prep
D. Prepping so that the entire limb can be draped - ANSWER A. Positioning the extremity
to prevent prep solution from running toward the incision site
Surgical wound infections can result in decreased _____.
A. Hospitalization time
B. Intraoperative time
C. Income for hospitals
D. Workload for perioperative nurses - ANSWER C. Income for hospitals
Preoperative skin preparation is accomplished by _____.
A. Removing soil and transient microbes
B. Reducing resident microbes
C. Using antimicrobial agents that inhibit growth of microbes
D. All of the above - ANSWER D. All of the above
The concept of prepping from clean to dirty means _____.
2
,A. Cleaning all stomas or open wounds first
B. Beginning at the incision site and using circular strokes toward the periphery
C. Prep solution is changed after cleaning contaminated areas
D. Surgical scrub solutions used first and then surgical paint - ANSWER B. Beginning at
the incision site and using circular strokes toward the periphery
According to AORN's guidelines for skin preparation of patients, hair at the operative site is
_____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved - ANSWER A. Allowed to remain unless it inter-
feres with the surgical procedures
Common resident bacteria include all EXCEPT:
A. Staphylococcus epiermidis
B. Staphylococcus aureus
C. Diphtheroid bacillus
D. Pseudomonas aeruginosa - ANSWER wrong
Which one of the following statements about the skin prep is FALSE?
A. Povidone-iodine should not be allowed to dry
B. Manufacturers' guidelines should be followed
C. Skin prep is performed after the patient has been positioned
D. The name of the person performing the prep should be documented - ANSWER A.
Povidone-iodine should not be allowed to dry
Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
3
, B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ANSWER B. Sterilization of skin
The generally recognized length of time required for contact of antimicrobial agents to be
effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ANSWER D. According to manufacturers' di-
rections
Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ANSWER D. Chlorhexidine gluconate
The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ANSWER C. Prep stomas first
Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
4
A. Use of a degreaser
B. Use of antimicrobials
C. Prepping clean to dirty
D. Mechanical friction - ANSWER B. Use of antimicrobials
Using mechanical friction when prepping will NOT aid in ____
A. Removal of resident bacteria
B. Removal of dirt and oil
C. The effectiveness of antimicrobials
D. Removal of transient bacteria - ANSWER A. Removal of resident bacteria
Which one of the following statements is TRUE?
A. Povidone-iodine's mechanism of action is to disrupt the cell membrane
B. Povidone-iodine is nonirritating to the skin
C. Povidone-iodine cannot be used on mucous membranes
D. Heating povidone-iodine may decrease its effectiveness - ANSWER D. Heating pov-
idone-iodine may decrease its effectiveness
Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause patient
injuries that include:
1. Chemical burns
2. Thermal burns
3.Injuries related to equipment malfunction - ANSWER A. 1 and 2
1
,Documentation of the preoperative skin prep includes all of the follow EXCEPT:
A. Hair removal
B. Manufacturer of solutions used
C. Allergies
D. Name of the person who performed the prep - ANSWER B. Manufacturer of solutions
used
When prepping an extremity, which one of the following is ALWAYS required?
A. Positioning the extremity to prevent prep solution from running toward the incision site
B. Assistance in holding the limb
C. Scrubbing nails with a brush before the formal prep
D. Prepping so that the entire limb can be draped - ANSWER A. Positioning the extremity
to prevent prep solution from running toward the incision site
Surgical wound infections can result in decreased _____.
A. Hospitalization time
B. Intraoperative time
C. Income for hospitals
D. Workload for perioperative nurses - ANSWER C. Income for hospitals
Preoperative skin preparation is accomplished by _____.
A. Removing soil and transient microbes
B. Reducing resident microbes
C. Using antimicrobial agents that inhibit growth of microbes
D. All of the above - ANSWER D. All of the above
The concept of prepping from clean to dirty means _____.
2
,A. Cleaning all stomas or open wounds first
B. Beginning at the incision site and using circular strokes toward the periphery
C. Prep solution is changed after cleaning contaminated areas
D. Surgical scrub solutions used first and then surgical paint - ANSWER B. Beginning at
the incision site and using circular strokes toward the periphery
According to AORN's guidelines for skin preparation of patients, hair at the operative site is
_____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved - ANSWER A. Allowed to remain unless it inter-
feres with the surgical procedures
Common resident bacteria include all EXCEPT:
A. Staphylococcus epiermidis
B. Staphylococcus aureus
C. Diphtheroid bacillus
D. Pseudomonas aeruginosa - ANSWER wrong
Which one of the following statements about the skin prep is FALSE?
A. Povidone-iodine should not be allowed to dry
B. Manufacturers' guidelines should be followed
C. Skin prep is performed after the patient has been positioned
D. The name of the person performing the prep should be documented - ANSWER A.
Povidone-iodine should not be allowed to dry
Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
3
, B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ANSWER B. Sterilization of skin
The generally recognized length of time required for contact of antimicrobial agents to be
effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ANSWER D. According to manufacturers' di-
rections
Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ANSWER D. Chlorhexidine gluconate
The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ANSWER C. Prep stomas first
Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
4
