PERIOP 101 EXAM QUESTIONS AND ANSWERS
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 - Answers - b) For topical skin application only below the
neck.
What agents are effective in removing resident microorganisms:
a) Mechanical agents
b) Chemical agents
c) Biochemical agents
d) Hydrostatic agents - Answers - b) Chemical agents
Which of the following are desired characteristics of antimicrobial agents? Select all that
apply
a) Broad spectrum
b) High log reduction capability
c) Effective for long periods of time
d) High toxicity
e) Low toxicity - Answers - a) Broad Spectrum
b) High log reduction capability
c) Effective for long periods of time
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 - Answers - c) Hair should be removed from the surgical site only
when the hair is so thick that it will interfere with the procedure.
What does AORN's guideline for Preoperaitve 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 - Answers - b)Prep them last
,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 - Answers - c) Nicking or cutting the skin
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. - Answers - a)
Take measures to prevent the loss of body heat
Which actions should the perioperative nurse take in prepping an extremity when a
tourniquet is used? Select all that apply
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 an assistive device to support the extremity during the prep.
e) Use an impervious drape to protect the tourniquet. - Answers - c)Start the prep at the
incision site and extend both distally and proximally to include the entire extremity.
d) Use an assistive device to support the extremity during the prep.
e) Use an impervious drape to protect the tourniquet.
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. - Answers - b) A scrub has a detergent
additive, a paint does not.
Perioperative nursing documentation of the skin prep procedure should include which of
the following components? Select all that apply
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) Preoperative assessment of the skin at the operative site. - Answers - a) Antiseptic
agent used
b) Hair removal if performed
d) Name of the person performing the prep
f) Preoperative assessment of the skin at the operative site.
By which route are antibiotics most commonly administered by the perioperative nurse
during intraoperative phase?
a) Intramuscular
b) Intravenous
c) Irrigation solution
d) Subcutaneous - Answers - c) Irrigation solution
The perioperative nurse's role in preparing and administering medications includes:
Select all that apply
a) Administering all medications ordered by the surgeon
b) Assessing the patient's medication allergies and use of herbal or dietary supplements
c) Verifying the administration of the correct medication, dose, and route.
d)Checking expiration date of medication - Answers - b) Assessing the patient's
medication allergies and use of herbal or dietary supplements
c) Verifying the administration of the correct medication, dose, and route.
d)Checking expiration date of medication
Based on your knowledge of medications, identify the true statements from those given
below. Select all that apply.
a) Papaverine and Ringer's lactate solution can be administered safely.
b) Radiographic dyes are a risk to patients allergic to iodine and shellfish.
c) Radiographic dyes are instilled directly into an organ or duct with a catheter or tube.
d) Miotic agents are used to reduce intraocular pressure. - Answers - b) Radiographic
dyes are a risk to patients allergic to iodine and shellfish.
c) Radiographic dyes are instilled directly into an organ or duct with a catheter or tube.
d) Miotic agents are used to reduce intraocular pressure.
In addition to hyponatremia, which of the following conditions can be a result of
improper fluid management?
a) Hypertension
, b) Hypervolemia
c) Hypotension
d) Hyperkalemia - Answers - b) Hypervolemia
During the medication administration phase of the medication use process, nursing
assessment should include which of the following factors? Select all that apply.
a) Current medications, including herbal
b) Immunization status
c) Medication allergies
d) Patient weight in pounds and kilograms - Answers - a) Current medications, including
herbal
c) Medication allergies
d) Patient weight in pounds and kilograms
What are the most common roles of the perioperative nurse in preparing medications
and solutions? Select all that apply.
a) Preparing medications and solutions per the physician's preference card
b) Administering medications intravenously
c) Preparing and labeling medications and solutions
d) Document and verify by verbally reading back to the provider all verbal orders, per
facility policy. - Answers - a) Preparing medications and solutions per the physician's
preference card
c) Preparing and labeling medications and solutions
d) Document and verify by verbally reading back to the provider all verbal orders, per
facility policy.
When medication is administered from the sterile field, it is removed from an original
container by the RN circulator and presented to the scrub person. It should immediately
and clearly labeled with: Select all that apply
a) Concentration and amount
b) Date prepared
c) Expiration date when used within 24 hours
d) Expiration time if less than 24 hours
e) Initials of RN preparing the medication - Answers - a) Concentration and amount
b) Date prepared
d) Expiration time if less than 24 hours
e) Initials of RN preparing the medication
Computerized provider order entry systems (CPOE), especially those with clinical rule-
based decision support aids, can help reduce medication errors.
True or False - Answers - True
Components of the electrosurgical circuit include:
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 - Answers - b) For topical skin application only below the
neck.
What agents are effective in removing resident microorganisms:
a) Mechanical agents
b) Chemical agents
c) Biochemical agents
d) Hydrostatic agents - Answers - b) Chemical agents
Which of the following are desired characteristics of antimicrobial agents? Select all that
apply
a) Broad spectrum
b) High log reduction capability
c) Effective for long periods of time
d) High toxicity
e) Low toxicity - Answers - a) Broad Spectrum
b) High log reduction capability
c) Effective for long periods of time
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 - Answers - c) Hair should be removed from the surgical site only
when the hair is so thick that it will interfere with the procedure.
What does AORN's guideline for Preoperaitve 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 - Answers - b)Prep them last
,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 - Answers - c) Nicking or cutting the skin
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. - Answers - a)
Take measures to prevent the loss of body heat
Which actions should the perioperative nurse take in prepping an extremity when a
tourniquet is used? Select all that apply
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 an assistive device to support the extremity during the prep.
e) Use an impervious drape to protect the tourniquet. - Answers - c)Start the prep at the
incision site and extend both distally and proximally to include the entire extremity.
d) Use an assistive device to support the extremity during the prep.
e) Use an impervious drape to protect the tourniquet.
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. - Answers - b) A scrub has a detergent
additive, a paint does not.
Perioperative nursing documentation of the skin prep procedure should include which of
the following components? Select all that apply
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) Preoperative assessment of the skin at the operative site. - Answers - a) Antiseptic
agent used
b) Hair removal if performed
d) Name of the person performing the prep
f) Preoperative assessment of the skin at the operative site.
By which route are antibiotics most commonly administered by the perioperative nurse
during intraoperative phase?
a) Intramuscular
b) Intravenous
c) Irrigation solution
d) Subcutaneous - Answers - c) Irrigation solution
The perioperative nurse's role in preparing and administering medications includes:
Select all that apply
a) Administering all medications ordered by the surgeon
b) Assessing the patient's medication allergies and use of herbal or dietary supplements
c) Verifying the administration of the correct medication, dose, and route.
d)Checking expiration date of medication - Answers - b) Assessing the patient's
medication allergies and use of herbal or dietary supplements
c) Verifying the administration of the correct medication, dose, and route.
d)Checking expiration date of medication
Based on your knowledge of medications, identify the true statements from those given
below. Select all that apply.
a) Papaverine and Ringer's lactate solution can be administered safely.
b) Radiographic dyes are a risk to patients allergic to iodine and shellfish.
c) Radiographic dyes are instilled directly into an organ or duct with a catheter or tube.
d) Miotic agents are used to reduce intraocular pressure. - Answers - b) Radiographic
dyes are a risk to patients allergic to iodine and shellfish.
c) Radiographic dyes are instilled directly into an organ or duct with a catheter or tube.
d) Miotic agents are used to reduce intraocular pressure.
In addition to hyponatremia, which of the following conditions can be a result of
improper fluid management?
a) Hypertension
, b) Hypervolemia
c) Hypotension
d) Hyperkalemia - Answers - b) Hypervolemia
During the medication administration phase of the medication use process, nursing
assessment should include which of the following factors? Select all that apply.
a) Current medications, including herbal
b) Immunization status
c) Medication allergies
d) Patient weight in pounds and kilograms - Answers - a) Current medications, including
herbal
c) Medication allergies
d) Patient weight in pounds and kilograms
What are the most common roles of the perioperative nurse in preparing medications
and solutions? Select all that apply.
a) Preparing medications and solutions per the physician's preference card
b) Administering medications intravenously
c) Preparing and labeling medications and solutions
d) Document and verify by verbally reading back to the provider all verbal orders, per
facility policy. - Answers - a) Preparing medications and solutions per the physician's
preference card
c) Preparing and labeling medications and solutions
d) Document and verify by verbally reading back to the provider all verbal orders, per
facility policy.
When medication is administered from the sterile field, it is removed from an original
container by the RN circulator and presented to the scrub person. It should immediately
and clearly labeled with: Select all that apply
a) Concentration and amount
b) Date prepared
c) Expiration date when used within 24 hours
d) Expiration time if less than 24 hours
e) Initials of RN preparing the medication - Answers - a) Concentration and amount
b) Date prepared
d) Expiration time if less than 24 hours
e) Initials of RN preparing the medication
Computerized provider order entry systems (CPOE), especially those with clinical rule-
based decision support aids, can help reduce medication errors.
True or False - Answers - True
Components of the electrosurgical circuit include:
