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Alexander's Care of the Patient in Surgery 16th ed. Chapter 1
1. What is the Nursing Code of Ethics?
A guide for carrying out nursing responsibilities in a manner consistent with
quality in nursing care and the ethical obligations of the profession
A standardized perioperative foundation to help deliver safe patient care and
achieve workplace safety
Authoritative statements that describe the responsibilities for which RNs are
accountable and that reflect the values and priorities of the profession
A two-year initiative to assess and transform the nursing profession - Correct
Answer: A guide for carrying out nursing responsibilities in a manner consistent
with quality in nursing care and the ethical obligations of the profession
The code of ethics for nurses is focused on outlining the goals values and
obligations to the profession of nursing. ANA code of Ethics for nurses.
AORN Guidelines for Perioperative Practice
, 2. In what position do you transport a 3-year-old patient to PACU after a
tonsillectomy?
Trendelenburg
Side lying
High fowler's
Supine - Correct Answer: Side lying
assessed and to keep the airway open.
Alexander's Care of the Patient in Surgery 16th ed. Ch 19
3. How do you transport patient with suprapubic catheter?
place the collection bag on the abdomen and cover with the sheet
hang the collection bag on the bed frame
hang the collection bag on the side of the bed rail
place the collection bag below the bed - Correct Answer: hang the collection
bag on the bed frame
The collection bag should always remain lower than the level of the bladder to
prevent retrograde movement of old urine back into the bladder. The side rail and
shelf below the bed put the catheter at risk for accidental removal. The collection
bag should be on the frame of the stretcher.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 15
4. After delivery of a healthy infant by cesarean section the surgical team is
preparing to close. When should the team begin the first closing count?
,When the surgeon asks for closing suture
Before closure of the uterus
Before closure of the skin
At the end of the case - Correct Answer: Before closure of the uterus
The first closing count is done before closure of a hollow organ.
Berry and Kohn's Operating Room Technique 13th ed Ch 25
5. The perioperative nurse is preparing the room for the upcoming procedure.
The RN understands that a surgical microscope is used with which of the
following procedures?
Vasovasotomy
Cholecystectomy
Orchiectomy
Hydrocelectomy - Correct Answer: Vasovasotomy
Vasovasotomy is microsurgery performed under the magnification of the
operating microscope.
Berry and Kohn's Operating Room Technique 13th ed Ch 35
6. OR attire can be worn in the following setting outside of the OR when
covered with a lab coat?
When going to the cafeteria
To the surgeon's office
, To a meeting in a different building on campus
To the designated smoking area on campus - Correct Answer: When going to
the cafeteria
OR attire should not be worn outside the OR suite or outdoors. On occasions
outside the OR suite but remaining indoors, such as for lunch breaks, a single use
cover coat or jacket completely buttoned closed may be worn over he OR attire.
Smoking, going to the office or outdoors requires a change into street clothes.
Berry and Kohn's Operating Room Technique 13th ed Ch 17
7. The surgeon has repeatedly asked to increase power setting on the
electrosurgical unit (ESU) during the procedure. The perioperative nurse should
first...
Check that the grounding pad is secure and has full uniform body contact. Change
the grounding pad if necessary
Give the surgeon a new active electrode
Swap the current ESU with a different one
Turn the power up as often as required by the surgeon not to exceed cut 40 and
coag of 60 - Correct Answer: Check that the grounding pad is secure and has
full uniform body contact. Change the grounding pad if necessary
The perioperative nurse should first assess. (always think nursing process when
ready exam questions) The first thing to investigate when there is impedance in
power is the grounding pad. Second check the pen. Lastly swap the machine.
Power settings depend on many variables. There is not a 'max setting' that is
reasonable for all tissue.