AORN PERIOP 101 ALL FINAL EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔According to the CDC, which surgical wound classification should be documented
for the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ✔✔D. Class IV (Dirty/Infected)
✔✔The preoperative nurse should avoid placing the dispersive electrode on the
following areas. Match the area with the rational listed below: - ✔✔A. Scar tissue: May
act as insulation
B. Tattoo sites: contain metallic elements that could attract current
C. Implanted prosthesis: Contain metal which could attract current and impede return
current flow
D. Hairy sites: Inhibits the flow of electrical current
✔✔Which of the following strategies should be considered for implementing successful
infection control? - ✔✔B. Washing your hands prior to greeting the patient in the pre-
operative room
✔✔Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ✔✔B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
✔✔Which of the following statements about counts is correct? Select all that apply. -
✔✔A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
,E. Two people, one of them whom is the RN circulator, must preform the sponge count
✔✔An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ✔✔C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
✔✔The surgeon's preference for the preoperative skin pre includes the application of an
alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing
this prep to dry prior to draping is because: - ✔✔B. Fumes trapped underneath the
drapes and could ignite
✔✔Which of the following is a method for preventing blood-borne pathogen exposure? -
✔✔A. Changing gloves during regular intervals during a procedure
✔✔Which elements are required to create an environment where the culture of safety is
embraced? Select all that apply. - ✔✔A. A sense of trust among all team members
B. Development of a proactive approach instead of a reactive approach
D. Sincere commitment to affirming safety as the first priority
E. Verification of receipt of all information at all levels of the organization
✔✔Which of the following are qualities of skin adhesive products? Select all that apply. -
✔✔B. They can be used in place of sutures.
D. They are primarily used on facial, extremity, and torso wounds.
✔✔Which of the following practices violates a patient's ethical right to self-
determination? - ✔✔A. Automatic intrapoperative suspension of a don-not-resusucitate
decision
✔✔Which of the following is NOT an example of an ethical dilemma that preoperative
nurses may encounter? - ✔✔C. Family disagreement about a below knee amputation of
an 19 year old who has already given consent
✔✔Identify the general guidelines for identifying and labeling specimens. Select all that
apply - ✔✔A. Ask the surgeon to identify the specimen
B. Complete the laboratory or pathology requisition
C. Label the outside of the specimen container with the patients name, identification
number, description and source of the specimen and surgeon
✔✔Which of the following statements about the gowning procedure are correct? - ✔✔D.
Step back from the table into an unobstructed area to let the gown unfold
✔✔A psychosocial assessment may include the patient's: Select all that apply - ✔✔A.
Cultural beliefs and practices
B. Expressed level of anxiety or stress
, C. Spiritual or religious beliefs
D. Understanding of the surgical procedure
✔✔Proper OR attire for restricted areas includes: Select all that apply - ✔✔C. Two-
piece scrub suit with top tucked into the pants and secured at the waist
D. Warm-up jacket snapped, with cuffs down to wrists
✔✔How can the preoperative nurse directly contribute to financial efficiency in the OR?
Select all that apply. - ✔✔B. Manage the length of cases by having all needed supplies
ready
C. Participate in product evaluation and waste reduction activities
D. Reducing turnover time
E. Working to attain on-time starts
✔✔All of the following organization provide guidance related to tissue banking EXCEPT:
- ✔✔D. American National Standards Institute (ANSI)
✔✔After setting up for a total joint procedure, a dirty instrument is discovered on the
sterile back table while waiting for the patient to enter the OR. What actions should be
taken to correct the contamination? Select all that apply - ✔✔B. Change the gown and
gloves of the contaminated team members
C. Break down the entire back table and re-establish a sterile field
✔✔Important skills affecting the clinical setting include which of the following? - ✔✔D.
Problem solving and situational awareness
✔✔If you have completed your case and must transport your patient to PACU. To give
report to the PACU nurse, your facility requires the use of SBAR format, which includes:
- ✔✔C. Situation, Background, Assessment, Recommendation
✔✔The dispersive electrode should: - ✔✔C. Be placed as close to the operative site as
possible
✔✔Which of the following latex sensitivity categories match the description provided? -
✔✔C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove
power and chemical agents added to raw latex
✔✔If the preoperative team is unable to extinguish the fire in the OR, recommendations
include: - ✔✔C. Evacuating the patient and the preoperative team following the
organization fire plan
✔✔The best intervention to prevent intraoperative pressure ulcer development on the
patient's heels would be to: - ✔✔A. Elevate (offload) heels off the bed
QUESTIONS SET A+
✔✔According to the CDC, which surgical wound classification should be documented
for the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ✔✔D. Class IV (Dirty/Infected)
✔✔The preoperative nurse should avoid placing the dispersive electrode on the
following areas. Match the area with the rational listed below: - ✔✔A. Scar tissue: May
act as insulation
B. Tattoo sites: contain metallic elements that could attract current
C. Implanted prosthesis: Contain metal which could attract current and impede return
current flow
D. Hairy sites: Inhibits the flow of electrical current
✔✔Which of the following strategies should be considered for implementing successful
infection control? - ✔✔B. Washing your hands prior to greeting the patient in the pre-
operative room
✔✔Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ✔✔B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
✔✔Which of the following statements about counts is correct? Select all that apply. -
✔✔A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
,E. Two people, one of them whom is the RN circulator, must preform the sponge count
✔✔An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ✔✔C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
✔✔The surgeon's preference for the preoperative skin pre includes the application of an
alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing
this prep to dry prior to draping is because: - ✔✔B. Fumes trapped underneath the
drapes and could ignite
✔✔Which of the following is a method for preventing blood-borne pathogen exposure? -
✔✔A. Changing gloves during regular intervals during a procedure
✔✔Which elements are required to create an environment where the culture of safety is
embraced? Select all that apply. - ✔✔A. A sense of trust among all team members
B. Development of a proactive approach instead of a reactive approach
D. Sincere commitment to affirming safety as the first priority
E. Verification of receipt of all information at all levels of the organization
✔✔Which of the following are qualities of skin adhesive products? Select all that apply. -
✔✔B. They can be used in place of sutures.
D. They are primarily used on facial, extremity, and torso wounds.
✔✔Which of the following practices violates a patient's ethical right to self-
determination? - ✔✔A. Automatic intrapoperative suspension of a don-not-resusucitate
decision
✔✔Which of the following is NOT an example of an ethical dilemma that preoperative
nurses may encounter? - ✔✔C. Family disagreement about a below knee amputation of
an 19 year old who has already given consent
✔✔Identify the general guidelines for identifying and labeling specimens. Select all that
apply - ✔✔A. Ask the surgeon to identify the specimen
B. Complete the laboratory or pathology requisition
C. Label the outside of the specimen container with the patients name, identification
number, description and source of the specimen and surgeon
✔✔Which of the following statements about the gowning procedure are correct? - ✔✔D.
Step back from the table into an unobstructed area to let the gown unfold
✔✔A psychosocial assessment may include the patient's: Select all that apply - ✔✔A.
Cultural beliefs and practices
B. Expressed level of anxiety or stress
, C. Spiritual or religious beliefs
D. Understanding of the surgical procedure
✔✔Proper OR attire for restricted areas includes: Select all that apply - ✔✔C. Two-
piece scrub suit with top tucked into the pants and secured at the waist
D. Warm-up jacket snapped, with cuffs down to wrists
✔✔How can the preoperative nurse directly contribute to financial efficiency in the OR?
Select all that apply. - ✔✔B. Manage the length of cases by having all needed supplies
ready
C. Participate in product evaluation and waste reduction activities
D. Reducing turnover time
E. Working to attain on-time starts
✔✔All of the following organization provide guidance related to tissue banking EXCEPT:
- ✔✔D. American National Standards Institute (ANSI)
✔✔After setting up for a total joint procedure, a dirty instrument is discovered on the
sterile back table while waiting for the patient to enter the OR. What actions should be
taken to correct the contamination? Select all that apply - ✔✔B. Change the gown and
gloves of the contaminated team members
C. Break down the entire back table and re-establish a sterile field
✔✔Important skills affecting the clinical setting include which of the following? - ✔✔D.
Problem solving and situational awareness
✔✔If you have completed your case and must transport your patient to PACU. To give
report to the PACU nurse, your facility requires the use of SBAR format, which includes:
- ✔✔C. Situation, Background, Assessment, Recommendation
✔✔The dispersive electrode should: - ✔✔C. Be placed as close to the operative site as
possible
✔✔Which of the following latex sensitivity categories match the description provided? -
✔✔C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove
power and chemical agents added to raw latex
✔✔If the preoperative team is unable to extinguish the fire in the OR, recommendations
include: - ✔✔C. Evacuating the patient and the preoperative team following the
organization fire plan
✔✔The best intervention to prevent intraoperative pressure ulcer development on the
patient's heels would be to: - ✔✔A. Elevate (offload) heels off the bed
