AORN
AORN Periop 101 Final Exam TEST BANK () Questions
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and Revised Correct Answers. with 100% Guarantee Pass
r r r r r r r r
Testbankscove
,Question 1 r
During the preoperative interview, the RN should ask the pt about use of any herbal preparations
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and/or botanicals. Why is this a critical component of the assessment?
r r r r r r r r r r r
a. These products can affect bleeding times
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b. An alteration of medication metabolism can ensure
r r r r r r
c. Anesthetic toxicity can occur r r r
d. All of the above
r r r
Correct Answer: d. All of the above
r r r r r r
Rationale: Herbal preparations can have multiple dangerous interactions with anesthesia
r r r r r r r r r
,and surgery. They can increase bleeding risk (e.g., garlic, ginkgo), alter the metabolism of
r r r r r r r r r r r r r
r anesthetic drugs (e.g., St. John's Wort), and contribute to cardiovascular instability or
r r r r r r r r r r r
r toxicity.
Question 2 r
What is an important consideration r/t transferring a pt who has received general
r r r r r r r r r r r r
anesthesia from the OR bed today gurney for transport to PACU?
r r r r r r r r r r r
a. One staff member should routinely be available for pt transfers
r r r r r r r r r
b. Transfer with a minimum of 4 staff members in attendance
r r r r r r r r r
c. Pre medicate the pt to make them less anxious during transport
r r r r r r r r r r
d. Wait until the pt it's fully awake and able to transfer himself
r r r r r r r r r r r
Correct Answer: b. Transfer with a minimum of 4 staff members in attendance
r r r r r r r r r r r r
r Rationale: A patient under the effects of general anesthesia is completely dependent
r r r r r r r r r r r
and at high risk for injury during transfer. A minimum of four staff members is required to
r r r r r r r r r r r r r r r r
r safely log-roll or lift the patient, ensuring the airway is maintained and the patient is not
r r r r r r r r r r r r r r r
r dropped. (Note: The document's key had "A B" listed, but this is the safest standard
r r r r r r r r r r r r r r
r practice.)
Question 3 r
In relation to transcultural needs of the pt, it is important to include needs in the nursing
r r r r r r r r r r r r r r r r
r assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual
Correct Answer: d. spiritual r r r
Rationale: A holistic nursing assessment must include spiritual and cultural needs. These
r r r r r r r r r r r
r factors can significantly impact a patient's perception of illness, pain, treatment
r r r r r r r r r r
r decisions, and coping mechanisms. r r r
, Question 4 r
One potential source for injury while positioning a pt are shearing forces. Shearing forces
r r r r r r r r r r r r r
r result when: r
a. 2 surfaces rub against each other
r r r r r
b. Tissue is exposed to excess moisture during surgery
r r r r r r r
c. Heat and moisture combine with excessive pressure
r r r r r r
d. The folding of underlying tissue when the skeletal structure moves and the
r r r r r r r r r r r
r skin remains stationary
r r
Correct Answer: d. The folding of underlying tissue when the skeletal structure moves
r r r r r r r r r r r r r
r and the skin remains stationary
r r r r
Rationale: Shearing forces occur when the skin is fixed (e.g., by friction against the OR
r r r r r r r r r r r r r r
r table) while the underlying deep fascia and skeleton move, often due to gravity (as in
r r r r r r r r r r r r r r
r Trendelenburg position). This causes blood vessels to stretch and kink, leading to tissue
r r r r r r r r r r r r
r ischemia and damage. r r
Question 5 r
Which is not a local anesthetic drug used for regional?
r r r r r r r r r
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine
Correct Answer: c. Fentanylr r r
Rationale: Bupivacaine, lidocaine, and tetracaine are all local anesthetics that work by
r r r r r r r r r r r
r blocking sodium channels. Fentanyl is an opioid (narcotic) analgesic, used for pain
r r r r r r r r r r r
r management but not as a local anesthetic. r r r r r r
Question 6 r
AORN Periop 101 Final Exam TEST BANK () Questions
r r r r r r r r r r
and Revised Correct Answers. with 100% Guarantee Pass
r r r r r r r r
Testbankscove
,Question 1 r
During the preoperative interview, the RN should ask the pt about use of any herbal preparations
r r r r r r r r r r r r r r r
and/or botanicals. Why is this a critical component of the assessment?
r r r r r r r r r r r
a. These products can affect bleeding times
r r r r r
b. An alteration of medication metabolism can ensure
r r r r r r
c. Anesthetic toxicity can occur r r r
d. All of the above
r r r
Correct Answer: d. All of the above
r r r r r r
Rationale: Herbal preparations can have multiple dangerous interactions with anesthesia
r r r r r r r r r
,and surgery. They can increase bleeding risk (e.g., garlic, ginkgo), alter the metabolism of
r r r r r r r r r r r r r
r anesthetic drugs (e.g., St. John's Wort), and contribute to cardiovascular instability or
r r r r r r r r r r r
r toxicity.
Question 2 r
What is an important consideration r/t transferring a pt who has received general
r r r r r r r r r r r r
anesthesia from the OR bed today gurney for transport to PACU?
r r r r r r r r r r r
a. One staff member should routinely be available for pt transfers
r r r r r r r r r
b. Transfer with a minimum of 4 staff members in attendance
r r r r r r r r r
c. Pre medicate the pt to make them less anxious during transport
r r r r r r r r r r
d. Wait until the pt it's fully awake and able to transfer himself
r r r r r r r r r r r
Correct Answer: b. Transfer with a minimum of 4 staff members in attendance
r r r r r r r r r r r r
r Rationale: A patient under the effects of general anesthesia is completely dependent
r r r r r r r r r r r
and at high risk for injury during transfer. A minimum of four staff members is required to
r r r r r r r r r r r r r r r r
r safely log-roll or lift the patient, ensuring the airway is maintained and the patient is not
r r r r r r r r r r r r r r r
r dropped. (Note: The document's key had "A B" listed, but this is the safest standard
r r r r r r r r r r r r r r
r practice.)
Question 3 r
In relation to transcultural needs of the pt, it is important to include needs in the nursing
r r r r r r r r r r r r r r r r
r assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual
Correct Answer: d. spiritual r r r
Rationale: A holistic nursing assessment must include spiritual and cultural needs. These
r r r r r r r r r r r
r factors can significantly impact a patient's perception of illness, pain, treatment
r r r r r r r r r r
r decisions, and coping mechanisms. r r r
, Question 4 r
One potential source for injury while positioning a pt are shearing forces. Shearing forces
r r r r r r r r r r r r r
r result when: r
a. 2 surfaces rub against each other
r r r r r
b. Tissue is exposed to excess moisture during surgery
r r r r r r r
c. Heat and moisture combine with excessive pressure
r r r r r r
d. The folding of underlying tissue when the skeletal structure moves and the
r r r r r r r r r r r
r skin remains stationary
r r
Correct Answer: d. The folding of underlying tissue when the skeletal structure moves
r r r r r r r r r r r r r
r and the skin remains stationary
r r r r
Rationale: Shearing forces occur when the skin is fixed (e.g., by friction against the OR
r r r r r r r r r r r r r r
r table) while the underlying deep fascia and skeleton move, often due to gravity (as in
r r r r r r r r r r r r r r
r Trendelenburg position). This causes blood vessels to stretch and kink, leading to tissue
r r r r r r r r r r r r
r ischemia and damage. r r
Question 5 r
Which is not a local anesthetic drug used for regional?
r r r r r r r r r
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine
Correct Answer: c. Fentanylr r r
Rationale: Bupivacaine, lidocaine, and tetracaine are all local anesthetics that work by
r r r r r r r r r r r
r blocking sodium channels. Fentanyl is an opioid (narcotic) analgesic, used for pain
r r r r r r r r r r r
r management but not as a local anesthetic. r r r r r r
Question 6 r
