AORN PERIOP 101 REAL 2023 FINAL EXAM LATEST
ALL 217 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)/AGRADE
When applying the concept of surgical conscience which of the following statement
should be considered? Select all that apply. - correct answer✔A. It involves mental
discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about the
restricted zone in your OR suite. The following statements are true: - correct answer✔
A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: - correct
answer✔A. A sterile gown and gloves opened on a table (other than the main
instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. - correct
answer✔A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial
to the sterile field? - correct answer✔D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable
suture? - correct answer✔C. Open the package carefully over a small basin to prevent
splashing of the packaging solution
Recommended sponge count procedures include all of the following EXCEPT? - correct
answer✔B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - correct answer✔D. A small portion
of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from
occurring when handling electrosurgical equipment? Select all that apply. - correct
answer✔A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is
being "blown over" the patient.
,D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure
ulcer include: Select all that apply. - correct answer✔A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical thinking? Select all that
apply. - correct answer✔C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - correct answer✔B.
Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - correct answer✔D. Prep should start at the site
of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? -
correct answer✔C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives
such as formalin. Select all that apply. - correct answer✔A. Avoid splashing while
pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where
accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of
general anesthesia affecting the patient? - correct answer✔A. Administration,
excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment?
Select all that apply. - correct answer✔A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for? - correct answer✔B. Provide
100% oxygen, used iced saline to cool patient.
, An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - correct answer✔A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be suspicious
of systemic toxicity related to which of the following patient complaints? Select all that
apply. - correct answer✔B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated? - correct answer✔B. Position knees over the break in the
procedure bed to allow for knee flexion.
The first step in the sterilization process of surgical instruments that have been used in
case is: - correct answer✔A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery
to _________ the tissue. - correct answer✔C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - correct answer✔A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-
USE abbreviations, Acronyms and Symbols? - correct answer✔A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - correct
answer✔A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
Which of the following statements about the immediate use steam sterilization is the
recommended practice? - correct answer✔D. Instruments may be immediate use
steam sterilized only when there is insufficient time tot process by the preferred
wrapped or container method.
Which of the following practices is recommended when transferring from gurney to the
OR bed? Select all that apply. - correct answer✔A. Ensure that wheels are locked on
both the OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
ALL 217 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)/AGRADE
When applying the concept of surgical conscience which of the following statement
should be considered? Select all that apply. - correct answer✔A. It involves mental
discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about the
restricted zone in your OR suite. The following statements are true: - correct answer✔
A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: - correct
answer✔A. A sterile gown and gloves opened on a table (other than the main
instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. - correct
answer✔A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial
to the sterile field? - correct answer✔D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable
suture? - correct answer✔C. Open the package carefully over a small basin to prevent
splashing of the packaging solution
Recommended sponge count procedures include all of the following EXCEPT? - correct
answer✔B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - correct answer✔D. A small portion
of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from
occurring when handling electrosurgical equipment? Select all that apply. - correct
answer✔A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is
being "blown over" the patient.
,D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure
ulcer include: Select all that apply. - correct answer✔A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical thinking? Select all that
apply. - correct answer✔C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - correct answer✔B.
Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - correct answer✔D. Prep should start at the site
of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? -
correct answer✔C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives
such as formalin. Select all that apply. - correct answer✔A. Avoid splashing while
pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where
accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of
general anesthesia affecting the patient? - correct answer✔A. Administration,
excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment?
Select all that apply. - correct answer✔A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for? - correct answer✔B. Provide
100% oxygen, used iced saline to cool patient.
, An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - correct answer✔A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be suspicious
of systemic toxicity related to which of the following patient complaints? Select all that
apply. - correct answer✔B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated? - correct answer✔B. Position knees over the break in the
procedure bed to allow for knee flexion.
The first step in the sterilization process of surgical instruments that have been used in
case is: - correct answer✔A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery
to _________ the tissue. - correct answer✔C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - correct answer✔A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-
USE abbreviations, Acronyms and Symbols? - correct answer✔A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - correct
answer✔A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
Which of the following statements about the immediate use steam sterilization is the
recommended practice? - correct answer✔D. Instruments may be immediate use
steam sterilized only when there is insufficient time tot process by the preferred
wrapped or container method.
Which of the following practices is recommended when transferring from gurney to the
OR bed? Select all that apply. - correct answer✔A. Ensure that wheels are locked on
both the OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
