AORN Periop 101 Module Questions with Complete Solutions

AORN Periop 101 Module Questions with Complete Solutions In addition to the surgeon which surgical team members wear sterile gowns and gloves during the procedure? SATA a. anesthesia b. circulating nurse c. scrub d. surgical assistant - ANS: C & D: Scrub and Surgical assistant The pathology laboratory and blood bank are usually situated in which of the following areas? - ANS: Unrestricted area Defining nursing goals and intervention strategies is a part of which phase in the nursing process? - ANS: Outcome Identification The goals of perioperative nursing interventions are to deliver optimal patient care.... SATA A. conveniently B. effectively C. efficiently D. safely E. skillfully - ANS: B, C, D, E Which of the following is considered a critical perioperative nursing diagnosis within the PNDS? A. Impaired tissue integrity B. Pain C. Risk for fluid volume deficit D. Risk for perioperative positioning injury - ANS: D Which items of attire are required when entering the sterile processing area? SATA a. scrub suit b. head cover c. shoe covers d. surgical mask - ANS: A & B What phases of the nursing process does the periop nurse practice during the preop phase of the surgical experience? SATA a. assessment b. eval c. identification of desired outcomes d. implementation e. nursing dx f. planning - ANS: A, C, E, F Data collection is part of which phase in the nursing process? - ANS: Assessment Competency statements: a. direct a nurse's activity in the periop arena b. provide a basic model to eval the quality of nursing practice c. ascertain a level of skills and abilities necessary to fulfill the processional role d. all of the above. - ANS: D True or False: it is important for perioperative nurses to practice within the context of professional standards and to maintain current knowledge of nursing practice? - ANS: True Professional nurses seek to support and encourage peers by... - ANS: Through precepting, mentoring, and role modeling, and providing feedback, the professional nurse is a daily example of excellence in the perioperative setting Perioperative nurses can enhance their professionalism by... - ANS: A nurse can improve professionally by making use of the various online and independent study resources developed by AORN and by participating in continuing the facility's education activities and accessing perioperative textbooks When using the forum for public commenting on clinical guidelines and offering a suggested change in the comment field, it is very important that you: SATA a. suggest alternate phrasing b. cite evidence to support your change c. provide rationale for your suggestion d. call the consult line to clarify the content with the guideline author - ANS: A, B, & C: suggest alternate phrasing, cite evidence to support your change, provide rationale for your suggestion based on what you have learned about various sources of information, identify the ways in which the periop nurse can improve professionally? - ANS: The different ways in which a perioperative nurse can improve professionally are: AORN continuing education conferences, attending chapter meetings, reading AORN Journals, and visiting AORN websites. True or False: AORN guidelines can replace departmental and institutional policies? - ANS: False non-research parts of evidence ratings include the following: SATA a. summaries of the evidence b. organizational experience c. consensus on appraisal scores d. community standards e. clinician experience and expert opinion f. consumer preferences - ANS: Everything except C Key business metrics over which you can have control to affect the bottom line are: SATA a. length of procedures b. on time starts c. physician satisfaction d. turnover time e. volume of procedures - ANS: A, B, D, E Based on knowledge you have gained about ethics and ethical decision making, identify the situations where a decision would be made on ethical grounds A. Using new technology B. Implementing or suspending the DNR order on a patient C. After the patient gives consent to surgery: refusing to proceed until all involved personnel discuss the situation D. Participating in human experiments that are conducted at your facility E. Strongly supporting organ donation even though the family disagrees - ANS: A, B, D, E Some of the ways by which professional nurses can protect themselves from legal action include maintaining; A. Documentation of performance appraisals B. Documentation of administrative competencies C. Documentation of continuing education D. Knowledge of state nurse practice act - ANS: A, C, D Based on the knowledge you have gained about legal and risk management issues, identify ways to enhance one's professional practice. A. documentation of orientation program B. documentation of clinical competency C. documentation of employee performance evaluations D. knowledge of the nursing practice act in your state E. documentation of continuing education activities F. revision of all departmental policies and procedures - ANS: A, B, D, E Which of the following statements reflect the importance of certification? A. certification is mandatory B. certification relates to a sense of personal accomplishment C. certification help to validate specialized knowledge D. certification relates to professional growth - ANS: B, C, D Which of the following statements are true about objective data? SATA A. Data that consists of the patient's own feelings and perceptions B. Age, religion, or culture are examples of objective data C. Data that is the information written in the patient's record and nursing notes D. History, physical and lab data are objective data examples - ANS: C & D birth - one month ability for learning and understanding - ANS: baby is only able to express through crying one month - twelve months ability for learning and understanding - ANS: baby will smile, babble, and gurgle one - three years ability for learning and understanding - ANS: baby is able to understand and respond to simple commands three- six years ability for learning and understanding - ANS: the child is able to literally interpret terms Patients in which of the following age groups have the greatest blood volume per unit of body weight? A. children B. elderly C. middle adults D. young adults - ANS: A During the preoperative interview, why should the perioperative nurse ask patients about their use of herbal preparations, alcohol, tobacco products, and recreational drugs? SATA A. herbal supplements may affect the metabolism of drugs administered B. Patients who use alcohol heavily are unable to tolerate general anesthesia C. Recreational drug use may affect the choice of preoperative sedation D. Smoking may affect circulatory and respiratory system assessment results - ANS: A, C, D Which items are included in the psychsocial evaluations? SATA A. Coping styles B. Cultural beliefs and practices C. Expectations of perioperative care D. sensory impairment E. religious or spiritual beliefs - ANS: A, B, C, E Which of the following statements is true? A. blood pressure remains constant with age B. body temperature increases with increasing age C. heart rate increases with increasing age D. lung capacity decreases with increasing age - ANS: D Which of the following factors make geriatric patients more sensitive to injury and cold? A. decreases in subcutaneous fat B. lung capacity decreases with age C. bilirubin and hemoglobin shift D. range of medication absorption is altered - ANS: A