Periop 101 Final Exam Questions with Complete Rationales

Periop 101 Final Exam Questions with Complete Rationales Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can participate in cost containment in the OR? a) Ask the surgeon to use a less expensive implant b) Begin cleaning the OR for the next case before the patient leaves the room c) Open all supplies listed on preference card, including "available" supplies d) Verify with surgeon before opening suture - ANS: d An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability in his/her: a) Certification requirements for professional achievement in perioperative nursing b) Collaboration among team members c) Professional growth and maintenance of competency d) Verification of nursing knowledge - ANS: c Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice? a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines b) The AORN Guidelines legally supersede departmental and institutional policies c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied - ANS: d What legal standard does the professional nurse need to meet when providing care? a) Reasonably prudent care b) certification standard c) Reasonably responsible standard d) There is no legal standard - ANS: a a professional practice model includes personal accountability and ethical decision making. Which of the following is not part of personal accountability? a) Responsibility to self, patients, and peers b) Make decisions and accept consequences when necessary c) Accept performance input from direct and upper level management only d) Maintain professional engagement - ANS: c What would be the MOST important information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient? a. How long the patient has been diabetic b. If there is someone to deive them home c. The last time the patient ate or drank d. The type of insulin that patient takes - ANS: d After transferring a male pt into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST a. Administere med to the pt for nausea and vomiting b. Ask the pt if he has any pain c. Assess the pt's airway and respirations d. Care for this pt and 2 other pts as assigned - ANS: c During a handover report to the PACU RN, the perioperative RN may use a communication method identified by the acronym "SBAR". What does SBAR stand for? a. Safety, Background, Actions, Recovery expectations b. Situation, Background, Assessment, Recommendation - ANS: b A 40 yr old male pt is awake and alert in the PACU after a right shoulder surgery. What is the best measure to assess the pt's pain? a. Disucss the pt's pain with the anesthesiologist b. Observe facial expressions c. Ask the pt to rate pain from 1-10 d. Monitor vital sign changes - ANS: c A 47 yr old male is admitted to the Pre-op area for an inguinal hernia repair. What does the nurse include in the intake assessment? a. Pain b. Cognitive ability of the pt c. Cultural considerations d. All of the above - ANS: d During the preoperative interview, the perioperative nurse should ask pt's about their use of a. alcohol b. herbal preparations c. recreational drugs d. tobacco products e. all of the above - ANS: e The preoperative interview is the final assessment of the pt. This nurse-pt interaction enables the nurse to a. identify any additional pt care needs prior to surgery b. determine the length of the procedure and needed supplies c. introduce the pt to the surgical team d. provide info necessary for d/c - ANS: a Which assessment finding is common among elderly pts? a. An increase in oxygen saturation b. Decrease in vision including color and depth perception c. Increased perception of pain d. An easy adjustment to a change in their environment - ANS: b During the preoperative interview, the RN should ask the pt about use of any herbal preparations and/or botanicals. Why is this a critical component of the assessment? a. These products can affect bleeding times b. An alteration of medication metabolism can ensue c. Anesthetic toxicity can occur d. All of the above - ANS: d It is important to discuss the pt's spiritual needs during the pre-op assessment. What elements of different faiths should the periop nurse be aware of in the event of a pt's intraoperative death? a. Islamic beliefs include that one designated person should wash the body of the deceased b. The team should prepare for an organ donation for the deceased of any religious belief c. The RN circulator should immediately contact a local mortuary d. Cremation is preferred by memebers of the Jewish faith - ANS: a factors that may affect postoperative pain are: select all that apply a. The surgical site b. The nature and intended purpose of the surgery c. The pt's fears regarding anesthesia or surgery d. The level of anxiety of the pt's family members - ANS: a, b, c