AORN Periop 101 Pre-Exam Study Set
2024/2025 |100% Correct|
A 0.25 mm lead apron will reduce scattered x-rays by approximately:
A. 15%
B. 25%
C. 50%
D. 95% *Ans*✨D. 95%
A fire risk assessment should be performed:
A. Only before procedures involving electrocautery, an electrosurgical unit, or a laser
B. Only if requested by the surgeon or first assistant
C. Before all operative procedures
D. Only before surgical procedures above the xiphoid process and in the nasopharynx
E. Only if the patient requires more than 30% supplemental oxygen *Ans*✨C. Before all operative
procedures
A hierarchy of controls should be used to prevent sharps and injuries in health care settings. The
CORRECT order of implementation, ranked from potentially most effective to least effective, is:
A. Hazard elimination, engineering controls, work practice controls, administrative controls, PPE
B. Hazard elimination, work practice controls, engineering controls, PPE, administrative controls
C. Engineering controls, hazard elimination, administrative controls, work practice controls, PPE
D. Hazard elimination, engineering controls, PPE, work practice controls, administrative controls
E. PPE, work practice controls, administrative controls, engineering controls, hazard elimination
*Ans*✨A. Hazard elimination, engineering controls, work practice controls, administrative controls,
PPE
A perioperative nurse is assessing patients for DVT risk factors prior to lower limb surgeries. Based on
the following descriptions, which patient DOES NOT have risk factor(s) for DVT?
A. A 35 year old patient on prolonged bed rest
,B. A 70 year old smoker with no history of significant medical problems
C. An obese 45 year old who is otherwise healthy
D. A 20 year old non-smoking athlete with a left anterior cruciate ligament tear *Ans*✨D. A 20 year
old non-smoking athlete with a left anterior cruciate ligament tear
A perioperative nurse is performing a preoperative assessment of a patient scheduled for total knee
arthroplasty. Which of the following is NOT a primary contraindication for pneumatic tourniquet use?
A. Significant vascular disease, including recent bypass, history of deep venous thrombosis, or impaired
peripheral circulation
B. Sickle cell anemia and other forms of hemoglobinopathy
C. History of pain or weakness in the bones or muscles of the extremities
D. History of ulcerative colitis *Ans*✨D. History of ulcerative colitis
A person who works with radiation is required to be monitored if:
A. He or she asks to be
B. His or her annual dose is likely to exceed 15 mrem
C. He or she is likely to exceed 10% of the dose limit
D. He or she is likely to exceed 50% of the dose limit *Ans*✨C. He or she is likely to exceed 10% of the
dose limit
A scrubbed perioperative registered nurse observes a fire start on a patient in the operating room. After
alerting the team, the nurse should immediately:
A. Obtain and operate the nearest fire extinguisher by using the PASS technique
B. Pat the flames with a drape
C. Smother the fire with a towel or pour nonflammable liquid on the fire
D. Lift the patient and transport him or her out of the room
E. Turn off the oxygen source *Ans*✨C. Smother the fire with a towel or pour nonflammable liquid
on the fire
A type of tissue in the extremities that is highly susceptible to ischemia is:
A. Skeletal muscle
,B. Nerves
C. Bone
D. Skin *Ans*✨A. Skeletal muscle
A woman undergoes standard thoracic radiographs (x-rays) for a chronic cough and enlarged left
cervical lymph node. Her prior exposure to ionizing radiation is minimal. The woman later determines
that she was approximately 10 days pregnant when the radiographs were taken. This woman most likely
has a:
A. Substantially increased risk of later developing cancer
B. Very small increased risk of later developing cancer
C. Substantially increased risk of spontaneous abortion
D. Substantially increased risk of having a child with a hereditary defect, such as trisomy 21 (Down's
syndrome) *Ans*✨B. Very small increased risk of later developing cancer
According to American College of Radiology guidelines on magnetic resonance (MR) safety:
A. patients and non-MR staff should be allowed to travel freely through Zone II
B. patients and non-MR staff should have unrestricted access to Zone III
C. non-MR staff should have access to Zone II as long as they are wearing a dosimeter
D. access to Zones III and IV should be severely restricted because of the risk of injury or death from
magnetic interactions with ferromagnetic materials *Ans*✨D. access to Zones III and IV should be
severely restricted because of the risk of injury or death from magnetic interactions with ferromagnetic
materials
According to AORN's guidelines for skin preparation of patients, hair at the operative site is _____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved *Ans*✨A. Allowed to remain unless it interferes with the
surgical procedures
According to the 2013 American College of Radiology guidelines on MR safety:
, A. All clinical and research MR sites should maintain MR safety policies.
B. An MR medical director should be designated to ensure that safety guidelines are established and
updated
C. The MRI suite should be a zero tolerance zone where adverse events, MR safety incidents, or near
accidents are promptly reported to the MR medical director
D. All of the above *Ans*✨D. All of the above
Alcohol should be used for cleaning and disinfection of large blood spills.
A. True
B. False *Ans*✨B. False
All are UNSAFE practices in the OR EXCEPT which of the following?
A. Passing sharps hand-to-hand between team members during orthopedic surgery
B. Waiting until after surgery to say something if you observe unsafe sharps handling
C. Carefully recapping contaminated needles using a scooping technique
D. Disposing of sharps in an unlabeled bag *Ans*✨C. Carefully recapping contaminated needles using
a scooping technique
All of the following are appropriate practices to manage oxidation sources in the operating room
EXCEPT:
A. administer the lowest concentration of oxygen needed to maintain adequate oxygen saturation
B. use a laryngeal mask or endotracheal tube if the patient needs more than 30% supplemental oxygen
C. ensure that there are no leaks in the anesthesia circuit
D. turn the warmer blower off when using a warming blanket with an attached head drape
E. prevent oxygen from accumulating under drapes *Ans*✨wrong
All of the following are examples of hazard elimination for sharps safety EXCEPT:
A. Using electrosurgery instead of a scalpel when making a surgical incision
B. Requiring at-risk health care workers to participate in annual trainings on sharps safety
C. Ensuring that the facility only uses needleless IV systems
2024/2025 |100% Correct|
A 0.25 mm lead apron will reduce scattered x-rays by approximately:
A. 15%
B. 25%
C. 50%
D. 95% *Ans*✨D. 95%
A fire risk assessment should be performed:
A. Only before procedures involving electrocautery, an electrosurgical unit, or a laser
B. Only if requested by the surgeon or first assistant
C. Before all operative procedures
D. Only before surgical procedures above the xiphoid process and in the nasopharynx
E. Only if the patient requires more than 30% supplemental oxygen *Ans*✨C. Before all operative
procedures
A hierarchy of controls should be used to prevent sharps and injuries in health care settings. The
CORRECT order of implementation, ranked from potentially most effective to least effective, is:
A. Hazard elimination, engineering controls, work practice controls, administrative controls, PPE
B. Hazard elimination, work practice controls, engineering controls, PPE, administrative controls
C. Engineering controls, hazard elimination, administrative controls, work practice controls, PPE
D. Hazard elimination, engineering controls, PPE, work practice controls, administrative controls
E. PPE, work practice controls, administrative controls, engineering controls, hazard elimination
*Ans*✨A. Hazard elimination, engineering controls, work practice controls, administrative controls,
PPE
A perioperative nurse is assessing patients for DVT risk factors prior to lower limb surgeries. Based on
the following descriptions, which patient DOES NOT have risk factor(s) for DVT?
A. A 35 year old patient on prolonged bed rest
,B. A 70 year old smoker with no history of significant medical problems
C. An obese 45 year old who is otherwise healthy
D. A 20 year old non-smoking athlete with a left anterior cruciate ligament tear *Ans*✨D. A 20 year
old non-smoking athlete with a left anterior cruciate ligament tear
A perioperative nurse is performing a preoperative assessment of a patient scheduled for total knee
arthroplasty. Which of the following is NOT a primary contraindication for pneumatic tourniquet use?
A. Significant vascular disease, including recent bypass, history of deep venous thrombosis, or impaired
peripheral circulation
B. Sickle cell anemia and other forms of hemoglobinopathy
C. History of pain or weakness in the bones or muscles of the extremities
D. History of ulcerative colitis *Ans*✨D. History of ulcerative colitis
A person who works with radiation is required to be monitored if:
A. He or she asks to be
B. His or her annual dose is likely to exceed 15 mrem
C. He or she is likely to exceed 10% of the dose limit
D. He or she is likely to exceed 50% of the dose limit *Ans*✨C. He or she is likely to exceed 10% of the
dose limit
A scrubbed perioperative registered nurse observes a fire start on a patient in the operating room. After
alerting the team, the nurse should immediately:
A. Obtain and operate the nearest fire extinguisher by using the PASS technique
B. Pat the flames with a drape
C. Smother the fire with a towel or pour nonflammable liquid on the fire
D. Lift the patient and transport him or her out of the room
E. Turn off the oxygen source *Ans*✨C. Smother the fire with a towel or pour nonflammable liquid
on the fire
A type of tissue in the extremities that is highly susceptible to ischemia is:
A. Skeletal muscle
,B. Nerves
C. Bone
D. Skin *Ans*✨A. Skeletal muscle
A woman undergoes standard thoracic radiographs (x-rays) for a chronic cough and enlarged left
cervical lymph node. Her prior exposure to ionizing radiation is minimal. The woman later determines
that she was approximately 10 days pregnant when the radiographs were taken. This woman most likely
has a:
A. Substantially increased risk of later developing cancer
B. Very small increased risk of later developing cancer
C. Substantially increased risk of spontaneous abortion
D. Substantially increased risk of having a child with a hereditary defect, such as trisomy 21 (Down's
syndrome) *Ans*✨B. Very small increased risk of later developing cancer
According to American College of Radiology guidelines on magnetic resonance (MR) safety:
A. patients and non-MR staff should be allowed to travel freely through Zone II
B. patients and non-MR staff should have unrestricted access to Zone III
C. non-MR staff should have access to Zone II as long as they are wearing a dosimeter
D. access to Zones III and IV should be severely restricted because of the risk of injury or death from
magnetic interactions with ferromagnetic materials *Ans*✨D. access to Zones III and IV should be
severely restricted because of the risk of injury or death from magnetic interactions with ferromagnetic
materials
According to AORN's guidelines for skin preparation of patients, hair at the operative site is _____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved *Ans*✨A. Allowed to remain unless it interferes with the
surgical procedures
According to the 2013 American College of Radiology guidelines on MR safety:
, A. All clinical and research MR sites should maintain MR safety policies.
B. An MR medical director should be designated to ensure that safety guidelines are established and
updated
C. The MRI suite should be a zero tolerance zone where adverse events, MR safety incidents, or near
accidents are promptly reported to the MR medical director
D. All of the above *Ans*✨D. All of the above
Alcohol should be used for cleaning and disinfection of large blood spills.
A. True
B. False *Ans*✨B. False
All are UNSAFE practices in the OR EXCEPT which of the following?
A. Passing sharps hand-to-hand between team members during orthopedic surgery
B. Waiting until after surgery to say something if you observe unsafe sharps handling
C. Carefully recapping contaminated needles using a scooping technique
D. Disposing of sharps in an unlabeled bag *Ans*✨C. Carefully recapping contaminated needles using
a scooping technique
All of the following are appropriate practices to manage oxidation sources in the operating room
EXCEPT:
A. administer the lowest concentration of oxygen needed to maintain adequate oxygen saturation
B. use a laryngeal mask or endotracheal tube if the patient needs more than 30% supplemental oxygen
C. ensure that there are no leaks in the anesthesia circuit
D. turn the warmer blower off when using a warming blanket with an attached head drape
E. prevent oxygen from accumulating under drapes *Ans*✨wrong
All of the following are examples of hazard elimination for sharps safety EXCEPT:
A. Using electrosurgery instead of a scalpel when making a surgical incision
B. Requiring at-risk health care workers to participate in annual trainings on sharps safety
C. Ensuring that the facility only uses needleless IV systems
