Periop 101 Final Exam
1. 4 ways to ensure professional practice r/t the AORN practice include: maintaining
competency, the use of EBP, certification and
2. a. mentoring student nurses
3. b. pursuit of lifelong learning
4. c. achieving a minimum of an associate's degree
5. d. achievement of an advanced practice nurse degree - ANS-b
6. 63 yr old female pt who has just had a total knee. The RN circulator and anesthesia
provider transport her to the PACU. Which of the following is included in the hand off
communication to the PACU RN?
7. A. Estimated blood loss
8. b. Urine output
9. c. Pt's family/support group info
10. d. All of the above - ANS-D
11. A _______ does not permit a person to excuse an error but rather to admit and rectify
one readily.
12. a. adherence to ascetic technique
13. b. practice of professional
14. c. surgical conscience
15. d. just culture - ANS-c
16. 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?
17. a. Disucss the pt's pain with the anesthesiologist
18. b. Observe facial expressions
19. c. Ask the pt to rate pain from 1-10
20. d. Monitor vital sign changes - ANS-c
21. A 43 yr old female scheduled for a lap choly, the periop RN should provide preop
education to her and her family, incuding
22. a. Detailed info about the surgical procedure, including risks and benefits
23. b. Obtaining informed consent from her and suspending any DNR orders
24. c. Verification of financial records
25. d. Wound care and pain management - ANS-d
26. 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?
27. a. Pain
28. b. Cognitive ability of the pt
29. c. Cultural considerations
30. d. All of the above - ANS-d
31. A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results show several
critical values. Which of the following actions should the circulating nurse complete first?
,32. a. ask the lab to draw confirmatory lab tests
33. b. inform the anesthesia provider of the lab values
34. c. notify the charge nurse of your findings
35. d. proceed with the schedule case - ANS-b
36. A hand over communication report is given by the anesthesia professional and
37. a. surgical resident
38. b. medical student
39. c. OR nurse
40. d. inpatient nurse - ANS-c
41. A neighbor calls the preoperative area and asks the perioperative RN "how is my friend?
I missed her at church and I heard she was in the hospital." What is the RN's appropriate
response?
42. a. Here's her daughter's number; she can give you more info
43. b. She's doing well but I cannot give you any more info
44. c. The pt has requested that we share her info only with family
45. d. We are getting her ready for surgery so you can talk with her in a few hours - ANS-C
46. A precise way of looking at general anesthesia is to divide it into 3 phases
47. a. Initial admin, maintenance, excitement
48. b. Initial admin, maintenance, emergence
49. C. Induction, maintenance, emergence - ANS-C.
50. A preoperative nursing assessment should be conducted by a preoperative RN at what
point?
51. a. prior to d/c
52. b. before the surgery
53. c. in the surgeon's office
54. d. before the surgical consent is signed - ANS-b
55. a professional practice model includes personal accountability and ethical decision
making. Which of the following is not part of personal accountability?
56. a) Responsibility to self, patients, and peers
57. b) Make decisions and accept consequences when necessary
58. c) Accept performance input from direct and upper level management only
59. d) Maintain professional engagement - ANS-c
60. A surgical mask should cover both mouth, nose and should be
61. a. Allowed to hang around the neck between procedures
62. b. Changed after 2 hours of use
63. c. Removed and discarded after every case
64. d. Tied snugly with strings crossed - ANS-c
65. According to AORN recommended practices, the shelf life of a sterile package kept in
storage is:
66. a. time related
67. b. event related
68. c. content related
69. d. sterilization related - ANS-b
70. According to the AORN guidelines, what is the correct documentation for this med?
, 71. a. M.S. 2.0 mg
72. b. MS 2 mg
73. c. Morphine Sulfate 2 mg
74. d. Morphine Sulfate 2.0 mg - ANS-C
75. According to the universal protocol for preventing wrong site, wrong procedure and
wrong person surgery, what is an acceptable method to identify a pt?
76. a. Their room number
77. b. Pt's name by reviewing consent
78. c. Ask pt to state name and date of birth
79. d. Pt's armband for MRN and social - ANS-C
80. After transferring a male pt into the Phase I PACU, the perioperative RN could
reasonably expect the PACU RN to FIRST
81. a. Administere med to the pt for nausea and vomiting
82. b. Ask the pt if he has any pain
83. c. Assess the pt's airway and respirations
84. d. Care for this pt and 2 other pts as assigned - ANS-c
85. An area of painful skin that is abraded blistered or has shallow craters would be
classified as which stage ulcer?
86. a. I
87. b. II
88. c. III
89. D. IV - ANS-B
90. An example of a standardized format for hand off communications is the SBAR. This
acronym represents:
91. a. Situation, background, application, responsiveness
92. b. Site marking, background, application, readiness
93. c. Situation, background, assessment, recommendation - ANS-c
94. An integrator is a multiparameter indicator designed to measure which of the following
parameters?
95. a. pressure, steam, temp
96. b. temp, time, presence of steam
97. c pressure and sterility - ANS-b
98. An RN who attends continuing nursing education and has verified skills, knowledge, and
attitudes about perioperative nursing is demonstrating accountability in his/her:
99. a) Certification requirements for professional achievement in perioperative nursing
100. b) Collaboration among team members
101. c) Professional growth and maintenance of competency
102. d) Verification of nursing knowledge - ANS-c
103. Antimicrobial agents used for the surgical skin prep need to be fast acting with a
broad spectrum in order to be effective against a wide range of microorganisms. What
other properties are necessary for an effective skin prep agent?
104. a. Low log reduction capability and non irritating
105. b. Persistent and toxic
106. c. High log reduction and non toxic
1. 4 ways to ensure professional practice r/t the AORN practice include: maintaining
competency, the use of EBP, certification and
2. a. mentoring student nurses
3. b. pursuit of lifelong learning
4. c. achieving a minimum of an associate's degree
5. d. achievement of an advanced practice nurse degree - ANS-b
6. 63 yr old female pt who has just had a total knee. The RN circulator and anesthesia
provider transport her to the PACU. Which of the following is included in the hand off
communication to the PACU RN?
7. A. Estimated blood loss
8. b. Urine output
9. c. Pt's family/support group info
10. d. All of the above - ANS-D
11. A _______ does not permit a person to excuse an error but rather to admit and rectify
one readily.
12. a. adherence to ascetic technique
13. b. practice of professional
14. c. surgical conscience
15. d. just culture - ANS-c
16. 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?
17. a. Disucss the pt's pain with the anesthesiologist
18. b. Observe facial expressions
19. c. Ask the pt to rate pain from 1-10
20. d. Monitor vital sign changes - ANS-c
21. A 43 yr old female scheduled for a lap choly, the periop RN should provide preop
education to her and her family, incuding
22. a. Detailed info about the surgical procedure, including risks and benefits
23. b. Obtaining informed consent from her and suspending any DNR orders
24. c. Verification of financial records
25. d. Wound care and pain management - ANS-d
26. 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?
27. a. Pain
28. b. Cognitive ability of the pt
29. c. Cultural considerations
30. d. All of the above - ANS-d
31. A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results show several
critical values. Which of the following actions should the circulating nurse complete first?
,32. a. ask the lab to draw confirmatory lab tests
33. b. inform the anesthesia provider of the lab values
34. c. notify the charge nurse of your findings
35. d. proceed with the schedule case - ANS-b
36. A hand over communication report is given by the anesthesia professional and
37. a. surgical resident
38. b. medical student
39. c. OR nurse
40. d. inpatient nurse - ANS-c
41. A neighbor calls the preoperative area and asks the perioperative RN "how is my friend?
I missed her at church and I heard she was in the hospital." What is the RN's appropriate
response?
42. a. Here's her daughter's number; she can give you more info
43. b. She's doing well but I cannot give you any more info
44. c. The pt has requested that we share her info only with family
45. d. We are getting her ready for surgery so you can talk with her in a few hours - ANS-C
46. A precise way of looking at general anesthesia is to divide it into 3 phases
47. a. Initial admin, maintenance, excitement
48. b. Initial admin, maintenance, emergence
49. C. Induction, maintenance, emergence - ANS-C.
50. A preoperative nursing assessment should be conducted by a preoperative RN at what
point?
51. a. prior to d/c
52. b. before the surgery
53. c. in the surgeon's office
54. d. before the surgical consent is signed - ANS-b
55. a professional practice model includes personal accountability and ethical decision
making. Which of the following is not part of personal accountability?
56. a) Responsibility to self, patients, and peers
57. b) Make decisions and accept consequences when necessary
58. c) Accept performance input from direct and upper level management only
59. d) Maintain professional engagement - ANS-c
60. A surgical mask should cover both mouth, nose and should be
61. a. Allowed to hang around the neck between procedures
62. b. Changed after 2 hours of use
63. c. Removed and discarded after every case
64. d. Tied snugly with strings crossed - ANS-c
65. According to AORN recommended practices, the shelf life of a sterile package kept in
storage is:
66. a. time related
67. b. event related
68. c. content related
69. d. sterilization related - ANS-b
70. According to the AORN guidelines, what is the correct documentation for this med?
, 71. a. M.S. 2.0 mg
72. b. MS 2 mg
73. c. Morphine Sulfate 2 mg
74. d. Morphine Sulfate 2.0 mg - ANS-C
75. According to the universal protocol for preventing wrong site, wrong procedure and
wrong person surgery, what is an acceptable method to identify a pt?
76. a. Their room number
77. b. Pt's name by reviewing consent
78. c. Ask pt to state name and date of birth
79. d. Pt's armband for MRN and social - ANS-C
80. After transferring a male pt into the Phase I PACU, the perioperative RN could
reasonably expect the PACU RN to FIRST
81. a. Administere med to the pt for nausea and vomiting
82. b. Ask the pt if he has any pain
83. c. Assess the pt's airway and respirations
84. d. Care for this pt and 2 other pts as assigned - ANS-c
85. An area of painful skin that is abraded blistered or has shallow craters would be
classified as which stage ulcer?
86. a. I
87. b. II
88. c. III
89. D. IV - ANS-B
90. An example of a standardized format for hand off communications is the SBAR. This
acronym represents:
91. a. Situation, background, application, responsiveness
92. b. Site marking, background, application, readiness
93. c. Situation, background, assessment, recommendation - ANS-c
94. An integrator is a multiparameter indicator designed to measure which of the following
parameters?
95. a. pressure, steam, temp
96. b. temp, time, presence of steam
97. c pressure and sterility - ANS-b
98. An RN who attends continuing nursing education and has verified skills, knowledge, and
attitudes about perioperative nursing is demonstrating accountability in his/her:
99. a) Certification requirements for professional achievement in perioperative nursing
100. b) Collaboration among team members
101. c) Professional growth and maintenance of competency
102. d) Verification of nursing knowledge - ANS-c
103. Antimicrobial agents used for the surgical skin prep need to be fast acting with a
broad spectrum in order to be effective against a wide range of microorganisms. What
other properties are necessary for an effective skin prep agent?
104. a. Low log reduction capability and non irritating
105. b. Persistent and toxic
106. c. High log reduction and non toxic
