Periop 101 Final Exam
1. 1, 3, 2 - ANS-Match the latex sensitivity categories with their correct description:
2. a) Delayed Type IV Hypersensitivity
3. b) Immediate Type I
4. c) Irritant contact dermatitis
5.
6. 1 - Localized delayed allergic reaction occurring 24-72 hrs. after exposure
7. 2 - Non-allergic skin reaction usually aggravated by glove powder and chemical agents
added to raw latex
8. 3 - Occurs within 5-30 min. after exposure. The onset may be delayed 10-12 hrs.
9.
10. *Use numbers separated w/commas to match
11. 1, 4, 2, 3 - ANS-Many national organizations are focusing on ways to improve patient
care. Match the organization with their associated safety activity.
12. a) Centers for Medicare and Medicaid Services (CMS)
13. b) Institute of Medicine (IOM)
14. c) The Joint Commission (TJC)
15. d) World Health Organization (WHO)
16.
17. 1 - Health Insurance Portability and Accountability Act
18. 2 - National Patient Safety Goals
19. 3 - Safe Surgery Saves Lives
20. 4 - To Err is Human: Building a Safer Health System
21.
22. *Use numbers separated w/commas in the correct/matching order w/the letters.
23. 2, 3, 1 - ANS-Match terms with correct definitions:
24. a) Surgical conscience
25. b) Sterile
26. c) Sterile technique
27.
28. 1 - The use of specific actions and activities to prevent contamination and maintain
sterility of identified areas during operative or other invasive procedures
29. 2 - Allows for no compromise in the principles of sterile technique
30. 3 - The absence of all living microorganisms
31.
32. *Use numbers to match with the terms in order of a-c.
33. 2, 3, 1 - ANS-Match the hemostatic agent to the corresponding method:
34. a) Bone wax
35. b) Laser
36. c) Thrombin
,37.
38. 1 - Chemical method
39. 2 - Mechanical method
40. 3 - Thermal method
41.
42. *Use numbers w/commas to match
43. 2, 3, 1 - ANS-Select the appropriate Spaulding Classification System category for each
item listed:
44. a) Blood pressure cuff
45. b) Laryngoscope blade
46. c) Orthopedic implants
47.
48. 1 - Critical
49. 2 - Non-critical
50. 3 - Semi-critical
51.
52. *(Answer with and separate numbers w/commas)
53. *(Use numbers to correctly match w/"a, b, c" order)
54. 3 - ANS-Vaccine-preventable disease against which health care providers should be
immunized include:
55. a) Hepatitis B
56. b) Seasonal influenza
57. c) Tuberculosis
58. d) Varicella
59.
60. 1 - B and C
61. 2 - A and D
62. 3 - A, B, and D
63. 4 - A, B, C, and D
64.
65. *Answer with the correct NUMBER only.
66. 3, 1, 2 - ANS-An immediate latex allergy response has three stages. Match the following
stages with the appropriate symptoms:
67. a) Can progress to a sudden drop in blood pressure, increased HR, and potential
circulatory collapse
68. b) Contact urticaria presenting as redness and swelling at the site of exposure
69. c) Response spreads beyond the area of contact and can include itching around the
eyes, shortness of breath, and acute rhinitis
70.
71. 1 - Stage I
72. 2 - Stage II
73. 3 - Stage III
74.
75. *Use numbers separated w/commas to match
,76. 3, 4, 2, 1 - ANS-Place the four basic steps of fire safety in the correct order:
77. a) Confine the fire, shut the doors
78. b) Evacuate according to facility plan
79. c) Notify the fire department
80. d) Rescue patients and staff members in immediate danger
81. *Use numbers separated w/commas in order of a-d.
82. 3, 5, 2, 1, 4 - ANS-Match the specimen type with the appropriate description:
83. a) Frozen
84. b) Culture
85. c) Cytology
86. d) Routine
87. e) Forensic
88.
89. 1 - Does not require immediate pathology examination
90. 2 - For studying cell biology
91. 3 - Requires immediate pathology examination
92. 4 - Retrieved from the patient involved as a suspect or victim in a crime
93. 5 - Suspected of infection
94. *Use numbers w/commas to match the correct order
95. 4, 1, 3, 2 - ANS-Match the instruments to the appropriate category:
96. a) Army Navy
97. b) Kelly
98. c) Needle Holder
99. d) Rongeur
100.
101. 1 - Clamping
102. 2 - Cutting
103. 3 - Grasping
104. 4 - Retracting
105.
106. *Use the numbers separated w/commas in the correct matching order.
107. 4, 2, 3, 1, 5 - ANS-Match the anesthesia term to its definition
108. a) General
109. b) Regional
110. c) Monitored Anesthesia Care (MAC)
111. d) Moderate sedation
112. e) Local
113.
114. 1 - Administration of anesthetic agents by an anesthesiologist, CRNA, or specially
trained perioperative RN
115. 2 - An injection of local anesthetics near nerve fibers to cause a reversible loss of
sensation over an area of the body
116. 3 - Anesthesia provider monitoring and sedation of the patient
117. 4 - Drug-induced, reversible state of unconsciousness
, 118. 5 - Infiltration or topical administration of agents to anesthetize a body part
119.
120. *Use numbers separated w/commas to match
121. a - ANS-_________ should not be placed on the sterile field until final counts are
completed.
122. a) Dressing sponges
123. b) Closing stitches
124. c) Irrigating fluid
125. d) Skin staples
126. a - ANS-A ______ is a designated area on the sterile field where the scrub person
and the surgeon place all sharp instruments.
127. a) Neutral zone
128. b) Hands-free zone
129. c) Scrub area
130. d) Sharps area
131. a - ANS-A 72-y/o man is scheduled for a procedure to repair his right hip fracture. He
has a history of smoking and diabetes and is currently taking prednisone for his RA.
Based on this history, what would you be MOST concerned about?
132. a) Delayed wound healing
133. b) Postop pain control
134. c) Maintaining normothermia
135. d) Intraoperative fluid management
136. a - ANS-A 79-y/o patient undergoing laparoscopic cholecystectomy is being induced
under general anesthesia. The anesthesiologist notices an unexplained tachycardia,
tachypnea, and jaw tightness. The capnography shows an elevated end-tidal CO2. What
is the immediate action the perioperative RN should take to treat this suspected MH?
137. a) Call for the MH cart and Dantrolene
138. b) Initiate cooling measures
139. c) Administer sodium bicarb
140. d) Change the soda lime canister
141. a - ANS-A patient is scheduled for reconstruction of her external ear following a dog
bite injury. Which skin prep agent is indicated for use in this case?
142. a) Aqueous iodophor
143. b) CHG-alcohol
144. c) CHG
145. d) Iodophor-alcohol
146. a - ANS-A popular type of grasping clamp that has no teeth is the
147. a) Babcock clamp
148. b) Allis clamp
149. c) Kocher clamp
150. d) Ochsner clamp
151. a - ANS-After the perioperative RN sets up for a total joint procedure before the pt
enters the room, she discovers a dirty instrument on the sterile back table. What step
should the perioperative RN take NEXT?
1. 1, 3, 2 - ANS-Match the latex sensitivity categories with their correct description:
2. a) Delayed Type IV Hypersensitivity
3. b) Immediate Type I
4. c) Irritant contact dermatitis
5.
6. 1 - Localized delayed allergic reaction occurring 24-72 hrs. after exposure
7. 2 - Non-allergic skin reaction usually aggravated by glove powder and chemical agents
added to raw latex
8. 3 - Occurs within 5-30 min. after exposure. The onset may be delayed 10-12 hrs.
9.
10. *Use numbers separated w/commas to match
11. 1, 4, 2, 3 - ANS-Many national organizations are focusing on ways to improve patient
care. Match the organization with their associated safety activity.
12. a) Centers for Medicare and Medicaid Services (CMS)
13. b) Institute of Medicine (IOM)
14. c) The Joint Commission (TJC)
15. d) World Health Organization (WHO)
16.
17. 1 - Health Insurance Portability and Accountability Act
18. 2 - National Patient Safety Goals
19. 3 - Safe Surgery Saves Lives
20. 4 - To Err is Human: Building a Safer Health System
21.
22. *Use numbers separated w/commas in the correct/matching order w/the letters.
23. 2, 3, 1 - ANS-Match terms with correct definitions:
24. a) Surgical conscience
25. b) Sterile
26. c) Sterile technique
27.
28. 1 - The use of specific actions and activities to prevent contamination and maintain
sterility of identified areas during operative or other invasive procedures
29. 2 - Allows for no compromise in the principles of sterile technique
30. 3 - The absence of all living microorganisms
31.
32. *Use numbers to match with the terms in order of a-c.
33. 2, 3, 1 - ANS-Match the hemostatic agent to the corresponding method:
34. a) Bone wax
35. b) Laser
36. c) Thrombin
,37.
38. 1 - Chemical method
39. 2 - Mechanical method
40. 3 - Thermal method
41.
42. *Use numbers w/commas to match
43. 2, 3, 1 - ANS-Select the appropriate Spaulding Classification System category for each
item listed:
44. a) Blood pressure cuff
45. b) Laryngoscope blade
46. c) Orthopedic implants
47.
48. 1 - Critical
49. 2 - Non-critical
50. 3 - Semi-critical
51.
52. *(Answer with and separate numbers w/commas)
53. *(Use numbers to correctly match w/"a, b, c" order)
54. 3 - ANS-Vaccine-preventable disease against which health care providers should be
immunized include:
55. a) Hepatitis B
56. b) Seasonal influenza
57. c) Tuberculosis
58. d) Varicella
59.
60. 1 - B and C
61. 2 - A and D
62. 3 - A, B, and D
63. 4 - A, B, C, and D
64.
65. *Answer with the correct NUMBER only.
66. 3, 1, 2 - ANS-An immediate latex allergy response has three stages. Match the following
stages with the appropriate symptoms:
67. a) Can progress to a sudden drop in blood pressure, increased HR, and potential
circulatory collapse
68. b) Contact urticaria presenting as redness and swelling at the site of exposure
69. c) Response spreads beyond the area of contact and can include itching around the
eyes, shortness of breath, and acute rhinitis
70.
71. 1 - Stage I
72. 2 - Stage II
73. 3 - Stage III
74.
75. *Use numbers separated w/commas to match
,76. 3, 4, 2, 1 - ANS-Place the four basic steps of fire safety in the correct order:
77. a) Confine the fire, shut the doors
78. b) Evacuate according to facility plan
79. c) Notify the fire department
80. d) Rescue patients and staff members in immediate danger
81. *Use numbers separated w/commas in order of a-d.
82. 3, 5, 2, 1, 4 - ANS-Match the specimen type with the appropriate description:
83. a) Frozen
84. b) Culture
85. c) Cytology
86. d) Routine
87. e) Forensic
88.
89. 1 - Does not require immediate pathology examination
90. 2 - For studying cell biology
91. 3 - Requires immediate pathology examination
92. 4 - Retrieved from the patient involved as a suspect or victim in a crime
93. 5 - Suspected of infection
94. *Use numbers w/commas to match the correct order
95. 4, 1, 3, 2 - ANS-Match the instruments to the appropriate category:
96. a) Army Navy
97. b) Kelly
98. c) Needle Holder
99. d) Rongeur
100.
101. 1 - Clamping
102. 2 - Cutting
103. 3 - Grasping
104. 4 - Retracting
105.
106. *Use the numbers separated w/commas in the correct matching order.
107. 4, 2, 3, 1, 5 - ANS-Match the anesthesia term to its definition
108. a) General
109. b) Regional
110. c) Monitored Anesthesia Care (MAC)
111. d) Moderate sedation
112. e) Local
113.
114. 1 - Administration of anesthetic agents by an anesthesiologist, CRNA, or specially
trained perioperative RN
115. 2 - An injection of local anesthetics near nerve fibers to cause a reversible loss of
sensation over an area of the body
116. 3 - Anesthesia provider monitoring and sedation of the patient
117. 4 - Drug-induced, reversible state of unconsciousness
, 118. 5 - Infiltration or topical administration of agents to anesthetize a body part
119.
120. *Use numbers separated w/commas to match
121. a - ANS-_________ should not be placed on the sterile field until final counts are
completed.
122. a) Dressing sponges
123. b) Closing stitches
124. c) Irrigating fluid
125. d) Skin staples
126. a - ANS-A ______ is a designated area on the sterile field where the scrub person
and the surgeon place all sharp instruments.
127. a) Neutral zone
128. b) Hands-free zone
129. c) Scrub area
130. d) Sharps area
131. a - ANS-A 72-y/o man is scheduled for a procedure to repair his right hip fracture. He
has a history of smoking and diabetes and is currently taking prednisone for his RA.
Based on this history, what would you be MOST concerned about?
132. a) Delayed wound healing
133. b) Postop pain control
134. c) Maintaining normothermia
135. d) Intraoperative fluid management
136. a - ANS-A 79-y/o patient undergoing laparoscopic cholecystectomy is being induced
under general anesthesia. The anesthesiologist notices an unexplained tachycardia,
tachypnea, and jaw tightness. The capnography shows an elevated end-tidal CO2. What
is the immediate action the perioperative RN should take to treat this suspected MH?
137. a) Call for the MH cart and Dantrolene
138. b) Initiate cooling measures
139. c) Administer sodium bicarb
140. d) Change the soda lime canister
141. a - ANS-A patient is scheduled for reconstruction of her external ear following a dog
bite injury. Which skin prep agent is indicated for use in this case?
142. a) Aqueous iodophor
143. b) CHG-alcohol
144. c) CHG
145. d) Iodophor-alcohol
146. a - ANS-A popular type of grasping clamp that has no teeth is the
147. a) Babcock clamp
148. b) Allis clamp
149. c) Kocher clamp
150. d) Ochsner clamp
151. a - ANS-After the perioperative RN sets up for a total joint procedure before the pt
enters the room, she discovers a dirty instrument on the sterile back table. What step
should the perioperative RN take NEXT?
