Periop 101
1. A consideration that would NOT be taken into account for instrument set assembly is:
2. a. patient population
3. b. type of surgery
4. c. tray weight
5. d. scheduling conflicts - ANS-D.
6. A culture of safety focuses on:
7. A. The individual healthcare provider
8. b. organizational care delivery
9. c. patient safety regulatory requirements
10. d. medical staff goals. - ANS-B. Organizational care delivery
11. A mechanical method of achieving surgical hemostasis includes the use of:
12. a. vasopressors
13. b. electrosurgical devices
14. c. sutures, staples, clips
15. d. vessel-sealing devices - ANS-C.
16. A monopolar electrosurgery intervention for the patient with an implanted IED is:
17. a. placement of the dispersive pad as close as possible to the IED
18. b. use of the ESU at the highest power setting for faster application
19. c. verification that the IED and its leads are between the IED and the dispersive pads.
20. d. Inactivate the IED, when possible - ANS-D.
21. An example of a simple drain is the:
22. a. Penrose
23. b. hemovac
24. c. Jackson-Pratt
25. d. Chest tube drain - ANS-A.
26. Areas of the sterile gown that are considered sterile are:
27. a. The neck to below the natural waist
28. b. The chest to the level of the sterile field
29. c. The shoulder to the proximal edge of the cuff
30. d. 2 inches above the elbow to the distal edge of the cuff. - ANS-B.
31. Before a central venous catheter insertion, the provider should:
32. a. use and area-specific plastic drape
33. b. don a long-sleeved jacket
34. c. don a sterile gown and gloves
35. d. wipe the area with an alcohol swab - ANS-C.
36. Choose the option that describes the PPE necessary for health care personnel
transporting a patient who requires contact precautions:
37. a. PPE is required for all team members for each patient transport
38. b. PPE is not required for any patient transport
, 39. c. PPE is required for all team members when patient contact is necessary.
40. d. PPE is required for a designated team member when patient contact is necessary. -
ANS-C.
41. Extravasation can lead to:
42. a. hyponatremia
43. b. pulmonary complications
44. c. intraabdominal compartment syndrome
45. d. hypervolemia - ANS-C.
46. Fast-Tracking:
47. a. Does not require a nursing hand-off
48. b. is the patient's transfer to phase II Post anesthesia care
49. c. requires a 1:1 nurse-to-patient ratio
50. d. does not include patient and family education - ANS-B.
51. From the options provided, which describes a portal of entry for an infectious agent?
52. a. mucous membranes
53. b. dirty surfaces and equipment
54. c. aerosols
55. d. an individual receiving healthcare - ANS-A.
56. LAST is a patient medical emergency that occurs when:
57. a. a sedative bolus is injected IV.
58. b. the airway is occluded
59. c. the local anesthetic blood threshold is exceeded.
60. d. an unintended hypothermic event occurs. - ANS-C.
61. Most Post-operative complications occur within:
62. a. 8 hrs.
63. b. 12 hrs.
64. c. 24 hrs
65. d. 48 hrs. - ANS-D.
66. Of the following, which is NOT a characteristic of patient and family centered care:
67. A. Alliance between healthcare practitioners, the patient, and the patient's support
system.
68. B. focus on communication with all involved in the patient's care, the patient, and the
family.
69. c. health care decisions provided to the patient and family.
70. d. patient and family participation in care - ANS-C.
71. One of the physiological effects of the Trendelenburg position is:
72. a. Intracranial hypertension
73. b. Even distribution of lung ventilation
74. c. Increased cardiac output
75. d. Venous pooling in the lower extremities - ANS-A.
76. The definition of a health disparity is:
77. a. adherence to the standard of care for every individual
78. b. a higher burden of disease for some populations
79. c. the equal distribution of healthcare resources across the population
1. A consideration that would NOT be taken into account for instrument set assembly is:
2. a. patient population
3. b. type of surgery
4. c. tray weight
5. d. scheduling conflicts - ANS-D.
6. A culture of safety focuses on:
7. A. The individual healthcare provider
8. b. organizational care delivery
9. c. patient safety regulatory requirements
10. d. medical staff goals. - ANS-B. Organizational care delivery
11. A mechanical method of achieving surgical hemostasis includes the use of:
12. a. vasopressors
13. b. electrosurgical devices
14. c. sutures, staples, clips
15. d. vessel-sealing devices - ANS-C.
16. A monopolar electrosurgery intervention for the patient with an implanted IED is:
17. a. placement of the dispersive pad as close as possible to the IED
18. b. use of the ESU at the highest power setting for faster application
19. c. verification that the IED and its leads are between the IED and the dispersive pads.
20. d. Inactivate the IED, when possible - ANS-D.
21. An example of a simple drain is the:
22. a. Penrose
23. b. hemovac
24. c. Jackson-Pratt
25. d. Chest tube drain - ANS-A.
26. Areas of the sterile gown that are considered sterile are:
27. a. The neck to below the natural waist
28. b. The chest to the level of the sterile field
29. c. The shoulder to the proximal edge of the cuff
30. d. 2 inches above the elbow to the distal edge of the cuff. - ANS-B.
31. Before a central venous catheter insertion, the provider should:
32. a. use and area-specific plastic drape
33. b. don a long-sleeved jacket
34. c. don a sterile gown and gloves
35. d. wipe the area with an alcohol swab - ANS-C.
36. Choose the option that describes the PPE necessary for health care personnel
transporting a patient who requires contact precautions:
37. a. PPE is required for all team members for each patient transport
38. b. PPE is not required for any patient transport
, 39. c. PPE is required for all team members when patient contact is necessary.
40. d. PPE is required for a designated team member when patient contact is necessary. -
ANS-C.
41. Extravasation can lead to:
42. a. hyponatremia
43. b. pulmonary complications
44. c. intraabdominal compartment syndrome
45. d. hypervolemia - ANS-C.
46. Fast-Tracking:
47. a. Does not require a nursing hand-off
48. b. is the patient's transfer to phase II Post anesthesia care
49. c. requires a 1:1 nurse-to-patient ratio
50. d. does not include patient and family education - ANS-B.
51. From the options provided, which describes a portal of entry for an infectious agent?
52. a. mucous membranes
53. b. dirty surfaces and equipment
54. c. aerosols
55. d. an individual receiving healthcare - ANS-A.
56. LAST is a patient medical emergency that occurs when:
57. a. a sedative bolus is injected IV.
58. b. the airway is occluded
59. c. the local anesthetic blood threshold is exceeded.
60. d. an unintended hypothermic event occurs. - ANS-C.
61. Most Post-operative complications occur within:
62. a. 8 hrs.
63. b. 12 hrs.
64. c. 24 hrs
65. d. 48 hrs. - ANS-D.
66. Of the following, which is NOT a characteristic of patient and family centered care:
67. A. Alliance between healthcare practitioners, the patient, and the patient's support
system.
68. B. focus on communication with all involved in the patient's care, the patient, and the
family.
69. c. health care decisions provided to the patient and family.
70. d. patient and family participation in care - ANS-C.
71. One of the physiological effects of the Trendelenburg position is:
72. a. Intracranial hypertension
73. b. Even distribution of lung ventilation
74. c. Increased cardiac output
75. d. Venous pooling in the lower extremities - ANS-A.
76. The definition of a health disparity is:
77. a. adherence to the standard of care for every individual
78. b. a higher burden of disease for some populations
79. c. the equal distribution of healthcare resources across the population
