AORN Periop 101- FINAL PRACTICE TEST QUESTIONS WITH 100% VERIFIED SOLUTIONS

AORN Periop 101- FINAL PRACTICE TEST QUESTIONS WITH 100% VERIFIED SOLUTIONS Which elements are required to create an environment where the culture of safety is embraced? Select all that apply. - ANSWER A. A sense of trust among all team members B. Development of a proactive approach instead of a reactive approach D. Sincere commitment to affirming safety as the first priority E. Verification of receipt of all information at all levels of the organization Which of the following are qualities of skin adhesive products? Select all that apply. - ANSWER B. They can be used in place of sutures. D. They are primarily used on facial, extremity, and torso wounds. Which of the following practices violates a patient's ethical right to self-determination? - ANSWER A. Automatic intrapoperative suspension of a don-not-resusucitate decision Which of the following is NOT an example of an ethical dilemma that preoperative nurses may encounter? - ANSWER C. Family disagreement about a below knee amputation of an 19 year old who has already given consent Identify the general guidelines for identifying and labeling specimens. Select all that apply - ANSWER A. Ask the surgeon to identify the specimen B. Complete the laboratory or pathology requisition C. Label the outside of the specimen container with the patients name, identification number, description and source of the specimen and surgeon Which of the following statements about the gowning procedure are correct? - ANSWER D. Step back from the table into an unobstructed area to let the gown unfold A psychosocial assessment may include the patient's: Select all that apply - ANSWER A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure Proper OR attire for restricted areas includes: Select all that apply - ANSWER C. Two- piece scrub suit with top tucked into the pants and secured at the waist D. Warm-up jacket snapped, with cuffs down to wrists How can the preoperative nurse directly contribute to financial efficiency in the OR? Select all that apply. - ANSWER B. Manage the length of cases by having all needed supplies ready C. Participate in product evaluation and waste reduction activities D. Reducing turnover time E. Working to attain on-time starts All of the following organization provide guidance related to tissue banking EXCEPT: - ANSWER D. American National Standards Institute (ANSI) After setting up for a total joint procedure, a dirty instrument is discovered on the sterile back table while waiting for the patient to enter the OR. What actions should be taken to correct the contamination? Select all that apply - ANSWER B. Change the gown and gloves of the contaminated team members C. Break down the entire back table and re-establish a sterile field Important skills affecting the clinical setting include which of the following? - ANSWER D. Problem solving and situational awareness If you have completed your case and must transport your patient to PACU. To give report to the PACU nurse, your facility requires the use of SBAR format, which includes: - ANSWER C. Situation, Background, Assessment, Recommendation The dispersive electrode should: - ANSWER C. Be placed as close to the operative site as possible Which of the following latex sensitivity categories match the description provided? - ANSWER C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove power and chemical agents added to raw latex If the preoperative team is unable to extinguish the fire in the OR, recommendations include: - ANSWER C. Evacuating the patient and the preoperative team following the organization fire plan The best intervention to prevent intraoperative pressure ulcer development on the patient's heels would be to: - ANSWER A. Elevate (offload) heels off the bed Important values affecting the clinical setting include which of the following? - ANSWER C. Fair and equitable care During which phase of wound healing does contraction occur? - ANSWER C. Proliferation Which of the following recommendation for enhancing the future of nursing included in the 21011 Institute of Medicine report? Select all that apply. - ANSWER A. Nurses should engage in life long learning C. Nurses should achieve higher levels of education D. Academic institutions should improve their systems to provide academic progression Safety precaution when handling and caring for powered instruments include: Select all that apply. - ANSWER A. Handling powered instrument to the surgeon with the safety mechanism on B. Having irrigation ready to use the drill or saw D. Using the instrument with the blade guard or drill guard in place During admission of a patient to Phase 1 of post anesthesia care, the perianesthesis nurse is responsible for which of the following? Select all that apply - ANSWER A. Assessing the patient's level of consciousness B. Assessing the patients pain level C. Maintaining a patent airway D. Monitoring blood pressure, heart rate and oxygen saturation Which of the following environmental sanitation practices is used to limit transmission of microorganisms? - ANSWER D. Use personal protective equipment when handling body fluid spills Which type of needle point should you expect to be needed for suturing viable tissue such as the liver? - ANSWER A. Blunt You have been asked to give a presentation for your unit colleagues on preventing surgical site infections, which of the following discussion points is NOT recommended in AORN guidelines? - ANSWER C. Using soap and water to perform surgical skin prep