Exam Questions and Verified Correct Answers
Which AORN guideline most directly pertains to interim cleaning in the perioperative environment? -
answer>>A. A safe, clean environment should be reestablished after each surgical procedure.
What special care procedures are required for microsurgical instruments? Select all that apply -
answer>>B. Keep stainless and titanium instruments separated
C. Use a non-birous sponge wipes to clean the instruments recommended
D. Use tip covers or protective sleeves when instruments are not used.
To minimize the potential for injury to patients related to the use of the ESU, the perioperative nurse
should employ which of the following safety measure? Select all that apply - answer>>A. Ensure that the
audible alarm can be heard if it is activated
B. If expecting fluids, encase the footswitch in an impervious cover
C. Never pour fluids on the generator or foot switch
The Joint Commission Universal Protocol consists of: Select all that apply - answer>>A. Preoperative
verification
B. Surgical site marking
C. Time Out
Preoperative documentation should include: Select all that apply - answer>>A. Administration of
ordered medications
C. Performance of the universal protocol for preventing wrong site, wrong procedure, wrong
person surgery
D. Skin assessment
,The preoperative nurse's role in preparing and administering medications includes: - answer>>B.
Assessing the patient's medication allergies and use of herbal or dietary supplements
C. Documenting and reading back the surgeon's oral orders before preparing medications D. Verifying
the administration of the correct medication, dose and route
You are preparing your OR for a laparoscopic splenectomy. Which of the following would you need to
address after inspecting the surgical environment prior to starting your case? Select all that apply -
answer>>A. One of the surgical lights are dim
D. There are no specimen containers available
To follow the AORN Guidelines for positioning the patient , the perioperative nurse should: - answer>>D.
Use additional precautions as appropriate based on unique considerations
WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT APPLY. -
answer>>B. Drains expedite healing by removing blood, serosanguinous fluid and purulent material
C. Drains function by passive (gravity) or active means (suction)
D. Hand-off report to the PACU nurse should include; the type location and patency of the drain
Types of powered cutting instruments include: Select all that apply. - answer>>A. Bone Reamers
B. Ultrasonic dissectors
C. Saws
D. Tissue shavers
Based on your understanding of chemical safety issues, identify the best strategy to reduce the risk
associated with ignition of prep solution vapor. - answer>>A. Allow the prep to dry before draping to
allow vapors to dissipate
The goals of the surgical skin prep are to: Select all that apply. - answer>>A. Inhibit rapid rebound
growth of microorganisms
B. Reduce the risk of postoperative site infection
C. Remove soil and transient microorganisms and to reduce the number of resident
microorganisms
,Endoscopic instrumentation maintenance may be enhanced by all of the following EXCEPT: - answer>>C.
Irrigating channels with normal saline at the end of each case
Which of the following statements concerning mentors and preceptors are correct? Select all that apply
- answer>>A. Both model professional nursing behaviors
B. Mentors guide nurses through global professional activities
C. Preceptors guide nurses through defined clinical activities
Which nursing diagnosis is a PRIORITY for the patient who is being positioned for a posterior lumbar
laminectomy? Select all that apply. - answer>>A. Impaired gas exchange
D. Risk for preoperative positioning injury
When performing a plastic surgery skin closure, which choice of suture size would be most appropriate?
- answer>>C. 5-0
Over-oressurizaiton of a tourniquet cull may cause: - answer>>B. Compression injuries to blood vessels
The most important reason for maintaining endoscopic instruments at an optimal level of suction that -
answer>>A. Insulation defects can cause unseen burns
Which is the following a disadvantage of using skin clips? - answer>>C. They often cause more scarring
than other skin closure methods
Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: -
answer>>D. Begin with higher surfaces and finish with lower surfaces
At the end of an orthopedic case, all of the following instrument care guidelines should be followed
EXCEPT? - answer>>B. Place heavy instruments in top of smaller instruments to promote cleaning
, Which of the following sensory assessment findings is common among elderly patients? - answer>>A.
Decreased color and depth perception
Which of the following practices should be used to implement the Joint Commissions Universal Protocol
for Preventing wrong site, wrong procedure, wrong person surgery? - answer>>C. Using the time-out
procedure before beginning the procedure
Which of the following is a strategy to reduce medication errors? - answer>>D. Using only computerized
physician order entry for medication management
Documentation of intraoperative surgical specimens includes which of the following? Select all that
apply. - answer>>A. Identification of the specimen in the intraoperative record and the pathology
requisition
B. No Abbreviations
C. Notation of markers or tags such as clips or sutures, with a statement of what they represent
What steps should be followed in correctly draping the sterile field? Select all that apply. - answer>>A.
Drape from sterile to unsterile
B. Drape from operative site outward
C. Form a cuff with the drape and place gloved hands under the cuff
D. Handle each drape as little as possible
Which of the following best describes capacitive coupling? - answer>>C. The transfer of electrical
current form the active electrode though intact insulation to adjacent conductive items such as tissue to
trocars
Which of the following questions would you expect to hear in a preoperative interview? Select all that
apply. - answer>>A. Could you tell me about any past surgeries
B. Has your surgeon reviewed the surgical procedure with you? Do you have any questions? C. What
medications do you take on a regular basis
Which of the following statement about regional anesthesia is correct? - answer>>B. Continuous never
stimulation help insure proper needle placement during peripheral nerve blocks