FULL TEST BANK FOR ALEXANDER’S CARE OF THE PATIENT IN SURGERY 15TH EDITION
ROTHROCK COMPLETE CHAPTERS 1-30 GRADED A+
“BN: G7h-O275G71Oh3
,Contents
Chapter 01: Concepts Basic to Perioperative Nursing .......................................................... 3
Chapter 02: Patient Safety and Risk Management ............................................................ 14
Chapter 03: Workplace Issues and Staff Safety ................................................................. 28
Chapter 04: Infection Prevention and Control ................................................................... 40
Chapter 05: Anesthesia .................................................................................................... 59
Chapter 06: Positioning the Patient for Surgery ................................................................ 80
Chapter 07: Sutures, Needles, and Instruments ................................................................ 93
Chapter 08: Surgical Modalities ...................................................................................... 105
Chapter 09: Wound Healing, Dressings, and Drains ......................................................... 120
Chapter 10: Postoperative Patient Care and Pain Management ...................................... 133
Chapter 11: Gastrointestinal Surgery .............................................................................. 146
Chapter 12: Surgery of the Liver, Biliary Tract, Pancreas, and Spleen ............................... 156
Chapter 13: Hernia Repair .............................................................................................. 169
Chapter 14: Gynaecologic and Obstetric Surgery............................................................. 182
Chapter 15: Genitourinary Surgery ................................................................................. 194
Chapter 16: Thyroid and Parathyroid Surgery ................................................................. 208
Chapter 17: Breast Surgery ............................................................................................. 221
Chapter 18: Ophthalmic Surgery ..................................................................................... 233
Chapter 19: Otorhinolaryngologic Surgery ...................................................................... 245
Chapter 20: Orthopaedic Surgery ................................................................................... 269
Chapter 21: Neurosurgery .............................................................................................. 282
Chapter 22: Reconstructive and Aesthetic Plastic Surgery ............................................... 296
Chapter 23: Thoracic Surgery .......................................................................................... 309
Chapter 24: Vascular Surgery.......................................................................................... 321
Chapter 25: Cardiac Surgery ........................................................................................... 333
Chapter 26: Pediatric Surgery ......................................................................................... 346
Chapter 27: Geriatric Surgery ......................................................................................... 358
Chapter 28: Trauma Surgery ........................................................................................... 370
Chapter 29: Interventional and Image-Guided Procedures .............................................. 383
Chapter 30: Integrative Health Practices ......................................................................... 393
,Chapter 01: Concepts Basic to Perioperative Nursing
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that
guide patient care. Select the statement that best describes the dynamic relationship within the model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANS:A
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction
with the health system that encircles the focus of perioperative nursing practice—the patient.
REF: p. 3
2. The Association of Perioperative Registered Nurses’ (AORN) Standards of Perioperative Nursing
Practice that describes nursing interactions, interventions, and activities with patients falls under which
standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:B
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
REF: p. 3
,3. Which order best describes the process used to implement evidence-based professional
nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
ANS:D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
REF: p. 15
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for
their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS:C
Perioperative nurses have an ethical responsibility to review practices and to modify them based upon
the best available scientific evidence. Using research to guide practice is called evidence-based practice
(EBP).
REF: p. 10
5. The cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. Where might they look for information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Standards and Recommended Practices on sterilization
d. Consult with facility instrument vendor representatives for their advice
ANS:B
,When there is not enough evidence to guide practice, perioperative nurses should consider gathering
information from varied trusted sources that reflect best practices.
REF: pp. 10-11
6. How do institutional standards of care, such as policies and procedures, differ from national
standards, such as AORN’s Standards of Perioperative Nursing Practice?
a. They are written by nurses.
b. They are written specifically to address responsibilities and circumstances.
c. They are collaborative and collective agreement statements.
d. They are rarely based on research.
ANS:B
Institutional standards apply to the system or facility that develops them and can be directive about
specific actions in specific circumstances; national standards provide generalized authoritative
statements that can be implemented in all settings.
REF: p. 10
7. Which of the following actions best describes an element of the perioperative nursing
assessment?
a. Scanning the surgical schedule for the day before morning report
b. Reading the pick/preference list attached to the case cart
c. Reviewing the patient medical record
d. Studying an on-line tutorial about the intended surgical procedure
ANS:C
www.nursylab.com
, Assessment is the collection and analysis of relevant health data about the patient. Sources of data may
be a preoperative interview with the patient and the patient’s family; review of the planned surgical or
invasive procedure; review of the patient’s medical record; examination of the results of diagnostic
tests; and consultation with the surgeon and anesthesia provider, unit nurses, or other personnel.
REF: p. 3
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high
risk for harm because of several factors related to her preexisting conditions and overall health status.
As part of developing a plan to guide her care, the nurse uses standardized descriptive terms. This step
of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
ANS:A
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way
that provides a focus to plan nursing care.
REF: p. 5
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated
crutch-walking activities. The teaching activities are what stage of the nursing process?
a. Nursing assessment
b. Nursing implementation
c. Nursing outcome preparation
d. Nursing evaluation
ANS:B
Implementation is performing the nursing care activities and interventions that were planned and
responding with critical thinking and orderly action to changes in the surgical procedure, patient
condition, or emergencies. Implementation is the “work” of nursing.
REF: p. 6
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the
perioperative nurse learned that the patient was latex sensitive. Based on this knowledge, the nurse
reviewed the pick/preference list and reassembled the surgical case cart setup to reflect this new
information and change in care delivery. Which two phases of the nursing process are represented in
the nurse’s actions?
ROTHROCK COMPLETE CHAPTERS 1-30 GRADED A+
“BN: G7h-O275G71Oh3
,Contents
Chapter 01: Concepts Basic to Perioperative Nursing .......................................................... 3
Chapter 02: Patient Safety and Risk Management ............................................................ 14
Chapter 03: Workplace Issues and Staff Safety ................................................................. 28
Chapter 04: Infection Prevention and Control ................................................................... 40
Chapter 05: Anesthesia .................................................................................................... 59
Chapter 06: Positioning the Patient for Surgery ................................................................ 80
Chapter 07: Sutures, Needles, and Instruments ................................................................ 93
Chapter 08: Surgical Modalities ...................................................................................... 105
Chapter 09: Wound Healing, Dressings, and Drains ......................................................... 120
Chapter 10: Postoperative Patient Care and Pain Management ...................................... 133
Chapter 11: Gastrointestinal Surgery .............................................................................. 146
Chapter 12: Surgery of the Liver, Biliary Tract, Pancreas, and Spleen ............................... 156
Chapter 13: Hernia Repair .............................................................................................. 169
Chapter 14: Gynaecologic and Obstetric Surgery............................................................. 182
Chapter 15: Genitourinary Surgery ................................................................................. 194
Chapter 16: Thyroid and Parathyroid Surgery ................................................................. 208
Chapter 17: Breast Surgery ............................................................................................. 221
Chapter 18: Ophthalmic Surgery ..................................................................................... 233
Chapter 19: Otorhinolaryngologic Surgery ...................................................................... 245
Chapter 20: Orthopaedic Surgery ................................................................................... 269
Chapter 21: Neurosurgery .............................................................................................. 282
Chapter 22: Reconstructive and Aesthetic Plastic Surgery ............................................... 296
Chapter 23: Thoracic Surgery .......................................................................................... 309
Chapter 24: Vascular Surgery.......................................................................................... 321
Chapter 25: Cardiac Surgery ........................................................................................... 333
Chapter 26: Pediatric Surgery ......................................................................................... 346
Chapter 27: Geriatric Surgery ......................................................................................... 358
Chapter 28: Trauma Surgery ........................................................................................... 370
Chapter 29: Interventional and Image-Guided Procedures .............................................. 383
Chapter 30: Integrative Health Practices ......................................................................... 393
,Chapter 01: Concepts Basic to Perioperative Nursing
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that
guide patient care. Select the statement that best describes the dynamic relationship within the model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANS:A
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction
with the health system that encircles the focus of perioperative nursing practice—the patient.
REF: p. 3
2. The Association of Perioperative Registered Nurses’ (AORN) Standards of Perioperative Nursing
Practice that describes nursing interactions, interventions, and activities with patients falls under which
standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:B
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
REF: p. 3
,3. Which order best describes the process used to implement evidence-based professional
nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
ANS:D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
REF: p. 15
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for
their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS:C
Perioperative nurses have an ethical responsibility to review practices and to modify them based upon
the best available scientific evidence. Using research to guide practice is called evidence-based practice
(EBP).
REF: p. 10
5. The cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. Where might they look for information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Standards and Recommended Practices on sterilization
d. Consult with facility instrument vendor representatives for their advice
ANS:B
,When there is not enough evidence to guide practice, perioperative nurses should consider gathering
information from varied trusted sources that reflect best practices.
REF: pp. 10-11
6. How do institutional standards of care, such as policies and procedures, differ from national
standards, such as AORN’s Standards of Perioperative Nursing Practice?
a. They are written by nurses.
b. They are written specifically to address responsibilities and circumstances.
c. They are collaborative and collective agreement statements.
d. They are rarely based on research.
ANS:B
Institutional standards apply to the system or facility that develops them and can be directive about
specific actions in specific circumstances; national standards provide generalized authoritative
statements that can be implemented in all settings.
REF: p. 10
7. Which of the following actions best describes an element of the perioperative nursing
assessment?
a. Scanning the surgical schedule for the day before morning report
b. Reading the pick/preference list attached to the case cart
c. Reviewing the patient medical record
d. Studying an on-line tutorial about the intended surgical procedure
ANS:C
www.nursylab.com
, Assessment is the collection and analysis of relevant health data about the patient. Sources of data may
be a preoperative interview with the patient and the patient’s family; review of the planned surgical or
invasive procedure; review of the patient’s medical record; examination of the results of diagnostic
tests; and consultation with the surgeon and anesthesia provider, unit nurses, or other personnel.
REF: p. 3
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high
risk for harm because of several factors related to her preexisting conditions and overall health status.
As part of developing a plan to guide her care, the nurse uses standardized descriptive terms. This step
of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
ANS:A
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way
that provides a focus to plan nursing care.
REF: p. 5
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated
crutch-walking activities. The teaching activities are what stage of the nursing process?
a. Nursing assessment
b. Nursing implementation
c. Nursing outcome preparation
d. Nursing evaluation
ANS:B
Implementation is performing the nursing care activities and interventions that were planned and
responding with critical thinking and orderly action to changes in the surgical procedure, patient
condition, or emergencies. Implementation is the “work” of nursing.
REF: p. 6
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the
perioperative nurse learned that the patient was latex sensitive. Based on this knowledge, the nurse
reviewed the pick/preference list and reassembled the surgical case cart setup to reflect this new
information and change in care delivery. Which two phases of the nursing process are represented in
the nurse’s actions?
