TEST BANK − Alexander’s Care of the Patient in Surgery 17th
Edition by Jane Rothrock | Full Chapters 1–29 Study Guide |
A+ Exam Prep 2024/2025
, TABLE OF CONTENTS
unit i: foundations for practice ...........................................................3
chapter 01: concepts basic to perioperative nursing .........................3
chapter 02: patient safety and risk management ........................... 12
chapter 03: workplace issues and staff safety ................................ 23
chapter 04: infection prevention and control ................................. 33
chapter 05: anesthesia................................................................... 46
chapter 06: positioning the patient for surgery .............................. 60
chapter 07: sutures, sharps, and instruments ................................. 71
chapter 08: surgical modalities ...................................................... 81
chapter 09: wound healing, dressings, and drains .......................... 94
chapter 10: postoperative patient care and pain management ..... 104
unit ii: surgical interventions .......................................................... 115
chapter 11: gastrointestinal surgery ............................................. 115
chapter 12: surgery of the biliary tract, pancreas, liver, and spleen
................................................................................................... 124
chapter 13: hernia repair ............................................................. 135
chapter 14: gynecologic and obstetric surgery.............................. 144
chapter 15: genitourinary surgery ................................................ 155
chapter 16: thyroid and parathyroid surgery ................................ 165
chapter 17: breast surgery ........................................................... 176
chapter 18: ophthalmic surgery ................................................... 186
chapter 19: otorhinolaryngologic surgery ..................................... 198
chapter 20: orthopedic surgery .................................................... 213
chapter 21: neurosurgery ............................................................ 225
, chapter 22: reconstructive and aesthetic plastic ........................... 236
chapter 23: thoracic surgery ........................................................ 246
chapter 24: vascular surgery ........................................................ 257
chapter 25: cardiac surgery .......................................................... 269
unit iii: special considerations ........................................................ 280
chapter 26: pedriatic surgery ....................................................... 280
chapter 27: geriatric surgery ........................................................ 292
chapter 28: trauma surgery ......................................................... 309
chapter 29: integrative health practices ....................................... 318
Unit i: foundations for practice
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.
ANSWER: 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.
2. The association of perioperative registered nurses’ (aorn) standards of perioperative nursing
describes nursing interactions, interventions, and activities with patients. This is based on which
standards category?
, A. Evidence-based
B. Process
C. Outcome
D. Structural
ANSWER: b
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
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
ANSWER: 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.
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.
ANSWER: c
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
best available scientific evidence. Using research to guide practice is called evidence-based practice
(ebp).
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 guidelines for perioperative practice on sterilization and disinfection
Edition by Jane Rothrock | Full Chapters 1–29 Study Guide |
A+ Exam Prep 2024/2025
, TABLE OF CONTENTS
unit i: foundations for practice ...........................................................3
chapter 01: concepts basic to perioperative nursing .........................3
chapter 02: patient safety and risk management ........................... 12
chapter 03: workplace issues and staff safety ................................ 23
chapter 04: infection prevention and control ................................. 33
chapter 05: anesthesia................................................................... 46
chapter 06: positioning the patient for surgery .............................. 60
chapter 07: sutures, sharps, and instruments ................................. 71
chapter 08: surgical modalities ...................................................... 81
chapter 09: wound healing, dressings, and drains .......................... 94
chapter 10: postoperative patient care and pain management ..... 104
unit ii: surgical interventions .......................................................... 115
chapter 11: gastrointestinal surgery ............................................. 115
chapter 12: surgery of the biliary tract, pancreas, liver, and spleen
................................................................................................... 124
chapter 13: hernia repair ............................................................. 135
chapter 14: gynecologic and obstetric surgery.............................. 144
chapter 15: genitourinary surgery ................................................ 155
chapter 16: thyroid and parathyroid surgery ................................ 165
chapter 17: breast surgery ........................................................... 176
chapter 18: ophthalmic surgery ................................................... 186
chapter 19: otorhinolaryngologic surgery ..................................... 198
chapter 20: orthopedic surgery .................................................... 213
chapter 21: neurosurgery ............................................................ 225
, chapter 22: reconstructive and aesthetic plastic ........................... 236
chapter 23: thoracic surgery ........................................................ 246
chapter 24: vascular surgery ........................................................ 257
chapter 25: cardiac surgery .......................................................... 269
unit iii: special considerations ........................................................ 280
chapter 26: pedriatic surgery ....................................................... 280
chapter 27: geriatric surgery ........................................................ 292
chapter 28: trauma surgery ......................................................... 309
chapter 29: integrative health practices ....................................... 318
Unit i: foundations for practice
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.
ANSWER: 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.
2. The association of perioperative registered nurses’ (aorn) standards of perioperative nursing
describes nursing interactions, interventions, and activities with patients. This is based on which
standards category?
, A. Evidence-based
B. Process
C. Outcome
D. Structural
ANSWER: b
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
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
ANSWER: 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.
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.
ANSWER: c
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
best available scientific evidence. Using research to guide practice is called evidence-based practice
(ebp).
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 guidelines for perioperative practice on sterilization and disinfection
