AORN Periop 101 Final Exam
______ is often used for microsurgical instruments: It has a blue, anodized end, is inert,
nonmagnetic, lighter, more potent & harder than stainless steel. - ANS-Titanium
_______ refers to the proportion of clinically obvious causes which might be excessive or
deadly: - ANS-Virulence
_______ refers to the percentage of the infected man or woman who expand clinically apparent
ailment: - ANS-Pathogenicity
__________ is the absence of pathogenic microorganisms. - ANS-Asepsis
__________ is the absence of truely all microorganisms. - ANS-Sterility
A _______ _______ is used to reveal the sterilizer's efficiency & effectiveness of killing the
non-pathogenic spores. - ANS-Biological Indicators
A _______ BI suggests the sterilization conditions had been met: - ANS-Negative
A # _______ take care of holds blades 10, eleven, 12, & 15 - ANS-7
A # _______ manage holds blades 10, eleven, 12, 15 - ANS-three
A # _______ manage holds blades 20, 21, 22, 23, 26 - ANS-four
A way of life of safety is promoted by means of: - ANS-• The health care employer's dedication
to affected person protection above all goals
• A dedication to safety at all degrees of the business enterprise
• A recognition on systems, technique development, and individual duty
• Sufficient sources
• The capacity of carriers to speak about near miss events and mistakes without reprisal
A custom designed distribution of resources and possibilities across a populace to make certain
no subset of businesses is at a specific downside over others in achieving their maximum
capacity is an example of: - ANS-Health fairness
A Medication Assessment Should Include: - ANS-• Prescription medicines
• Herbal preparations:
o may also intensify the toxicity of anesthetics.
O intrude with drug metabolism or clearance.
,O might have an effect on bleeding times.
• Recreational/avenue pills
*It is likewise vital to ask if the affected person is using any recreational/avenue drugs. Close
statement need to be maintained for signs of withdrawal, particularly for the duration of and after
lengthy strategies.
• Drugs, alcohol, and smoking can regulate lab values or system assessment. A chemically
established patient who's improving may also have issues about medicine she or he is given.
• Patient hazard elements because of alcoholism encompass:
- Lowered immunity
- Prolonged bleeding times
- Increased strain reaction
- Cardiac headaches
A patient's threat factors for hypothermia consist of: - ANS-• Extremes inside the affected
person's age (eg, pediatric, elderly)
• History of diabetes
• Low body weight
• Peripheral vascular problems
• Thyroid issues
- An example of a procedural threat for hypothermia is open-cavity surgical treatment (eg,
laparotomy, open thoracotomy).
A Semi-restricted Zone is a place now not open to the public and calls for right apparel. These
areas are secured via: - ANS-- signage
- doorways with electronic access/badge requirements to go into
A sterile subject is infected whilst _______ items come in touch with it. - ANS-unsterile
A sterile robe is taken into consideration sterile from the chest to the sterile discipline and
_______ _______ above the elbow to the cuff. - ANS-2 inches
Abdominoperineal prep, positioning and device for Vaginal surgical treatment consist of: - ANS--
Prep kits
- Foley
~ immediately cath to ensure empty bladder after vaginal prep
- Lithotomy with viable Trendelenburg
- Stirrups/holders
Abdominoperineal surgical web page prep location(s) encompass: - ANS-- Abdomen
- Pubis
- Vagina
- Perineum
- Anus
- Thighs
,Actions to lower and prevent medicine mistakes while transferring onto the sterile discipline
encompass: - ANS-• Label all medicines, medicinal drug boxes, and different answers
• Write down & examine returned verbal orders
• Verify medicines - RN circulator reads aloud the medication name, energy, dosage, and
expiration date when moving medicinal drugs to the returned table
• Label medicinal drugs—the scrubbed crew member labels each medicinal drug field without
delay
• Avoid use of abbreviations that might cause medication mistakes
• Do Not use trailing zeroes whilst documenting remedy doses
• Retrieve one medication at a time for one affected person at a time
Actions to Take Before Transporting Instruments from the OR after use: - ANS-• Discard sharps
into a sharps container.
• Discard drinks per federal, country, and nearby guidelines or transport them in a leak-evidence
container.
• Separate sharp instruments from delicate and heavy instruments.
• When relevant, follow the manufacturer's commands to be used (IFU) for tool disassembly
prior to transport to the decontamination location.
• Moisten devices with an enzymatic pre-treatment product or cover with a water-soaked towel.
Adson forceps - ANS-used to move and keep tissue in area for the duration of sensitive surgical
procedures
Airborne Precautions - Considerations and PPE - ANS-• Follow widespread precautions +
airborne precautions.
Single-Patient Room
• AIIR: Airborne infection isolation room
o Doors have to continue to be closed.
O Traffic is restricted.
• Wear a National Institute for Occupational Safety and Health-approved in shape-examined
N95 respirator or powered air-purifying respirator (PAPR) o PAPRs are NOT encouraged for use
inside the working or system room.
Allis Clamp - ANS--jaws have small interlocking tooth
-used to grasp tissue
-enamel are atraumatic and do now not motive tissue harm
-used to grasp biopsy tissue, (breast tissue)
An eye prep antiseptic ought to be: - ANS-• Safe to apply round the attention
• Labeled for ophthalmic use
~ Do not use alcohol based answers
~ allergic reaction to iodine a blend of baby shampoo and balanced salt solution can be used
, An inspection tool this is located via the tool's lumen and is used to inspect the internal detail of
the device - ANS-Boreoscope
An instrument set and field ought to no longer weigh more than _______ _____. Higher weight
can increase drying times and boom risk of injury to healthcare people when shifting bins: -
ANS-25 lbs
An object's packaging is inspected to confirm that the package deal is unbroken and conditions
for sterility were met. Key indicators include: - ANS-• Package integrity
• Chemical signs
• Single-use object sterility
• Expiration date
An OR fire can occur whilst all factors of the hearth triangle are gift: - ANS-- An ignition supply
(electrosurgical pencil)
- Fuel (flammable preoperative skin antiseptic products, surgical drapes)
- An oxidizer (oxygen)
[perform a fire risk assessment before starting surgery]
An Unrestricted Zone inside the perioperative environment are areas wherein avenue clothes
are accepted and is authorized in: - ANS-- Public hallways
- waiting regions
Anaphylactic symptoms include: - ANS-• Headaches
• Anxiety
• Stridor
• Abdominal pain
• Tachycardia
• Hypotension
• Itchiness
• Swelling
Anesthesia Reversal marketers: Benzodiazepines: Midazolam - ANS-Flumazenil
Anesthesia Reversal dealers: Muscle relaxants: - ANS-1. Neostigmine
2. Edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal dealers: Narcotics: Fentanyl: - ANS-Naloxone
Anesthesia Reversal agents: Sugammadex: - ANS-reversal agent for rocuronium, vecuronium,
and pancuronium
______ is often used for microsurgical instruments: It has a blue, anodized end, is inert,
nonmagnetic, lighter, more potent & harder than stainless steel. - ANS-Titanium
_______ refers to the proportion of clinically obvious causes which might be excessive or
deadly: - ANS-Virulence
_______ refers to the percentage of the infected man or woman who expand clinically apparent
ailment: - ANS-Pathogenicity
__________ is the absence of pathogenic microorganisms. - ANS-Asepsis
__________ is the absence of truely all microorganisms. - ANS-Sterility
A _______ _______ is used to reveal the sterilizer's efficiency & effectiveness of killing the
non-pathogenic spores. - ANS-Biological Indicators
A _______ BI suggests the sterilization conditions had been met: - ANS-Negative
A # _______ take care of holds blades 10, eleven, 12, & 15 - ANS-7
A # _______ manage holds blades 10, eleven, 12, 15 - ANS-three
A # _______ manage holds blades 20, 21, 22, 23, 26 - ANS-four
A way of life of safety is promoted by means of: - ANS-• The health care employer's dedication
to affected person protection above all goals
• A dedication to safety at all degrees of the business enterprise
• A recognition on systems, technique development, and individual duty
• Sufficient sources
• The capacity of carriers to speak about near miss events and mistakes without reprisal
A custom designed distribution of resources and possibilities across a populace to make certain
no subset of businesses is at a specific downside over others in achieving their maximum
capacity is an example of: - ANS-Health fairness
A Medication Assessment Should Include: - ANS-• Prescription medicines
• Herbal preparations:
o may also intensify the toxicity of anesthetics.
O intrude with drug metabolism or clearance.
,O might have an effect on bleeding times.
• Recreational/avenue pills
*It is likewise vital to ask if the affected person is using any recreational/avenue drugs. Close
statement need to be maintained for signs of withdrawal, particularly for the duration of and after
lengthy strategies.
• Drugs, alcohol, and smoking can regulate lab values or system assessment. A chemically
established patient who's improving may also have issues about medicine she or he is given.
• Patient hazard elements because of alcoholism encompass:
- Lowered immunity
- Prolonged bleeding times
- Increased strain reaction
- Cardiac headaches
A patient's threat factors for hypothermia consist of: - ANS-• Extremes inside the affected
person's age (eg, pediatric, elderly)
• History of diabetes
• Low body weight
• Peripheral vascular problems
• Thyroid issues
- An example of a procedural threat for hypothermia is open-cavity surgical treatment (eg,
laparotomy, open thoracotomy).
A Semi-restricted Zone is a place now not open to the public and calls for right apparel. These
areas are secured via: - ANS-- signage
- doorways with electronic access/badge requirements to go into
A sterile subject is infected whilst _______ items come in touch with it. - ANS-unsterile
A sterile robe is taken into consideration sterile from the chest to the sterile discipline and
_______ _______ above the elbow to the cuff. - ANS-2 inches
Abdominoperineal prep, positioning and device for Vaginal surgical treatment consist of: - ANS--
Prep kits
- Foley
~ immediately cath to ensure empty bladder after vaginal prep
- Lithotomy with viable Trendelenburg
- Stirrups/holders
Abdominoperineal surgical web page prep location(s) encompass: - ANS-- Abdomen
- Pubis
- Vagina
- Perineum
- Anus
- Thighs
,Actions to lower and prevent medicine mistakes while transferring onto the sterile discipline
encompass: - ANS-• Label all medicines, medicinal drug boxes, and different answers
• Write down & examine returned verbal orders
• Verify medicines - RN circulator reads aloud the medication name, energy, dosage, and
expiration date when moving medicinal drugs to the returned table
• Label medicinal drugs—the scrubbed crew member labels each medicinal drug field without
delay
• Avoid use of abbreviations that might cause medication mistakes
• Do Not use trailing zeroes whilst documenting remedy doses
• Retrieve one medication at a time for one affected person at a time
Actions to Take Before Transporting Instruments from the OR after use: - ANS-• Discard sharps
into a sharps container.
• Discard drinks per federal, country, and nearby guidelines or transport them in a leak-evidence
container.
• Separate sharp instruments from delicate and heavy instruments.
• When relevant, follow the manufacturer's commands to be used (IFU) for tool disassembly
prior to transport to the decontamination location.
• Moisten devices with an enzymatic pre-treatment product or cover with a water-soaked towel.
Adson forceps - ANS-used to move and keep tissue in area for the duration of sensitive surgical
procedures
Airborne Precautions - Considerations and PPE - ANS-• Follow widespread precautions +
airborne precautions.
Single-Patient Room
• AIIR: Airborne infection isolation room
o Doors have to continue to be closed.
O Traffic is restricted.
• Wear a National Institute for Occupational Safety and Health-approved in shape-examined
N95 respirator or powered air-purifying respirator (PAPR) o PAPRs are NOT encouraged for use
inside the working or system room.
Allis Clamp - ANS--jaws have small interlocking tooth
-used to grasp tissue
-enamel are atraumatic and do now not motive tissue harm
-used to grasp biopsy tissue, (breast tissue)
An eye prep antiseptic ought to be: - ANS-• Safe to apply round the attention
• Labeled for ophthalmic use
~ Do not use alcohol based answers
~ allergic reaction to iodine a blend of baby shampoo and balanced salt solution can be used
, An inspection tool this is located via the tool's lumen and is used to inspect the internal detail of
the device - ANS-Boreoscope
An instrument set and field ought to no longer weigh more than _______ _____. Higher weight
can increase drying times and boom risk of injury to healthcare people when shifting bins: -
ANS-25 lbs
An object's packaging is inspected to confirm that the package deal is unbroken and conditions
for sterility were met. Key indicators include: - ANS-• Package integrity
• Chemical signs
• Single-use object sterility
• Expiration date
An OR fire can occur whilst all factors of the hearth triangle are gift: - ANS-- An ignition supply
(electrosurgical pencil)
- Fuel (flammable preoperative skin antiseptic products, surgical drapes)
- An oxidizer (oxygen)
[perform a fire risk assessment before starting surgery]
An Unrestricted Zone inside the perioperative environment are areas wherein avenue clothes
are accepted and is authorized in: - ANS-- Public hallways
- waiting regions
Anaphylactic symptoms include: - ANS-• Headaches
• Anxiety
• Stridor
• Abdominal pain
• Tachycardia
• Hypotension
• Itchiness
• Swelling
Anesthesia Reversal marketers: Benzodiazepines: Midazolam - ANS-Flumazenil
Anesthesia Reversal dealers: Muscle relaxants: - ANS-1. Neostigmine
2. Edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal dealers: Narcotics: Fentanyl: - ANS-Naloxone
Anesthesia Reversal agents: Sugammadex: - ANS-reversal agent for rocuronium, vecuronium,
and pancuronium
