Test Bank for Alexander's Care of the
s s s s s s
Patient in Surgery 17th Edition
s s s s s
by Jane C. Rothrock
s s s
Chapter Guide 1-17|A+ PASS
s s s
1|P a g e
s s s s s
, Table of Contents
s s
Unit 1: Foundations for Practice
s s s s
1. Concepts Basic to Perioperative Nursing
s s s s
2. Patient Safety and Risk Management
s s s s
3. Workplace Issues and Staff Safety s s s s
4. Infection Prevention and Control
s s s
5. Anesthesia
6. Positioning the Patient for Surgery s s s s
7. Sutures, Sharps, and Instruments
s s s
8. Surgical Modalities s
9. Wound Healing, Dressings, and Drains
s s s s
10. Postoperative Patient Care and Pain Management s s s s s
Unit 2: Surgical Interventions
s s s
11. Gastrointestinal Surgery s
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
s s s s s s s s
13. Hernia Repair
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14. Gynecologic and Obstetric Surgery s s s
15. Genitourinary Surgery s
16. Thyroid and Parathyroid Surgery
s s s
17. Breast Surgery
s
18. Ophthalmic Surgery s
19. Otorhinolaryngologic Surgery s
20. Orthopedic Surgery s
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery s s s s
23. Vascular Surgery s
24. Cardiac Surgery s
Unit 3: Special Considerations
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26. Pediatric Surgery s
2|P a g e
s s s s s
,27. Geriatric Surgery s
28. Trauma Surgery s
29. Interventional and Image-Guided Procedures s s s
30. Integrative Health Practices: Complementary and Alternative Therapies
s s s s s s
Chapter 01: Concepts Basic to Perioperative Nursing MULTIPLE
s s s s s s s
s CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
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patient care. Select the statement that best describes the dynamic relationship within the model.
s s s s s s s s s s s s s s
a. The patient experience and the nursing presence are in continuous interaction.
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b. Structure, process, and outcome are the foundation domains of the model.
s s s s s s s s s s
c. The perioperative nurse is the central dynamic core of the model.
s s s s s s s s s s
d. The interrelated nursing process rings bind the patient to the model.
s s s s s s s s s s
s ANS: A s
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
s s s s s s s s s s s s s
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with
s s s s s s s s s s s s s
the health system that encircles the focus of perioperative nursing practice—the patient.
s s s s s s s s s s s s
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
s s s s s s s s s s
describes nursing interactions, interventions, and activities with patients. This is based on which standards
s s s s s s s s s s s s s s
category?
s
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
s s
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate clinical,
s s s s s s s s s s s s s s
professional, and quality objectives in perioperative nursing.
s s s s s s s
3. Which order best describes the process used to implement evidence-based professional nursing?
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a. Literature search, theory review, data analysis, policy development
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3|P a g e
s s s s s
, b. Regional survey, literature search, meta-analysis, practice change
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c. Identify problem, scientific evidence, develop policy, evaluate outcome
s s s s s s s
d. Identify issue, analyze scientific evidence, implement change, evaluate process
s s s s s s s s
s ANS: D s
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
s s s s s s s s s s s s s s s
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
s s s s s s s s s s s s s s s s
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their
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unit. The best process to gather scientific information is to:
s s s s s s s s s s
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
s s s s s s s s s s s s
b. review their surgical site infection data from the last 6 months.
s s s s s s s s s s
c. conduct a literature search on antimicrobial agents and infection prevention.
s s s s s s s s s
d. review the scientific literature from the leading manufacturers of prep solutions.
s s s s s s s s s s
s ANS: C s
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the best
s s s s s s s s s s s s s s s s
available scientific evidence. Using research to guide practice is called evidence-based practice (EBP).
s s s s s s s s s s s s s
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient
s s s s s s s s s s s s s s s s
research evidence for their project. Where might they look for information on best practices?
s s s s s s s s s s s s s s
a. Survey regional surgical technology programs for their back table models
s s s s s s s s s
b. Review case studies and expert opinions on sterile back table setups
s s s s s s s s s s
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
s s s s s s s s s
d. Consult with facility instrument vendor representatives for their advice
s s s s s s s s
s ANS: B s
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
s s s s s s s s s s s s s
information from varied trusted sources that reflect best practices.
s s s s s s s s s
6. How do institutional standards of care, such as policies and procedures, differ from national standards,
s s s s s s s s s s s s s s
such as AORN‘s Standards of Perioperative Nursing?
s s s s s s
a. They are written by nurses.
s s s s
4|P a g e
s s s s s
s s s s s s
Patient in Surgery 17th Edition
s s s s s
by Jane C. Rothrock
s s s
Chapter Guide 1-17|A+ PASS
s s s
1|P a g e
s s s s s
, Table of Contents
s s
Unit 1: Foundations for Practice
s s s s
1. Concepts Basic to Perioperative Nursing
s s s s
2. Patient Safety and Risk Management
s s s s
3. Workplace Issues and Staff Safety s s s s
4. Infection Prevention and Control
s s s
5. Anesthesia
6. Positioning the Patient for Surgery s s s s
7. Sutures, Sharps, and Instruments
s s s
8. Surgical Modalities s
9. Wound Healing, Dressings, and Drains
s s s s
10. Postoperative Patient Care and Pain Management s s s s s
Unit 2: Surgical Interventions
s s s
11. Gastrointestinal Surgery s
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
s s s s s s s s
13. Hernia Repair
s
14. Gynecologic and Obstetric Surgery s s s
15. Genitourinary Surgery s
16. Thyroid and Parathyroid Surgery
s s s
17. Breast Surgery
s
18. Ophthalmic Surgery s
19. Otorhinolaryngologic Surgery s
20. Orthopedic Surgery s
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery s s s s
23. Vascular Surgery s
24. Cardiac Surgery s
Unit 3: Special Considerations
s s s
26. Pediatric Surgery s
2|P a g e
s s s s s
,27. Geriatric Surgery s
28. Trauma Surgery s
29. Interventional and Image-Guided Procedures s s s
30. Integrative Health Practices: Complementary and Alternative Therapies
s s s s s s
Chapter 01: Concepts Basic to Perioperative Nursing MULTIPLE
s s s s s s s
s CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
s s s s s s s s s s s s
patient care. Select the statement that best describes the dynamic relationship within the model.
s s s s s s s s s s s s s s
a. The patient experience and the nursing presence are in continuous interaction.
s s s s s s s s s s
b. Structure, process, and outcome are the foundation domains of the model.
s s s s s s s s s s
c. The perioperative nurse is the central dynamic core of the model.
s s s s s s s s s s
d. The interrelated nursing process rings bind the patient to the model.
s s s s s s s s s s
s ANS: A s
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
s s s s s s s s s s s s s
diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with
s s s s s s s s s s s s s
the health system that encircles the focus of perioperative nursing practice—the patient.
s s s s s s s s s s s s
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
s s s s s s s s s s
describes nursing interactions, interventions, and activities with patients. This is based on which standards
s s s s s s s s s s s s s s
category?
s
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
s s
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate clinical,
s s s s s s s s s s s s s s
professional, and quality objectives in perioperative nursing.
s s s s s s s
3. Which order best describes the process used to implement evidence-based professional nursing?
s s s s s s s s s s s
a. Literature search, theory review, data analysis, policy development
s s s s s s s
3|P a g e
s s s s s
, b. Regional survey, literature search, meta-analysis, practice change
s s s s s s
c. Identify problem, scientific evidence, develop policy, evaluate outcome
s s s s s s s
d. Identify issue, analyze scientific evidence, implement change, evaluate process
s s s s s s s s
s ANS: D s
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
s s s s s s s s s s s s s s s
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
s s s s s s s s s s s s s s s s
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their
s s s s s s s s s s s s s s
unit. The best process to gather scientific information is to:
s s s s s s s s s s
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
s s s s s s s s s s s s
b. review their surgical site infection data from the last 6 months.
s s s s s s s s s s
c. conduct a literature search on antimicrobial agents and infection prevention.
s s s s s s s s s
d. review the scientific literature from the leading manufacturers of prep solutions.
s s s s s s s s s s
s ANS: C s
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the best
s s s s s s s s s s s s s s s s
available scientific evidence. Using research to guide practice is called evidence-based practice (EBP).
s s s s s s s s s s s s s
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient
s s s s s s s s s s s s s s s s
research evidence for their project. Where might they look for information on best practices?
s s s s s s s s s s s s s s
a. Survey regional surgical technology programs for their back table models
s s s s s s s s s
b. Review case studies and expert opinions on sterile back table setups
s s s s s s s s s s
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
s s s s s s s s s
d. Consult with facility instrument vendor representatives for their advice
s s s s s s s s
s ANS: B s
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
s s s s s s s s s s s s s
information from varied trusted sources that reflect best practices.
s s s s s s s s s
6. How do institutional standards of care, such as policies and procedures, differ from national standards,
s s s s s s s s s s s s s s
such as AORN‘s Standards of Perioperative Nursing?
s s s s s s
a. They are written by nurses.
s s s s
4|P a g e
s s s s s
