Every member of the healthcare team has a role a) Reasonably prudent care
to play in cost containment. Which of the b) certification standard
following is an example of how the perioperative c) Reasonably responsible standard
RN can participate in cost containment in the d) There is no legal standard - ANSWERS -
OR? a
a) Ask the surgeon to use a less expensive
implant
b) Begin cleaning the OR for the next case a professional practice model includes personal
before the patient leaves the room accountability and ethical decision making. Which
c) Open all supplies listed on preference card, of the following is not part of personal
including "available" supplies accountability?
d) Verify with surgeon before opening suture - a) Responsibility to self, patients, and peers
ANSWERS - d b) Make decisions and accept consequences
when necessary
c) Accept performance input from direct and
An RN who attends continuing nursing education upper level management only
and has verified skills, knowledge, and attitudes d) Maintain professional engagement -
about perioperative nursing is demonstrating ANSWERS - c
accountability in his/her:
a) Certification requirements for professional
achievement in perioperative nursing What would be the MOST important information
b) Collaboration among team members for a nurse in Preadmission Testing (PAT) to
c) Professional growth and maintenance of collect on an insulin dependent diabetic patient?
competency a. How long the patient has been diabetic
d) Verification of nursing knowledge - b. If there is someone to deive them home
ANSWERS - c c. The last time the patient ate or drank
d. The type of insulin that patient takes -
ANSWERS - d
Which of the following statements is TRUE
concerning use of the AORN Guidelines for
Perioperative Practice? After transferring a male pt into the Phase I
a) Both medical and nursing licensing boards PACU, the perioperative RN could reasonably
require health care institutions to comply with the expect the PACU RN to FIRST
AORN guidelines a. Administere med to the pt for nausea and
b) The AORN Guidelines legally supersede vomiting
departmental and institutional policies b. Ask the pt if he has any pain
c) The AORN Guidelines reflect scientific c. Assess the pt's airway and respirations
evidence of how nurses actually practice in d. Care for this pt and 2 other pts as assigned -
perioperative settings ANSWERS - c
d) Work setting and situation variations may
determine the extent to which AORN Guidelines
can be applied - ANSWERS - d During a handover report to the PACU RN, the
perioperative RN may use a communication
method identified by the acronym "SBAR". What
What legal standard does the professional nurse does SBAR stand for?
need to meet when providing care? a. Safety, Background, Actions, Recovery
, Periop 101 Final Exam Questions and Answers Rated A
expectations Which assessment finding is common among
b. Situation, Background, Assessment, elderly pts?
Recommendation - ANSWERS - b a. An increase in oxygen saturation
b. Decrease in vision including color and depth
perception
A 40 yr old male pt is awake and alert in the c. Increased perception of pain
PACU after a right shoulder surgery. What is the d. An easy adjustment to a change in their
best measure to assess the pt's pain? environment - ANSWERS - b
a. Disucss the pt's pain with the anesthesiologist
b. Observe facial expressions
c. Ask the pt to rate pain from 1-10 During the preoperative interview, the RN should
d. Monitor vital sign changes - ANSWERS - ask the pt about use of any herbal preparations
c and/or botanicals. Why is this a critical
component of the assessment?
a. These products can affect bleeding times
A 47 yr old male is admitted to the Pre-op area b. An alteration of medication metabolism can
for an inguinal hernia repair. What does the ensue
nurse include in the intake assessment? c. Anesthetic toxicity can occur
a. Pain d. All of the above - ANSWERS - d
b. Cognitive ability of the pt
c. Cultural considerations
d. All of the above - ANSWERS - d It is important to discuss the pt's spiritual needs
during the pre-op assessment. What elements of
different faiths should the periop nurse be aware
During the preoperative interview, the of in the event of a pt's intraoperative death?
perioperative nurse should ask pt's about their a. Islamic beliefs include that one designated
use of person should wash the body of the deceased
a. alcohol b. The team should prepare for an organ
b. herbal preparations donation for the deceased of any religious belief
c. recreational drugs c. The RN circulator should immediately contact
d. tobacco products a local mortuary
e. all of the above - ANSWERS - e d. Cremation is preferred by memebers of the
Jewish faith - ANSWERS - a
The preoperative interview is the final
assessment of the pt. This nurse-pt interaction factors that may affect postoperative pain are:
enables the nurse to select all that apply
a. identify any additional pt care needs prior to a. The surgical site
surgery b. The nature and intended purpose of the
b. determine the length of the procedure and surgery
needed supplies c. The pt's fears regarding anesthesia or surgery
c. introduce the pt to the surgical team d. The level of anxiety of the pt's family members
d. provide info necessary for d/c - - ANSWERS - a, b, c
ANSWERS - a
Which of the following best illustrates the purpose