AORN Periop 101 Exam Q&A: Perioperative Nursing Study Guide, Exams of
Advanced Education
When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply. - ANSWERA. It involves
mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic
technique.
In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are true:
- ANSWERA. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: -
ANSWERA. A sterile gown and gloves opened on a table (other than the main
instrument table) for closed gloving.
,The Joint Commission Universal Protocol consists of: Select all that apply. -
ANSWERA. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field? - ANSWERD. Use a sterile transfer device
Which of the following practices is recommended for handling of natural
absorbable suture? - ANSWERC. Open the package carefully over a small
basin to prevent splashing of the packaging solution
Recommended sponge count procedures include all of the following EXCEPT?
- ANSWERB. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - ANSWERD. A small
portion of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply. - ANSWERA. Allow enough time for alcohol based skin preparations to
completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when
oxygen is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation
instruments before use.
,Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply. - ANSWERA. Duration of the
procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical thinking?
Select all that apply. - ANSWERC. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - ANSWERB.
Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - ANSWERD. Prep should start at the site
of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for
allergies? - ANSWERC. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply. - ANSWERA. Avoid splashing
while pouring
C. When pouring wear gloves and a mask.
, D. Use absorbent material and then triple rinse with water any area or
surface where accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with
their use.
After initial administration, which statement below the proper order of the 4
stages of general anesthesia affecting the patient? - ANSWERA.
Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply. - ANSWERA. Adhering to facility policies
related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for
malignant hyperthermia should the nurse anticipate and prepare for? -
ANSWERB. Provide 100% oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical
procedures is that MIS: - ANSWERA. Can be performed through smaller
incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be
suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply. - ANSWERB. Metallic taste
C. Numbness of the lips
D. Tinnitus
Advanced Education
When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply. - ANSWERA. It involves
mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic
technique.
In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are true:
- ANSWERA. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: -
ANSWERA. A sterile gown and gloves opened on a table (other than the main
instrument table) for closed gloving.
,The Joint Commission Universal Protocol consists of: Select all that apply. -
ANSWERA. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field? - ANSWERD. Use a sterile transfer device
Which of the following practices is recommended for handling of natural
absorbable suture? - ANSWERC. Open the package carefully over a small
basin to prevent splashing of the packaging solution
Recommended sponge count procedures include all of the following EXCEPT?
- ANSWERB. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - ANSWERD. A small
portion of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply. - ANSWERA. Allow enough time for alcohol based skin preparations to
completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when
oxygen is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation
instruments before use.
,Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply. - ANSWERA. Duration of the
procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical thinking?
Select all that apply. - ANSWERC. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - ANSWERB.
Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - ANSWERD. Prep should start at the site
of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for
allergies? - ANSWERC. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply. - ANSWERA. Avoid splashing
while pouring
C. When pouring wear gloves and a mask.
, D. Use absorbent material and then triple rinse with water any area or
surface where accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with
their use.
After initial administration, which statement below the proper order of the 4
stages of general anesthesia affecting the patient? - ANSWERA.
Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply. - ANSWERA. Adhering to facility policies
related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for
malignant hyperthermia should the nurse anticipate and prepare for? -
ANSWERB. Provide 100% oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical
procedures is that MIS: - ANSWERA. Can be performed through smaller
incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be
suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply. - ANSWERB. Metallic taste
C. Numbness of the lips
D. Tinnitus
