PERI-OP 101 FINAL
EXAM WITH
SOLUTIONS
[Document subtitle]
,109. Which practice violates a patients ethical right to self-determination or
removes his or her ability to make informed choices?
A. Automatically suspending an intra-operative DNR decision
B. Including family members in the education process
C. Performing emergency surgery without informed consent
D. Providing information about the scientific evidence for planned care -
correct ans:A. Automatically suspending an intra-operative DNR decision
110. What is the BEST way to conduct a time out?
A. Pre-procedure area if all team members are present
B. When the patient first enters the room so they can participate
C. Verbal input that is accepted only from the surgeon, assistance and
circulator
D. After the patient is prepped and draped, and involves the entire team -
correct ans:D. After the patient is prepped and draped, and involves the
entire team
111. What physiological effect is MOST likely to result from positioning a
patient in the lithotomy position?
A. Hip dislocation
B. Venous pooling in the legs
C. Damage to the brachial nerve
D. Severe HTN - correct ans:
112. The basic surgical positions , each with their own variations are
A. Kraske, sitting, supine
B. Supine, Prone, Kraske
C. Supine, prone, lateral
D. prone, supine, lithotomy - correct ans:C. Supine, prone, lateral
, 113. Which of the following illustrates how the RN circulator can advocate for
the patient to help decrease the risk of patient injury when using an energy-
generating device in a surgical procedure?
A. Activating the foot pedal for the surgeon
B. Placing the packaged accessories for energy-generating device on the top
of machine so they can be quickly opened when requested
C. Reminding the scrub person to secure the cables to the sterile drapes with
a metal clamp or towel clamp
D. Suggesting to the surgeon to use the lowest power setting for the energy-
generating device being used - correct ans:D. Suggesting to the surgeon to
use the lowest power setting for the energy-generating device being used
114. What is the FIRST step in re-processing surgical instruments after they
have been used in a procedure?
A. Cleaning
B. Decontamination
C. Disinfection
D. Transport to the sterilizer - correct ans:A. Cleaning
115. A type of grasping clamp that has no teeth is the
A. Babcock clamp
B. Allis clamp
C. Kocher clamp
D. Ochsner clamp - correct ans:A. Babcock clamp
116. During the preoperative interview, the RN should ask the patient about
use of any herbal preparations and/or botanical products. Why is this a
critical component of the assessment?
A. The products can affect bleeding times
EXAM WITH
SOLUTIONS
[Document subtitle]
,109. Which practice violates a patients ethical right to self-determination or
removes his or her ability to make informed choices?
A. Automatically suspending an intra-operative DNR decision
B. Including family members in the education process
C. Performing emergency surgery without informed consent
D. Providing information about the scientific evidence for planned care -
correct ans:A. Automatically suspending an intra-operative DNR decision
110. What is the BEST way to conduct a time out?
A. Pre-procedure area if all team members are present
B. When the patient first enters the room so they can participate
C. Verbal input that is accepted only from the surgeon, assistance and
circulator
D. After the patient is prepped and draped, and involves the entire team -
correct ans:D. After the patient is prepped and draped, and involves the
entire team
111. What physiological effect is MOST likely to result from positioning a
patient in the lithotomy position?
A. Hip dislocation
B. Venous pooling in the legs
C. Damage to the brachial nerve
D. Severe HTN - correct ans:
112. The basic surgical positions , each with their own variations are
A. Kraske, sitting, supine
B. Supine, Prone, Kraske
C. Supine, prone, lateral
D. prone, supine, lithotomy - correct ans:C. Supine, prone, lateral
, 113. Which of the following illustrates how the RN circulator can advocate for
the patient to help decrease the risk of patient injury when using an energy-
generating device in a surgical procedure?
A. Activating the foot pedal for the surgeon
B. Placing the packaged accessories for energy-generating device on the top
of machine so they can be quickly opened when requested
C. Reminding the scrub person to secure the cables to the sterile drapes with
a metal clamp or towel clamp
D. Suggesting to the surgeon to use the lowest power setting for the energy-
generating device being used - correct ans:D. Suggesting to the surgeon to
use the lowest power setting for the energy-generating device being used
114. What is the FIRST step in re-processing surgical instruments after they
have been used in a procedure?
A. Cleaning
B. Decontamination
C. Disinfection
D. Transport to the sterilizer - correct ans:A. Cleaning
115. A type of grasping clamp that has no teeth is the
A. Babcock clamp
B. Allis clamp
C. Kocher clamp
D. Ochsner clamp - correct ans:A. Babcock clamp
116. During the preoperative interview, the RN should ask the patient about
use of any herbal preparations and/or botanical products. Why is this a
critical component of the assessment?
A. The products can affect bleeding times
