CORRECT ANSWERS
While completing the preoperative assessment, a nurse notices
the pt R knee has been marked by the surgeon but the pt is
scheduled for the L Knee arthroplasty. What is the best action
for the nurse? - CORRECT ANSWER-verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy
at the ambulatory surgery center. During the preoperative
telephone interview, the mother asks the preoperative nurse if
her daughter will be able to take her favorite stuffed animal into
the OR. Which of the following is the best response based on
the child's developmental level - CORRECT ANSWER-we will
make sure the toy stays with your daughter until the anesthetic
takes effect
The periperative registered nurse notes that the pt is taking
garlic as a prophylactic cold remedy. This information is
reported to which of the following health care providers? -
CORRECT ANSWER-Anesthesia care provider, because garlic
can prolong bleeding
A pt who has just received a local anesthetic block is beginning
to demonstrate decreased breathing rate & depth, tremors, and
muscle twitching, the nurse should suspect a/an - CORRECT
ANSWER-toxic reaction to the local anesthesia
the perioperative nurse can expect the would
/ostomy/continence nurse to mark the site for the stoma for a
colostomy at - CORRECT ANSWER-rectus muscle
,During a local procedure, the nurse notices that the pt is
exhibiting a sense of uneasiness, agitation, coughing &
wheezing. The nrse should suspect a/an - CORRECT
ANSWER-allergic reaction to the local anesthesia
the 3 tops risk factors associated w/ pt falls are medications,
gait, and - CORRECT ANSWER-previous fall
normal hematocrit for pt age 10 years ranges from - CORRECT
ANSWER-34-40%
universal protocol is a process to keep pt safe in surgery.
Verbal confirmation is performed at 3 points during the
perioperative period. Which of the following is identified as 1 of
the 3 critical points? - CORRECT ANSWER-sign in before
induction of anesthesia
a 12 year old boy is scheduled for srgery to repair a fracture to
the knee involving the epiphyseal plate. The perioperative
nurse recognizes the primary complication resulting from the
injury is - CORRECT ANSWER-impaired growth to the affected
leg
a pt suffers a cardiac arrest following the injection of
bupivacaine 0.5% w/ epi 1:200,000 25 mL as a peripheral
nerve block for L knee arthroscopy. The perioperative nurse
can anticipate obtaining which of the following drugs for the
anesthesia care provider? - CORRECT ANSWER-20% lipid
emulsion
Which of the following is an assessment parameter monitored
through the use of perioperative nurse process? - CORRECT
ANSWER-documentation of potential needs
preoperative pt assessment of the use of herbs is an important
function of the perioperative nurse so that - CORRECT
,ANSWER-the appropriate healthcare provider can be notified of
potential risks to the surgical procedure
which electrolyte is important to check preoperatively after
bowel prep the day before? - CORRECT ANSWER-Potassium
AORN peripoperative nursing data set (PNDS) is the structured
nursing vocabulary designed to describe nursing care in the
perioperative setting. At the core of the PNDS conceptual
model is the - CORRECT ANSWER-patient
What Is Defined As The Standardized Process To Keep
Patients Safe In Surgery? - CORRECT ANSWER-Universal
protocol
The purpose of witnessing a surgical consent is to attest to
which of the following? - CORRECT ANSWER-the signature
was voluntary and not coerced
Which one of the following antibiotics can potentiate
neuromuscular blocking agents? - CORRECT ANSWER-
piperacillin
Universal protocol is - CORRECT ANSWER-a standardized
means for ensuring pt safety during surgery
during the discharge medication reconciliation process, the
postanesthesia care unit nurse educates the pt and family
members to - CORRECT ANSWER-use 1 pharmacy for filling
all prescriptions and OTC medications
a pt scheduled for an emergency hip arthroplasty has a
preoperative prothrombin result of 12 seconds. The best action
of the RN circulator is to - CORRECT ANSWER-inform the
surgical team and transport the patient to the OR suite
, During the preoperative assessment, the pt states that "donor-
directed" RBCs are available and should be sued if a blood
transfusion is necessary. Which of the following is accurate
about donor directed RBCs? - CORRECT ANSWER-donated
blood is tested and processed by the blood bank
What is the physiological change associated w/ the normal
aging process in geriatric pt? - CORRECT ANSWER-increased
vascular resistance
during the preoperative assessment, the perioperative nurse
notes on the history & physical that the pt has an entrapped
median nerve on the volar surface of the wrist secondary to her
work as an IT specialist. The nurse will set up for which of the
following procedures? - CORRECT ANSWER-carpal tunnel
repair
which of the following pt is at increased risk of inadvertent
hypothermia? - CORRECT ANSWER-82 year old undergoing
colectomy
pt is admitted from a long term facility with a fractured hip. The
pt has a " do not resuscitate" (DNR) order in his medical record.
The perioperative nurse's next action is to - CORRECT
ANSWER-ensure that the pt, anesthesia care provider &
surgeon have an opportunity to discuss options and answer
questions
It is the responsibility of the _____ to obtain informed consent
for a proposed surgical procedure - CORRECT ANSWER-
practitioner performing the procedure
a form of standardized language in the perioperative setting is
reinforced by the use of which documentation format? -
CORRECT ANSWER-PNDS