Test Bank for Alexander’s Care of the Patient in
Surgery 17th Edition by Rothrock
, Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
MULTIPLE CHOICE
1. The Perioperative Client-Focused Model emphasizes components of nursing that influence care. Which option best
captures the interactive nature of this model?
a. The nurse’s presence and the client’s experience constantly affect each other. ✔✔
b. The model is built on structure, process, and outcome domains.
c. The perioperative nurse is the core component of the model.
d. Nursing process rings connect the client to the model.
Explanation: The model highlights how the client's experience and the nurse’s role are constantly intertwined. Nursing
diagnoses and outcomes are central and interact within the larger healthcare context.
2. According to AORN, nursing actions, interventions, and client interactions fall into which standards group?
a. Evidence-based
b. Process ✔✔
c. Outcome
d. Structural
Explanation: Process standards relate to the steps nurses take in care delivery. They form the framework for evaluating
quality in perioperative nursing.
3. Which sequence best describes how to apply evidence-based nursing care?
a. Review articles, analyze theory, study data, write policy
b. Conduct surveys, read studies, perform meta-analysis, change practice
c. Identify issue, review science, make policy, evaluate results
d. Define the problem, study the research, apply the change, assess process ✔✔
Explanation: Evidence-based practice involves identifying a care issue, reviewing scientific data, implementing
improvements, and evaluating their impact.
,4. A surgical team wants to standardize skin prep procedures. What’s the best first step to gather reliable information?
a. Discuss prep methods at a local AORN chapter
b. Examine infection data from the last half-year
c. Search published studies on antiseptics and infection control ✔✔
d. Read research from major prep solution suppliers
Explanation: Using peer-reviewed research to guide practice changes is part of ethical, evidence-based perioperative
care.
5. When a sterile table setup project lacks sufficient data, where can the team seek best practice guidance?
a. Ask surgical tech programs about table models
b. Use expert opinion and case reviews on sterile setups ✔✔
c. Review sterilization guidelines in AORN resources
d. Contact product reps for setup guidance
Explanation: In the absence of strong research, expert views and case studies offer valuable insights to guide clinical
decisions.
6. A nurse evaluating a surgical patient gathers data from all sources except:
a. Watching online videos of the planned surgery
b. Reviewing the surgical plan and test results
c. Consulting with the family and the care team
d. Talking to the anesthesia provider ✔✔
Explanation: Watching a video is not a reliable assessment method. Client interviews, procedure details, and
collaboration with providers are preferred data sources.
7. A frail older diabetic woman faces high surgical risks. To develop a care plan, the nurse uses standard terms. This
process step is:
, a. Nursing diagnosis ✔✔
b. Assessment
c. Outcome setting
d. Care intervention
Explanation: Nursing diagnosis involves interpreting assessment data and naming the client’s needs in standardized
language to direct care.
8. When a nurse begins discharge education and shows care techniques during intake, it reflects which step?
a. Assessment
b. Implementation ✔✔
c. Goal setting
d. Evaluation
Explanation: Implementation is the action phase, when the nurse provides education and performs planned interventions.
9. Learning about a client's latex allergy and adjusting the setup accordingly shows which parts of the process?
a. Assessment and planning
b. Assessment and action
c. Planning and implementation ✔✔
d. Diagnosis and intervention
Explanation: Planning anticipates patient needs, and implementation involves putting those plans into action to ensure
safe, appropriate care.
10. Protecting a client from burns during surgery fulfills which outcome?
a. No signs of anxiety
b. Intact skin after surgery ✔✔
c. No infection at the surgical site
d. Stable body temperature
Surgery 17th Edition by Rothrock
, Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
MULTIPLE CHOICE
1. The Perioperative Client-Focused Model emphasizes components of nursing that influence care. Which option best
captures the interactive nature of this model?
a. The nurse’s presence and the client’s experience constantly affect each other. ✔✔
b. The model is built on structure, process, and outcome domains.
c. The perioperative nurse is the core component of the model.
d. Nursing process rings connect the client to the model.
Explanation: The model highlights how the client's experience and the nurse’s role are constantly intertwined. Nursing
diagnoses and outcomes are central and interact within the larger healthcare context.
2. According to AORN, nursing actions, interventions, and client interactions fall into which standards group?
a. Evidence-based
b. Process ✔✔
c. Outcome
d. Structural
Explanation: Process standards relate to the steps nurses take in care delivery. They form the framework for evaluating
quality in perioperative nursing.
3. Which sequence best describes how to apply evidence-based nursing care?
a. Review articles, analyze theory, study data, write policy
b. Conduct surveys, read studies, perform meta-analysis, change practice
c. Identify issue, review science, make policy, evaluate results
d. Define the problem, study the research, apply the change, assess process ✔✔
Explanation: Evidence-based practice involves identifying a care issue, reviewing scientific data, implementing
improvements, and evaluating their impact.
,4. A surgical team wants to standardize skin prep procedures. What’s the best first step to gather reliable information?
a. Discuss prep methods at a local AORN chapter
b. Examine infection data from the last half-year
c. Search published studies on antiseptics and infection control ✔✔
d. Read research from major prep solution suppliers
Explanation: Using peer-reviewed research to guide practice changes is part of ethical, evidence-based perioperative
care.
5. When a sterile table setup project lacks sufficient data, where can the team seek best practice guidance?
a. Ask surgical tech programs about table models
b. Use expert opinion and case reviews on sterile setups ✔✔
c. Review sterilization guidelines in AORN resources
d. Contact product reps for setup guidance
Explanation: In the absence of strong research, expert views and case studies offer valuable insights to guide clinical
decisions.
6. A nurse evaluating a surgical patient gathers data from all sources except:
a. Watching online videos of the planned surgery
b. Reviewing the surgical plan and test results
c. Consulting with the family and the care team
d. Talking to the anesthesia provider ✔✔
Explanation: Watching a video is not a reliable assessment method. Client interviews, procedure details, and
collaboration with providers are preferred data sources.
7. A frail older diabetic woman faces high surgical risks. To develop a care plan, the nurse uses standard terms. This
process step is:
, a. Nursing diagnosis ✔✔
b. Assessment
c. Outcome setting
d. Care intervention
Explanation: Nursing diagnosis involves interpreting assessment data and naming the client’s needs in standardized
language to direct care.
8. When a nurse begins discharge education and shows care techniques during intake, it reflects which step?
a. Assessment
b. Implementation ✔✔
c. Goal setting
d. Evaluation
Explanation: Implementation is the action phase, when the nurse provides education and performs planned interventions.
9. Learning about a client's latex allergy and adjusting the setup accordingly shows which parts of the process?
a. Assessment and planning
b. Assessment and action
c. Planning and implementation ✔✔
d. Diagnosis and intervention
Explanation: Planning anticipates patient needs, and implementation involves putting those plans into action to ensure
safe, appropriate care.
10. Protecting a client from burns during surgery fulfills which outcome?
a. No signs of anxiety
b. Intact skin after surgery ✔✔
c. No infection at the surgical site
d. Stable body temperature
