,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
s s s s s s s s s s s s
Rothrock s
Chapter 01: Concepts Basic to Perioperative Nursing
s s s s s s
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
s s s s s s s s s
MULTIPLEsCHOICE
1. ThesPerioperativesPatientsFocusedsModelspresentsskeyscomponentssofsnursingsinfluencesthatsgu
idespatientscare.sSelectsthesstatementsthatsbestsdescribessthesdynamicsrelationshipswithinsthesmod
el.
a. Thespatientsexperiencesandsthesnursingspresencesaresinscontinuoussinteraction.
b. Structure,sprocess,sandsoutcomesaresthesfoundationsdomainssofsthesmodel.
c. Thesperioperativesnursesissthescentralsdynamicscoresofsthesmodel.
d. Thesinterrelatedsnursingsprocesssringssbindsthespatientstosthesmodel.
ANS:s A
ThesPerioperativesPatientsFocusedsModelsconsistssofsdomainssorsareassofsnursingsconcern:snurs
ingsdiagnoses,snursingsinterventions,sandspatientsoutcomes.sThesesdomainssaresinscontinuoussint
eractionswithstheshealthssystemsthatsencirclessthesfocussofsperioperativesnursingspractice—
thespatient.
2. ThesAssociationsofsPeriOperativesRegisteredsNurses’s(AORN)sStandardssofsPerioperativesN
ursingsdescribessnursingsinteractions,sinterventions,sandsactivitiesswithspatients.sThississbase
dsonswhichsstandardsscategory?
a. Evidence-basedspractice
b. Process
c. Outcome
d. Structural
ANS:s B
Processsstandardssrelatestosnursingsactivities,sinterventions,sandsinteractions.sTheysaresusedstosex
plicatesclinical,sprofessional,sandsqualitysobjectivessinsperioperativesnursing.
3. Whichsordersbestsdescribessthesprocesssusedstosimplementsevidence-
basedsprofessionalsnursing?
a. Literaturessearch,stheorysreview,sdatasanalysis,spolicysdevelopment
b. Regionalssurvey,sliteraturessearch,smeta-analysis,spracticeschange
c. Identifysasproblem,sreviewsscientificsevidence,sdevelopspolicy,sevaluatestheso
utcome
d. Identifysansissue,sanalyzesscientificsevidence,simplementschange,sevaluatesprocess
ANS:s D
Evidence-
basedspracticesissassystematic,sthoroughsprocesssbyswhichstosidentifysansissue,stoscollectsandse
valuatesthesbestsevidencestosdesignsandsimplementsaspracticeschange,sandstosevaluatesthesproc
ess.
4. Thesambulatoryssurgerysunitsissplanningstosdevelopsasstandardizedsskinspreparationspracticesfo
rstheirsunit.sThesbestsprocessstosgathersscientificsinformationsissto
a. conductsassurveysofsskinsprepspoliciessatsthesnextsAORNschaptersmeeting.
b. reviewstheirssurgicalssitesinfectionsdatasfromstheslasts6smonths.
c. conductsasliteraturessearchsonsantimicrobialsagentssandsinfectionsprevention.
d. reviewsthesscientificsliteraturesfromsthesleadingsmanufacturerssofsprepssolutions.
mynursytest.store
,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
s s s s s s s s s s s s
Rothrock s
ANS:s C
Perioperativesnursesshavesansethicalsresponsibilitystosreviewspracticessandstosmodifysthemsba
sedsonsthesbestsavailablesscientificsevidence.sUsingsresearchstosguidespracticesisscalledsevide
nce-basedspractices(EBP).
5. Thescardiacsteamsissdevelopingsasstandardizedssterilesbackstablessetup.sWheresmightstheyslooksfor
sinformationsonsbestspractices?
a. Surveysregionalssurgicalstechnologysprogramssforstheirsbackstablesmodels
b. Reviewscasesstudiessandsexpertsopinionssonssterilesbackstablessetups
c. ReviewsAORN’ssGuidelinessforsPerioperativesPracticesonssterilizationsandsd
isinfection
d. Consultswithsfacilitysinstrumentsvendorsrepresentativessforstheirsadvice
ANS:s B
AORN’ssGuidelinessforsPerioperativesPracticesaresascollectionsofsevidence-
basedsrecommendationsstospromotespatientssafetysduringsoperativesandsinvasivesprocedures.s
Thesguidelinessaresmeantstosservesassfoundationalsdocumentssinsthesdevelopmentsofspolicies,s
procedures,sandscompetencysvalidationstools.
6. Howsdosinstitutionalsstandardssofscare,ssuchsasspoliciessandsprocedures,sdiffersfromsnationalssta
ndards,ssuchsassAORN’ssStandardssofsPerioperativesNursing?
a. Theysareswrittensbysnurses.
b. Theysareswrittensspecificallystosaddresssresponsibilitiessundersspecificsci
rcumstances.
c. Theysarescollaborativesandscollectivesagreementsstatements.
d. Theysaresrarelysbasedsonsresearch.
ANS:s B
Institutionalsstandardssapplystosthessystemsorsfacilitysthatsdevelopssthemsandscansbesdirectivesab
outsspecificsactionssinsspecificscircumstances;snationalsstandardssprovidesgeneralizedsauthorita
tivesstatementssthatscansbesimplementedsinsallssettings.
7. Whichsofsthesfollowingsactionssbestsdescribessanselementsofsthesperioperativesnursingsas
sessment?
a. Scanningsthessurgicalsschedulesforsthesdaysbeforesmorningsreport
b. Readingsthespick/preferenceslistsattachedstosthescasescart
c. Reviewingsthespatientsmedicalsrecord
d. Studyingsansonlinestutorialsaboutsthesintendedssurgicalsprocedure
ANS:s C
Assessmentsissthescollectionsandsanalysissofsrelevantshealthsdatasaboutsthespatient.sSourcessofsdata
smaysbesaspreoperativesinterviewswithsthespatientsandsthespatient’ssfamily;sreviewsofsthesplannedss
urgicalsorsinvasivesprocedure;sreviewsofsthespatient’ssmedicalsrecord;sexaminationsofsthesresultsso
fsdiagnosticstests;sandsconsultationswithsthessurgeonsandsanesthesiasprovider,sunitsnurses,sorsother
spersonnel.
8. Asfrails76-year-
oldsdiabeticswomansissscheduledsforsmajorssurgery.sShesissvulnerablesandsatshighsrisksforsharmsb
ecausesofsseveralsfactorssrelatedstosherspreexistingsconditionssandsoverallshealthsstatus.sAsspartso
fsdevelopingsasplanstosguidesherscare,sthesnursesusessstandardizedsdescriptivesterms.sThissstepsofs
thesnursingsprocesssisscalled
mynursytest.store
, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
s s s s s s s s s s s s
Rothrock s
a. nursingsdiagnosis.
b. nursingsassessment.
c. nursingsoutcome.
d. nursingsintervention.
ANS:s A
Nursingsdiagnosississthesprocesssofsidentifyingsandsclassifyingsdatascollectedsinsthesassessmentsi
nsaswaysthatsprovidessasfocusstosplansnursingscare.sNursingsdiagnosisscomponentssincludesasdefini
tionsofsthesdiagnosticsterm,sdefiningscharacteristics,sandsrisksfactors.
9. Duringsthesadmissionsinterview,sthesnursesinitiatedsthesdischargesteachingsandsdemonstratedscr
utch-walkingsactivities.sThesteachingsactivitiessaresatswhatsstagesofsthesnursingsprocess?
a. Assessment
b. Implementation
c. Outcomesidentification
d. Evaluation
ANS:s B
Implementationsissperformingsthesnursingscaresactivitiessandsinterventionssthatsweresplannedsan
dsrespondingswithscriticalsthinkingsandsorderlysactionstoschangessinsthessurgicalsprocedure,spatie
ntscondition,sorsemergencies.sImplementationsissthes“work”sofsnursing.
10. Whilesconductingsthespreoperativesinterviewswithsaspatientsscheduledsforsasseptoplasty,sthesperi
operativesnurseslearnedsthatsthespatientswasslatexssensitive.sBasedsonsthissknowledge,sthesnursesr
eviewedsthespick/preferenceslistsandsreassembledsthessurgicalscasescartssetupstosreflectsthissnewsi
nformationsandschangesinscaresdelivery.sWhichstwosphasessofsthesnursingsprocesssaresrepresente
dsinsthesnurse’ssactions?
a. Assessmentsandsplanning
b. Assessmentsandsimplementation
c. Planningsandsimplementation
d. Nursingsdiagnosissandsintervention
ANS:s C
Planningsisspreparingsinsadvancesforswhatswillsorsmayshappensandsdeterminingsthesprioritiessfors
care.sPlanningsissbasedsonspatientsassessmentsresultssinsknowingsthespatientsandsthe
patient’ssuniquesneeds.sImplementationsissperformingsthesnursingscaresactivitiessandsinterv
entionssthatsweresplannedsandsrespondingswithscriticalsthinkingsandsorderlysaction.sImplem
entationsissthes“work”sofsnursing.
11. Thesperioperativesnursesimplementssprotectivesmeasuresstospreventsskinsorstissuesinjuryscauseds
bysthermalssources.sSuccessfulsaccomplishmentsofsthissinterventionswouldsmeetswhichsofsthesfoll
owingsdesiredsnursingsoutcomes?
a. Thespatientsissfreesfromssignssandssymptomssofsinjurysfromsanxiety.
b. Thespatientsissfreesfromssignssandssymptomssofsimpairedsskinsintegrity.
c. Thespatientsissfreesfromssignssandssymptomssofssurgicalssitesinfection.
d. Thespatientsissfreesfromssignssandssymptomssofshyperthermia.
ANS:s B
mynursytest.store
s s s s s s s s s s s s
Rothrock s
Chapter 01: Concepts Basic to Perioperative Nursing
s s s s s s
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
s s s s s s s s s
MULTIPLEsCHOICE
1. ThesPerioperativesPatientsFocusedsModelspresentsskeyscomponentssofsnursingsinfluencesthatsgu
idespatientscare.sSelectsthesstatementsthatsbestsdescribessthesdynamicsrelationshipswithinsthesmod
el.
a. Thespatientsexperiencesandsthesnursingspresencesaresinscontinuoussinteraction.
b. Structure,sprocess,sandsoutcomesaresthesfoundationsdomainssofsthesmodel.
c. Thesperioperativesnursesissthescentralsdynamicscoresofsthesmodel.
d. Thesinterrelatedsnursingsprocesssringssbindsthespatientstosthesmodel.
ANS:s A
ThesPerioperativesPatientsFocusedsModelsconsistssofsdomainssorsareassofsnursingsconcern:snurs
ingsdiagnoses,snursingsinterventions,sandspatientsoutcomes.sThesesdomainssaresinscontinuoussint
eractionswithstheshealthssystemsthatsencirclessthesfocussofsperioperativesnursingspractice—
thespatient.
2. ThesAssociationsofsPeriOperativesRegisteredsNurses’s(AORN)sStandardssofsPerioperativesN
ursingsdescribessnursingsinteractions,sinterventions,sandsactivitiesswithspatients.sThississbase
dsonswhichsstandardsscategory?
a. Evidence-basedspractice
b. Process
c. Outcome
d. Structural
ANS:s B
Processsstandardssrelatestosnursingsactivities,sinterventions,sandsinteractions.sTheysaresusedstosex
plicatesclinical,sprofessional,sandsqualitysobjectivessinsperioperativesnursing.
3. Whichsordersbestsdescribessthesprocesssusedstosimplementsevidence-
basedsprofessionalsnursing?
a. Literaturessearch,stheorysreview,sdatasanalysis,spolicysdevelopment
b. Regionalssurvey,sliteraturessearch,smeta-analysis,spracticeschange
c. Identifysasproblem,sreviewsscientificsevidence,sdevelopspolicy,sevaluatestheso
utcome
d. Identifysansissue,sanalyzesscientificsevidence,simplementschange,sevaluatesprocess
ANS:s D
Evidence-
basedspracticesissassystematic,sthoroughsprocesssbyswhichstosidentifysansissue,stoscollectsandse
valuatesthesbestsevidencestosdesignsandsimplementsaspracticeschange,sandstosevaluatesthesproc
ess.
4. Thesambulatoryssurgerysunitsissplanningstosdevelopsasstandardizedsskinspreparationspracticesfo
rstheirsunit.sThesbestsprocessstosgathersscientificsinformationsissto
a. conductsassurveysofsskinsprepspoliciessatsthesnextsAORNschaptersmeeting.
b. reviewstheirssurgicalssitesinfectionsdatasfromstheslasts6smonths.
c. conductsasliteraturessearchsonsantimicrobialsagentssandsinfectionsprevention.
d. reviewsthesscientificsliteraturesfromsthesleadingsmanufacturerssofsprepssolutions.
mynursytest.store
,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
s s s s s s s s s s s s
Rothrock s
ANS:s C
Perioperativesnursesshavesansethicalsresponsibilitystosreviewspracticessandstosmodifysthemsba
sedsonsthesbestsavailablesscientificsevidence.sUsingsresearchstosguidespracticesisscalledsevide
nce-basedspractices(EBP).
5. Thescardiacsteamsissdevelopingsasstandardizedssterilesbackstablessetup.sWheresmightstheyslooksfor
sinformationsonsbestspractices?
a. Surveysregionalssurgicalstechnologysprogramssforstheirsbackstablesmodels
b. Reviewscasesstudiessandsexpertsopinionssonssterilesbackstablessetups
c. ReviewsAORN’ssGuidelinessforsPerioperativesPracticesonssterilizationsandsd
isinfection
d. Consultswithsfacilitysinstrumentsvendorsrepresentativessforstheirsadvice
ANS:s B
AORN’ssGuidelinessforsPerioperativesPracticesaresascollectionsofsevidence-
basedsrecommendationsstospromotespatientssafetysduringsoperativesandsinvasivesprocedures.s
Thesguidelinessaresmeantstosservesassfoundationalsdocumentssinsthesdevelopmentsofspolicies,s
procedures,sandscompetencysvalidationstools.
6. Howsdosinstitutionalsstandardssofscare,ssuchsasspoliciessandsprocedures,sdiffersfromsnationalssta
ndards,ssuchsassAORN’ssStandardssofsPerioperativesNursing?
a. Theysareswrittensbysnurses.
b. Theysareswrittensspecificallystosaddresssresponsibilitiessundersspecificsci
rcumstances.
c. Theysarescollaborativesandscollectivesagreementsstatements.
d. Theysaresrarelysbasedsonsresearch.
ANS:s B
Institutionalsstandardssapplystosthessystemsorsfacilitysthatsdevelopssthemsandscansbesdirectivesab
outsspecificsactionssinsspecificscircumstances;snationalsstandardssprovidesgeneralizedsauthorita
tivesstatementssthatscansbesimplementedsinsallssettings.
7. Whichsofsthesfollowingsactionssbestsdescribessanselementsofsthesperioperativesnursingsas
sessment?
a. Scanningsthessurgicalsschedulesforsthesdaysbeforesmorningsreport
b. Readingsthespick/preferenceslistsattachedstosthescasescart
c. Reviewingsthespatientsmedicalsrecord
d. Studyingsansonlinestutorialsaboutsthesintendedssurgicalsprocedure
ANS:s C
Assessmentsissthescollectionsandsanalysissofsrelevantshealthsdatasaboutsthespatient.sSourcessofsdata
smaysbesaspreoperativesinterviewswithsthespatientsandsthespatient’ssfamily;sreviewsofsthesplannedss
urgicalsorsinvasivesprocedure;sreviewsofsthespatient’ssmedicalsrecord;sexaminationsofsthesresultsso
fsdiagnosticstests;sandsconsultationswithsthessurgeonsandsanesthesiasprovider,sunitsnurses,sorsother
spersonnel.
8. Asfrails76-year-
oldsdiabeticswomansissscheduledsforsmajorssurgery.sShesissvulnerablesandsatshighsrisksforsharmsb
ecausesofsseveralsfactorssrelatedstosherspreexistingsconditionssandsoverallshealthsstatus.sAsspartso
fsdevelopingsasplanstosguidesherscare,sthesnursesusessstandardizedsdescriptivesterms.sThissstepsofs
thesnursingsprocesssisscalled
mynursytest.store
, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
s s s s s s s s s s s s
Rothrock s
a. nursingsdiagnosis.
b. nursingsassessment.
c. nursingsoutcome.
d. nursingsintervention.
ANS:s A
Nursingsdiagnosississthesprocesssofsidentifyingsandsclassifyingsdatascollectedsinsthesassessmentsi
nsaswaysthatsprovidessasfocusstosplansnursingscare.sNursingsdiagnosisscomponentssincludesasdefini
tionsofsthesdiagnosticsterm,sdefiningscharacteristics,sandsrisksfactors.
9. Duringsthesadmissionsinterview,sthesnursesinitiatedsthesdischargesteachingsandsdemonstratedscr
utch-walkingsactivities.sThesteachingsactivitiessaresatswhatsstagesofsthesnursingsprocess?
a. Assessment
b. Implementation
c. Outcomesidentification
d. Evaluation
ANS:s B
Implementationsissperformingsthesnursingscaresactivitiessandsinterventionssthatsweresplannedsan
dsrespondingswithscriticalsthinkingsandsorderlysactionstoschangessinsthessurgicalsprocedure,spatie
ntscondition,sorsemergencies.sImplementationsissthes“work”sofsnursing.
10. Whilesconductingsthespreoperativesinterviewswithsaspatientsscheduledsforsasseptoplasty,sthesperi
operativesnurseslearnedsthatsthespatientswasslatexssensitive.sBasedsonsthissknowledge,sthesnursesr
eviewedsthespick/preferenceslistsandsreassembledsthessurgicalscasescartssetupstosreflectsthissnewsi
nformationsandschangesinscaresdelivery.sWhichstwosphasessofsthesnursingsprocesssaresrepresente
dsinsthesnurse’ssactions?
a. Assessmentsandsplanning
b. Assessmentsandsimplementation
c. Planningsandsimplementation
d. Nursingsdiagnosissandsintervention
ANS:s C
Planningsisspreparingsinsadvancesforswhatswillsorsmayshappensandsdeterminingsthesprioritiessfors
care.sPlanningsissbasedsonspatientsassessmentsresultssinsknowingsthespatientsandsthe
patient’ssuniquesneeds.sImplementationsissperformingsthesnursingscaresactivitiessandsinterv
entionssthatsweresplannedsandsrespondingswithscriticalsthinkingsandsorderlysaction.sImplem
entationsissthes“work”sofsnursing.
11. Thesperioperativesnursesimplementssprotectivesmeasuresstospreventsskinsorstissuesinjuryscauseds
bysthermalssources.sSuccessfulsaccomplishmentsofsthissinterventionswouldsmeetswhichsofsthesfoll
owingsdesiredsnursingsoutcomes?
a. Thespatientsissfreesfromssignssandssymptomssofsinjurysfromsanxiety.
b. Thespatientsissfreesfromssignssandssymptomssofsimpairedsskinsintegrity.
c. Thespatientsissfreesfromssignssandssymptomssofssurgicalssitesinfection.
d. Thespatientsissfreesfromssignssandssymptomssofshyperthermia.
ANS:s B
mynursytest.store
