,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
m m m m m m m m m m m m
Rothrock m
Chapter 01: Concepts Basic to Perioperative Nursing
m m m m m m
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. ThemPerioperativemPatientmFocusedmModelmpresentsmkeymcomponentsmofmnursingminfluencemth
atmguidempatientmcare.mSelectmthemstatementmthatmbestmdescribesmthemdynamicmrelationshipmwithi
nmthemmodel.
a. Thempatientmexperiencemandmthemnursingmpresencemareminmcontinuousminteraction.
b. Structure,mprocess,mandmoutcomemaremthemfoundationmdomainsmofmthemmodel.
c. Themperioperativemnursemismthemcentralmdynamicmcoremofmthemmodel.
d. Theminterrelatedmnursingmprocessmringsmbindmthempatientmtomthemmodel.
ANS:m A
ThemPerioperativemPatientmFocusedmModelmconsistsmofmdomainsmormareasmofmnursingmconcern:
mnursingmdiagnoses,mnursingminterventions,mandmpatientmoutcomes.mThesemdomainsmareminmcont
inuousminteractionmwithmthemhealthmsystemmthatmencirclesmthemfocusmofmperioperativemnursingmpr
actice—thempatient.
2. ThemAssociationmofmPeriOperativemRegisteredmNurses’m(AORN)mStandardsmofmPerioperati
vemNursingmdescribesmnursingminteractions,minterventions,mandmactivitiesmwithmpatients.mThi
smismbasedmonmwhichmstandardsmcategory?
a. Evidence-basedmpractice
b. Process
c. Outcome
d. Structural
ANS:m B
Processmstandardsmrelatemtomnursingmactivities,minterventions,mandminteractions.mTheymaremused
mtom
explicatemclinical,mprofessional,mandmqualitymobjectivesminmperioperativemnursing.
3. Whichmordermbestmdescribesmthemprocessmusedmtomimplementmevidence-
basedmprofessionalmnursing?
a. Literaturemsearch,mtheorymreview,mdatamanalysis,mpolicymdevelopment
b. Regionalmsurvey,mliteraturemsearch,mmeta-analysis,mpracticemchange
c. Identifymamproblem,mreviewmscientificmevidence,mdevelopmpolicy,mevaluatemt
hemoutcome
d. Identifymanmissue,manalyzemscientificmevidence,mimplementmchange,mevaluatemprocess
ANS:m D
Evidence-
basedmpracticemismamsystematic,mthoroughmprocessmbymwhichmtomidentifymanmissue,mtomcollectm
andmevaluatemthembestmevidencemtomdesignmandmimplementmampracticemchange,mandmtomevalu
atemthemprocess.
4. Themambulatorymsurgerymunitmismplanningmtomdevelopmamstandardizedmskinmpreparationmpracti
cemformtheirmunit.mThembestmprocessmtomgathermscientificminformationmismto
a. conductmamsurveymofmskinmprepmpoliciesmatmthemnextmAORNmchaptermmeeting.
b. reviewmtheirmsurgicalmsiteminfectionmdatamfrommthemlastm6mmonths.
c. conductmamliteraturemsearchmonmantimicrobialmagentsmandminfectionmprevention.
d. reviewmthemscientificmliteraturemfrommthemleadingmmanufacturersmofmprepmsolutions.
mynursytest.store
,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
m m m m m m m m m m m m
Rothrock m
ANS:m C
Perioperativemnursesmhavemanmethicalmresponsibilitymtomreviewmpracticesmandmtommodifymth
emmbasedmonmthembestmavailablemscientificmevidence.mUsingmresearchmtomguidempracticemismc
alledmevidence-basedmpracticem(EBP).
5. Themcardiacmteammismdevelopingmamstandardizedmsterilembackmtablemsetup.mWheremmightmtheymlo
okmforminformationmonmbestmpractices?
a. Surveymregionalmsurgicalmtechnologymprogramsmformtheirmbackmtablemmodels
b. Reviewmcasemstudiesmandmexpertmopinionsmonmsterilembackmtablemsetups
c. ReviewmAORN’smGuidelinesmformPerioperativemPracticemonmsterilizationman
dmdisinfection
d. Consultmwithmfacilityminstrumentmvendormrepresentativesmformtheirmadvice
ANS:m B
AORN’smGuidelinesmformPerioperativemPracticemaremamcollectionmofmevidence-
basedmrecommendationsmtompromotempatientmsafetymduringmoperativemandminvasivemprocedu
res.mThemguidelinesmaremmeantmtomservemasmfoundationalmdocumentsminmthemdevelopmentmofm
policies,mprocedures,mandmcompetencymvalidationmtools.
6. Howmdominstitutionalmstandardsmofmcare,msuchmasmpoliciesmandmprocedures,mdiffermfrommnatio
nalmstandards,msuchmasmAORN’smStandardsmofmPerioperativemNursing?
a. Theymaremwrittenmbymnurses.
b. Theymaremwrittenmspecificallymtomaddressmresponsibilitiesmundermspecif
icmcircumstances.
c. Theymaremcollaborativemandmcollectivemagreementmstatements.
d. Theymaremrarelymbasedmonmresearch.
ANS:m B
Institutionalmstandardsmapplymtomthemsystemmormfacilitymthatmdevelopsmthemmandmcanmbemdirect
ivemaboutmspecificmactionsminmspecificmcircumstances;mnationalmstandardsmprovidemgeneralized
mauthoritativemstatementsmthatmcanmbemimplementedminmallmsettings.
7. Whichmofmthemfollowingmactionsmbestmdescribesmanmelementmofmthemperioperativemnursi
ngmassessment?
a. Scanningmthemsurgicalmschedulemformthemdaymbeforemmorningmreport
b. Readingmthempick/preferencemlistmattachedmtomthemcasemcart
c. Reviewingmthempatientmmedicalmrecord
d. Studyingmanmonlinemtutorialmaboutmthemintendedmsurgicalmprocedure
ANS:m C
Assessmentmismthemcollectionmandmanalysismofmrelevantmhealthmdatamaboutmthempatient.mSourcesmo
fmdatammaymbemampreoperativeminterviewmwithmthempatientmandmthempatient’smfamily;mreviewmofmt
hemplannedmsurgicalmorminvasivemprocedure;mreviewmofmthempatient’smmedicalmrecord;mexaminati
onmofmthemresultsmofmdiagnosticmtests;mandmconsultationmwithmthemsurgeonmandmanesthesiamprovid
er,munitmnurses,mormothermpersonnel.
8. Amfrailm76-year-
oldmdiabeticmwomanmismscheduledmformmajormsurgery.mShemismvulnerablemandmatmhighmriskmform
harmmbecausemofmseveralmfactorsmrelatedmtomhermpreexistingmconditionsmandmoverallmhealthmstat
us.mAsmpartmofmdevelopingmamplanmtomguidemhermcare,mthemnursemusesmstandardizedmdescriptive
mterms.mThismstepmofmthemnursingmprocessm ismcalled
mynursytest.store
, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
m m m m m m m m m m m m
Rothrock m
a. nursingmdiagnosis.
b. nursingmassessment.
c. nursingmoutcome.
d. nursingmintervention.
ANS:m A
Nursingmdiagnosismismthemprocessmofmidentifyingmandmclassifyingmdatamcollectedminmthemassessm
entminmamwaymthatmprovidesmamfocusmtomplanmnursingmcare.mNursingmdiagnosismcomponentsminclu
demamdefinitionmofmthemdiagnosticmterm,mdefiningmcharacteristics,mandmriskmfactors.
9. Duringmthemadmissionminterview,mthemnurseminitiatedmthemdischargemteachingmandmdemonstrat
edmcrutch-
walkingmactivities.mThemteachingmactivitiesmarematmwhatmstagemofmthemnursingmprocess?
a. Assessment
b. Implementation
c. Outcomemidentification
d. Evaluation
ANS:m B
Implementationmismperformingmthemnursingmcaremactivitiesmandminterventionsmthatmweremplann
edmandmrespondingmwithmcriticalmthinkingmandmorderlymactionmtomchangesminmthemsurgicalmproce
dure,mpatientmcondition,mormemergencies.mImplementationmismthem“work”mofmnursing.
10. Whilemconductingmthempreoperativeminterviewmwithmampatientmscheduledmformamseptoplasty,mth
emperioperativemnursemlearnedmthatmthempatientmwasmlatexmsensitive.mBasedmonmthismknowledge
,mthemnursemreviewedmthempick/preferencemlistmandmreassembledmthemsurgicalmcasemcartmsetupmto
mreflectm
thismnewminformationmandmchangeminmcaremdelivery.mWhichmtwomphasesmofmthemnursing
mprocessmaremrepresentedm inmthemnurse’smactions?
a. Assessmentmandmplanning
b. Assessmentmandmimplementation
c. Planningmandmimplementation
d. Nursingmdiagnosismandmintervention
ANS:m C
Planningmismpreparingminmadvancemformwhatmwillmormmaymhappenmandmdeterminingmthempriorit
iesmformcare.mPlanningmismbasedmonmpatientmassessmentmresultsminmknowingmthempatientmandmth
e
patient’smuniquemneeds.mImplementationmismperformingmthemnursingmcaremactivitiesmandmi
nterventionsmthatmweremplannedmandmrespondingmwithmcriticalmthinkingmandmorderlymactio
n.mImplementationmismthem“work”mofmnursing.
11. Themperioperativemnursemimplementsmprotectivemmeasuresmtompreventmskinmormtissueminjurymca
usedmbymthermalmsources.mSuccessfulmaccomplishmentmofmthisminterventionmwouldmmeetmwhichm
ofmthemfollowingmdesiredmnursingmoutcomes?
a. Thempatientmismfreemfrommsignsmandmsymptomsmofminjurymfrommanxiety.
b. Thempatientmismfreemfrommsignsmandmsymptomsmofmimpairedmskinmintegrity.
c. Thempatientmismfreemfrommsignsmandmsymptomsmofmsurgicalmsiteminfection.
d. Thempatientmismfreemfrommsignsmandmsymptomsmofmhyperthermia.
ANS:m B
mynursytest.store
m m m m m m m m m m m m
Rothrock m
Chapter 01: Concepts Basic to Perioperative Nursing
m m m m m m
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. ThemPerioperativemPatientmFocusedmModelmpresentsmkeymcomponentsmofmnursingminfluencemth
atmguidempatientmcare.mSelectmthemstatementmthatmbestmdescribesmthemdynamicmrelationshipmwithi
nmthemmodel.
a. Thempatientmexperiencemandmthemnursingmpresencemareminmcontinuousminteraction.
b. Structure,mprocess,mandmoutcomemaremthemfoundationmdomainsmofmthemmodel.
c. Themperioperativemnursemismthemcentralmdynamicmcoremofmthemmodel.
d. Theminterrelatedmnursingmprocessmringsmbindmthempatientmtomthemmodel.
ANS:m A
ThemPerioperativemPatientmFocusedmModelmconsistsmofmdomainsmormareasmofmnursingmconcern:
mnursingmdiagnoses,mnursingminterventions,mandmpatientmoutcomes.mThesemdomainsmareminmcont
inuousminteractionmwithmthemhealthmsystemmthatmencirclesmthemfocusmofmperioperativemnursingmpr
actice—thempatient.
2. ThemAssociationmofmPeriOperativemRegisteredmNurses’m(AORN)mStandardsmofmPerioperati
vemNursingmdescribesmnursingminteractions,minterventions,mandmactivitiesmwithmpatients.mThi
smismbasedmonmwhichmstandardsmcategory?
a. Evidence-basedmpractice
b. Process
c. Outcome
d. Structural
ANS:m B
Processmstandardsmrelatemtomnursingmactivities,minterventions,mandminteractions.mTheymaremused
mtom
explicatemclinical,mprofessional,mandmqualitymobjectivesminmperioperativemnursing.
3. Whichmordermbestmdescribesmthemprocessmusedmtomimplementmevidence-
basedmprofessionalmnursing?
a. Literaturemsearch,mtheorymreview,mdatamanalysis,mpolicymdevelopment
b. Regionalmsurvey,mliteraturemsearch,mmeta-analysis,mpracticemchange
c. Identifymamproblem,mreviewmscientificmevidence,mdevelopmpolicy,mevaluatemt
hemoutcome
d. Identifymanmissue,manalyzemscientificmevidence,mimplementmchange,mevaluatemprocess
ANS:m D
Evidence-
basedmpracticemismamsystematic,mthoroughmprocessmbymwhichmtomidentifymanmissue,mtomcollectm
andmevaluatemthembestmevidencemtomdesignmandmimplementmampracticemchange,mandmtomevalu
atemthemprocess.
4. Themambulatorymsurgerymunitmismplanningmtomdevelopmamstandardizedmskinmpreparationmpracti
cemformtheirmunit.mThembestmprocessmtomgathermscientificminformationmismto
a. conductmamsurveymofmskinmprepmpoliciesmatmthemnextmAORNmchaptermmeeting.
b. reviewmtheirmsurgicalmsiteminfectionmdatamfrommthemlastm6mmonths.
c. conductmamliteraturemsearchmonmantimicrobialmagentsmandminfectionmprevention.
d. reviewmthemscientificmliteraturemfrommthemleadingmmanufacturersmofmprepmsolutions.
mynursytest.store
,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
m m m m m m m m m m m m
Rothrock m
ANS:m C
Perioperativemnursesmhavemanmethicalmresponsibilitymtomreviewmpracticesmandmtommodifymth
emmbasedmonmthembestmavailablemscientificmevidence.mUsingmresearchmtomguidempracticemismc
alledmevidence-basedmpracticem(EBP).
5. Themcardiacmteammismdevelopingmamstandardizedmsterilembackmtablemsetup.mWheremmightmtheymlo
okmforminformationmonmbestmpractices?
a. Surveymregionalmsurgicalmtechnologymprogramsmformtheirmbackmtablemmodels
b. Reviewmcasemstudiesmandmexpertmopinionsmonmsterilembackmtablemsetups
c. ReviewmAORN’smGuidelinesmformPerioperativemPracticemonmsterilizationman
dmdisinfection
d. Consultmwithmfacilityminstrumentmvendormrepresentativesmformtheirmadvice
ANS:m B
AORN’smGuidelinesmformPerioperativemPracticemaremamcollectionmofmevidence-
basedmrecommendationsmtompromotempatientmsafetymduringmoperativemandminvasivemprocedu
res.mThemguidelinesmaremmeantmtomservemasmfoundationalmdocumentsminmthemdevelopmentmofm
policies,mprocedures,mandmcompetencymvalidationmtools.
6. Howmdominstitutionalmstandardsmofmcare,msuchmasmpoliciesmandmprocedures,mdiffermfrommnatio
nalmstandards,msuchmasmAORN’smStandardsmofmPerioperativemNursing?
a. Theymaremwrittenmbymnurses.
b. Theymaremwrittenmspecificallymtomaddressmresponsibilitiesmundermspecif
icmcircumstances.
c. Theymaremcollaborativemandmcollectivemagreementmstatements.
d. Theymaremrarelymbasedmonmresearch.
ANS:m B
Institutionalmstandardsmapplymtomthemsystemmormfacilitymthatmdevelopsmthemmandmcanmbemdirect
ivemaboutmspecificmactionsminmspecificmcircumstances;mnationalmstandardsmprovidemgeneralized
mauthoritativemstatementsmthatmcanmbemimplementedminmallmsettings.
7. Whichmofmthemfollowingmactionsmbestmdescribesmanmelementmofmthemperioperativemnursi
ngmassessment?
a. Scanningmthemsurgicalmschedulemformthemdaymbeforemmorningmreport
b. Readingmthempick/preferencemlistmattachedmtomthemcasemcart
c. Reviewingmthempatientmmedicalmrecord
d. Studyingmanmonlinemtutorialmaboutmthemintendedmsurgicalmprocedure
ANS:m C
Assessmentmismthemcollectionmandmanalysismofmrelevantmhealthmdatamaboutmthempatient.mSourcesmo
fmdatammaymbemampreoperativeminterviewmwithmthempatientmandmthempatient’smfamily;mreviewmofmt
hemplannedmsurgicalmorminvasivemprocedure;mreviewmofmthempatient’smmedicalmrecord;mexaminati
onmofmthemresultsmofmdiagnosticmtests;mandmconsultationmwithmthemsurgeonmandmanesthesiamprovid
er,munitmnurses,mormothermpersonnel.
8. Amfrailm76-year-
oldmdiabeticmwomanmismscheduledmformmajormsurgery.mShemismvulnerablemandmatmhighmriskmform
harmmbecausemofmseveralmfactorsmrelatedmtomhermpreexistingmconditionsmandmoverallmhealthmstat
us.mAsmpartmofmdevelopingmamplanmtomguidemhermcare,mthemnursemusesmstandardizedmdescriptive
mterms.mThismstepmofmthemnursingmprocessm ismcalled
mynursytest.store
, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
m m m m m m m m m m m m
Rothrock m
a. nursingmdiagnosis.
b. nursingmassessment.
c. nursingmoutcome.
d. nursingmintervention.
ANS:m A
Nursingmdiagnosismismthemprocessmofmidentifyingmandmclassifyingmdatamcollectedminmthemassessm
entminmamwaymthatmprovidesmamfocusmtomplanmnursingmcare.mNursingmdiagnosismcomponentsminclu
demamdefinitionmofmthemdiagnosticmterm,mdefiningmcharacteristics,mandmriskmfactors.
9. Duringmthemadmissionminterview,mthemnurseminitiatedmthemdischargemteachingmandmdemonstrat
edmcrutch-
walkingmactivities.mThemteachingmactivitiesmarematmwhatmstagemofmthemnursingmprocess?
a. Assessment
b. Implementation
c. Outcomemidentification
d. Evaluation
ANS:m B
Implementationmismperformingmthemnursingmcaremactivitiesmandminterventionsmthatmweremplann
edmandmrespondingmwithmcriticalmthinkingmandmorderlymactionmtomchangesminmthemsurgicalmproce
dure,mpatientmcondition,mormemergencies.mImplementationmismthem“work”mofmnursing.
10. Whilemconductingmthempreoperativeminterviewmwithmampatientmscheduledmformamseptoplasty,mth
emperioperativemnursemlearnedmthatmthempatientmwasmlatexmsensitive.mBasedmonmthismknowledge
,mthemnursemreviewedmthempick/preferencemlistmandmreassembledmthemsurgicalmcasemcartmsetupmto
mreflectm
thismnewminformationmandmchangeminmcaremdelivery.mWhichmtwomphasesmofmthemnursing
mprocessmaremrepresentedm inmthemnurse’smactions?
a. Assessmentmandmplanning
b. Assessmentmandmimplementation
c. Planningmandmimplementation
d. Nursingmdiagnosismandmintervention
ANS:m C
Planningmismpreparingminmadvancemformwhatmwillmormmaymhappenmandmdeterminingmthempriorit
iesmformcare.mPlanningmismbasedmonmpatientmassessmentmresultsminmknowingmthempatientmandmth
e
patient’smuniquemneeds.mImplementationmismperformingmthemnursingmcaremactivitiesmandmi
nterventionsmthatmweremplannedmandmrespondingmwithmcriticalmthinkingmandmorderlymactio
n.mImplementationmismthem“work”mofmnursing.
11. Themperioperativemnursemimplementsmprotectivemmeasuresmtompreventmskinmormtissueminjurymca
usedmbymthermalmsources.mSuccessfulmaccomplishmentmofmthisminterventionmwouldmmeetmwhichm
ofmthemfollowingmdesiredmnursingmoutcomes?
a. Thempatientmismfreemfrommsignsmandmsymptomsmofminjurymfrommanxiety.
b. Thempatientmismfreemfrommsignsmandmsymptomsmofmimpairedmskinmintegrity.
c. Thempatientmismfreemfrommsignsmandmsymptomsmofmsurgicalmsiteminfection.
d. Thempatientmismfreemfrommsignsmandmsymptomsmofmhyperthermia.
ANS:m B
mynursytest.store
