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b - CORRECT ANSWERS During a handover report to the PACU RN, the perioperative RN may
use a communication method identified by the acronym "SBAR." What does SBAR stand for?
a) Safety, Background, Actions, Recovery expectations
b) Situation, Background, Assessment, Recommendation
c) Safety concerns, Background, Assessment, Responsibility
d) Surgeon, Background, Assessment, Recovery time
c - CORRECT ANSWERS A 40-year-old male patient is awake and alert in the post anesthesia
care unit after right shoulder surgery. What is the BEST measure to assess the patient's pain?
a) Discuss the patient's pain with a close family member
b) Observe facial expressions and behaviors
c) Ask patient to describe his pain or use a standardized pain scale
d) Monitor vital sign changes
d - CORRECT ANSWERS What would be the MOST important information for a nurse in
Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient?
a) How long the patient has been diabetic
b) If there is someone to drive them home
c) The last time the patient ate or drank
d) The type of insulin the patient takes
c - CORRECT ANSWERS The Perianesthesia nurse has ASPAN to guide their practice. What
does ASPAN stand for?
a) American Sterilization of PeriAnesthesia Nurses
b) Association of Specialized PeriAnesthesia Nursing
c) American Society of PeriAnesthesia Nursing
d) Association of Surgical Post Anesthesia Nursing
,c - CORRECT ANSWERS You have completed your case and must now transport your patient
to PACU. To give report to the PACU nurse, your facility requires that you provide report in
SBAR, which stands for:
a) Safety, Background, Actions, Recovery, Expectations
b) Safety concerns, Background, Assessment, Responsibilities
c) Situation, Background, Assessment, Recommendations
d) Surgeon, Background, Assessment, Recovery time
c - CORRECT ANSWERS You have just transferred your patient into the Phase I PACU. Which
activities would you expect to observe FIRST?
a) Administering medication for nausea and vomiting
b) Asking patients if they have any pain
c) Assessing patient airway and respirations
d) Caring for patients in 1:3 ratio
c - CORRECT ANSWERS A hand-over communication report is given by the anesthesia
professional and the _________________?
a) Surgical resident
b) Medical student
c) OR nurse
d) Inpatient nurse
c - CORRECT ANSWERS What should be included as part of the psychological nursing
assessment?
a) Anxiety, temperature, and religious beliefs
b) Anxiety, temperature, and cultural practices
c) Cultural beliefs, perception of surgery, and religious beliefs
d) Cultural practice, religious beliefs, and age
a - CORRECT ANSWERS During a preoperative interview, a patient reports that a surgical
prep solution made him breakout in hives after a previous surgical procedure. What action
should the perioperative RN take?
,a) Alert the surgeon and discuss the selection of preoperative skin antiseptic.
b) Ask the surgeon for an antihistamine to be administered preoperatively
c) Monitor the patient more closely after administrating preoperative sedation
d) Notify the anesthesia professional of a potential interaction with anesthetic agents
e - CORRECT ANSWERS During the preoperative interview, the perioperative RN should ask
the patient's about their use of:
a) Alcohol
b) Herbal preparations
c) Recreational Drugs
d) Tobacco products
e) All of the above
a - CORRECT ANSWERS Evidence-based practice questions are typically formatted as PICO
questions. What does PICO stand for?
a) Patient, Intervention, Comparison, Outcome
b) Patient, Investigation, Comparison, Outlier
c) Population, Intervention, Counter-Intervention, Outlier
d) Problem, Investigation, Counter-Intervention, Outcome
d - CORRECT ANSWERS Every member of the healthcare team has a role to play in cost
containment. Which of the following is an example of how the perioperative RN can
participate in cost containment in the OR?
a) Ask the surgeon to use a less expensive implant
b) Begin cleaning the OR for the next case before the patient leaves the room
c) Open all supplies listed on preference card, including "available" supplies
d) Verify with surgeon before opening suture
c - CORRECT ANSWERS An fRN fwho fattends fcontinuing fnursing feducation fand fhas fverified
fskills, fknowledge, fand fattitudes fabout fperioperative fnursing fis fdemonstrating
faccountability fin fhis/her:
a) fCertification frequirements ffor fprofessional fachievement fin fperioperative fnursing
b) fCollaboration famong fteam fmembers
, c) fProfessional fgrowth fand fmaintenance fof fcompetency
d) fVerification fof fnursing fknowledge
d f- f fCORRECT fANSWERS fWhich fof fthe ffollowing fstatements fis fTRUE fconcerning fuse fof
fthe fAORN fGuidelines ffor fPerioperative fPractice?
a) fBoth fmedical fand fnursing flicensing fboards frequire fhealth fcare finstitutions fto fcomply
fwith fthe fAORN fguidelines
b) fThe fAORN fGuidelines flegally fsupersede fdepartmental fand finstitutional fpolicies
c) fThe fAORN fGuidelines freflect fscientific fevidence fof fhow fnurses factually fpractice fin
fperioperative fsettings
d) fWork fsetting fand fsituation fvariations fmay fdetermine fthe fextent fto fwhich fAORN
fGuidelines fcan fbe fapplied
c f- f fCORRECT fANSWERS fWhich fof fthe ffollowing fis fNOT fan fexample fof fan fethical
fdilemma fthat fperioperative fnurses fmay fencounter?
a) fDo-not-resuscitate f(DNR) forder ffor fa fsurgical fpatient
b) fFamily fdisagreement fregardings fpossible forgan fdonation
c) fFamily fdisagreement fabout fa fbelow fthe fknee famputation fon fan f18 fyear fold fwho fhas
falready fgiven fconsent
d) fHuman fexperimentation
b f- f fCORRECT fANSWERS fThe fphrase f"At fleast fone findividual ffailed fto fdo fwhat fa fsimilarly
fsituated, freasonable, fand fprudent fprofessional fwould fhave fdone funder fsimilar
fcircumstances" fis fthe fdefinition fof:
a) fAbandonment f
b) fNegligence
c) fUnethical fbehavior
d) fMalpractice
d f- f fCORRECT fANSWERS fAll fof fthe ffollowing fare faccurate fdescriptions fof f"professional
faccountability" fEXCEPT:
a) fBecoming fcertified fin fyour fspecialty
b) fCollaborating fwith fpeers fin fselecting fthe fright finstruments fand fright fequipment ffor
feach fpatient