PERIOP 101 FINAL EXAM SPRING
QUESTIONS WITH 100% COMPLETE
SOLUTIONS| LATEST UPDATE
Curved Mayo scissors are used for which of the following?
a) To cut delicate tissue
b) To cut heavy tissue
c) To hold suture material
d) To grasp tissue - correct answer-b
What is the BEST method for keeping instruments clean on the sterile field?
a) Soak instruments in a basin of normal saline
b) Wipe instruments with a sponge moistened with sterile water
c) Spray instruments with an enzymatic detergent
d) Wipe instruments with a sponge moistened with sterile water and flush lumens with
sterile water - correct answer-d
The point of the forceps should be facing ________ while passing it to the surgeon.
a) Upward
b) Downward
c) Forward
d) Backward - correct answer-b
Halfway through a bilateral lower-extremity debridement and skin graft on a pt with third-
degree burns, the surgeon requests that the drapes be repositioned farther apart to
achieve better surgical access. According to AORN recommendations, what is the scrub
RN's MOST appropriate action?
a) Inform the surgeon that once the drapes are placed, they should not be removed
b) Move the drapes to best accommodate the surgeon's access to the surgical site
c) Requests a laparotomy drape to re-drape the entire field
d) Use sterile towels to cover the edges of the original drapes - correct answer-a
If draping without assistance, the scrub person should reach across the pt to drape the
other side.
a) True
b) False - correct answer-b
What is the BEST type of drape to use for an open umbilical hernia repair?
,a) Extremity
b) Laparotomy
c) Perineal
d) Split sheet - correct answer-b
While waiting for the prep solution to dry, the circulating RN observes the laparotomy
drape fall below waist level of the scrub person. What is the best action for the nurse to
take?
a) Alert the team that the drape is contaminated and replace with a sterile drape
b) Allow the team to use the drape since the prep solution will minimize the risk of
infection
c) Assist in draping the pt by handling only the area of the drape that is contaminated
d) Reposition the drape after the drape is placed to assure the contaminated area
remains below table level - correct answer-a
Select the proper order for removal of drapes:
a) Last suture placed--incision site dressed--removal of drapes--removal of instruments-
-disposable material disposed of
b) Last suture placed--incision site dressed--removal of instruments--removal of drapes-
-disposable material disposed of
c) Last suture placed--incision site dressed--disposable material disposed of--removal of
instruments--removal of drapes
d) Last suture placed--incision site dressed--removal of instruments--disposable
material disposed of--removal of drapes - correct answer-b
What steps should be followed in correctly draping the sterile field? Select all that apply.
a) Drape from sterile to unsterile field
b) Drape from operative site outward
c) Cuff the drapes over a gloved hand
d) If the drape is placed incorrectly it can be moved and repositioned
e) If draping without assistance, reach across the pt to drape the other side - correct
answer-a, b, c
Indicate the proper sequence for removing gown and gloves at the end of a procedure:
a) Scrub RN removes using a glove-to-glove and skin-to-skin technique
b) Scrub RN discards gloves and performs hand hygiene
c) Scrub RN grasps gown at shoulds and pulls downward
d) Scrub RN rolls the contaminated gown and sleeves inside out
e) RN circulator unfastens neck and back of gown
f) Scrub RN discards rolled gown into laundry hamper or trash
,*Use letters separated w/commas to put the above in the correct sequence. - correct
answer-e, c, d, f, a, b
What statment about surgical hand rubs is TRUE?
a) Apply surgical hand rub only to hands, concentrating on the finger tips
b) Dry hands with a sterile towel after applying a surgical hand rub
c) If visibly soiled, wash hands w/soap and water before performing a surgical hand rub
d) The surgical hand rub method should never be performed before setting up
orthopedic surgeries - correct answer-c
During closed assisted gloving, pull the gown cuffs up over the wrists towards the
elbows before donning gloves.
a) True
b) False - correct answer-b
Once donned, which area of a surgical gown is considered sterile?
a) The front, from the chest to six inches below the surgical field
b) The front, from chest to the level of the surgical field
c) The neck and shoulders
d) The axillary area - correct answer-b
Which of the following statements about the gowning procedure is correct?
a) As the gown unfolds, slide your hands through the cuffs to allow access for closed
gloving
b) Hold your hands at chest level and slip both arms into the armholes one at a time
c) Open your gown on the back table prior to performing your surgical scrub
d) Step back from the table into an unobstructed area to let the gown unfold - correct
answer-d
A surgical mask should cover both mouth and nose, and should be:
a) Allowed to hang around the neck between procedures
b) Changed after two hours of use
c) Removed and discarded after every case
d) Tied snugly with strings crossed - correct answer-c
Where should the scrub person's sterile gown be opened?
a) As far away from the instrument tray as possible
b) In the back corner of the instrument table
c) On a separate Mayo stand
d) On top of the gloves for the scrub person - correct answer-c
, After the surgical hand scrub, the scrub person should keep the fingers pointed in which
direction to allow water to drop off away from the attire?
a) Downwards
b) Upwards
c) Straight
d) Curved towards the palm - correct answer-b
When is closed glove technique used?
a) During a surgical procedure
b) During insertion of an IV cut down
c) During the initial donning of sterile gown and gloves only
d) When changing one or both gloves - correct answer-c
According to the AORN Guidelines, when should the scrubbed team members change
their gloves during invasive surgical procedures?
a) Every hour
b) Every ninety to 150 minutes
c) Three hours after start of the procedure and every hour thereafter, until the end of the
procedure
d) Three to four hours after the start of the procedure - correct answer-b
The sterility of an item is:
a) Dependent on multi-disciplinary team decisions
b) Event-related and dependent on the integrity of the item being maintained
c) Regulated by hospital protocol and community standards.
d) Affected by time and the maintenance of item integrity - correct answer-b
After the perioperative RN sets up for a total joint procedure before the pt enters the
room, she discovers a dirty instrument on the sterile back table. What step should the
perioperative RN take NEXT?
a) Break down the back table and reestablish the sterile field
b) Bring the pt in the room and document the contamination in the pt's chart
c) Cover the area where the dirty instrument was found with a sterile towel
d) Remove the dirty instrument from the sterile field and replace it w/another sterilized
instrument - correct answer-a
What is a suggested action from the recommendation, "a sterile field should be
maintained and monitored constantly?"
QUESTIONS WITH 100% COMPLETE
SOLUTIONS| LATEST UPDATE
Curved Mayo scissors are used for which of the following?
a) To cut delicate tissue
b) To cut heavy tissue
c) To hold suture material
d) To grasp tissue - correct answer-b
What is the BEST method for keeping instruments clean on the sterile field?
a) Soak instruments in a basin of normal saline
b) Wipe instruments with a sponge moistened with sterile water
c) Spray instruments with an enzymatic detergent
d) Wipe instruments with a sponge moistened with sterile water and flush lumens with
sterile water - correct answer-d
The point of the forceps should be facing ________ while passing it to the surgeon.
a) Upward
b) Downward
c) Forward
d) Backward - correct answer-b
Halfway through a bilateral lower-extremity debridement and skin graft on a pt with third-
degree burns, the surgeon requests that the drapes be repositioned farther apart to
achieve better surgical access. According to AORN recommendations, what is the scrub
RN's MOST appropriate action?
a) Inform the surgeon that once the drapes are placed, they should not be removed
b) Move the drapes to best accommodate the surgeon's access to the surgical site
c) Requests a laparotomy drape to re-drape the entire field
d) Use sterile towels to cover the edges of the original drapes - correct answer-a
If draping without assistance, the scrub person should reach across the pt to drape the
other side.
a) True
b) False - correct answer-b
What is the BEST type of drape to use for an open umbilical hernia repair?
,a) Extremity
b) Laparotomy
c) Perineal
d) Split sheet - correct answer-b
While waiting for the prep solution to dry, the circulating RN observes the laparotomy
drape fall below waist level of the scrub person. What is the best action for the nurse to
take?
a) Alert the team that the drape is contaminated and replace with a sterile drape
b) Allow the team to use the drape since the prep solution will minimize the risk of
infection
c) Assist in draping the pt by handling only the area of the drape that is contaminated
d) Reposition the drape after the drape is placed to assure the contaminated area
remains below table level - correct answer-a
Select the proper order for removal of drapes:
a) Last suture placed--incision site dressed--removal of drapes--removal of instruments-
-disposable material disposed of
b) Last suture placed--incision site dressed--removal of instruments--removal of drapes-
-disposable material disposed of
c) Last suture placed--incision site dressed--disposable material disposed of--removal of
instruments--removal of drapes
d) Last suture placed--incision site dressed--removal of instruments--disposable
material disposed of--removal of drapes - correct answer-b
What steps should be followed in correctly draping the sterile field? Select all that apply.
a) Drape from sterile to unsterile field
b) Drape from operative site outward
c) Cuff the drapes over a gloved hand
d) If the drape is placed incorrectly it can be moved and repositioned
e) If draping without assistance, reach across the pt to drape the other side - correct
answer-a, b, c
Indicate the proper sequence for removing gown and gloves at the end of a procedure:
a) Scrub RN removes using a glove-to-glove and skin-to-skin technique
b) Scrub RN discards gloves and performs hand hygiene
c) Scrub RN grasps gown at shoulds and pulls downward
d) Scrub RN rolls the contaminated gown and sleeves inside out
e) RN circulator unfastens neck and back of gown
f) Scrub RN discards rolled gown into laundry hamper or trash
,*Use letters separated w/commas to put the above in the correct sequence. - correct
answer-e, c, d, f, a, b
What statment about surgical hand rubs is TRUE?
a) Apply surgical hand rub only to hands, concentrating on the finger tips
b) Dry hands with a sterile towel after applying a surgical hand rub
c) If visibly soiled, wash hands w/soap and water before performing a surgical hand rub
d) The surgical hand rub method should never be performed before setting up
orthopedic surgeries - correct answer-c
During closed assisted gloving, pull the gown cuffs up over the wrists towards the
elbows before donning gloves.
a) True
b) False - correct answer-b
Once donned, which area of a surgical gown is considered sterile?
a) The front, from the chest to six inches below the surgical field
b) The front, from chest to the level of the surgical field
c) The neck and shoulders
d) The axillary area - correct answer-b
Which of the following statements about the gowning procedure is correct?
a) As the gown unfolds, slide your hands through the cuffs to allow access for closed
gloving
b) Hold your hands at chest level and slip both arms into the armholes one at a time
c) Open your gown on the back table prior to performing your surgical scrub
d) Step back from the table into an unobstructed area to let the gown unfold - correct
answer-d
A surgical mask should cover both mouth and nose, and should be:
a) Allowed to hang around the neck between procedures
b) Changed after two hours of use
c) Removed and discarded after every case
d) Tied snugly with strings crossed - correct answer-c
Where should the scrub person's sterile gown be opened?
a) As far away from the instrument tray as possible
b) In the back corner of the instrument table
c) On a separate Mayo stand
d) On top of the gloves for the scrub person - correct answer-c
, After the surgical hand scrub, the scrub person should keep the fingers pointed in which
direction to allow water to drop off away from the attire?
a) Downwards
b) Upwards
c) Straight
d) Curved towards the palm - correct answer-b
When is closed glove technique used?
a) During a surgical procedure
b) During insertion of an IV cut down
c) During the initial donning of sterile gown and gloves only
d) When changing one or both gloves - correct answer-c
According to the AORN Guidelines, when should the scrubbed team members change
their gloves during invasive surgical procedures?
a) Every hour
b) Every ninety to 150 minutes
c) Three hours after start of the procedure and every hour thereafter, until the end of the
procedure
d) Three to four hours after the start of the procedure - correct answer-b
The sterility of an item is:
a) Dependent on multi-disciplinary team decisions
b) Event-related and dependent on the integrity of the item being maintained
c) Regulated by hospital protocol and community standards.
d) Affected by time and the maintenance of item integrity - correct answer-b
After the perioperative RN sets up for a total joint procedure before the pt enters the
room, she discovers a dirty instrument on the sterile back table. What step should the
perioperative RN take NEXT?
a) Break down the back table and reestablish the sterile field
b) Bring the pt in the room and document the contamination in the pt's chart
c) Cover the area where the dirty instrument was found with a sterile towel
d) Remove the dirty instrument from the sterile field and replace it w/another sterilized
instrument - correct answer-a
What is a suggested action from the recommendation, "a sterile field should be
maintained and monitored constantly?"
