PERIOP 101 FINAL EXAM COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS AND RATIONALES

PERIOP 101 FINAL EXAM COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS AND RATIONALES 1. 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 Correct Answer: d Rationale: Verifying with the surgeon before opening suture prevents unnecessary waste. Opening supplies that may not be used increases costs. Cleaning before patient transfer is unsafe, and asking about implant cost is outside the RN's direct role. ________________________________________ 2. An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability in his/her: a) Certification requirements for professional achievement in perioperative nursing b) Collaboration among team members c) Professional growth and maintenance of competency d) Verification of nursing knowledge Correct Answer: c Rationale: Continuing education and verified skills directly relate to professional growth and competency maintenance. Certification is one possible outcome, but the action itself reflects ongoing competency. ________________________________________ 3. Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice? a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines b) The AORN Guidelines legally supersede departmental and institutional policies c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied Correct Answer: d Rationale: AORN Guidelines are evidence-based but must be adapted to individual work settings and patient situations. They are not legally mandatory nor do they supersede institutional policies. ________________________________________ 4. What legal standard does the professional nurse need to meet when providing care? a) Reasonably prudent care b) Certification standard c) Reasonably responsible standard d) There is no legal standard Correct Answer: a Rationale: The legal standard is "reasonably prudent care," meaning what a similarly trained nurse would do under similar circumstances. ________________________________________ 5. A professional practice model includes personal accountability and ethical decision making. Which of the following is not part of personal accountability? a) Responsibility to self, patients, and peers b) Make decisions and accept consequences when necessary c) Accept performance input from direct and upper level management only d) Maintain professional engagement Correct Answer: c Rationale: Personal accountability includes accepting input from all team members, not just management. It also involves responsibility, decision-making, and engagement. ________________________________________ 6. 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 that patient takes Correct Answer: c Rationale: For an insulin-dependent diabetic, knowing the last food/fluid intake is critical to prevent hypoglycemia or hyperglycemia perioperatively and to plan insulin adjustments. ________________________________________ 7. After transferring a male patient into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST: a) Administer medication to the patient for nausea and vomiting b) Ask the patient if he has any pain c) Assess the patient's airway and respirations d) Care for this patient and 2 other patients as assigned Correct Answer: c Rationale: Airway, breathing, and circulation (ABC) are always the first priority upon arrival to PACU. ________________________________________ 8. 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) Summary, Baseline, Action, Review d) Status, Behavior, Analysis, Response Correct Answer: b Rationale: SBAR is a standardized communication tool that stands for Situation, Background, Assessment, and Recommendation. ________________________________________ 9. A 40-year-old male patient is awake and alert in the PACU after a right shoulder surgery. What is the best measure to assess the patient's pain? a) Discuss the patient's pain with the anesthesiologist b) Observe facial expressions c) Ask the patient to rate pain from 1-10 d) Monitor vital sign changes Correct Answer: c Rationale: Self-report is the gold standard for pain assessment in an awake, alert patient. ________________________________________ 10. A 47-year-old male is admitted to the Pre-op area for an inguinal hernia repair. What does the nurse include in the intake assessment? a) Pain b) Cognitive ability of the patient c) Cultural considerations d) All of the above Correct Answer: d Rationale: A comprehensive preoperative assessment includes pain, cognitive status, and cultural considerations to individualize care. ________________________________________ 11. During the preoperative interview, the perioperative nurse should ask patients about their use of: a) Alcohol b) Herbal preparations c) Recreational drugs