Periop 101 Final Exam
1, 3, 2 - ANS-Match the latex sensitivity categories with their correct description:
a) Delayed Type IV Hypersensitivity
b) Immediate Type I
c) Irritant contact dermatitis
1 - Localized delayed allergic reaction occurring 24-72 hrs. after exposure
2 - Non-allergic skin reaction usually aggravated by glove powder and chemical agents added to
raw latex
3 - Occurs within 5-30 min. after exposure. The onset may be delayed 10-12 hrs.
*Use numbers separated w/commas to match
1, 4, 2, 3 - ANS-Many national organizations are focusing on ways to improve patient care.
Match the organization with their associated safety activity.
a) Centers for Medicare and Medicaid Services (CMS)
b) Institute of Medicine (IOM)
c) The Joint Commission (TJC)
d) World Health Organization (WHO)
1 - Health Insurance Portability and Accountability Act
2 - National Patient Safety Goals
3 - Safe Surgery Saves Lives
4 - To Err is Human: Building a Safer Health System
*Use numbers separated w/commas in the correct/matching order w/the letters.
2, 3, 1 - ANS-Match terms with correct definitions:
a) Surgical conscience
b) Sterile
c) Sterile technique
1 - The use of specific actions and activities to prevent contamination and maintain sterility of
identified areas during operative or other invasive procedures
2 - Allows for no compromise in the principles of sterile technique
3 - The absence of all living microorganisms
*Use numbers to match with the terms in order of a-c.
2, 3, 1 - ANS-Match the hemostatic agent to the corresponding method:
a) Bone wax
b) Laser
c) Thrombin
,1 - Chemical method
2 - Mechanical method
3 - Thermal method
*Use numbers w/commas to match
2, 3, 1 - ANS-Select the appropriate Spaulding Classification System category for each item
listed:
a) Blood pressure cuff
b) Laryngoscope blade
c) Orthopedic implants
1 - Critical
2 - Non-critical
3 - Semi-critical
*(Answer with and separate numbers w/commas)
*(Use numbers to correctly match w/"a, b, c" order)
3 - ANS-Vaccine-preventable disease against which health care providers should be immunized
include:
a) Hepatitis B
b) Seasonal influenza
c) Tuberculosis
d) Varicella
1 - B and C
2 - A and D
3 - A, B, and D
4 - A, B, C, and D
*Answer with the correct NUMBER only.
3, 1, 2 - ANS-An immediate latex allergy response has three stages. Match the following stages
with the appropriate symptoms:
a) Can progress to a sudden drop in blood pressure, increased HR, and potential circulatory
collapse
b) Contact urticaria presenting as redness and swelling at the site of exposure
c) Response spreads beyond the area of contact and can include itching around the eyes,
shortness of breath, and acute rhinitis
1 - Stage I
2 - Stage II
3 - Stage III
*Use numbers separated w/commas to match
,3, 2, 1 - ANS-Match the designated surgical area with the correct surgical zone:
a) Perioperative patient care area
b) Work area for processing instruments
c) Individual OR suite with sterile supplies opened
1 - Restricted
2 - Semi-restrict
3 - Unrestricted
*(Answer with and separate numbers w/commas)
*(Use numbers to correctly match w/"a, b, c" order)
3, 4, 2, 1 - ANS-Place the four basic steps of fire safety in the correct order:
a) Confine the fire, shut the doors
b) Evacuate according to facility plan
c) Notify the fire department
d) Rescue patients and staff members in immediate danger
*Use numbers separated w/commas in order of a-d.
3, 5, 2, 1, 4 - ANS-Match the specimen type with the appropriate description:
a) Frozen
b) Culture
c) Cytology
d) Routine
e) Forensic
1 - Does not require immediate pathology examination
2 - For studying cell biology
3 - Requires immediate pathology examination
4 - Retrieved from the patient involved as a suspect or victim in a crime
5 - Suspected of infection
*Use numbers w/commas to match the correct order
4, 1, 3, 2 - ANS-Match the instruments to the appropriate category:
a) Army Navy
b) Kelly
c) Needle Holder
d) Rongeur
1 - Clamping
2 - Cutting
3 - Grasping
4 - Retracting
*Use the numbers separated w/commas in the correct matching order.
4, 2, 3, 1, 5 - ANS-Match the anesthesia term to its definition
a) General
, b) Regional
c) Monitored Anesthesia Care (MAC)
d) Moderate sedation
e) Local
1 - Administration of anesthetic agents by an anesthesiologist, CRNA, or specially trained
perioperative RN
2 - An injection of local anesthetics near nerve fibers to cause a reversible loss of sensation
over an area of the body
3 - Anesthesia provider monitoring and sedation of the patient
4 - Drug-induced, reversible state of unconsciousness
5 - Infiltration or topical administration of agents to anesthetize a body part
*Use numbers separated w/commas to match
a - ANS-_________ should not be placed on the sterile field until final counts are completed.
a) Dressing sponges
b) Closing stitches
c) Irrigating fluid
d) Skin staples
a - ANS-A ______ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments.
a) Neutral zone
b) Hands-free zone
c) Scrub area
d) Sharps area
a - ANS-A 72-y/o man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes and is currently taking prednisone for his RA. Based on this
history, what would you be MOST concerned about?
a) Delayed wound healing
b) Postop pain control
c) Maintaining normothermia
d) Intraoperative fluid management
a - ANS-A 79-y/o patient undergoing laparoscopic cholecystectomy is being induced under
general anesthesia. The anesthesiologist notices an unexplained tachycardia, tachypnea, and
jaw tightness. The capnography shows an elevated end-tidal CO2. What is the immediate action
the perioperative RN should take to treat this suspected MH?
a) Call for the MH cart and Dantrolene
b) Initiate cooling measures
c) Administer sodium bicarb
d) Change the soda lime canister
a - ANS-A patient is scheduled for reconstruction of her external ear following a dog bite injury.
Which skin prep agent is indicated for use in this case?
a) Aqueous iodophor
b) CHG-alcohol
1, 3, 2 - ANS-Match the latex sensitivity categories with their correct description:
a) Delayed Type IV Hypersensitivity
b) Immediate Type I
c) Irritant contact dermatitis
1 - Localized delayed allergic reaction occurring 24-72 hrs. after exposure
2 - Non-allergic skin reaction usually aggravated by glove powder and chemical agents added to
raw latex
3 - Occurs within 5-30 min. after exposure. The onset may be delayed 10-12 hrs.
*Use numbers separated w/commas to match
1, 4, 2, 3 - ANS-Many national organizations are focusing on ways to improve patient care.
Match the organization with their associated safety activity.
a) Centers for Medicare and Medicaid Services (CMS)
b) Institute of Medicine (IOM)
c) The Joint Commission (TJC)
d) World Health Organization (WHO)
1 - Health Insurance Portability and Accountability Act
2 - National Patient Safety Goals
3 - Safe Surgery Saves Lives
4 - To Err is Human: Building a Safer Health System
*Use numbers separated w/commas in the correct/matching order w/the letters.
2, 3, 1 - ANS-Match terms with correct definitions:
a) Surgical conscience
b) Sterile
c) Sterile technique
1 - The use of specific actions and activities to prevent contamination and maintain sterility of
identified areas during operative or other invasive procedures
2 - Allows for no compromise in the principles of sterile technique
3 - The absence of all living microorganisms
*Use numbers to match with the terms in order of a-c.
2, 3, 1 - ANS-Match the hemostatic agent to the corresponding method:
a) Bone wax
b) Laser
c) Thrombin
,1 - Chemical method
2 - Mechanical method
3 - Thermal method
*Use numbers w/commas to match
2, 3, 1 - ANS-Select the appropriate Spaulding Classification System category for each item
listed:
a) Blood pressure cuff
b) Laryngoscope blade
c) Orthopedic implants
1 - Critical
2 - Non-critical
3 - Semi-critical
*(Answer with and separate numbers w/commas)
*(Use numbers to correctly match w/"a, b, c" order)
3 - ANS-Vaccine-preventable disease against which health care providers should be immunized
include:
a) Hepatitis B
b) Seasonal influenza
c) Tuberculosis
d) Varicella
1 - B and C
2 - A and D
3 - A, B, and D
4 - A, B, C, and D
*Answer with the correct NUMBER only.
3, 1, 2 - ANS-An immediate latex allergy response has three stages. Match the following stages
with the appropriate symptoms:
a) Can progress to a sudden drop in blood pressure, increased HR, and potential circulatory
collapse
b) Contact urticaria presenting as redness and swelling at the site of exposure
c) Response spreads beyond the area of contact and can include itching around the eyes,
shortness of breath, and acute rhinitis
1 - Stage I
2 - Stage II
3 - Stage III
*Use numbers separated w/commas to match
,3, 2, 1 - ANS-Match the designated surgical area with the correct surgical zone:
a) Perioperative patient care area
b) Work area for processing instruments
c) Individual OR suite with sterile supplies opened
1 - Restricted
2 - Semi-restrict
3 - Unrestricted
*(Answer with and separate numbers w/commas)
*(Use numbers to correctly match w/"a, b, c" order)
3, 4, 2, 1 - ANS-Place the four basic steps of fire safety in the correct order:
a) Confine the fire, shut the doors
b) Evacuate according to facility plan
c) Notify the fire department
d) Rescue patients and staff members in immediate danger
*Use numbers separated w/commas in order of a-d.
3, 5, 2, 1, 4 - ANS-Match the specimen type with the appropriate description:
a) Frozen
b) Culture
c) Cytology
d) Routine
e) Forensic
1 - Does not require immediate pathology examination
2 - For studying cell biology
3 - Requires immediate pathology examination
4 - Retrieved from the patient involved as a suspect or victim in a crime
5 - Suspected of infection
*Use numbers w/commas to match the correct order
4, 1, 3, 2 - ANS-Match the instruments to the appropriate category:
a) Army Navy
b) Kelly
c) Needle Holder
d) Rongeur
1 - Clamping
2 - Cutting
3 - Grasping
4 - Retracting
*Use the numbers separated w/commas in the correct matching order.
4, 2, 3, 1, 5 - ANS-Match the anesthesia term to its definition
a) General
, b) Regional
c) Monitored Anesthesia Care (MAC)
d) Moderate sedation
e) Local
1 - Administration of anesthetic agents by an anesthesiologist, CRNA, or specially trained
perioperative RN
2 - An injection of local anesthetics near nerve fibers to cause a reversible loss of sensation
over an area of the body
3 - Anesthesia provider monitoring and sedation of the patient
4 - Drug-induced, reversible state of unconsciousness
5 - Infiltration or topical administration of agents to anesthetize a body part
*Use numbers separated w/commas to match
a - ANS-_________ should not be placed on the sterile field until final counts are completed.
a) Dressing sponges
b) Closing stitches
c) Irrigating fluid
d) Skin staples
a - ANS-A ______ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments.
a) Neutral zone
b) Hands-free zone
c) Scrub area
d) Sharps area
a - ANS-A 72-y/o man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes and is currently taking prednisone for his RA. Based on this
history, what would you be MOST concerned about?
a) Delayed wound healing
b) Postop pain control
c) Maintaining normothermia
d) Intraoperative fluid management
a - ANS-A 79-y/o patient undergoing laparoscopic cholecystectomy is being induced under
general anesthesia. The anesthesiologist notices an unexplained tachycardia, tachypnea, and
jaw tightness. The capnography shows an elevated end-tidal CO2. What is the immediate action
the perioperative RN should take to treat this suspected MH?
a) Call for the MH cart and Dantrolene
b) Initiate cooling measures
c) Administer sodium bicarb
d) Change the soda lime canister
a - ANS-A patient is scheduled for reconstruction of her external ear following a dog bite injury.
Which skin prep agent is indicated for use in this case?
a) Aqueous iodophor
b) CHG-alcohol
