AORN Periop 101 Final Exam Study
Guide
1. 1. A critical perioperative nursing diagnosis within the PNDS is: - ANS-What is risk for
perioperative positioning injury?
2. 1.This type of needle point is what you would expect to be needed for suturing friable
tissue such as the liver. - ANS-What is a Blunt needle point?
3. 10. According to AORN RP for positioning the patient, the perioperative nurse should:
4. What is...
5. a. Use a consistent method of procedure-specific position for each patient
6. b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning
7. c. use additional precautions as appropriate based on unique patient considerations
8. d. Depend on the patient's natural defense mechanisms to indicate the need for
positioning alterations - ANS-c. use additional precautions as appropriate based on
unique patient considerations
9. 100. A psychosocial assessment of your pt should include: - ANS-a. Cultural beliefs and
practices-
10. b. Expectations of perioperative care-
11. c. Spiritual or religious beliefs-
12. d. Understanding of the surgical procedure-
13. 101. The Perioperative nurse's documents of the skin prep procedure should include -
ANS-a. Body area prepped-
14. b. Name of person performing prep-
15. c. Preoperative assessment of skin at the operative site-
16. d. Skin prep agent-
17. e. Type and extent of hair removal if ordered-
18. 102. What special care procedures are required for microsurgical instruments - ANS-a.
Keep stainless steel and titanium instruments separated-
19. b. Use a non-fibrous sponge wipe to clean the instrument tip if recommended-
20. c. Use tip covers or protective sleeves when instruments are not being used-
21. 103. Name factors regarding the proper attire of surgical team member - ANS-a. Sterile
gowns should resist fluid strike-through-
22. b. Head covering should be donned before pulling on the scrub top-
23. c. Scrub top must be secured at the waist or tucked into the pants-
24. d. Shoe covers are optional
25. e. Masks are changed after each patient
26. 104. What phases of the nursing process that the perioperative nurse practices during
the preoperative phase of the surgical experience? - ANS-a. Assessment-
27. b. Identification of desired outcome-
, 28. c. Nursing diagnosis-
29. d. Planning-
30. 105. Name 4 practices you should follow during the surgical scrub procedure - ANS-a.
Fingernails should be cleaned under running water-
31. b. Stand slightly back from the sink and lean over to prevent splashing scrub suit-
32. c. Forearms scrubbed 2" above the elbow
33. d. Hands held higher than the elbows to scrub and rinse
34. 106. What are practices from AORN RP V that states "a sterile field should be
maintained and monitored constantly." - ANS-a. The sterile field should be constantly
monitored-
35. b. The sterile field should be prepared as close as possible to the time of use-
36. c. The sterile field may be covered with a sterile drape-
37. 107. What are 3 Safety precautions when handling and caring for powered instrument -
ANS-a. Hand the powered instrument to the surgeon with the safety mechanism on-
38. b. Have irrigation ready to use with the drill or saw-
39. c. Use the instrument with the blade or drill guard in place-
40. 108. A patient is unable to transfer independently to the procedure bed. To achieve the
PNDS outcomes related to safe patient transfer, which measures may be used to
prevent shearing injury? - ANS-a. Request additional personnel to assist with pt transfer-
41. b. Use a friction-reducing transfer sheet-
42. c. Use a slider or roller board-
43. d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal
structure-
44. 109. What Practices are recommended during decontamination of used instruments -
ANS-a. Open box locks and disassemble instrument with multiple parts-
45. b. Use enzymatic detergent on heavily soiled instruments-
46. c. Wear PPE-
47. 11.The disadvantage of using this type of wound closure is because they often cause
more scarring than other skin closure methods. - ANS-What is skin clips?
48. 110. What is the Perioperative nurses role in preparing and administering meds - ANS-a.
Assess pts medication allergies and use of herbal or dietary supplements-
49. b. Verify the administration of the correct med, dose, and route-
50. c. Writing down and reading back the surgeons oral orders before preparing medication-
51. d. Verify expiration date
52. 111. The OR management team has responsibility for safety in the surgical suite which
includes: - ANS-a. Establishing policies related to electrical, fire, radiation, pt
management safety-
53. b. Monitoring adherence to safety policies and practices-
54. c. Providing education to staff members regarding safety policies and procedures-
55. d. Reporting safety hazards and violations to appropriate authorities-
56. 112. The OR staff members are responsible for maintaining a safe OR environment
which include: - ANS-a. Adhering to facility policies related to safety-
57. b. Consistently applying OR-specific safety practices-
58. c. Reporting safety hazards and violations to appropriate authorities-
Guide
1. 1. A critical perioperative nursing diagnosis within the PNDS is: - ANS-What is risk for
perioperative positioning injury?
2. 1.This type of needle point is what you would expect to be needed for suturing friable
tissue such as the liver. - ANS-What is a Blunt needle point?
3. 10. According to AORN RP for positioning the patient, the perioperative nurse should:
4. What is...
5. a. Use a consistent method of procedure-specific position for each patient
6. b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning
7. c. use additional precautions as appropriate based on unique patient considerations
8. d. Depend on the patient's natural defense mechanisms to indicate the need for
positioning alterations - ANS-c. use additional precautions as appropriate based on
unique patient considerations
9. 100. A psychosocial assessment of your pt should include: - ANS-a. Cultural beliefs and
practices-
10. b. Expectations of perioperative care-
11. c. Spiritual or religious beliefs-
12. d. Understanding of the surgical procedure-
13. 101. The Perioperative nurse's documents of the skin prep procedure should include -
ANS-a. Body area prepped-
14. b. Name of person performing prep-
15. c. Preoperative assessment of skin at the operative site-
16. d. Skin prep agent-
17. e. Type and extent of hair removal if ordered-
18. 102. What special care procedures are required for microsurgical instruments - ANS-a.
Keep stainless steel and titanium instruments separated-
19. b. Use a non-fibrous sponge wipe to clean the instrument tip if recommended-
20. c. Use tip covers or protective sleeves when instruments are not being used-
21. 103. Name factors regarding the proper attire of surgical team member - ANS-a. Sterile
gowns should resist fluid strike-through-
22. b. Head covering should be donned before pulling on the scrub top-
23. c. Scrub top must be secured at the waist or tucked into the pants-
24. d. Shoe covers are optional
25. e. Masks are changed after each patient
26. 104. What phases of the nursing process that the perioperative nurse practices during
the preoperative phase of the surgical experience? - ANS-a. Assessment-
27. b. Identification of desired outcome-
, 28. c. Nursing diagnosis-
29. d. Planning-
30. 105. Name 4 practices you should follow during the surgical scrub procedure - ANS-a.
Fingernails should be cleaned under running water-
31. b. Stand slightly back from the sink and lean over to prevent splashing scrub suit-
32. c. Forearms scrubbed 2" above the elbow
33. d. Hands held higher than the elbows to scrub and rinse
34. 106. What are practices from AORN RP V that states "a sterile field should be
maintained and monitored constantly." - ANS-a. The sterile field should be constantly
monitored-
35. b. The sterile field should be prepared as close as possible to the time of use-
36. c. The sterile field may be covered with a sterile drape-
37. 107. What are 3 Safety precautions when handling and caring for powered instrument -
ANS-a. Hand the powered instrument to the surgeon with the safety mechanism on-
38. b. Have irrigation ready to use with the drill or saw-
39. c. Use the instrument with the blade or drill guard in place-
40. 108. A patient is unable to transfer independently to the procedure bed. To achieve the
PNDS outcomes related to safe patient transfer, which measures may be used to
prevent shearing injury? - ANS-a. Request additional personnel to assist with pt transfer-
41. b. Use a friction-reducing transfer sheet-
42. c. Use a slider or roller board-
43. d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal
structure-
44. 109. What Practices are recommended during decontamination of used instruments -
ANS-a. Open box locks and disassemble instrument with multiple parts-
45. b. Use enzymatic detergent on heavily soiled instruments-
46. c. Wear PPE-
47. 11.The disadvantage of using this type of wound closure is because they often cause
more scarring than other skin closure methods. - ANS-What is skin clips?
48. 110. What is the Perioperative nurses role in preparing and administering meds - ANS-a.
Assess pts medication allergies and use of herbal or dietary supplements-
49. b. Verify the administration of the correct med, dose, and route-
50. c. Writing down and reading back the surgeons oral orders before preparing medication-
51. d. Verify expiration date
52. 111. The OR management team has responsibility for safety in the surgical suite which
includes: - ANS-a. Establishing policies related to electrical, fire, radiation, pt
management safety-
53. b. Monitoring adherence to safety policies and practices-
54. c. Providing education to staff members regarding safety policies and procedures-
55. d. Reporting safety hazards and violations to appropriate authorities-
56. 112. The OR staff members are responsible for maintaining a safe OR environment
which include: - ANS-a. Adhering to facility policies related to safety-
57. b. Consistently applying OR-specific safety practices-
58. c. Reporting safety hazards and violations to appropriate authorities-
