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Preoperative Safety and Sterilization Procedures, Exams of Nursing

Various preoperative safety procedures, including medication transfer to the sterile field, documenting 'time out' discrepancies, immediate use steam sterilization practices, and handling of implanted electrical devices. It also discusses the importance of proper documentation and the role of the preoperative nurse in preventing surgical site infections.

Typology: Exams

2023/2024

Available from 03/17/2024

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lOMoARcPSD|27763651
lOMoARcPSD|27763651
101 Best Revision Material/ AORN Periop
101 Questions and Answers/ AORN
Periop 101 Updated 2023-2024
When applying the concept of surgical conscience which of the following statement
should be considered? Select all that apply. --------- CORRECT ANSWER ----- A. It
involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about the
restricted zone in your OR suite. The following statements are true: ---------
CORRECT ANSWER ----- A. Air flow in the OR rooms should be cleaned by HEPA
filters. C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: ---------
CORRECT ANSWER ----- A. A sterile gown and gloves opened on a table (other than
the main instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. ---------
CORRECT ANSWER ----- A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial
to the sterile field? --------- CORRECT ANSWER ----- D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable
suture? --------- CORRECT ANSWER ----- C. Open the package carefully over a small
basin to prevent splashing of the packaging solution
Recommended sponge count procedures include all of the following EXCEPT? ---------
CORRECT ANSWER ----- B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? --------- CORRECT ANSWER ----- D.
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Download Preoperative Safety and Sterilization Procedures and more Exams Nursing in PDF only on Docsity!

lOMoAR cPSD| 27763651

101 Best Revision Material/ AORN Periop

101 Questions and Answers/ AORN

Periop 101 Updated 2023- 2024

When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. --------- CORRECT ANSWER ----- A. It involves mental discipline & the ability to speak out B. It is essential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: --------- CORRECT ANSWER ----- A. Air flow in the OR rooms should be cleaned by HEPA filters. C. Mask are required when open sterile supplies are present. E. Temperature is maintained between 68 and 75 degree F. You are assigned to relieve a surgical technologist for lunch. You will need: --------- CORRECT ANSWER ----- A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. --------- CORRECT ANSWER ----- A. Preoperative verification B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterile field? --------- CORRECT ANSWER ----- D. Use a sterile transfer device Which of the following practices is recommended for handling of natural absorbable suture? --------- CORRECT ANSWER ----- C. Open the package carefully over a small basin to prevent splashing of the packaging solution Recommended sponge count procedures include all of the following EXCEPT? --------- CORRECT ANSWER ----- B. Counting silently so it doesn't distract other personnel. What is the correct definition of incisional biopsy? --------- CORRECT ANSWER ----- D.

A small portion of tissue is incised and sent for examination. Which of the following methods listed below may prevent mishap, event, or fire from occurring when handling electrosurgical equipment? Select all that apply. --------- CORRECT ANSWER ----- A. Allow enough time for alcohol based skin preparations to completely dry. B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient. D. Visually check the integrity and insulation of all cords and coagulation instruments before use. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include: Select all that apply. --------- CORRECT ANSWER ----- A. Duration of the procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition Which of the following statements reflect the concept of critical thinking? Select all that apply. --------- CORRECT ANSWER ----- C. Informed practice D. Holistic thinking E. Unbiased thinking F. Reasoned application of a step by step process What is the best drape to use for an umbilical hernia repair? --------- CORRECT ANSWER ----- B. Laparotomy Which of the following statements correctly describes recommendations for preoperative patient skin antisepsis? --------- CORRECT ANSWER ----- D. Prep should start at the site of the incision and move outwards. What are the 3 main factors to consider when assessing the patient for allergies? --------

  • CORRECT ANSWER ----- C. Prior reaction, heredity, type of reaction The following steps can be used to reduce personnel exposure to specimen fixatives such as formalin. Select all that apply. --------- CORRECT ANSWER ----- A. Avoid splashing while pouring C. When pouring wear gloves and a mask. D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage occurs. E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use. After initial administration, which statement below the proper order of the 4 stages of general anesthesia affecting the patient? --------- CORRECT ANSWER ----- A.

C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam sterilization is the recommended practice? --------- CORRECT ANSWER ----- D. Instruments may be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. --------- CORRECT ANSWER ----- A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning transfer. D. Secure lines and catheters prior to the move and dislodging. Which of the following statements about regional anesthesia is correct? --------- CORRECT ANSWER ----- B. Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. --------- CORRECT ANSWER ----- B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent. Which PNDS outcome is the most important when draping the surgical patient? --------- CORRECT ANSWER ----- A. The patient is free from signs and symptoms of infection Which of the following components should be included in documentation of intraoperative patient position? Select all that apply. --------- CORRECT ANSWER ----- A. Identification of specific positioning devices used B. Names of personnel assisting with positioning C. Placement of arms D. Position that the patient is placed in for the procedure The preoperative nurse's documentation of the skin prep procedure should include: Select all that apply. --------- CORRECT ANSWER ----- A. The body area prepped B. Name of the person performing the prep C. Preoperative assessment of the skin at the operative site. D. Skin prep agent used. Which of the following statements about proper attire of surgical team members are true? Select all that apply. --------- CORRECT ANSWER ----- C. Sterile gowns should resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants

Preoperative safety concerns that should be considered when caring fro a patient with an implanted electrical device (IED) include which of the following? Select all that apply. --------- CORRECT ANSWER ----- A. Bipolar surgery should be used whenever possible B. The active electrode and dispersive electrode are close together but as far away from the IED as possible. D. The patient should be monitored closely for signs of complications and IED malfunction A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which of the following skin prep agents is contraindicated for use in this case? --------- CORRECT ANSWER ----- C. Chlorhexidine gluconate A __________ is a designated area on the sterile field where the scrub person and the surgeon place all sharp instruments. --------- CORRECT ANSWER ----- A. Neutral zone Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? Select all that apply --------- CORRECT ANSWER ----- A. Applying cricoid pressure during intubation if necessary B. Double checking blood if administered D. Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure Which of the following nursing tools does not reflect critical thinking and clinical reasoning? --------- CORRECT ANSWER ----- A. A single procedure list used for all patients scheduled for that procedure. Your manager has asked you to provide an in-service to team members regarding hand hygiene. Important information for you to include is: --------- CORRECT ANSWER ----- D. Skin is a major source of contamination in the surgical environment Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. --------- CORRECT ANSWER ----- A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges C. Traffic should be controlled to limit access to those trained in handling of sterile supplies D. Sterile supplies are able to bet stored in a manner that allows adequate air circulation. E. When storing items on the top shelf of a supply cart one to consider the distance between the top of an item and the ceiling The types of questions that a novice perioperative nurse might NOT ask her preceptor about an upcoming cardiovascular surgery include which of the following? --------- CORRECT ANSWER ----- A. How does the conduction system of the heart work? Which of the following are advantages of disposable drapes? Select all that apply. --------- CORRECT ANSWER ----- A. Disposable drapes are lint free.

Put the following steps in order when opening a wrapped sterile package: --------- CORRECT ANSWER ----- 1. Open the farthest wrapper flap

  1. Open side flaps
  2. Open the nearest wrapper flap Preoperative documentation should include: Select all that apply: --------- CORRECT ANSWER ----- A. Administration of ordered preoperative medication C. Performance of the Universal Protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment The following information is important in the management of forensic specimens. Select all that apply. --------- CORRECT ANSWER ----- A. Forensic specimens include but are not limited to hair, fibers, debris, body fluids and foreign bodies B. Forensic specimens require special handling when the surgeon is using metal instruments C. Hospitals need to have policies to give guidance to the preoperative nurse about the management of forensic specimens According to the CDC, which surgical wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? --------- CORRECT ANSWER ----- D. Class IV (Dirty/Infected) The preoperative nurse should avoid placing the dispersive electrode on the following areas. Match the area with the rational listed below: --------- CORRECT ANSWER ----- A. Scar tissue: May act as insulation B. Tattoo sites: contain metallic elements that could attract current C. Implanted prosthesis: Contain metal which could attract current and impede return current flow D. Hairy sites: Inhibits the flow of electrical current Which of the following strategies should be considered for implementing successful infection control? --------- CORRECT ANSWER ----- B. Washing your hands prior to greeting the patient in the pre-operative room Which of the following practices help to prevent contamination in the surgical suite? Select all that apply --------- CORRECT ANSWER ----- B. All horizontal surfaces should be damp dusted before the first scheduled procedure of the day. C. hands should be washed with soap and water for at least 15 seconds D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber cloth moistened with detergent for disinfectant and water.

Which of the following statements about counts is correct? Select all that apply. --------- CORRECT ANSWER ----- A. All preoperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. C. All sponges must remain in the OR room until the sponge count is complete. E. Two people, one of them whom is the RN circulator, must preform the sponge count An immediate latex allergic response has 3 stages. Which of the following states is matched with the appropriate symptoms? --------- CORRECT ANSWER ----- C. Can progress to a sudden drop in blood pressure, increased heart rate and potential circulatory collapse The surgeon's preference for the preoperative skin pre includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: --------- CORRECT ANSWER ----- B. Fumes trapped underneath the drapes and could ignite Which of the following is a method for preventing blood-borne pathogen exposure? ------ --- CORRECT ANSWER ----- A. Changing gloves during regular intervals during a procedure Which elements are required to create an environment where the culture of safety is embraced? Select all that apply. --------- CORRECT ANSWER ----- A. A sense of trust among all team members B. Development of a proactive approach instead of a reactive approach D. Sincere commitment to affirming safety as the first priority E. Verification of receipt of all information at all levels of the organization Which of the following are qualities of skin adhesive products? Select all that apply. --------- CORRECT ANSWER ----- B. They can be used in place of sutures. D. They are primarily used on facial, extremity, and torso wounds. Which of the following practices violates a patient's ethical right to self-determination? -- ------- CORRECT ANSWER ----- A. Automatic intrapoperative suspension of a don- notresusucitate decision Which of the following is NOT an example of an ethical dilemma that preoperative nurses may encounter? --------- CORRECT ANSWER ----- C. Family disagreement about a below knee amputation of an 19 year old who has already given consent Identify the general guidelines for identifying and labeling specimens. Select all that apply --------- CORRECT ANSWER ----- A. Ask the surgeon to identify the specimen B. Complete the laboratory or pathology requisition

Which of the following latex sensitivity categories match the description provided? ------- -- CORRECT ANSWER ----- C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove power and chemical agents added to raw latex If the preoperative team is unable to extinguish the fire in the OR, recommendations include: --------- CORRECT ANSWER ----- C. Evacuating the patient and the preoperative team following the organization fire plan The best intervention to prevent intraoperative pressure ulcer development on the patient's heels would be to: --------- CORRECT ANSWER ----- A. Elevate (offload) heels off the bed Important values affecting the clinical setting include which of the following? --------- CORRECT ANSWER ----- C. Fair and equitable care During which phase of wound healing does contraction occur? --------- CORRECT ANSWER ----- C. Proliferation Which of the following recommendation for enhancing the future of nursing included in the 21011 Institute of Medicine report? Select all that apply. --------- CORRECT ANSWER ----- A. Nurses should engage in life long learning C. Nurses should achieve higher levels of education D. Academic institutions should improve their systems to provide academic progression Safety precaution when handling and caring for powered instruments include: Select all that apply. --------- CORRECT ANSWER ----- A. Handling powered instrument to the surgeon with the safety mechanism on B. Having irrigation ready to use the drill or saw D. Using the instrument with the blade guard or drill guard in place During admission of a patient to Phase 1 of post anesthesia care, the perianesthesis nurse is responsible for which of the following? Select all that apply --------- CORRECT ANSWER ----- A. Assessing the patient's level of consciousness B. Assessing the patients pain level C. Maintaining a patent airway D. Monitoring blood pressure, heart rate and oxygen saturation Which of the following environmental sanitation practices is used to limit transmission of microorganisms? --------- CORRECT ANSWER ----- D. Use personal protective equipment when handling body fluid spills Which type of needle point should you expect to be needed for suturing viable tissue such as the liver? --------- CORRECT ANSWER ----- A. Blunt You have been asked to give a presentation for your unit colleagues on preventing surgical site infections, which of the following discussion points is NOT recommended in

AORN guidelines? --------- CORRECT ANSWER ----- C. Using soap and water to perform surgical skin prep A patient is unable to transfer independently to the procedure bed, to achieve the outcomes related to safe patient transfer, which measures may be used to prevent shearing injury? Select all that apply. --------- CORRECT ANSWER ----- B. Request additional personnel to assist with patient transfer C. Use a friction- reducing transfer sheet. D. Use a slider or roller board E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the skeletal structures When documenting medications, which of the following elements should be included? Select all that apply. --------- CORRECT ANSWER ----- B. Drug name, concentrations, route of administration, dose and time it was administered. D. Verbal orders During an inguinal hernia repair the surgeon asks for a self-retaining retractor. Which of the following retractors would be most appropriate to chose? --------- CORRECT ANSWER ----- D. Weitlaner The Aldrete scale, used to determine readiness for discharge, measures all of the following EXCEPT: --------- CORRECT ANSWER ----- A. Circulation C. Patient mobility D. Pulse oximetry E. respiratory status

D. Preexisiting healthy conditions E. Type of anesthesia Barriers to effective patient and family education in perioperative settings include: select all that apply --------- CORRECT ANSWER ----- A. Anxiety about an uncertain outcome B. Discomfort or pain C. Fear of the unknown D. Limited time for assessment and teaching Place the four basic steps of fire safety in the correct order: --------- CORRECT ANSWER ----- RACE: Rescue patients and staff members in immediate danger Notify the fire department Confine the fire. Shut the doors Evacuate according to the facility plan Preoperative fluid management is important because excessive amounts of fluid could lead to which of the following conditions? Select all that apply. --------- CORRECT ANSWER ----- B. Hypervolemia C. Hyponatremia Performance of the "time out" for patient safety includes verbal team agreement on which of the following items: Select all that apply. --------- CORRECT ANSWER ----- A. Patient identification using two patient identifiers B. Site of the procedure, including right-left distinction D. Procedure to be performed The principle elements required for an infection to occur are: Select all that apply. --------- CORRECT ANSWER ----- A. A method of transmission B. A source or reservoir C. A susceptible host with a portal of entry to receive an infection While waiting for the prep solution to dry, the circulator observes the laparotomy drape fall below the waist level of the scrub person. What is the best action for the nurse to take? --------- CORRECT ANSWER ----- A. Alert the team that the drape is contaminated and replace with a sterile drape The purpose of conducting postoperative phone calls within 24-48 horns for outpatient procedures is: Select all that apply. --------- CORRECT ANSWER ----- A. Ask about patient satisfaction with care D. Direct future hospital performance activities E. Note any surgical complications The goals of patient and family education include all of the following EXCEPT: --------- CORRECT ANSWER ----- A. Achieve long-lasting improvements in patient health status

B. Improve patient satisfaction C. Provide information/knowledge to the patient and and family What are the three methods used to accomplish hemostasis? --------- CORRECT ANSWER ----- A. Mechanical, chemical and thermal Which of the following statement is true concerning the use of the AORN Guideline for Preoperative Practices? --------- CORRECT ANSWER ----- D. Work setting and situations variations may determine the extent to which the AORN Guidelines can be applied Which of the following statements about gloving is true? --------- CORRECT ANSWER -- --- B. The gown should be fastened in the back before donning gloves All of the following statements indicate an understanding of the recommended attire for the circulating nurse during and invasive procedure EXCEPT: --------- CORRECT ANSWER ----- C. Jewelry should on the outside of surgical attire to be constantly monitored The preoperative nurse's role in the patient and family education should include: Select all that apply --------- CORRECT ANSWER ----- A. Explaining what the patient will experience C. Providing emotional support to enhance coping D. Teaching specific skills that the patient will need to perform postoperatively Interventions to help prevent a surgical site infection (SSI) in the patient undergoing a laparoscopic appendectomy include: Select all that apply --------- CORRECT ANSWER - ---- A. Performing the surgical skin prep beginning at the planned incision site and moving out towards the periphery in all directions C. Confirming that antibiotics are administered as ordered before the start of the case Which of the following components should be included in documenting the placement of a surgical drain? --------- CORRECT ANSWER ----- B. Location of the drain Which of the following practices is recommended to reduce the patient's risk of intraoperative skin injury --------- CORRECT ANSWER ----- D. Protect sensitive areas of the skin with appropriate padding Which of the following is an example of synthetic absorbable material? --------- CORRECT ANSWER ----- D. Vicryl Which of the following physiological effects is most likely to result from positioning a patient in lithotomy position? --------- CORRECT ANSWER ----- A. Circulatory and respiratory compromise due to pressure on the abdomen When you are receiving a handoff report at a shift change, you notice there appears to be an unlabeled medication on the field. What is the best course of action in this

To follow the AORN Guidelines for positioning the patient , the perioperative nurse should: --------- CORRECT ANSWER ----- D. Use additional precautions as appropriate based on unique considerations WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT APPLY. --------- CORRECT ANSWER ----- B. Drains expedite healing by removing blood, serosanguinous fluid and purulent material C. Drains function by passive (gravity) or active means (suction) D. Hand-off report to the PACU nurse should include; the type location and patency of the drain Types of powered cutting instruments include: Select all that apply. --------- CORRECT ANSWER ----- A. Bone Reamers B. Ultrasonic dissectors C. Saws D. Tissue shavers Based on your understanding of chemical safety issues, identify the best strategy to reduce the risk associated with ignition of prep solution vapor. --------- CORRECT ANSWER ----- A. Allow the prep to dry before draping to allow vapors to dissipate The goals of the surgical skin prep are to: Select all that apply. --------- CORRECT ANSWER ----- A. Inhibit rapid rebound growth of microorganisms B. Reduce the risk of postoperative site infection C. Remove soil and transient microorganisms and to reduce the number of resident microorganisms Endoscopic instrumentation maintenance may be enhanced by all of the following EXCEPT: --------- CORRECT ANSWER ----- C. Irrigating channels with normal saline at the end of each case Which of the following statements concerning mentors and preceptors are correct? Select all that apply --------- CORRECT ANSWER ----- A. Both model professional nursing behaviors B. Mentors guide nurses through global professional activities C. Preceptors guide nurses through defined clinical activities Which nursing diagnosis is a PRIORITY for the patient who is being positioned for a posterior lumbar laminectomy? Select all that apply. --------- CORRECT ANSWER ----- A. Impaired gas exchange D. Risk for preoperative positioning injury When performing a plastic surgery skin closure, which choice of suture size would be most appropriate? --------- CORRECT ANSWER ----- C. 5- 0

Over-oressurizaiton of a tourniquet cull may cause: --------- CORRECT ANSWER ----- B. Compression injuries to blood vessels The most important reason for maintaining endoscopic instruments at an optimal level of suction that --------- CORRECT ANSWER ----- A. Insulation defects can cause unseen burns Which is the following a disadvantage of using skin clips? --------- CORRECT ANSWER ----- C. They often cause more scarring than other skin closure methods Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: --------- CORRECT ANSWER ----- D. Begin with higher surfaces and finish with lower surfaces At the end of an orthopedic case, all of the following instrument care guidelines should be followed EXCEPT? --------- CORRECT ANSWER ----- B. Place heavy instruments in top of smaller instruments to promote cleaning Which of the following sensory assessment findings is common among elderly patients? --------- CORRECT ANSWER ----- A. Decreased color and depth perception Which of the following practices should be used to implement the Joint Commissions Universal Protocol for Preventing wrong site, wrong procedure, wrong person surgery? - -------- CORRECT ANSWER ----- C. Using the time-out procedure before beginning the procedure Which of the following is a strategy to reduce medication errors? --------- CORRECT ANSWER ----- D. Using only computerized physician order entry for medication management Documentation of intraoperative surgical specimens includes which of the following? Select all that apply. --------- CORRECT ANSWER ----- A. Identification of the specimen in the intraoperative record and the pathology requisition B. No Abbreviations C. Notation of markers or tags such as clips or sutures, with a statement of what they represent What steps should be followed in correctly draping the sterile field? Select all that apply. --------- CORRECT ANSWER ----- A. Drape from sterile to unsterile B. Drape from operative site outward C. Form a cuff with the drape and place gloved hands under the cuff D. Handle each drape as little as possible

D. Monitor, identify and report safety hazards. Which PNDS outcome is the most important when draping the surgical patient? --------- CORRECT ANSWER ----- A. The patient is free from signs and symptoms of infection All of the following are important examples of activities that re made possible with preoperative nursing EXCEPT: --------- CORRECT ANSWER ----- B. Ability to freely distribute information regarding surgical procedure and iqsgnosis to patient's family and employer postoperatively Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. --------- CORRECT ANSWER ----- A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges B. Outside shipping containers are segregated from items on shelves C. Traffic should be controlled to limit access to those trained in the handling of sterile supplies D. Sterile supplies are able to be stored in a manner that allows adequate air circulation Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? Select all that apply. -------- CORRECT ANSWER ----- A. Applying cricoid pressure if necessary B. Double checking blood if administered D Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure In which type of healing does the wound remain open and allowed to heal on its own without additional surgery? --------- CORRECT ANSWER ----- B. Granulation You are circulating on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters non-purulent inflammation and ask for a culture. The procedure is completed using the laparoscope without need to open the abdomen, in completing your documentation of wound class the best choice would be: --------- CORRECT ANSWER ----- C. Contaminated Which item blow is typically subjected to non-biologic testing? --------- CORRECT ANSWER ----- C. Bullet from a crime scene Which of these practices is recommended during decontamination of used instruments? Select all that apply. --------- CORRECT ANSWER ----- B. Open box locks and dissemble instruments with multiple parts D. Use enzymatic detergent on heavily soiled instruments E. Wear PPE

Which of the following environmental sanitation practices is used to limit the transmission of microorganisms? --------- CORRECT ANSWER ----- D. Use PPE when handling body fluid spills What is the most appropriate needle point for performing a vascular anastomosis? ------- -- CORRECT ANSWER ----- C. Taper Point According to the CDC, which wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? --------- CORRECT ANSWER ----- D. Dirty (Class IV) Your are the circulating RN for a patient having an operative hysteroscopy. Actions you should take to achieve correct fluid management for the patient includes all of the following EXCEPT: --------- CORRECT ANSWER ----- A. Assessing the patients NPO status NPO status, weight, medication, and allergies. When making the preoperative assessment the nurse should take the factors into consideration? Select all that apply. --------- CORRECT ANSWER ----- A. Mobility C. Planned duration of the procedure D. Preexisting health conditions E. Type of anesthesia When selecting surgical drapes the following are desirable characteristics. Select all that apply. - -------- CORRECT ANSWER ----- A. Antistatic and allergenic B. Barrier to restrict passage of microorganisms C. Resistance to tearing, punctures, or abrasions D. Dull or non-glaring material Which of the following are preoperative systemic factors that negatively affect wound healing? Select all that apply. --------- CORRECT ANSWER ----- A. Diabetes C. Protein deficiency D. Smoking E. Steroid use Documentations of intraoperative surgical specimens include which of the following? Select all that apply. --------- CORRECT ANSWER ----- A. Indication of the specimen in the intraoperative record and the pathology requisition B. NO abbreviations C. Notation of markers or tags such as slices or sutures with a statement of what they represent. All of the following are important examples of activities that are mad possible with preoperative nursing documentation EXCEPT? --------- CORRECT ANSWER ----- D.