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AORN PERIOP 101 EXAM QUESTIONS WITH CORRECT ANSWERS
"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 Use a sterile transfer device"
"Recommended sponge count procedures include all of the following EXCEPT? - CORRECT
ANSWER Counting silently so it doesn't distract other personnel."
"What is the best drape to use for an umbilical hernia repair? - CORRECT ANSWER
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." "An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - CORRECT ANSWER A. Can be performed through smaller incisions."
"The first step in the sterilization process of surgical instruments that have been used in case is: -
CORRECT ANSWER A. Cleaning"
"The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - CORRECT ANSWER A. Improve patient satisfaction"
"When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT
ANSWER A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved" "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." "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"
"Which of the following is the best definition of sterile technique? Sterile technique is: -
CORRECT ANSWER D. Implemeted during surgical procedures to prevent microbial
contamination" "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" "Which elements are required to create an environment where the culture of safety is embraced?
- CORRECT ANSWER Sincere commitment to affirming safety as the first priority"
"Which of the following practices violates a patient's ethical right to self-determination? -
CORRECT ANSWER Automatic intrapoperative suspension of a don-not-resusucitate decision"
"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? -
CORRECT ANSWER Use the draw sheet to lift the patient slightly to allow the skin to realign
with the skeletal structures"
"In which order do the body's defense mechanisms take place during healing? - CORRECT
ANSWER 1. Stop the blood loss
- Clean up pathogens and debris in the wound
- Seal the wound against infection
- Regenerate the natural epidermal covering
- Repair the deeper tissue damage." "An area of painful skin that is abraded, blistered, or had shallow craters would be classified as
which stage of ulcer? - CORRECT ANSWER Stage II"
"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" "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
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"
"Preoperative documentation should include: Select all that apply - CORRECT ANSWER A.
Administration of ordered medications C. Performance of the universal protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment"
"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"
"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"
"Which of the following best describes capacitive coupling? - CORRECT ANSWER C. The
transfer of electrical current form the active electrode though intact insulation to adjacent conductive items such as tissue to trocars" "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"
"The choice of anesthesia is influenced by all of the following EXCEPT: - CORRECT ANSWER A.
Length of surgery C. Past experience with anesthesia D. Surgical procedure"
"Indirect expenses include which of the following: Select all that apply. - CORRECT ANSWER B.
Utilities C. Support services E. Administrative personnel" "What responsibilities do OR staff members have in maintaining a safe OR environment? Select
all that apply. - CORRECT ANSWER A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices 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" "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"
"All of the following are important examples of activities that are mad possible with preoperative
nursing documentation EXCEPT? - CORRECT ANSWER D. Ability to freely distribute
information regarding surgical procedure and diagnosis to patient's family and employer" "Which of these practices is recommended during decontamination of used instruments? Select
all that apply. - CORRECT ANSWER B. Open box locks and disassemble instruments with
multiple parts D. Use an enzymatic detergent on heavily soiled instruments E. Wear PPE" "To prevent or minimize electrosurgical injuries to patients the preoperative nurse should Select
all that apply. - CORRECT ANSWER A. Assure that the prep solutions have dried and vapors
evaporated before the device is used B. Confirm each requested power setting orally with the surgeon C. Inspect each circuit component if the surgeon repeatedly requests high power settings D. Inspect the electrosurgical unit before each use to verify the electrical integrity." "Which of the following are examples of the Guidelines - A sterile field should be maintained and
monitored constantly. Select all that apply. - CORRECT ANSWER B. If a delay occurs after a
sterile field is set up, it may be covered with sterile drapes until the delay is resolved. C. If a delay occurs after a sterile field is set up, personnel my leave the room as long as someone remains in the room to maintain continuous visual observation of the sterile field D. The sterile field should be prepared as close as possible to the time of use." "The preoperative nurse's role in preparing and administering medications includes: Select all
that apply - CORRECT ANSWER B. Assessing the patients medications allergies and use of
herbal or dietary supplements. C. Documenting and reading back the surgeon's oral orders before preparing the medications D. Verifying the administration of the correct medication, dose, and route."
"The open assisted gloving technique should be used: Select all that apply. - CORRECT
ANSWER B. Everytime gloves are changed during a case
C. When close assisted gloving is not possible. D. When the surgeon requests this specific technique"
"Proper OR attire for restricted area includes: Select all that apply. - CORRECT ANSWER B.
Shoe coverings required for all team members during c-section deliveries C. Two piece scrub suit with top tucked into the pants and secured at the waist D. Warm up jacket snapped with cuffs down to wrists." "When the tourniquet has been used for a surgical procedure the circulating nurse should
document the following: Select all that apply. - CORRECT ANSWER B. Limp Occlusion Pressure
(LOP) and cup pressure C. Location of tourniquet and time of inflation and deflation D. Skin protective measures and preoperative and post-operative skin assessments" "Bases on your knowledge of universal protocol, which of the following are acceptable methods
to correctly identify your patient. Select all that apply. - CORRECT ANSWER B. Aks the patient
to state his or her date of birth C. Ask the patient to state his or her full name"
"Which of the following is the best way to conduct a Time Out? - CORRECT ANSWER D. The
Time Out takes place once the patient is prepped and draped and involves the entire team" "What precautions should be taken when microbibrillar collagen is used as a hemostatic agent
intrapoperatively? - CORRECT ANSWER C. Avoid using it with an autologous blood salvage
unit" "Only facility approved EPA registered disinfectants should be used to clean your facility. For
which organisms must an approved disinfectant pass potency test against? - CORRECT
ANSWER B. Pseudomonas aeruginosa
C. Salmonella choleraesuis D. Staphylococcus aureus" "Which of the following activities should be performed during post procedure cleaning of an OR?
- CORRECT ANSWER A. Clean the floor, moving the OR bed to clean underneath"
"Which of the following is a finding of recent research studies on the value of certification? -
CORRECT ANSWER C. Nurse Managers would prefer to hire a certified nurse over an otherwise
equally qualified non-certified nurse."
"Which of the following are examples of regional anesthesia methods? Select all that apply. -
CORRECT ANSWER B. Epidural blocks
"The choice of anesthetic is determined after patient evaluation by and anesthesia professional. Some factors that may impact this decision include which of the following? Select all that apply.
CORRECT ANSWER - Age
- ASA physical status classification
- Length of surgery
- Past experience with anesthesia
- Surgical procedure" "Timely administration of Dantrolene or Ryanodex is a critical measure in resolving a malignant hyperthermia crisis. Which of the following are also corrective measures that should be
implemented? Select all that apply. - CORRECT ANSWER - Provide 100% oxygen
- Stop administration of trigging agents
- Stop surgery all together if possible
- Used iced saline to cool patient" "Which of the following reflects examples of a preceptor's role working with a new preoperative
RN. - CORRECT ANSWER Limiting support to a fixed period of time. Asking questions, and
supporting growth and development" "When a preoperative nurse is assigned to monitor the patient receiving moderate sedation the
following are recommendations for this role. Select all that apply. - CORRECT ANSWER - ACLS
certification
- Competency in the use of monitoring and emergency resuscitative equipment and drugs
- Access to and ability to administer appropriate reversal medications" "Terminal cleaning is performed on a daily basis after scheduled cases are completed. This
process includes cleaning of the following: Select all that apply. - CORRECT ANSWER -
Anesthesia carts and equipment
- Ceilings and walls
- Mopping or wet vacuuming floors
- OR beds, and positioning devices" "According to AORN Guideline on Environmental Cleaning a safe clean environment should be reestablished after each surgical procedure. Facility approved EPA registered disinfectants are
used to accomplish which of the following activities? Select all that apply. - CORRECT ANSWER
- All mattress and pad surfaces on the OR bed are to be cleaned
- Kick buckets haps are inspected and cleaned if soiled
- The area of the floor cleaned should include all areas that are visible soiled" "Preliminary room preparation is performed before the first case of the day. All of the following
are activities included in the preparation EXCEPT: - CORRECT ANSWER Damp dust with a lint-
free cloth moistened with 70% isopropyl alcohol" "Which of the following attributes of the nursing process reflect the use of critical thinking skills?
Select all that apply. - CORRECT ANSWER - Requires evaluation and reflection
- Requires seeking additional information
- Results in a decision" "When assessing your patients tolerance for the planned surgical position which factors are
important to consider? Select all that apply. - CORRECT ANSWER - BMI
- Nutritional status
- Physical limitations
- Pre-exisiting conditions" "According to the AORN Guideline on Environmental Cleaning, which of the following are strategies for effective between procedure cleaning in the surgical environment? Select all that
apply. - CORRECT ANSWER - Evidence based literature support cleaning the entire floor after
each surgical procedure
- Extend the perimeter of the floor area being mopped to include all areas that are visibly soiled" "You are second scrubbing today with another nurse. As you are both changing in the locker room, you notice the following aspects of her surgical attire. Which aspects of her surgical attire
are acceptable? Select all that apply. - CORRECT ANSWER - Hair is contained in a facility
approved bouffant head covering
- Scrub top is secured by tucking it into her pants
- Putting on a long sleeved warm-up jacket to prepare for her circulating role" "A 72 year old 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 rheumatoid arthritis. Based on
this history, your would be concerned about which of the following. - CORRECT ANSWER
Delayed wound healing" "Two types of regional anesthesia include spinal and epidural blocks. Which of the following
reflect complications of an epidural block? - CORRECT ANSWER hypotension, high spinal
paralysis, spinal headache"
"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. Administration, excitement,
intrasurgery, respiratory failure" "What responsibilities do OR staff members have in maintaining a safe OR environment? Select
all that apply. - CORRECT ANSWER A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards." "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 to process by the preferred wrapped or container method." "When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - CORRECT ANSWER A. Have a backup tank
available C. Verify that the CO2 pressure and supply alarms are on and functioning" "Which type of human factor is responsible for an error that occurs when a preoperative nurse is
trying to attend to several tasks at once? - CORRECT ANSWER C. Situational"
"Put the following steps in order when opening a wrapped sterile package: - CORRECT
ANSWER 1. Open the farthest wrapper flap
- Open side flaps
- Open the nearest wrapper flap" "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)"
"Latex Allergic Response Stages (matching) - CORRECT ANSWER Stage I: Contact uticaria at
the site of exposure. Symptoms could include: swelling, redness, itching and/or burning. Stage II: The allergic reaction spreads. Symptoms include: edema, itching around the eyes, acute rhinitis, nasal itching, sneezing, SOB
Stage III: 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 Fumes trapped underneath the drapes and could
ignite"
"Latex Sensitivity Categories (matching) - CORRECT ANSWER 1.Irritant contact dermatitis: non
allergic skin reaction usually aggravated by glove power and chemical agents added to raw latex
- Immediate: occurs within 5 to 30 minutes or 10-12 hours
- Delayed: occurs 24 to 72 hours"
"If the preoperative team is unable to extinguish the fire in the OR, recommendations include: -
CORRECT ANSWER Evacuating the patient and the preoperative team following the
organization fire plan" "A 72 year old 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 rheumatoid arthritis. You are concerned about his wound healing post-operatively based on the following factors: Select all
that apply - CORRECT ANSWER B. Corticosteroids may potentially delay wound healing
C. People with diabetes have a higher risk for infection due to the increase in glucose levels D. Smoking as been documented to increase the probability of nonunion at a fracture site" "When making the preoperative assessment, the nurse should take the following into
considerations. Select all that apply - CORRECT ANSWER A. Mobility
C. Planned duration of the procedure D. Preexisiting healthy conditions E. Type of anesthesia" "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 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"
C. Notation of markers or tags such as clips or sutures, with a statement of what they represent" "Which of the following questions would you expect to hear in a preoperative interview? Select
all that apply. - CORRECT ANSWER A. Could you tell me about any past surgeries
B. Has your surgeon reviewed the surgical procedure with you? Do you have any questions? C. What medications do you take on a regular basis"
"Which of the following statement about regional anesthesia is correct? - CORRECT ANSWER
B. Continuous never stimulation help insure 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 patients
signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgery with the patient and the patient has signed the consent." "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" "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." "Safety precautions when handling and caring for powered instruments include. Select all that
apply. - CORRECT ANSWER A. Handling the powered instrument to the surgeon with the
safety mechanism on B. Having irrigation ready to use with the drill or saw
D. Using the instrument with the blade guard in place"
"What are the requirements for hospital disinfectants? Select all that apply. - CORRECT
ANSWER A. Labeled as an EPA registered germicide
B. Meets the required indications of use C. Has passed the potency test against 3 representative microorganisms" "Which of the following strategies are recommended to reduce the occurrence of retained
surgical items? Select all that apply - CORRECT ANSWER - Avoid distractions during the
counting process.
- Count items including radiopaque soft goods, sharps and other miscellaneous items and instruments.
- Use a standardized approach each time a count is conducted." "Based on your knowledge of the Universal Protocol, Which of the following are acceptable ways
to identify your patient? SELECT ALL THAT APPLY. - CORRECT ANSWER - Ask the patient to
state his or her date of birth.
- Ask the patient to state his or her full name" "Which nerves are most frequently injured as a result of improper positioning of the patients
arms? Select all that apply. - CORRECT ANSWER - brachial plexus
- ulnar" "The surgeon's preference for the preoperative skin prep 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 Fumes trapped underneath the drapes could
ignite" "The AORN guideline for Environmental Cleaning gives director to preoperative staff on cleaning and disinfection in the surgical environment. Which recommendations in that guideline address
interim cleaning? Select all that apply. - CORRECT ANSWER - A safe, clean environment should
be reestablished after each surgical procedure.
- Contaminated disposable items should be handled safely accordingly to state and federal regulations
- Personnel should take precautionary measures to limit transmission of microorganisms when performing environmental cleaning and disinfection activities."
