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Perioperative Nursing: Questions and Answers for Exams, Exams of Nursing

This comprehensive study guide provides a valuable resource for students and professionals in perioperative nursing. it features a wide range of questions and answers covering various aspects of surgical nursing, including surgical techniques, patient care, safety protocols, and ethical considerations. The guide is designed to aid in exam preparation and enhance understanding of key concepts in the field. it covers topics such as wound closure, surgical instruments, aseptic techniques, patient positioning, and laser safety. the questions are detailed and the answers are well-explained, making it an excellent tool for self-assessment and knowledge reinforcement. This resource is particularly useful for students preparing for exams or those seeking to deepen their understanding of perioperative nursing practices.

Typology: Exams

2024/2025

Available from 04/18/2025

Prof.Steve
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1. This type of needle point is what you would expect to be needed for
suturing friable tissue such as the liver.
Ans>> Blunt needle
2. These particular wound closing items are available in a wide
variety of instrument sizes.
Ans>>
disposable
stapler
3. The surgical wound classification for a total abdominal
hysterectomy. Ans>> clean contaminated
4. Following an excisional breast biopsy, the circulating nurse would
antici- pate the need to have available this type of drain
Ans>>
jackson
pratt
AORN PERIOP 101 FINAL EXAM STUDY GUIDE
Questions and Answers (Verified Revised Full Exam)
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1. This type of needle point is what you would expect to be needed for

suturing friable tissue such as the liver. Ans>> Blunt needle

2. These particular wound closing items are available in a wide

variety of instrument sizes. Ans>> disposable stapler

3. The surgical wound classification for a total abdominal

hysterectomy. Ans>> clean contaminated

4. Following an excisional breast biopsy, the circulating nurse would

antici- pate the need to have available this type of drain Ans>> jackson pratt

AORN PERIOP 101 FINAL EXAM STUDY GUIDE

Questions and Answers (Verified Revised Full Exam)

5. This position can cause physiological effects of circulatory and

respiratory compromise due to pressure on the abdomen. Ans>> lithotomy

6. It is recommended to inspect the active electrode for insulation defects to

prevent this from occurring during MIS Ans>> capacitive coupling

7. The disadvantage of using this type of wound closure is because they

often cause more scarring than other skin closure methods. Ans>> skin clips

8. An automatic intraoperative suspension of a do-not-resuscitate decision

violates a patient's ethical right to... Ans>> self-determination

9. This type of human factor error is responsible when a perioperative nurse is

trying to attend to several tasks at once Ans>> situational-based

14. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)-

Ans>> fuel

15. The safest way to pass a cutting instrument to a

surgeon is Ans>> neutral zone

16. To place a patient safely in this particular position the knees are over the

break in the procedure bed to allow for knee flexion. Ans>> Trendelenberg

17. A packaging system for items undergoing sterilization should

possess this characteristic What is....

1. Made of only disposable materials

2. to permit aseptic delivery of contents to the sterile field

3. Maintain sterility of the items for a specified length of time.

4. Compatible with all sterilization processes

Ans>> to permit aseptic delivery of con- tents to the sterile field

18. Silicone catheters should be stocked on this particular cart in the

surgical suite. Ans>> Latex-safe cart

19. Open this package carefully over a small basin to prevent splashing

of the packaging solution. Ans>> natural absorbable sutures (plain, chromic)

20. An example of administrative controls to assure safe use of lasers,

is the appointment of a person in this role Ans>> laser safety officer

21. This statement about the perioperative nurse's role in bioethical decision

making is most justifiable. The perioperative nurse should... WHAT IS...

a. Try to avoid involvement in ethical dilemmas unless they are

personally engaged in a situation.

b. Refer all ethical dilemmas to the institution's ethics committee to decide

the best course of action.

c. act according to the terms of agreement establishing the nature

of the relationship between the pt and the nurse

d. Defer to surgeons judgment when there is disagreement about the right course

access to MSDS (material safety data sheets) for hazardous agents in that environ- ment

25. This type of healing the wound remains

open Ans>> granulation

26. An abstract concept that has been developing since

Socrates. Ans>> critical thinking

27. This item is placed as close to the operative site as

possible Ans>> dispersive electrode

28. This is desired patient outcome most closely related to the use of

local anesthesia for a procedure What is....

a. The pt is the recipient of competent and ethical care within legal

standards of practice.

b. The pt is normothermic at the conclusion of the procedure

c. The patient reports adequate pain control throughout the

perioperative process

d. The pt's respiratory function is consistent with preoperative baseline

lev- els. Ans>> c. The patient reports adequate pain control throughout the perioperative process

29. Antibiotics are most commonly administered during the intraoperative

phase through this route Ans>> irrigation

30. Recent research studies on the value of certification found that WHAT is....

a. Non-certified nurse managers saw little value in certification

related to professional growth.

b. The most frequent reason for achieving certification is the expectation of

higher

salary and career advancement

are easily grasped when needed

b. Move them from the mayo stand to the back table if the surgeon says that

they are not working properly.

c. frequently inspect tips and wipe clean of blood or tissue as needed

d. Organize them on the may stand or back table by placing one inside

another. Ans>> c. frequently inspect tips and wipe clean of blood or tissue as needed

35. A critical perioperative nursing diagnosis within the

PNDS is Ans>> Risk for perioperative positioning injury?

36. There are 3 process monitors in the sterilization process; this particular

monitor indicates that the intended physical conditions in the sterilizer were met. Ans>> biological monitoring

37. This is the most reliable early indication of malignant

hyperthermia Ans>> In- crease in end-tidal CO

38. This statement concerning the use of AORN Recommended Practices

is true Ans>>

a. RPs supersede departmental and institutional policies

b. Work setting and situation variations may determine the extent to which

the RPs can be applied

c. RPs are based on scientific evidence of how nurses actually

practice in perioperative settings

d. Licensed and accredited institutions are required to comply with the RPs

Ans>> b. Work setting and situation variations may determine the extent to which the RPs can be applied

39. This can be performed through smaller incisions

Ans>> MIS procedure/La- paroscopy

46. First step in the sterilization process of surgical instruments

that have been used in a procedure Ans>> decontamination

47. This is affected by pt and staff beliefs, staff attitudes, and

individual and collective values Ans>> culture of a clinical setting

48. Most important reason for maintaining endoscopic instruments at optimal

level of function Ans>> can cause unseen thermal burns

49. According to Dewey and Glaser this statement about critical

thinking is incorrect.

a. Logical inquiry and thoughtful reasoning

b. Active, persistent and careful consideration of the evidence

supporting a decision

c. Passive acceptance of an unreflective jump to conclusion required in the OR.

d. Skill in applying the methods of logical inquiry and reasoning

Ans>> Passive acceptance of an unreflective jump to conclusion required in the OR.

50. During this phase of wound healing contraction

occurs Ans>> proliferation

51. Exposure to this sterilization method is potentially carcinogenic and mu-

tagenic to personnel and patients. Ans>> ethylene oxide

52. The AORN RP that most directly pertains to this phase of cleaning in the

Periop environment states that a safe, clean environment should be reestab- lished after

each surgical procedure.

58. Name 4 types of powered cutting instruments used in

surgery Ans>> a. Bone reamers -

b. Dissectors -

c. Saws -

d. Tissue shavers -

59. Name 2 ways that health care workers are most likely to become sensitized

to latex Ans>> a. Airborne contact - b. Cutaneous contact -

60. During admission of a patient to Phase 1 in PACU, what 5 things

are the Perianesthesia nurse responsible for? Ans>> a. Assessing patient's level of conscious- ness -

b. Assessing the patient's pain level -

c. Assessing the surgical dressing -

d. Maintaining a patent airway -

e. Monitoring BP, HR, and O2 saturation -

61. Name 4 types of biopsies that require specialized methods of

preparation and preservation to preserve the cells Ans>> a. Bone marrow-

b. Muscle-

c. Nerve-

d. Testicular-

62. List 4 items necessary included in Preoperative

documentation Ans>> a. medica- tions-

66. 4 Barriers to effective pt and family education in the perioperative setting.-

Ans>> a. Anxiety about an uncertain outcome-

b. Discomfort or pain-

c. Fear of unknown-

d. Short period of time for assessment and teaching-

67. The 3 purposes of the surgical hand

scrub Ans>> a. Reduce risk of microbial contamination- b. Remove soil and debris- c. Suppress growth of microorganisms-

68. List the 5 Recommended Practices for sponge count

procedures Ans>> a. Count all sponges at the beginning of the case-

b. Separate sponges as they are counted-

c. Simultaneous counting by two people, including an RN circulator-

d. Count out loud

e. Document all counts

69. List 2 ways that the Perioperative nurse assists with general anesthesia

induction Ans>> a. Apply cricoid pressure if needed during intubation- b. Remain at the pts side to offer reassurance and promote safety-

70. List 3 steps that should be followed to remove of the gown and gloves at

the end of the procedure Ans>> a. Grasp gown at shoulders and pull downward, turning sleeves inside out- b. Remove gown first-

c. Use a glove-to-glove and skin-to-skin technique to remove gloves-