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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-
