Download AORN Periop 101 Final Exam (2025 / 2026) Test Questions with Revised Answers, A+ Grade and more Exams Nursing in PDF only on Docsity!
AORN PERIOP 101 EXAM
Questions and Answers (Verified Revised Full
Exam)
- what is an appropriate action for a nurse assisting anesthesia? Ans>> Apply cricoid pressure if needed during intubation
- What is not considered a basic monitor for anesthesia? Ans>> Arterial line
- What drug is used to reverse valium and midazolam (Versed) ? Ans>> Flumazenil
- How can the perioperative nurse assist eh provider with placement of a spinal or epidural block? Ans>> Calm the patient
- During intravenous regional anesthesia (Bier Block), the tourniquet should be deflated slowly to prevent which of the following from the entering circula- tion? Ans>> Bolus of anesthetic
- What is the most consistent indicator of malignant hyperthermia during a surgical intervention? Ans>> unexplained increase in end title CO
- Which assessment factor is important to include when screening patients for potential risk of malignant hyperthermia? Ans>> Family history of problems with anesthesia
- What are complications associated with laparoscopic surgery? Ans>> CO2 em- bolism, Umbilical hernia
- Which options can the scrub person take to help prevent accidental ther- mal burns? Ans>> inspect laparoscopic instrumentation for excessive wear replace instruments that have damaged insulation clean all instruments with sterile water
- Damp dusting of the OR as part of the preliminary room preparation should be done Ans>> in the morning before bringing in surgical supplies
- Which methods are most effective for terminal cleaning the floors in the OR? Ans>> damp mop with two mop system
- Which of the following is correct regarding the disposal of contents from reusable suction systems? Ans>> Done by federal state and local regulations
- What is true regarding spray bottles? Ans>> spray bottles can aerosolize potentially infectious materials spray bottles are occasionally used to apply disinfectant
- The proper device for the disposal of blades, needles and stapling devices should be Ans>> sharps disposal container
- The goals of preforming post-procedure cleaning of the OR include Ans>> it renders the environment safe for the patient following in that room to prevent cross contamination it is the patients right to a clean and safe environment it breaks the cycle of contamination from the patient to the environment to the OR personnel and subsequent patients
- Terminal cleaning must be done Ans>> Once during each 24 hour period
- During post procedure cleaning what must be done Ans>> all kick buckets, ham- pers, and similar receptacles must be emptied and disinfected as needed OR bed should be moved to clean floor transport vehicles are considered dirty after patient contact all horizontal surfaces of tables, and equipment should be wiped down with a lint-free cloth moistened with a hospital approved disinfectant
- Sponge counts are not done for Ans>> state law requirements
- What should the periop nurse ensure when positioning a patient? Ans>> use additional precautions as appropriate based on unique patient considerations
- what physiological effects are most likely to result from positioning a patient in lithotomy? Ans>> Circulatory and respiratory compromise due to compression on the abdomen
- What are safety measures to take into consideration when placing the patient in a lateral position?
Lower arm on same plane as OR mattress; forearm and wrist in neutral positions; palm up The patients dependent ear should be assessed to ensure that it is not folded
- Documentation should include but is not limited to Ans>> type of positioning devices used names of persons positioning the patient
- what are factors that should be considered in the periop assessment Ans>> age nutritional status pre-existing conditions
- The use of PNDS helps a nurse to Ans>> Ans>> Plan the nursing interventions assess and develop nursing diagnosis' assess and evaluate the patients status Evaluate responses to positioning
- A table flexed 90 degress for the position is a variation of the position Ans>> jack-knife (kraske), prone
- What response is the result of tissue layers moving on each other Ans>> Shearing
- What surgical positions adversely affect diaphragmatic movement? Ans>> Tren- delenberg, prone and lateral
- The purpose of National patient safety goals is to Ans>> Promote specific improve- ments in safety highlight problematic areas in healthcare describe evidence and expert-based system wide solutions to the problems
- What is a practice that implements Joint commissions universal protocol for preventing, wrong site, wrong person, wrong procedure Ans>> using a timeout procedure before beginning case
- Professional organizations and societies as well as individual organiza- tions can proactively create a culture that supports patient safety through Ans>> - Convene and communicate with members about safety Incorporate attention to patient safety into training programs collaborate across disciplines
- when a count discrepancy occurs, what should be the FIRST action by the RN circulator? Ans>> inform the surgical team of the discrepancy
- sponge and instrument counts are performed according to facility policy and procedure. Generally, the times during sx procedure that sponges are counted are Ans>> Ans>> at skin closure before procedure begins when new items are added to the field when wound closure begins
- Which of the following actions should be included in the perioperative nursing care of a patient with a suspected latex allergy? Ans>> assess the patients cross-sensitivities and previous latex reactions indicate latex precautions on door signs for every room that patient occupies use latex- free supplies for IV's, hair coverings and dressing materials Verify that surgeon is aware of allergy
- when using chemical products the perioperative nurse should Ans>> use skin prep solutions according to manufacturers recommendations ensure the prep solution does not pool on drapes apply blotting towels before performing a skin prep allow skin
prep to dry before draping
- which of the following factors increase the patients risk for skin injury? Ans>> - unusual positions or positioning devices use of electrical equipment use of chemical agents prolonged length of surgery
- AORN guidelines for the time out recommend that all team members verbally verify the agreement on Ans>> Ans>> the name of the patient the site of the procedure including side distinction the procedure to be preformed
- Mechanical issues and problems that can cause skin injury include Ans>> placing heavy items on the patient dragging the patients body across the sheets Improperly applying sequential compression stockings
- Radiation exposure safety controls include
Ans>> Nonessential personnel should leave the room pregnant health care workers should avoid or limit exposure lead protective aprons, gloves and thyroid covers should be worn
- Nursing documentation for pneumatic tourniquet use includes Ans>> identifica- tion/serial number and model of the specific tourniquet location of the cuff skin and tissue integrity time of inflation and deflation of cuff
- Safety measures to prevent complications or injury due to the use of pneumatic tourniquet includes Ans>> keep fluids form pooling under cuff only minimal effective pressure should be used to create a bloodless field there should be a complete preoperative assessment the cuff should fit properly on the patient the inflation time should be monitored
- The primary reason for documenting sharp and sponge count is Ans>> to prevent injury to the patient from a retained foreign object
- an individual patient care plan that was initiated during the preoperative phase includes Ans>> a cultural or religious experience emotional considerations psychosocial considerations
- what statements are true about informed consent Ans>> needs to state the indica- tion for the proposed intervention is a physicians duty and RNs are witnesses to the patients signature must contain the name of healthcare facility
- When documenting the nurse should include Ans>> document in a timely manner use nursing diagnoses use patient statements to verify nurses findings
- the primary purpose of documentation is to Ans>> record the chronological order of events during the nursing care of a patient
- which of the following is true about the use of abbreviations in documen- tation Ans>> they put patients at risk for medication errors
- accurate perioperative documentation includes
Ans>> patient identification perioperative orders patient assessment
- when documenting a surgical drain what should be included Ans>> where the drain was placed on the patient
- Components of the electrical surgical unit include Ans>> Active electrode, disper- sive electrode and generator
- to reduce the possibility of injury related to burn where should the nurse place the dispersive electrode Ans>> as close to the operative site as feasible
- which statement best describes the path for bipolar surgical current? Ans>> cur- rent leaves the generator, is applied to tissue using two poled instrument and returns to the generator
- if the surgeon continuously asks for higher power settings what is the first action the perioperative RN should take Ans>> check the circuitry for possible disruption
- Alternate pathway burns can occur because of improper placement, where should the dispersive electrode not be places Ans>> hairy skin surfaces burn tissue bony prominences
- When using argon-enhanced coagulation AEC there is a risk of Ans>> gas emboli
Ans>> central suction sys- tems with 0.1 micrometer in line filter central suction system with HEPA in-line filter Smoke evacuator unit
- Which precautions should be take for a patient with an implanted Electron- ic device Ans>> all team members should be informed about the ED the active and dispersive electrodes should be located as close together as possible
- What is needed for documenting with an electrical surgical device Ans>> location of dispersive electrode serial or biometric device number patients kin condition before and after applying the dispersive pad
- during laparoscopic surgery perioperative RNs can reduce the capactive-coupling injuries by
chance of
Ans>> using the lowest power setting and the low-voltage cutting wave form
- AORNS guidelines for perioperative practice provides Ans>> information on ad- ministrative topics information that can be used to develop institution specific guidelines scientific evidence for clinical practices
- what is true regarding AORN's guidelines for perioperative practice Ans>> they are based on what nurses do in ideal situations they may be fulfilled in varying degrees in different situations
- why is it important for perioperative nurses to have a basic understanding of business principles? Ans>> to enable them to plan safe and effective care that is also cost effective to facilitate competition for patient volume to manage and allocate resources wisely
- gross revenue Ans>> all monies received by the facility for goods and services
- fixed expenses Ans>> medical records and administration
- net revenue Ans>> gross revenue minus expenses
- variable cost Ans>> costs directly related to patient volume
