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AORN Periop 101 Final Exam: Questions and Answers, Exams of Nursing

Bevill State Community CollegeNursing

A comprehensive set of multiple-choice questions and verified answers for a perioperative nursing final exam. it covers various aspects of perioperative care, including legal standards, professional practice models, patient assessment, pain management, ethical considerations, and infection control. The questions are designed to test knowledge and understanding of key concepts in perioperative nursing practice. This resource is valuable for students preparing for exams in nursing programs.

Typology: Exams

2024/2025

Available from 04/24/2025

Nursebenjamin
Nursebenjamin 🇺🇸

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AORN Periop 101 Final Exam
Questions and Verified Answers
100% Guarantee Pass
Consist of 115 multichoice Questions with Answers
1. What legal standard does the professional nurse need to meet when provid-
ing care?
a) Reasonably prudent care
b) certification standard
c) Reasonably responsible standard
d) There is no legal standard
Answer: A
2. a professional practice model includes personal accountability and ethical
decision making. Which of the following is not part of personal accountability?
a) Responsibility to self, patients, and peers
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Download AORN Periop 101 Final Exam: Questions and Answers and more Exams Nursing in PDF only on Docsity!

AORN Periop 101 Final Exam

Questions and Verified Answers

100% Guarantee Pass

Consist of 115 multichoice Questions with Answers

  1. What legal standard does the professional nurse need to meet when provid- ing care? a) Reasonably prudent care b) certification standard c) Reasonably responsible standard d) There is no legal standard Answer: A
  2. a professional practice model includes personal accountability and ethical decision making. Which of the following is not part of personal accountability? a) Responsibility to self, patients, and peers

b) Make decisions and accept consequences when necessary c) Accept performance input from direct and upper level management only d) Maintain professional engagement Answer: C

  1. What would be the MOST important information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient? a. How long the patient has been diabetic b. If there is someone to deive them home c. The last time the patient ate or drank d. The type of insulin that patient takes Answer: D
  2. After transferring a male pt into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST a. Administere med to the pt for nausea and vomiting b. Ask the pt if he has any pain c. Assess the pt's airway and respirations d. Care for this pt and 2 other pts as assigned Answer: C
  1. During the preoperative interview, the perioperative nurse should ask pt's about their use of a. alcohol b. herbal preparations c. recreational drugs d. tobacco products e. all of the above Answer: E
  2. The preoperative interview is the final assessment of the pt. This nurse-pt interaction enables the nurse to a. identify any additional pt care needs prior to surgery b. determine the length of the procedure and needed supplies c. introduce the pt to the surgical team d. provide info necessary for d/c Answer: A
  3. Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can partic- ipate in cost containment in the OR?

a) Ask the surgeon to use a less expensive implant b) Begin cleaning the OR for the next case before the patient leaves the room c) Open all supplies listed on preference card, including "available" supplies d) Verify with surgeon before opening suture Answer: D

  1. An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating ac- countability in his/her: a) Certification requirements for professional achievement in perioperative nursing b) Collaboration among team members c) Professional growth and maintenance of competency d) Verification of nursing knowledge Answer: C
  2. Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice? a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines b) The AORN Guidelines legally supersede departmental and institutional policies
  1. It is important to discuss the pt's spiritual needs during the pre-op assess- ment. What elements of different faiths should the periop nurse be aware of in the event of a pt's intraoperative death? a. Islamic beliefs include that one designated person should wash the body of the deceased b. The team should prepare for an organ donation for the deceased of any religious belief c. The RN circulator should immediately contact a local mortuary d. Cremation is preferred by memebers of the Jewish faith Answer: A
  2. factors that may affect postoperative pain are: select all that apply a. The surgical site b. The nature and intended purpose of the surgery c. The pt's fears regarding anesthesia or surgery d. The level of anxiety of the pt's family members Answer: A , b, c
  3. Which of the following best illustrates the purpose of perioperative pt and family education? a. To reduce the pt's anxiety b. To increase pt and family adherence to the plan of care

c. To increase the pt's and fam's satisfaction with the quality of care d. To support legal, ethical, and regulatory mandates Answer: C

  1. Which of the following practices violates a pt's ethical right to self-deter- mination or removes his or her ability to make informed choices? a. Automatically suspending an intraoperative DNR decision b. Including family in the education process c. Performing emergency surgery without informed consent d. Providing info about the scientific evidence for planned care Answer: A
  2. A 43 yr old female scheduled for a lap choly, the periop RN should provide preop education to her and her family, incuding a. Detailed info about the surgical procedure, including risks and benefits b. Obtaining informed consent from her and suspending any DNR orders c. Verification of financial records d. Wound care and pain management Answer: D
  3. Periop teaching encompasses the 3 elements of info, psychological sup- port, and skills training. What most accurately describes the level of skills

formation for future reference in addition to a. Ensuring the quality of pt care b. Serving as evidence in a court of law c. Reconstructing the pt's healthcare experience d. All of the above Answer: D

  1. Who is responsible for ensuring that the daily operations of the surgical suite meet accrediting and regulatory agency requirements? a. Administrative support staff b. Biomedical staff c. Environmental support staff d. Surgical team Answer: A
  1. Regulatory agencies require documentation for equipment and staff edu- cation. Which of the following are types of records that the healthcare facility is required to maintain? a. Sterilization logs b. Equipment maintenance records c. Chemical sterilant records d. All of the above Answer: D
  2. What is the best method for keeping instruments clean on the sterile field? a. Soak instruments in a basin of normal saline b. Wipe instruments with a sponge moistened with sterile water c. Spray instruments with an enzymatic detergent d. Wipe instruments with a sponge moistened with sterile water and flush lumens with sterile water Answer: D
  3. Select the appropriate Spaulding Classification System category for each item listed: a. Blood pressure cuff b. Laryngoscope blade c. Ortho implants
  4. critical
  5. non- critical

with sterile saline d. Instruments with multiple parts are not disassembled if they were not used during the surgery Answer: B

  1. What are the principle elements required for an infection to occur? a. A method of transmission, a source or reservoir, a susceptible host b. A susceptible host, middle age pt, skin integrity c. A susceptible organism, a warm, moist environment, a method of transmis- sion d. Limited air flow in the OR, a source or reservoir, compromised sterile technique Answer: A
  2. Which is the best method for preventing blood borne pathogen exposure? a. Allowing for proper air exchange to occur between cases b. Inspecting all sharps to ensure they are intact after use c. Using PPE and handwashing d. Wearing non sterile gloves at all times when in the surgical suite Answer: C
  3. You are circulating on a lap appendectomy. Upon entering the abdomen, the surgeon encounters purulent inflammation and asks for a culture. What is the wound class for this case? a. Class I

Answer: Clean b. Class II Answer: Clean contaminated c. Class III Answer: Contaminated d. Class IV Answer: Dirty infected Answer: D

  1. Which of the following is a disease that is transmitted via the airborne route? a. C Diff b. Flu c. Measles d. Shingles, localized Answer: C
  2. When transporting a pt who is on contact precautions, the transporter a. Always wears PPE b. Wears PPE for a restless or intubated pt c. Wears PPE if they are uncertain if they will need to touch the pt d. Wears PPE only when touching the bedrails Answer: B
  3. What are the types of transmission based precautions?
  1. Vaccine preventable disease against which health care providers should be immunized include: (select all that apply) a. hep B b. seasonal flu c. tuberculosis d. varicella Answer: A , b, d
  2. An integrator is a multiparameter indicator designed to measure which of the following parameters? a. pressure, steam, temp b. temp, time, presence of steam c pressure and sterility Answer: B
  3. In which surgical wound category should a total abdominal hysterectomy be classified a. clean b. clean contaminated c. contaminated d. dirty Answer: B
  4. immediate-use steam sterilization can be used a. for implants

b. in urgent situations c. under no circumstances d. for all items Answer: B

  1. A does not permit a person to excuse an error but rather to admit and rectify one readily. a. adherence to ascetic technique b. practice of professional c. surgical conscience d. just culture Answer: C
  2. According to AORN recommended practices, the shelf life of a sterile package kept in storage is: a. time related b. event related c. content related d. sterilization related Answer: B
  3. Match the designated surgical area with the correct surgical zone: a. preoperative pt care area b. work area for processing instruments c. individual OR suite with sterile supplies opened
  1. semi restricted
  2. unrestricted Answer: A. 3, b. 2, c. 1
  3. The relative humidity in the OR suite should be maintained within a range of a. 20-30% b. 20-60% c. 30-70% d. 40-50% Answer: B
  4. The pathology lab and blood bank are usually situated in which of the following areas? a. unrestricted b. semi restricted c. restricted d. fully restricted Answer: A
  5. Proper OR attire for restricted areas includes: (select all that apply) a. head covering in a shower cap or hood style b. shoe covers required for all team members c. 2 piece scrub suit with top tucked into the pants and secured at the waist d. warm up jacket snapped with cuffs down to wrists

Answer: A , c, d

  1. A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results show several critical values. Which of the following actions should the circulating nurse complete first? a. ask the lab to draw confirmatory lab tests b. inform the anesthesia provider of the lab values c. notify the charge nurse of your findings d. proceed with the schedule case Answer: B
  2. Witnessing a signature to an informed consent assures that: a. the pt understands the reason for the surgical procedure b. the surgeon has explained the risks, benefits, and alternatives to the planned procedure c. signature is authentic, pt is competent and consent was done voluntarily d. the surgical procedure lists all steps on the consent correctly Answer: C
  3. What are the preoperative nurse's responsibilities for the informed con- sent process? a. acts as a surgeon's agent to educate the pt about risks and benefits of surgery b. confirming that the pt is fully informed during the pre op interview c. discusses what the surgeon has told the pt and answers pt questions about