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Preoperative Skin Preparation and Surgical Asepsis: Q&A, Exams of Nursing

This resource presents questions and answers on preoperative skin preparation and surgical asepsis. Topics include resident bacteria removal, antimicrobial use, potential patient injuries from skin antisepsis, and documentation. It also covers surgical wound infections, hair removal guidelines, and prepping from clean to dirty. Useful for medical students and professionals in surgical settings, it provides a concise review of essential practices for maintaining a sterile environment and preventing infections. Hand hygiene, gloving, and sterile field management are also addressed, offering a comprehensive overview of perioperative infection control measures. It reinforces knowledge and ensures adherence to best practices in surgical patient care.

Typology: Exams

2024/2025

Available from 06/07/2025

All-studies
All-studies šŸ‡ŗšŸ‡ø

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1. Usinggmechanicalgfrictiongwillgnotgaidgi
ngAns>>gRemovalgofgResidentgbacteria
2. Reductiongingresidentgbactieragisgaidedg
bygAns>>gAntimicrobials
3. Prolongedgcontactgofgskingatisepsisgagentsgduegtogpoolinggofgsolutionsgcangcau
segpatientginjuriesgthatginlude
Ans>>gChemicalgandgthermalgburns
4. WhichgonegofgthegfollowinggstatementsgisgTRUE?
gAns>>gHeatinggpovidone-
iodinegmaygdecreasegit'sgeffectiveness
5. Documentationgofgthegpreoperativegskingprepgincludesgallgofgthegfollowinggexc
AORN PERIOP 101 FINAL EXAM
Questions and Answers (Verified Revised
Full Exam)
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  1. Using g mechanical g friction g will g not g aid g i n g Ans>> gRemovalgofgResidentgbacteria
  2. Reduction g in g resident g bactiera g is g aided g by g Ans>> gAntimicrobials
  3. Prolonged g contact g of g skin g atisepsis g agents g due g to g pooling g of g solutions g can g cau se g patient g injuries g that g inlude Ans>> gChemicalgandgthermalgburns
  4. Which g one g of g the g following g statements g is g TRUE? g Ans>> gHeatinggpovidone- iodinegmaygdecreasegit'sgeffectiveness
  5. Documentation g of g the g preoperative g skin g prep g includes g all g of g the g following g exc

AORN PERIOP 101 FINAL EXAM

Questions and Answers (Verified Revised

Full Exam)

ept g Ans>> gHairgRemoval

  1. The g concept g of g prepping g from g clean g to g dirty g means Ans>> gBeginninggatgthegsurgicalg sitegandgusinggcirculargstrokesgtowardgthegperiphery
  1. Common g resident g bacteria g include g all g except g A ns>> gStaphylococcusgepidermisg Staphylococcusgaureusg Diptheroidgbacillus ++Pseudomonasg aeruginosa
  2. Which g of g the g following g statements g about g the g skin g prep g is g FALS E g Ans>> g++Povi-gdone-iodinegshouldgnotgbegallowedgtogdry Maufacture'sgguidelinesgshouldgbegfollowed Skingprepgisgperformedgaftergthegptghasgbeengpositioned Thegnamegofgthegpersongperforminggthegprepgshouldgbegdocumented
  3. Objectives g of g the g surgical g prep g include g all g EXCEPT g Ans>> gRemovalgofgdirt,gskingoil,gandgmicrobesgfromgthegskin gSterilizationgofgskingReduction ofgbacterialgcount Preventiongofgregrowthgofgmicrobesgforgseveralghours
  4. The g generally g recognized g length g of g time g required g for g contact g of g antimicro- g bial g agents g to g be g effective g is Ans>> gAccordinggtogmanufacturersgdirection

ng g Ans>> gTouchinggthegORgbedgcontrols Adjustingg ag ptg bedg linens MarkinggthegsurgicalgsitegAll

ofgthegabove

  1. When g should g peri- operative g team g members g use g an g alcohol g based g rub g for g hand g hygiene? Ans>> gAfterghandsghavegbeengexposedgtogbloodgorgothergbodilygfluidsgAftergusinggthegrestr oom +++Whenghandsgaregnotgvisiblygsoiled Whengcaringgforgpatientsgwithgspore-forminggorganisms
  2. How g much g of g an g alcohol g based g hand g rub g should g be g used g when g performing g ha nd g hygiene Ans>> gThegamountgrecommendedgbygthegmanufacturer
  3. Perioperative g team g members g should g maintain g fingernails g at g a g maximu m g of g Ans>> g2mmg(0.8")
  4. Which g of g the g following g measures g is g helpful g for g maintaining g healthy g ski n g and g minimizing g the g risk g of g hand g dermatitis Ans>> gCompletelygdryingghandsgbeforegputtinggongglovesgAvoidi nggwaterghottergthang80F

Ans>> gDirectg observation Measurementgofgproductgusage

Automatedgmonitorin ggSelf-reporting

  1. Approximately g what g percentage g of g surgical g patients g develop g a g surgical g site g infe ction g during g hospitalization Ans>> g 5%
  2. Which g of g the g following g terms g is g used g to g refer g to g seepage g of g fluid g through g a g ste rile g material g with g subsequent g bacterial g penetration Ans>> gStrike-through
  3. Which g of g the g following g types g of g drape g is g to g be g tubul ar g Ans>> gStockinette
  4. Which g of g the g following g is g recommended g when g opening g a g sterile g field g in g the g perioperative g setting Ans>> gCablesgandgtubinggshouldgbegsecuredgwithgnon-perforatinggdevices
  5. Which g surface g of g the g sterile g field g drapes g are g considered g ste rile g Ans>> gTOPgONLY
  6. Drapes g are g considered g contaminated g under g which g of g the g following g condi- g tions g Ans>> gAgholegisgdiscovered Thegdrapegdropsgbelowgwaistglevel
  1. Which g of g the g following g is g the g most g important g practice g for g minimizing g the g risk g for g transmission g of g infectious g organism g transmission

Ans>> g HANDg WASHING

  1. Which of the following parts of a surgical gown are considered sterile? g Ans>> g - Thegsleevesgfromgthegcuffgtog2"gabovegthegelbow
  2. Which g of g the g following g statements g about g preoperation g of g sterile g fields g is g m ost g accurate Ans>> g Perioperativeg teamg membersg shouldg performg surgicalg handg anit- g sepsisg beforegenteringgthegsterilegfield
  3. Which g of g the g following g areas g of g properly g draped g sterile g field g is g considered g ste rile g Ans>> gThegTOP
  4. Which g of g the g following g isolation g technique g procedures g should g be g followed g to g pr event g the g spread g of g cancer g cells g from g one g area g to g another g during g resection g of g metat statis g tumors Ans>> gChanginggSurgicalgglovesgwhengsoiled CoveringgexistinggsterilegdrapesgwithgnewgsterilegdrapesgaftergthegresectiongDiscontinuinggus egofginstrumentsgaftergtheygweregusedgforgthegtumorgexcisiongOrganizinggsterilegfieldgingagw aygthatgminimizesgriskgofgexposuregtogcancerousgcellsg ALLgOFgTHEgABOVE

16 g ++Requiresgeffectivegcommunicationgandgcollaborationgbetweengnurses,ganesthesia,g andgthe surgeon

17 g Isgsafegforgallgpatientsgasglonggasgtourniquetgtimegdoesgnotgexceedg 30 gminutes

  1. Physiological g effects g of g exsanguination g and g pneumatic g tourniquet g inflation g du ring g surgery g typically g include g all g of g the g following g EXCEPT Ans>> gIncreasegingcentralgvenousgpressur egIncreasedgheartgrategIncreased coregbodygtemp +++Decreasedgcoregbodygtemp
  2. Which g of g the g following g is g NOT g a g common g physiological g effect g pneumatic g tourn iquet g deflation g following g a g period g of g inflation g are g characterized g by g Ans>> gHy
  • g potension Decreasedgheartgrate ++ +IncreasedgcoregbodygtempgDecre asedgcoregbodygtemp
  1. The g acid g base g effect g of g penumatic g tourniquet g deflation g ollowing g a g perio d g of g onfaltion g are g characterized g by Ans>> gElevatedgPaCO2gwithgrespgacidosisgandgmetabolic

19 g

  1. Chiose g the g false g stemant g regarding g intravous g regional g anesthesia g (Bier's g Bloc k) g Ans>> g++ +Aftergagproceduregisgover,gthegperioperativegnursegshouldgleavegthegcuffginflated forgatgleastg 60 gminutes

20 g Intermittentlygdelfatinggandgreinflatinggthegcuffgforgseveralgcyclesgaftergthegprocedureg isgove rgmayghelpgminimizegpeakgbloodgconcentrationgofgtheglocalganesteticgandgreduceg thegriskgofga gsystemicgtoxicgreactoin Centralgnervousgsystemgabnormalitiesgaregussuallygthegearliestgwarninggsignsgofgag systemicgto xicgreactiongduringgintravenousgregionalganesthesia Beforegapplyinggagpneumaticgtourniquet,gnursesgshouldgscreengpatientsgforgsensitivesgtoglocalgane stheticsgandgcommunicategwithgtheganesthesiagprofessionalgtogconfirmgthegplangforgintraveno usgregionalganesthesia

  1. Choose g the g extremity g and g nerve g most g frequesntly g affected g by g pneu mitc g tourniquet g indced g nerve g damage Ans>> gLowerglimb,gperonealgnerve ++Upperglimb,gradialgnerve