Download Surgical Preoperative Skin Preparation and Aseptic Techniques: Questions and Answers and more Exams Nursing in PDF only on Docsity!
1. Using mechanical friction will not
aid in Ans>> Removal of Resident bacteria
2. Reduction in resident bactiera is
aided by Ans>> Antimicrobials
3. Prolonged contact of skin atisepsis agents due to pooling of solutions can
cause patient injuries that inlude Ans>> Chemical and thermal burns
4. Which one of the following statements is TRUE?
Ans>> Heating povidone-iodine may decrease it's effectiveness
5. Documentation of the preoperative skin prep includes all of the following
except Ans>> Hair Removal
AORN PERIOP 101 FINAL EXAM
Questions and Answers (Verified Revised Full Exam)
++Manufacture of solutions used Allergies Name of person who performed the prep
6. When prepping an exremity, which one of the following is always required-
Ans>> Positioing the extremity to prevent prep solution from running toward the incision site
7. Surgical wound infections can result in
decreased Ans>> Income for hospitals
8. Pre-operative skin prep is
accomlished by Ans>> Removing soil and transient mi- crobes Reducing resident microbes Using antimicrobial agents that inhibit growth of microbes
9. According to AORNs guidelines for skin prep of pt's, hair at the operative
site is Ans>> Allowed to remain unless it interferes with the surgical procedure
10. The concept of prepping from clean to dirty means
Ans>> Beginning at the surgical site and using circular strokes toward the periphery
15. The principle of preoperative skin prep include all of the following except-
Ans>> Prep from clean to dirty Use aseptic technique +++Prep stomas first Prevent pooling
16. Which of the following topical antimicrobial agents is
neurotoxic Ans>> CHG
17. Which statement is TRUE about iodophor with
alcohol? Ans>> It provides rapid reduction in microbial counts of skin Persistence or residual activity is excellent Non toxic and nonirritating +++Percutaneous absorption does not occur across mucous membranes
18. Which statement is FALSE about eye, extremity, or vaginal prep?
Ans>> A 5% sterile opthalmic prep solution is commercially available for eye preps +++The vagina should be prepped first as part of the vag prep When prepping an extremity, it should be positioned so that the incision site is the upper- most portion of the prep If fingers or toes are included in the surgical field (extremity prep), it may be necessary to scrub the nail with a brush and soap solution
19. Hand hygiene should be performed after which of the
following Ans>> Touching the OR bed controls Adjusting a pt bed linens Marking the surgical site All
of the above
20. When should peri-operative team members use an alcohol based rub for
hand hygiene? Ans>> After hands have been exposed to blood or other bodily fluids After using the restroom +++When hands are not visibly soiled When caring for patients with spore-forming organisms
21. How much of an alcohol based hand rub should be used when performing
hand hygiene Ans>> The amount recommended by the manufacturer
22. Perioperative team members should maintain fingernails at a
maximum of Ans>> 2mm (0.8")
23. Which of the following measures is helpful for maintaining healthy
skin and minimizing the risk of hand dermatitis Ans>> Completely drying hands before putting on gloves Avoiding water hotter than 80F
Automated monitoring Self- reporting
30. Approximately what percentage of surgical patients develop a surgical site
infection during hospitalization Ans>> 5%
31. Which of the following terms is used to refer to seepage of fluid through a
sterile material with subsequent bacterial penetration Ans>> Strike-through
32. Which of the following types of drape is to be
tubular Ans>> Stockinette
33. Which of the following is recommended when opening a sterile field
in the perioperative setting Ans>> Cables and tubing should be secured with non-perforating devices
34. Which surface of the sterile field drapes are considered
sterile Ans>> TOP ONLY
35. Drapes are considered contaminated under which of the following condi-
tions Ans>> A hole is discovered The drape drops below waist level
The drape is placed incorrectly There some doubt about the drapes sterility
36. The perioperative RN should do which of the following when draping a
patient for a laparotomy? Ans>> Place the opening of the lap sheet directly over the surgical site
37. Which of the following is an important consideration when draping pa-
tients for procedures on the eye Ans>> It is important to repel water The environment must be free of lint Cataract procedures are often performed without sedation Adequate air exchange for the patient must be maintained
38. The perioperative RN should follow which of these procedures when
drap- ing equipment Ans>> Drape equipment that will be positioned over the sterile field Drape equipment that will be positioned immediately adjacent to the sterile field Drape large pieces of equipment as close to the time of use as possible Follow the manufacturer's instructions for use All of the above
39. Which of the following is an acceptable position for the hands and arms
of a scrubbed person for maintaining the integrity of the sterile field Ans>> Above WAIST level
40. When should perioperative team members wear surgical attire and a
sur- gical head covering Ans>> Any time they enter an operating room for any reason
41. Which of the following is the most important practice for minimizing the
risk for transmission of infectious organism transmission
46. Which of the followng practices should be followed when
transfering sterile items to the sterile field Ans>> Present heavy or sharp sterile items directly to a scrubbed team member recieving the items onto the sterile field
47. What is the best practice to follow if a contaminated item is discovered in a
set of sterilized instruments Ans>> Consider the entire set to be contaminated
48. Which of the following statements regarding the use of a
unidirectional ultra clean air delivery system is most accurate Ans>> Heater cooler devices should be positioned inside the air curtain Scrubbed team members should stand outside the air curtain The sterile instrument table should be positioned inside the curtain Unscrubbed team members should remain inside the air curtain as much as possible
49. Which of the following practices should scrubbed team members follow
to maintain the integrity of the sterile field Ans>> Avoid folding the arms with hands in the axillary Keep hands and arms above the waist level at all times Maintain distance between themselves and other scrubbed team members when changing positions Remain face to face or back to back with other scubbed team members when changing position ALL OF THE ABOVE
50. The use of a pneumatic tourniquet during extremity
surgery Ans>> It is a noncon- troversial process ++Requires effective communication and collaboration between nurses, anesthesia, and the surgeon
Is safe for all patients as long as tourniquet time does not exceed 30 minutes
51. Physiological effects of exsanguination and pneumatic tourniquet inflation
during surgery typically include all of the following EXCEPT Ans>> Increase in central venous pressure Increased heart rate Increased core body temp +++Decreased core body temp
52. Which of the following is NOT a common physiological effect pneumatic
tourniquet deflation following a period of inflation are characterized by Ans>> Hy- potension Decreased heart rate +++Increased core body temp Decreased core body temp
53. The acid base effect of penumatic tourniquet deflation ollowing a
period of onfaltion are characterized by Ans>> Elevated PaCO2 with resp acidosis and metabolic
Intermittently delfating and reinflating the cuff for several cycles after the procedure is over may help minimize peak blood concentration of the local anestetic and reduce the risk of a systemic toxic reactoin Central nervous system abnormalities are ussually the earliest warning signs of a systemic toxic reaction during intravenous regional anesthesia Before applying a pneumatic tourniquet, nurses should screen patients for sensitives to local anesthetics and communicate with the anesthesia professional to confirm the plan for intravenous regional anesthesia
58. Choose the extremity and nerve most frequesntly affected by
pneumitc tourniquet indced nerve damage Ans>> Lower limb, peroneal nerve ++Upper limb, radial nerve
Upper limb, median nerve Upper limb, ulnar nerve
59. A perioperative nurse is assessing patients for DVT risk fators proir to
lwoer limb surgeries. Based on the following descriptions, which patient DOES NOT hve risk factors for DVT? Ans>> A 35 year old patient on prolonged bed rest A 70 year old smoker with no history of significant medical problems An obese 45 year old who is otherwise healthy A 20 year old non-smoking athlete with a left anterior cruciat ligament tear
60. The averge estimated number of surgical fires every year int he
US is Ans>> 20 to 30 ++200 to 240 700 to 1000 2000 to 2500 2500 to 2700
61. Choose the FALSE statement about perioperative fire
prevention and management plans Ans>> They should be developed by a multidisciplinary group of key stakeholders They should describe key content and frequency of fire safety education activities They should specify policies and procedures for fire prevention and response +++They generally are not needed unless required by a health care facility's insur- ance policy They should specify team members roles and responsibilities during the fire preven- tion and response
62. The three components of the Fire Triangle are oxidizing source, ignition
source, and fuel source Ans>> TRUE
=100F, >100F
<120F, >120F
>120F, <120F
66. Oxidizing sources in the operating room
include Ans>> +++Oxygen +++Nitrous Oxide Carbon Dioxide +++A and B A,B, and C
67. Fuel sources in the operating room
include Ans>> ++Gauze sponges Floor glue Ceiling tile Scrubs Surgical Instruments
68. Perioperative registered nurses and scrub personnel have primary control
over whihc component of the fire triangle during an operating or other invasive procedure Ans>> Oxidizing sources +++Fuel sources Ignition sources A and B A and C
69. Choose the FALSE statement about fire risks in the operative room
Ans>> Patient with their heads draped are at increased risk of fire because supplemental oxygen can accumulate under drapes Substances that would not ignite in room or medical air can do so in an oxygen-en- riched environment, which may occur in the operating room Evaporated gases from flammable prep solutions can ignite, especially if they are allowed to
accumulate under drapes +++Bowel surgeries are associated with the highest risk of surgical fires A piece of equipment that is smoking unexepctedly represents an immediate fire risk
70. Fire balnkets should NOT be use in the operating room becuase they
Ans>> Are made of wool, which can catch fire in an oxygen enriched environment Can cause wound contamination or move instruments at the surgical site Can trap fire next to or under a patient ALL OF THE ABOVE
71. Which of the following fire safety practices should be implented when a
lasrer is used during surgery Ans>> Keep wet towels and saline on the sterile field Place moist sterile towels, sponges, and drapes around the surgical site Use standard endotracheal tubes for upper airway procedures involving laser Allow fumes from flammable solutions to dissipate before activating the laser
Inflate endotracheal tubes with tinted solutions prior to tracheostomy
77. If an airway fire occurs, perioperative team members should be prepared to
help
the anesthesia professional to do which of the following? Ans>> Disconnect and remove the anesthesia circuit and turn off the flow of oxygen Remove the endotrcheal tube from the airway, including any burned fragments Pour saline or water into the airway Examine and re-establish the airway Assess the surgical field for secondary fire ALL OF THE ABOVE
78. All of the following are appropriate practice to manage oxidation sources
to the operating room EXCEPT Ans>> Administer the lowest concentration of oxygen needed to maintain adequate oxygen Use a larygngeal mask or endotracheal tube if the patient needs more than 30% supplemental oxygen Ensure there are no leaks in the anesthesia circuit +++Turn the warmer blower off when using a warmer blanket with an attached head drape Prevent oxygen from accumulating under the drape
