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AORN PERIOP 101 FINAL EXAM STUDY GUIDE
Questions and Answers (Verified Revised Full Exam)
1. What is a Blunt needle point
Ans>> 1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver.
2. What are disposable stapler sets
Ans>> 2.These particular wound closing items are available in a wide variety of instrument sizes.
3. What is cc
Ans>> 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols.
4. What is Clean contaminated
Ans>> 5.The surgical wound classification for a total abdominal hysterectomy.
5. What is a Jackson-Pratt
Ans>> 4.Following an excisional breast biopsy, the circulat- ing nurse would anticipate the need to have available this type of drain
6. What is Lithotomy Position
Ans>> 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen.
7. What is to reduce the patient's risk of intraoperative skin injury
Ans>> 7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this:
8. What is personal protective equipment
Ans>> 8.An environmental sanitation prac- tice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills
9. What is capacitive coupling
Ans>> 9.It is recommended to inspect the active elec- trode for insulation defects to prevent this from occurring during MIS
14. What is aseptic technique
Ans>> 14.Restricting pathogenic organisms from the patient, environment, equipment, and supplies is the definition of....
15. What are draping materials
Ans>> The most important consideration when select- ing these materials is to prevent risk of contaminating patients with endogenous and
exogenous microorganisms; and risk of exposing healthcare workers to patient's blood and body fluids
16. What is Phase II
Ans>> 16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care.
17. What are Healthcare organizations
Ans>> 17.According to the Institute of medicine recommendations for improving patient safety, this organization has the greatest potential impact to make changes on improving pt safety
18. b. The scrub gown should be fastened in the back before donning gloves-
: 18. This statement about gloving technique is true What is...
a. When gloving another person, always glove the left hand first.
b.The scrub gown should be fastened in the back before donning gloves
c. Open glove technique is used for initial donning of the sterile gown and gloves.
d. Closed glove technique is used to glove the surgeon or assistant.
19. What is fuel source
Ans>> 19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)
20. What is place it in a designated neutral zone with a verbal cue: 20. The
safest way to pass a cutting instrument to a surgeon is:
21. What is Trendelenberg
Ans>> 21. To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion.
22. 2. to permit aseptic delivery of contents to the sterile field: 22. A packaging system
for
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
23. What is a Latex-safe cart
Ans>> 23. Silicone catheters should be stocked on this particular cart in the surgical suite.
24. What is handling natural absorbable sutures (plain, chromic): 24. Open this
package carefully over a small basin to prevent splashing of the packaging solution.
25. What is a laser safety officer
Ans>> 25. An example of administrative controls to assure safe use of lasers, is the appointment of a person in this role:
26. c. act according to the terms of agreement establishing the nature of
the relationship between the pt and the nurse: 26. 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 of action.
27. What is microfibrillar collagen: 27. A precaution that should be taken when using
this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver).
28. What is the diameter
Ans>> 28. A designation of 4-0 on a suture package indicates this about the suture material.
29. b. Providing access to MSDS (material safety data sheets) for hazardous
agents in that environment: 29. A recommended means of promoting the safety of personnel in the surgical suite is: What is....
a. Routine screening of patients for HIV and hepatitis C
b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment
c. Double-glove for every procedure
d. Leaving the room when x-rays are being used, even if scrubbed.
30. What is Granulation
Ans>> 30. This type of healing the wound remains open
31. What is Critical thinking
Ans>> 31. An abstract concept that has been developing since Socrates.
32. What is the dispersive electrode
Ans>> 32. This item is placed as close to the operative site as possible
al growth.
b.The most frequent reason for achieving certification is the expectation of higher salary
and career advancement
c. Most facilities do not offer any incentives for achieving certification.
d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified
non- certified nurse.
36. What is a routine process monitoring device (chemical indicator, integra-
tor) Ans>> 36. The recommended practice for flash sterilization is the item should be processed with this:
37. What is location of drain
Ans>> 37. When documenting the placement of surgical drains, it should include:
38. What is Alert surgeon for the need for appropriate selection of skin
prep solution Ans>> 38. The action that the perioperative nurse should take if the pt states he/she is allergic to shellfish and breaks out in hives when ingested.
39. c. frequently inspect tips and wipe clean of blood or tissue as needed: 39.
Principles of care for forceps during a procedure should include this: WHAT IS...
a. Stand them upright along the sides of the instrument tray so that handles 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.
40. What is risk for perioperative positioning injury
Ans>> 1. A critical perioperative nursing diagnosis within the PNDS is:
41. What is biological monitoring
Ans>> 41. There are 3 process monitors in the sterilization process; this particular monitor indicates that the intended physical conditions in the sterilizer were met.
42. What is unexplained increase in end-tidal CO
Ans>> 42. This is the most reliable early indication of malignant hyperthermia
43. b. Work setting and situation variations may determine the extent to which
the RPs can be applied: 43. This statement concerning the use of AORN Recom- mended Practices is true:
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 perioper- ative settings
d. Licensed and accredited institutions are required to comply with the RPs
Ans>> 53. Family history of problems related to anesthesia; and pts previous experience with anesthesia
54. What is the nominal hazard zone for laser use
Ans>> 54. The space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure
55. What is decontamination
Ans>> 55. First step in the sterilization process of surgical instruments that have been used in a procedure
56. What is the culture of a clinical setting
Ans>> 56. This is affected by pt and staff beliefs, staff attitudes, and individual and collective values
57. What are sensory assessment findings common among elderly patients?-
: 57. Decreased color and depth perception
58. What is consider items of doubtful sterility contaminated
Ans>> 58. Principle of asepsis that is most directly related to the concept of surgical conscience
59. What are insulation defects that can cause unseen thermal burns
Ans>> 59. Most important reason for maintaining endoscopic instruments at optimal level of function
60. What is critical thinking
Ans>> 60. What type of thinking is required to deliver safe patient care based on the statement "safe care requires teamwork and care tailored to the individual patient?"
61. perioperative nursing documentation
Ans>> Evaluation of pt outcomes, Nursing plan of care, Occurrence of any unusual events, and Periop nurses legal signature are components that should be included in this
62. Passive acceptance of an unreflective jump to conclusion required in
the OR Ans>> 62. 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
63. What is proliferation phase
Ans>> 63. During this phase of wound healing contrac- tion occurs
64. What are guidelines for safe use of an endoscopic light
source Ans>> 64. Placing the light in standby mode when not in use
65. an example of an occluding clamp: 65. What is a kocher?
66. Who is the circulating nurse
Ans>> 66. The surgical team member responsible for preparing the surgical specimen to be sent to the lab
67. What is EO: 67. Exposure to this sterilization method is potentially carcinogenic and
mutagenic to personnel and patients.
environment states that a safe, clean environment should be reestablished after each surgical procedure.
69. What is a bullet
Ans>> 69. Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence.
70. What is the activity performed during post-procedure cleaning of the OR?-
: 70. During which phase of Cleaning includes the entire floor, moving the OR bed to clean 3-4 feet around it
71. What is critical thinking skills
Ans>> 71. Clinical nurse progression from Novice to Expert requires enhancement of this, and the development and refinement of this is affected by Clinical narratives, simulation, questioning; Partnering with proficient nurses; and the nurse's level of knowledge and experience
72. a. Prop the foot to allow ample access to all surfaces during the prep
b. use an impervious drape to protect the tourniquet c. start at the incision site, include toes and move up the leg Ans>> 72. When performing a skin prep on a patient scheduled for a bunionectomy what steps should be included?
73. a. Explain what the patient will experience -
b. Provide emotional support to enhance coping - c. Teaching specific skills that the pt will need to perform post-op -: 73. Name the perioperative nurse's role in pt and family education?
74. a. Herbal supplements may affect the metabolism of drugs administered -
b. Recreational drug use may affect choice of preoperative sedation - c. Smoking may affect circulatory and respiratory system assessment results -: 74. Why should the perioperative nurse ask about a patient's use of herbal prepa- rations, alcohol, tobacco products, and recreational drugs during the perioperative interview.
75. a. Scrub person -
b. Surgical assistant -
c. Surgeon
d. Medical student/resident/PA/NP: 75. List 4 team members who wear sterile
gowns and gloves.
76. a. Eye injury -
b. Fire hazards - c. Inhalation of laser plume -: 76. Name 3 risks to patients and staff members associated with laser use:
77. a. Bone reamers -
b. Dissectors -
c. Saws -
d. Tissue shavers -: 77. Name 4 types of powered cutting instruments used in surgery
78. a. Airborne contact -
b. Cutaneous contact -: 78. Name 2 ways that health care workers are most likely to become
81. a. Administration of ordered preoperative medications-
b. Oral verification by the pt of the procedure to be performed-
c. Patient allergies to medications and materials used in the surgical suite-
d. Patient identification, using oral verification and patient records-: 81. List
4 items necessary included in Preoperative documentation
82. a. Contact urticarial-
b. Periorbital edema and itching- c. Wheezing-: 82. List Clinical manifestation of a true allergic response to latex
83. a. Names of personnel assisting with positioning-
b. Placement of arms-
c. Position that pt is placed in for procedure-
d. Use of specific positioning devices-: 83. List 4 components that should be
included in documentation of intraoperative patient position.
84. a. Name of pt-
b. Procedure to be performed- c. Site of procedure-: 84. AORN guidelines for a "time-out" specify that all surgical team members must agree on the following 3 things
85. a. Anxiety about an uncertain outcome-
b. Discomfort or pain-
c. Fear of unknown-
d. Short period of time for assessment and teaching-: 85. 4 Barriers to effective pt and
family education in the perioperative setting.
86. a. Diabetes-
b. Protein deficiency-
c. Smoking-
d. Steroid use-: a. Anxiety about an uncertain outcome
b. Discomfort or pain
c. Fear of unknown
d. Short period of time for assessment and teaching
87. a. Reduce risk of microbial contamination-
b. Remove soil and debris- c. Suppress growth of microorganisms-: The purposes of the surgical hand scrub
88. 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: 88. List Recommended Practices for sponge count pro- cedures
