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1 g/ g 10
AORN PERIOP 101 FINAL EXAM
Questions with Verified Answers
Grade A+ Guarantee
- Using g mechanical g friction g will g not g aid g in g Ans>> gRemovalgofgResidentgbacteria
- Reduction g in g resident g bactiera g is g aided g by g Ans>> gAntimicrobials
- Prolonged g contact g of g skin g atisepsis g agents g due g to g pooling g of g solutions g can g cause g pa tient g injuries g that g inlude Ans>> gChemicalgandgthermalgburns
- Which g one g of g the g following g statements g is g TRUE? g Ans>> gHeatinggpovidone- iodinegmaygdecreasegit'sgeffectiveness
- Documentation g of g the g preoperative g skin g prep g includes g all g of g the g following g except g
2 g/ g 10 Ans>> gHairgRemoval
4 g/ g 10
- The g concept g of g prepping g from g clean g to g dirty g means Ans>> gBeginninggatgthegsurgicalg sitegandgusinggcirculargstrokesgtowardgthegperiphery
5 g/ g 10
- Common g resident g bacteria g include g all g except g **Ans
** gStaphylococcusgepidermisg StaphylococcusgaureusgDip theroidgbacillus ++Pseudomonasg aeruginosa
- Which g of g the g following g statements g about g the g skin g prep g is g FALSE g Ans>> g++Povi-gdone-iodinegshouldgnotgbegallowedgtogdry Maufacture'sgguidelinesgshouldgbegfollowed Skingprepgisgperformedgaftergthegptghasgbeengpositioned Thegnamegofgthegpersongperforminggthegprepgshouldgbegdocumented
- Objectives g of g the g surgical g prep g include g all g EXCEPT g Ans>> gRemovalgofgdirt,gskingoil,gandgmicrobesgfromgthegsking SterilizationgofgskingReduction ofgbacterialgcount Preventiongofgregrowthgofgmicrobesgforgseveralghours
- 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
7 g/ g 10 ofgthegabove
- 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>> gAfterghandsghavegbeengexposedgtogbloodgorgothergbodilygfluidsgAftergusinggthegrestroo m +++Whenghandsgaregnotgvisiblygsoiled Whengcaringgforgpatientsgwithgspore-forminggorganisms
- 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 hand g h ygiene Ans>> gThegamountgrecommendedgbygthegmanufacturer
- Perioperative g team g members g should g maintain g fingernails g at g a g maximum g of g Ans>> g2mmg(0.8")
- 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
8 g/ g 10 UsinggapprovedgmoisturizinggproductsgUsin gggloveglinersgAll ofgthegAbove
- Which g of g the g following g types g of g jewelry g is g acceptable g for g perioperative g team g members g to g wear g in g pt g care g areas Ans>> gNogjewelrygisgacceptable
- Which g of g the g following g is g a g primary g line g of g defense g for g protecting g the g patient g from g transmission g of g pathogens g during g surgical g procedures Ans>> gSterilegglovesg Sterileggowns ++ +SurgicalghandgantisepsisgSurgicalgm asks
- Which g of g the g parts g of g the g surgical g gown g is g considered g sterile g Ans>> gFrontgfromgtheg chestgtogthegsterilegfield
- Which g method g of g gloving g should g be g used g by g team g members g during g the g initial g g owning g and g gloving g process g for g surgical g procedures Ans>> gAssistedgglovingg withggowngcuffsgatgfingertips
- How g often g should g surgical g gloves g be g changed g during g an g invasive g surgical g p rocedure Ans>> gEveryg 60 gtog 90 gminutes Everyg 90 gtog 150 gminutes SurgicalgglovesgonlygrequiregchnaginggifgagknowngorgsuspectedgbreakgoccursgorgteargidentifiedgTher egisgnogrecommendedgtimegforgchangingggloves
- Which g of g the g following g is g the g preferred g method g for g assessing g hand g hygiene g in g the g perioperative g setting Ans>> gDirectg observation
10 g/ g 10 Automatedgmonitoring gSelf-reporting
- Approximately g what g percentage g of g surgical g patients g develop g a g surgical g site g infection g during g hospitalization Ans>> g 5%
- 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 sterile g material g with g subsequent g bacterial g penetration Ans>> gStrike-through
- Which g of g the g following g types g of g drape g is g to g be g tubular g Ans>> gStockinette
- 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
- Which g surface g of g the g sterile g field g drapes g are g considered g sterile g Ans>> gTOPgONLY
- 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
11 g/ g 10 Thegdrapegisgplacedgincorrectly Theregsomegdoubtgaboutgthegdrapesgsterility
- The g perioperative g RN g should g do g which g of g the g following g when g draping g a g patient g f or g a g laparotomy? Ans>> gPlacegthegopeninggofgtheglapgsheetgdirectlygovergthegsurgicalgsite
- Which g of g the g following g is g an g important g consideration g when g draping g pa- g tients g for g procedures g on g the g eye Ans>> gItgisgimportantgtogrepelgwaterg Thegenvironmentgmustgbegfreegofglint CataractgproceduresgaregoftengperformedgwithoutgsedationgAdequ ategairgexchangegforgthegpatientgmustgbegmaintained
- The g perioperative g RN g should g follow g which g of g these g procedures g when g drap- g ing g equipment Ans>> gDrapegequipmentgthatgwillgbegpositionedgovergthegsterilegfieldg Drapegequipmentgthatgwillg begpositionedgimmediatelygadjacentgtogthegsterilegfieldg Drapeglargegpiecesgofgequipmentgasgclosegtog thegtimegofgusegasgpossible Followgthegmanufacturer'sginstructionsgforguseg Allgofgthe gabove
- Which g of g the g following g is g an g acceptable g position g for g the g hands g and g arms g of g a g scr ubbed g person g for g maintaining g the g integrity g of g the g sterile g field Ans>> gAbovegWAISTglevel
- When g should g perioperative g team g members g wear g surgical g attire g and g a g sur- g gical g head g covering Ans>> gAnygtimegtheygentergangoperatinggroomgforganygreason
- 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 t ransmission g of g infectious g organism g transmission
13 g /
- Which g of g the g followng g practices g should g be g followed g when g transfering g sterile g items g to g the g sterile g field Ans>> gPresentgheavygorgsharpgsterilegitemsgdirectlygtogagscrubbedgteamgmembergrecievinggtheg itemsgontogthegsterilegfield
- What g is g the g best g practice g to g follow g if g a g contaminated g item g is g discovered g in g a g set g of g st erilized g instruments Ans>> gConsidergthegentiregsetgtogbegcontaminated
- Which g of g the g following g statements g regarding g the g use g of g a g unidirectional g ultra g c lean g air g delivery g system g is g most g accurate Ans>> gHeatergcoolergdevicesgshouldg begpositionedginsidegthegairgcurtaingScrubbedg teamgmembersgshouldgstandgoutsidegthegairgcurtain Thegsterileginstrumentgtablegshouldgbegpositionedginsidegthegcurtain Unscrubbedgteamgmembersgshouldgremainginsidegthegairgcurtaingasgmuchgasgpossible
- Which g of g the g following g practices g should g scrubbed g team g members g follow g to g ma intain g the g integrity g of g the g sterile g field Ans>> gAvoidgfoldinggthegarmsgwithghandsgingthegaxillaryg Keepghandsgandgarmsgabovegthegwaistglevelgatgallgtimes Maintaingdistancegbetweengthemselvesgandgothergscrubbedgteamgmembersgwheng changinggpositio ns Remaingfacegtogfacegorgbackgtogbackgwithgothergscubbedgteamgmembersgwhengchanginggpositi on ALLgOFgTHEgABOVE
- The g use g of g a g pneumatic g tourniquet g during g extremity g surgery g Ans>> gItgisgagnoncon-g troversialgprocess ++Requiresgeffectivegcommunicationgandgcollaborationgbetweengnurses,ganesthesia,g andgthe surgeon
14 g / Isgsafegforgallgpatientsgasglonggasgtourniquetgtimegdoesgnotgexceedg 30 gminutes
- Physiological g effects g of g exsanguination g and g pneumatic g tourniquet g inflation g during g s urgery g typically g include g all g of g the g following g EXCEPT Ans>> gIncreasegingcentralgvenousgpressureg IncreasedgheartgrategIncreased coregbodygtemp +++Decreasedgcoregbodygtemp
- Which g of g the g following g is g NOT g a g common g physiological g effect g pneumatic g tourniqu et g deflation g following g a g period g of g inflation g are g characterized g by g Ans>> gHy- g potension Decreasedgheartgrate ++ +IncreasedgcoregbodygtempgDecrea sedgcoregbodygtemp
- The g acid g base g effect g of g penumatic g tourniquet g deflation g ollowing g a g period g of g onfaltion g are g characterized g by Ans>> gElevatedgPaCO2gwithgrespgacidosisgandgmetabolic
16 g / ns>> g+++Aftergagproceduregisgover,gthegperioperativegnursegshouldgleavegthegcuffginflated forgatgleastg 60 gminutes
17 g / Intermittentlygdelfatinggandgreinflatinggthegcuffgforgseveralgcyclesgaftergthegprocedureg isgoverg mayghelpgminimizegpeakgbloodgconcentrationgofgtheglocalganesteticgandgreduceg thegriskgofgagsys temicgtoxicgreactoin Centralgnervousgsystemgabnormalitiesgaregussuallygthegearliestgwarninggsignsgofgag systemicgtoxi cgreactiongduringgintravenousgregionalganesthesia Beforegapplyinggagpneumaticgtourniquet,gnursesgshouldgscreengpatientsgforgsensitivesgtoglocalganesth eticsgandgcommunicategwithgtheganesthesiagprofessionalgtogconfirmgthegplangforgintravenousgregi onalganesthesia
- Choose g the g extremity g and g nerve g most g frequesntly g affected g by g pneumitc g tourniquet g indced g nerve g damage Ans>> gLowerglimb,gperonealgnerve ++Upperglimb,gradialgnerve
19 g /
- Examples g of g ingtion g sources g include Ans>> gElectrocauterygunitsgandgactivegelectro- gsurgicalgelectrodesgFibergopticglightgcordsgLasers ALLgOFgTHEgABOVE
- A g fire g risk g assessment g should g be g performed Ans>> gOnlygbeforegproceduresginvolv- ginggelectrocautery,gangectrosurgicalgunit,gorgaglasergOnlygifgrequestedgbygthegsurgeongofgfirstgas sistant +++Beforegallgoperativegprocedures Onlygbeforegsurgicalgproceduresgabovegthegxiphoidgprocessgandgingthegnasopharynxg Onlygifgthegpati entgrequiresgmoregthang30%gsupplementalgoxygen
- The g flash g point g of g flammable g meterials g is g (), g while g the g flash g point g of g com- g bustible g materials g is g () Ans>> g<100F,g>100F
100,g<
20 g / =100F,g>100F <120F,g>120F
120F,g<120F
- Oxidizing g sources g in g the g operating g room g include g Ans>> g+++Oxygen ++ +NitrousgOxidegCarbongDioxide ++ +AgandgBgA,B,ga ndgC
- Fuel g sources g in g the g operating g room g include g Ans>> g++GauzegspongesgFloorgglue CeilinggtilegScrubsgSur gicalgInstruments
- Perioperative g registered g nurses g and g scrub g personnel g have g primary g control g over g whi hc g component g of g the g fire g triangle g during g an g operating g or g other g invasive g procedure g **Ans>
** gOxidizinggsources
++ +FuelgsourcesgIgn itiongsourcesgAgan dgB AgandgC
- Choose g the g FALSE g statement g about g fire g risks g in g the g operative g room g Ans>> gP atientgwithgtheirgheadsgdrapedgaregatgincreasedgriskgofgfiregbecausegsupplementalgoxygengcangac cumulategundergdrapes Substancesgthatgwouldgnotgignitegingroomgorgmedicalgairgcangdogsogingangoxygen-en-
