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1. When applying the concept of surgical conscience which of the
following statement should be considered? Select all that apply Ans>> A. It involves mental discipline & the ability to speak out B. It is essential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic tech- nique.
2. In preparing for a regulatory survey, your quality consultant questions
you about the restricted zone in your OR suite. The following statements are true Ans>> A. Air flow in the OR rooms should be cleaned by HEPA filters. C. Mask are required when open sterile supplies are present. E. Temperature is maintained between 68 and 75 degree F.
3. You are assigned to relieve a surgical technologist for lunch.You
will need Ans>> : A. A sterile gown and gloves opened on a table (other than the main instrument table) for
AORN PERIOP 101 EXAM
Questions and Answers (Verified Revised Full Exam)
closed gloving.
4. The Joint Commission Universal Protocol consists of: Select all that apply.-
: A. Preoperative verification B. Surgical site marking C. Time Out
5. Which of the following procedures reflects best practice for
transferring a medication vial to the sterile field Ans>> D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of
natural absorbable suture Ans>> C. Open the package carefully over a small basin to prevent splashing of the packaging solution
7. Recommended sponge count procedures include all of the following EX-
CEPT Ans>> B. Counting silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy
Ans>> D. A small portion of tissue is incised and sent for examination.
C. Circulatory disorders D. Malnutrition
11. Which of the following statements reflect the concept of critical thinking?
Select all that apply Ans>> C. Informed practice D. Holistic thinking E. Unbiased thinking F. Reasoned application of a step by step process
12. What is the best drape to use for an umbilical hernia
repair Ans>> B. Laparotomy
13. Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis Ans>> D. Prep should start at the site of the incision and move outwards.
14. What are the 3 main factors to consider when assessing the patient for
allergies Ans>> C. Prior reaction, heredity, type of reaction
15. The following steps can be used to reduce personnel exposure to speci-
men fixatives such as formalin. Select all that apply Ans>> A. Avoid splashing while pouring C. When pouring wear gloves and a mask. D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
16. After initial administration, which statement below the proper order
of the 4 stages of general anesthesia affecting the patient Ans>> A. Administration, excitement, intrasurgery, respiratory failure
17. What responsibilities do OR staff members have in maintaining a
safe OR environment? Select all that apply Ans>> A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards.
18. In addition to giving Dantrolene, which of the following treatment
options for malignant hyperthermia should the nurse anticipate and prepare for Ans>> B. Provide 100% oxygen, used iced saline to cool patient.
19. An important difference between minimally invasive (MIS) and open
surgi- cal procedures is that MIS Ans>> A. Can be performed through smaller incisions.
20. While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following patient complaints? Select all that apply Ans>> B. Metallic taste C. Numbness of the lips D. Tinnitus E. Visual Disturbances
to the OR bed? Select all that apply Ans>> A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning transfer. D. Secure lines and catheters prior to the move and dislodging.
29. Which of the following statements about regional anesthesia is correct
Ans>> B. Continuous nerve stimulation helps ensure proper needle placement during periph- eral nerve blocks.
30. What are the perioperative nurses responsibilities for the informed
con- sent process? Select all that apply Ans>> B. Act as a witness attesting to the authentic- ity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent.
31. Which PNDS outcome is the most important when draping the surgical
patient Ans>> A. The patient is free from signs and symptoms of infection
32. Which of the following components should be included in
documentation of intraoperative patient position? Select all that apply Ans>> A. Identification of specific positioning devices used B. Names of personnel assisting with positioning
C. Placement of arms D. Position that the patient is placed in for the procedure
33. The preoperative nurse's documentation of the skin prep procedure
should include: Select all that apply Ans>> A. The body area prepped B. Name of the person performing the prep C. Preoperative assessment of the skin at the operative site. D. Skin prep agent used.
34. Which of the following statements about proper attire of surgical
team members are true? Select all that apply Ans>> C. Sterile gowns should resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants
35. Preoperative safety concerns that should be considered when caring fro a
patient with an implanted electrical device (IED) include which of the follow- ing? Select all that apply Ans>> A. Bipolar surgery should be used whenever possible B. The active electrode and dispersive electrode are close together but as far away from the IED as possible. D. The patient should be monitored closely for signs of complications and IED malfunction
36. A patient is scheduled for reconstruction of her external ear following a
dog bite injury. Which of the following skin prep agents is contraindicated for use in this case Ans>> C. Chlorhexidine gluconate
37. A is a designated area on the sterile field where the scrub
person and the surgeon place all sharp instruments Ans>> A. Neutral zone
supplies D. Sterile supplies are able to bet stored in a manner that allows adequate air circulation. E. When storing items on the top shelf of a supply cart one to consider the distance between the top of an item and the ceiling
42. The types of questions that a novice perioperative nurse might NOT ask
her preceptor about an upcoming cardiovascular surgery include which of the following Ans>> A. How does the conduction system of the heart work?
43. Which of the following are advantages of disposable drapes? Select all
that apply Ans>> A. Disposable drapes are lint free. D. Using disposable drapes can minimize strike-through because of their moisture repellent quality.
44. During your preoperative assessment of a patient undergoing a laparo-
scopic cholecystectomy, which of the following considerations would be important to you as a preoperative nurse. Select all that apply Ans>> A. Patients previous abdominal surgery. B. History of DVT. C. Voiding in the prep area prior to going to the OR.
45. Which of the following is the best definition of sterile technique? Sterile
technique is Ans>> D. Implemeted during surgical procedures to prevent microbial con- tamination
46. Which of the following is NOT a characteristic that promotes a
culture of safety within a healthcare organization Ans>> C. Prompt disciplinary action when errors occur.
47. When setting up insufflation equipment for an abdominal endoscopic pro-
cedure the preoperative nurse should: Select all that apply
Ans>> A. Have a backup tank available C. Verify that the CO2 pressure and supply alarms are on and functioning
48. When faced with an electrical power outage in the OR it is most important
for the preoperative RN to remember that Ans>> C. The nurse is responsible for know- ing, understanding and complying with the facilities emergency electrical outage pace
49. What interventions can the preoperative nurse preform to protect
elderly patients? Select all that apply: A. Employ deep vein thrombosis prophylactic devices B. Position the patient for effective air exchange D. Use warming devices to maintain normothermia
management of forensic specimens
55. According to the CDC, which surgical wound classification should be
documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis Ans>> D. Class IV (Dirty/Infected)
56. The preoperative nurse should avoid placing the dispersive electrode
on the following areas. Match the area with the rational listed below Ans>> A. Scar tissue: May act as insulation B. Tattoo sites: contain metallic elements that could attract current C. Implanted prosthesis: Contain metal which could attract current and impede return current flow D. Hairy sites: Inhibits the flow of electrical current
57. Which of the following strategies should be considered for implementing
successful infection control Ans>> B. Washing your hands prior to greeting the patient in the pre- operative room
58. Which of the following practices help to prevent contamination in the
surgical suite? Select all that apply: B. All horizontal surfaces should be damp dusted before the first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber cloth moistened with detergent for disinfectant and water.
59. Which of the following statements about counts is correct? Select all
that apply Ans>> A. All preoperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. C. All sponges must remain in the OR room until the sponge count is complete. E. Two people, one of them whom is the RN circulator, must preform the sponge count
60. An immediate latex allergic response has 3 stages. Which of the following
states is matched with the appropriate symptoms Ans>> C. Can progress to a sudden drop in blood pressure, increased heart rate and potential circulatory collapse
61. The surgeon's preference for the preoperative skin pre includes the appli-
cation of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because Ans>> B. Fumes trapped underneath the drapes and could ignite
62. Which of the following is a method for preventing blood-borne
pathogen exposure Ans>> A. Changing gloves during regular intervals during a procedure
63. Which elements are required to create an environment where the culture
of safety is embraced? Select all that apply Ans>> A. A sense of trust among all team members B. Development of a proactive approach instead of a reactive approach
C. Label the outside of the specimen container with the patients name, identification number, description and source of the specimen and surgeon
68. Which of the following statements about the gowning procedure are
cor- rect Ans>> D. Step back from the table into an unobstructed area to let the gown unfold
69. A psychosocial assessment may include the patient's: Select all that ap-
ply: A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure
70. Proper OR attire for restricted areas includes: Select all that apply: C.
Two- piece scrub suit with top tucked into the pants and secured at the waist D. Warm-up jacket snapped, with cuffs down to wrists
71. How can the preoperative nurse directly contribute to financial efficiency
in the OR? Select all that apply Ans>> B. Manage the length of cases by having all needed supplies ready C. Participate in product evaluation and waste reduction activities D. Reducing turnover time E. Working to attain on-time starts
72. All of the following organization provide guidance related to tissue
banking EXCEPT Ans>> D. American National Standards Institute (ANSI)
73. After setting up for a total joint procedure, a dirty instrument is discovered
on the sterile back table while waiting for the patient to enter the OR. What actions should be taken to correct the contamination? Select all that apply: B. Change the gown and gloves of the contaminated team members
C. Break down the entire back table and re-establish a sterile field
74. Important skills affecting the clinical setting include which of the
follow- ing Ans>> D. Problem solving and situational awareness
75. If you have completed your case and must transport your patient to PACU. To
give report to the PACU nurse, your facility requires the use of SBAR format, which includes Ans>> C. Situation, Background, Assessment, Recommendation
76. The dispersive electrode should
Ans>> C. Be placed as close to the operative site as possible
77. Which of the following latex sensitivity categories match the description
provided Ans>> C. Irritant contact dermatitis: non allergic skin reaction usually aggravat- ed by glove power and chemical agents added to raw latex
78. If the preoperative team is unable to extinguish the fire in the OR,
rec- ommendations include Ans>> C. Evacuating the patient and the preoperative team following the organization fire plan
Ans>> D. Use personal protective equipment when handling body fluid spills
86. Which type of needle point should you expect to be needed for suturing
viable tissue such as the liver Ans>> A. Blunt
87. You have been asked to give a presentation for your unit colleagues on
preventing surgical site infections, which of the following discussion points is NOT recommended in AORN guidelines Ans>> C. Using soap and water to perform surgical skin prep
88. A patient is unable to transfer independently to the procedure bed, to
achieve the outcomes related to safe patient transfer, which measures may be used to prevent shearing injury? Select all that apply Ans>> B. Request additional personnel to assist with patient transfer C. Use a friction-reducing transfer sheet. D. Use a slider or roller board
E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the skeletal structures
89. When documenting medications, which of the following elements should be
included? Select all that apply Ans>> B. Drug name, concentrations, route of admin- istration, dose and time it was administered. D. Verbal orders
90. During an inguinal hernia repair the surgeon asks for a self-retaining
retractor. Which of the following retractors would be most appropriate to chose Ans>> D. Weitlaner
91. The Aldrete scale, used to determine readiness for discharge, measures all
of the following EXCEPT Ans>> A. Circulation C. Patient mobility D. Pulse oximetry E. respiratory status
92. Match the thermal hemostasis device with the correct action: - Laser: an
intense and concentrated beam of light that coagulates and cuts at the same time while minimizing tissue destruction
- Electrosurgery: The electrosurgical unit ESU is used to apply electrical current through the patient's tissue to cute and/or coagulate the tissue
- Argon Beam: a device that uses ionized gas and electrical current.
93. In which order do the body's defense mechanisms take place during
healing Ans>> 1. Stop the blood loss
2. Clean up pathogens and debris in the wound
