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AORN PERIOP 101 EXAM STUDY GUIDE
200+ Questions and Answers (Verified Revised Full
Exam)
- In addition to the surgeon, which surgical team members wear sterile gowns and gloves during the procedure? Ans>> Scrub Person AND Surgical assistant
- The pathology laboratory and blood bank are usually situated in which of the following areas? Ans>> Unrestricted area
- What phases of the nursing process does the periopeartive nurse practice during the preoperative phase of the surgical experience? Ans>> Assessment, Iden- tification of desired outcome, Nursing diagnosis, Planning
- Data collection is part of which phase in the nursing process Ans>> Assessment
- Which of the following is considered a critical perioperative nursing diag- nosis within the PNDS? Ans>> Risk for perioperative positioning injury
- Competency statements Ans>> Direct a nurse's activity in the perioperative arena; Provide a basic model to evaluate the quality of nursing practice; Ascertain a level of skills and abilities necessary to fulfill the professional role (All of the above)
- Defining nursing goals and intervention strategies is a part of which phase in the nursing process Ans>> Outcome identification
- Match each staff member with the appropriate responsibility Ans>> Scrub person- Monitors aseptic technique; RN circulator- Creates and maintains a safe envi- ronment; Housekeeping- Cleans the furniture at the end of the OR day; Nurse anesthetist- administers anesthesia to the patient
- Creating cultures that supports patient safety through which of the fol- lowing mechanisms? Ans>> Convene and communicate with members about safety; Incorporate attention to
Commission's Universal Protocol for preventing Wrong Site, Wrong Proce-
dure, Wrong Person Surgery? Ans>> Using a time-out procedure before beginning the procedure
- The purpose of the National Patient Safety Goals is to Ans>> Promote specific improvements in patient safety; Highlight problematic areas in health care; Describe evidence and expert-based system-wide solutions to the problems
- AORN's Guidelines for Perioperative Practice provides Ans>> Information on ad- ministrative topics; Information that can be used to develop institution-specific poli- cies; Scientific evidence for clinical practices.
- Which of the following are true about AORN's Guidelines for Perioperative Practice? Ans>> They are based on what nurses do in ideal situations; They may be fulfilled to varying degrees in different situations.
- Why is it important for perioperative nurses to have a basic understanding of business principles? Ans>> To enable them to plan safe and effective care that is also cost-effective; To facilitate competition for patient volume; To manage and allocate resources wisely
- Match the type of budget with its description Ans>> Gross revenue- All monies received by the facility for goods and services; Fixed expenses- Medical records and administration; Net revenue- gross revenue minus expenses;
- For a professional nurse, personal accountability means
Ans>> Willingness to take responsibility for one's actions; Being dependable in all situations; Making the best decisions with the input available; Willingness to bare consequences for one's actions
- Which of the following statements are true about objective data? Ans>> Data that is the information written in the patient's record and nursing notes; History, physical, and laboratory data are examples of objective data
- Match the age groups with their ability for learning and understanding Ans>> - Birth to one month- The child is able to express only through crying; 1- months- The baby will smile, babble, and gurgle; One to three years- The baby is able to understand and respond to simple com- mands; Three to six years- The child is able to literally interpret terms.
- Patients in which of the following age groups have the greatest blood volume per unit of body weight? Ans>> Children
- During the preoperative interview, why should the perioperative nurse ask patients about their use of herbal preparations, alcohol, tobacco, and recreational drugs? Ans>> Herbal supplements may affect the metabolism of drugs administered; Recreational drug use may affect the choice of preoperative sedation; Smoking may affect circulatory and respiratory system assessment results.
- Which items are included in a psychosocial assessment?
Ans>> Coping styles; cultural beliefs and practices; Expectations of perioperative care; Spiritual or religious beliefs
- Which of the following statements is true? Ans>> Lung capacity decreases with increasing age
- Which of the following factors make geriatric patients more sensitive to injury and cold? Ans>> Decrease in subcutaneous fat
- Why is it important to assess the use of herbal supplements or recreational drugs before surgery? Ans>> Herbal preparations can affect bleeding times; Herbal preparations can interfere with drug metabolism; Recreational drug use can result in withdrawal symptoms; Recreational drug users may require higher doses of anesthetic medications.
- What interventions can the perioperative nurse perform to protect elderly patients? Ans>> Employ DVT prophylactic devices; Position the patient for effective air exchange; Use warming devices to maintain the normothermia
intervention in a manner that preserves and protects Ans>> Patient autonomy, dignity, and human rights
- Patient and family education is a combination process involving Ans>> Influenc- ing behavior; Producing changes in knowledge; Producing change in attitudes and skills
- Factors that may affect an adult patient's ability to learn include Ans>> Age; Attitude; Emotional state; Intellectual ability; Physical ability
- The perioperative nurse should use the directive interview technique over a nondirective interview technique when the information he or she needs Ans>> - Consists of predetermined questions; Consists of questions in a predetermined order; Is to document the patient's health history
- A preoperative patient's DNR order is Ans>> Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery
- Obtaining informed consent is a two step process of Ans>> Communicating infor- mation and documenting the decision
- How does the perioperative nurse test the patient's level of understand- ing? Ans>> By asking questions about the procedure and evaluating the answer
- A directive interview is Ans>> Structures with predetermined questions
- Factors that may affect the amount of pain the patient will experience postoperatively are Ans>> The surgical site; The nature and intended purpose of the surgery; the patient's fears regarding anesthesia or surgery
- Which of the three elements required for an infection to occur is related to inanimate environmental surfaces? Ans>> Source or Reservoir
- One of the most effective ways to prevent disease transmission and con- trol infections in health care settings is Ans>> Hand Hygiene
- Match the three types of transmission based precautions with the correct examples of precautions that should be implemented Ans>> Contact- Donning PPE and environmental cleaning; Droplet- Donning PPE and patient placement Airborne- Donning PPE and waring a surgical mask with a respirator level of N95 or higher
- The OSHA Bloodborne Pathogen standard requires health care personnel to wear
- Immunizations and testing for health care workers should include all of the following except Ans>> Shingles
- Match the correct wound elements with the wound classification Ans>> Class I Clean- Procedure does not involve the respiratory, alimentary, or genitourinary tract and no infection or inflammation is present. Class 2 Clean Contaminated- alimentary, or genitourinary tract is entered under controlled condition. Class 3 Contaminated- Gross spillage from GI tract occurs or unsterile instruments are used. Class 4 Dirty- A clinical infection exists or an internal organ perforation is present.
- Droplet precautions include all of the following except Ans>> Consulting with the risk manager
- The single most important factor in preventing the spread of infection is Ans>> Hand Hygiene
- Damp dusting of the OR as part of the preliminary room preparation should be done Ans>> In the morning before bringing in any surgical supplies
- Which methods are most effective for terminal cleaning floors in the OR Ans>> - Wet vacuum or single use mop
- Which of the following is correct regarding the disposal of contents from reusable suction systems? Ans>> done according to federal, state, and local regulations
- Correct statements about spray bottles Ans>> Spray bottles can aerosolize poten- tially infectious materials; Spray bottles are not used to apply disinfectant
- The proper device for the disposal of blades, needles, stapling devices, pins, and
cautery tips should be Ans>> A sharps disposal container
- The goals of performing post procedure cleaning of the OR/procedure room include the following Ans>> It renders the environment safe for the patient follow- ing in that room to prevent cross contamination; It breaks the cycle of contamination from the patient to the environment and from the environment to OR personnel and then to subsequent patients; It is the patient's right to have a clean and safe environment.
- Terminal cleaning must be done Ans>> Once during each 24 hour period
- During post procedure cleaning Ans>> All kick buckets, hampers, and similar recep- tacles must be inspected and disinfected as needed; Transport vehicles are to be considered contaminated after patient contact; All horizontal surfaces of tables and equipment, including the anesthesia machine, should be wiped down with a lint free cloth moistened with a hospital approved disinfectant.
- Which of the following is true about the use of peracetic acid on surgical items Ans>> Items must be immersible
- An integrator is a multiparameter indicator designed to measure which of the following parameters Ans>> Temperature, time, and presence of steam
- Which of the following are true about low temperature hydrogen peroxide gas plasma sterilization Ans>> Items can be stored for future use; No toxic residue is produced; The sterilant is bactericidal, viruicidal, and fungicidal; It can be used for items that are heat sensitive.
- Shelf life is related to Ans>> Exposure to external events; Type of packaging material used; Number of personnel who may have handled the package.
- Match the basic categories of surgical instrument with their uses Ans>> - Graspers- To handle tissues and dressings. Retractors- To provide exposure of the operative site. Cutting instruments- To incise, cut, dissect, or separate tissue. Clamps- To hold join, or compress parts together.
- A mosquito is classified as a Ans>> Clamp
- When passing sharps during a procedure, the best way to protect yourself and surgeon is by using Ans>> A neutral zone
- Curved Mayo scissors are used for which of the following? Ans>> To cut heavy tissue
- What biting instrument is used for cutting tough tissue or bone? Ans>> A Rongeur
- while passing scissors, which of their parts should be visible to the sur- geon? Ans>> Tip
- Which of the concepts are appropriate for the care of forceps during a procedure? Ans>> Cleaning the tips of blood or tissue frequently. Handing them off the sterile field to the circulating RN if the surgeon says that they are not working properly.
- Atraumatic forceps are most often used in Ans>> Cardiovascular surgery
- the point of the forceps should be facing when passing it to the surgeon? Ans>> Downward
- Which powered cutting instruments are used in orthopedic surgery? Ans>> Tis- sue shavers; Bone reamers.
- Plastic incise drapes
considered contaminated; Scrubbed team members should wear two pairs of surgical gloves.
- In creating a sterile field, which of the following are recommended by AORN? Ans>> a. Cuff the drapes over your gloved hand to prevent contamination.
c. Place drapes in sequence from the surgical site to peripheral areas.
d. Place drapes on the patient and any furniture and equipment that will be in the sterile field.
e. When placing drapes do not lean across unsterile areas.
- What action below is the best course to take when a hair is found in an instrument tray on the back table? Ans>> c. The entire sterile field should be broken down and a sterile field reestablished.
- Which of the following practices are NOT examples of the recommendation that "A sterile field should be maintained and monitored constantly"? Ans>> A sterile field that has been set up for more than 1 hour before the procedures begins should be broken down and a new set up prepared. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as the room as been secured.
- When transferring medication and solutions to the sterile field the periop- erative nurse should Ans>> Avoid removing stoppers from vials. Discard unused, opened irrigation or IV solutions at the end of the procedures. Dispense the entire contents to the container slowly. Use a sterile transfer device.
- Accurate preoperative documentation of the patient admission is an inte- gral part of the nursing process. This includes
Ans>> Patient identification; Preoperative orders; Patient assessment.
- The primary purpose of documentation is to Ans>> Record the chronological order of events during the nursing are of a patient.
- When documenting the placement of a surgical drain, which of the follow- ing components should be included? Ans>> Where the drain was placed on the patient.
- Which of the following is true about the use of abbreviations in perioper- ative documentation? Ans>> They can put patients at risk for medication errors.
- When documenting, the perioperative nurse should Ans>> Document in a timely manner; Use nursing diagnoses based on sound judgement; Use patient statements to verify the nurse's findings.
- Which of the following statements are true about informed consent? Ans>> - Needs to state the indications for the proposed intervention;
