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1. In addition to the surgeon, which surgical team members wear sterile
gowns and gloves during the procedure? Ans>> Scrub Person AND Surgical assistant
2. The pathology laboratory and blood bank are usually situated in which
of the following areas? Ans>> Unrestricted area
3. 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
4. Data collection is part of which phase in the nursing
process Ans>> Assessment
AORN PERIOP 101 EXAM STUDY GUIDE
200+ Questions and Answers (Verified Revised Full Exam)
5. Which of the following is considered a critical perioperative nursing
diag- nosis within the PNDS? Ans>> Risk for perioperative positioning injury
6. 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)
7. Defining nursing goals and intervention strategies is a part of which phase
in the nursing process Ans>> Outcome identification
8. 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
9. 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
15. 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
16. 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.
17. 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.
18. 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
19. 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;
25. 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
26. 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
27. 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- 12 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.
28. Patients in which of the following age groups have the greatest blood
volume per unit of body weight? Ans>> Children
29. 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.
30. Which items are included in a psychosocial assessment?
Ans>> Coping styles; cultural beliefs and practices; Expectations of perioperative care; Spiritual or religious beliefs
31. Which of the following statements is
true? Ans>> Lung capacity decreases with increasing age
32. Which of the following factors make geriatric patients more sensitive to
injury and cold? Ans>> Decrease in subcutaneous fat
33. 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.
34. 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
41. Patient and family education is a combination process
involving Ans>> Influenc- ing behavior; Producing changes in knowledge; Producing change in attitudes and skills
42. Factors that may affect an adult patient's ability to learn
include Ans>> Age; Attitude; Emotional state; Intellectual ability; Physical ability
43. 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
44. A preoperative patient's DNR order is
Ans>> Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery
45. Obtaining informed consent is a two step process of
Ans>> Communicating infor- mation and documenting the decision
46. How does the perioperative nurse test the patient's level of
understand- ing? Ans>> By asking questions about the procedure and evaluating the answer
47. A directive interview is
Ans>> Structures with predetermined questions
48. 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
49. Which of the three elements required for an infection to occur is
related to inanimate environmental surfaces? Ans>> Source or Reservoir
50. One of the most effective ways to prevent disease transmission and
con- trol infections in health care settings is Ans>> Hand Hygiene
51. 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
the following when splashes, spray, spatter, or droplets occur Ans>> Masks; Shoe coverings; Eye protection devices; Gloves
53. Which factors determine the likelihood of transmission and persistence of
multi drug resistant organisms Ans>> Effectiveness of prevention methods; Numbers of colonized patients; Vulnerability of the patients
54. Several types of infections may be acquired in the perioperative settting-
Ans>> Surgical site infections- SSIs; Multidrug resistant organisms- MDROs; Central line associated blood stream nfections- CLABSIs; Catheter associated urinary tract infections- CAUTIs
55. Effective methods for preventing SIs
include Ans>> Effective environmental clean- ing procedures; Performance of sterile technique; Use of surgical attire and other barriers (All of the above)
56. Immunizations and testing for health care workers should include
all of the following except Ans>> Shingles
57. 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.
58. Droplet precautions include all of the following
except Ans>> Consulting with the risk manager
59. The single most important factor in preventing the spread of
infection is Ans>> Hand Hygiene
60. 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
61. Which methods are most effective for terminal cleaning floors in
the OR Ans>> - Wet vacuum or single use mop
62. Which of the following is correct regarding the disposal of contents from
reusable suction systems? Ans>> done according to federal, state, and local regulations
63. Correct statements about spray bottles
Ans>> Spray bottles can aerosolize poten- tially infectious materials; Spray bottles are not used to apply disinfectant
64. The proper device for the disposal of blades, needles, stapling devices, pins,
and
68. Identify the pathogens that can be commonly found in the OR
environe- ment Ans>> Escherichia coli; Methicilin resistant STaph aureus; Serratia marcescens.
69. In which surgical wound category should a total abdominal
hysterectomy be classified? Ans>> Clean contaminated wound
70. Match terms
Ans>> Disinfection- A chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects. Decontamination- The use of physical or chemical means to remove, inactivate, or destroy bloodborne or other pathogens on a surface or item. Sterilization- The process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms. High level disinfection- A process that destroys all microorganisms with the excep- tion of high numbers of bacterial spores.
71. Immediate use steam sterilization can be
used Ans>> In urgent situations
72. A packing system for items undergoing sterilization
should Ans>> Permit aseptic delivery of contents to the sterile field
73. Complete sterilization in ethylene oxide is dependent upon four primary
variables Ans>> proper time, gas concentration, temperature, and Ans>> Chamber humidity
74. Which of the following is true about ethylene oxide sterilization
Ans>> EO expo- sure is potentially carcinogenic and mutagenic to personnel and patients
75. Which of the following is true about the use of peracetic acid on surgical
items Ans>> Items must be immersible
76. An integrator is a multiparameter indicator designed to measure which
of the following parameters Ans>> Temperature, time, and presence of steam
77. 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.
78. Shelf life is related to
Ans>> Exposure to external events; Type of packaging material used; Number of personnel who may have handled the package.
79. 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.
Ans>> May increase moisture and bacterial growth under the drape; Are NOT recommended for use.
90. Which of the following best describes sterile technique
Ans>> Implemented during surgical procedures to prevent microbial contamination
91. Match the terms given below with their definitions.
Ans>> 1. Surgical con- science-Allows for no compromise in the principles of sterile technique
2. Sterile- The absence of all living microorganisms.
3. Sterile Technique- The use of specific actions and activities to prevent contami- nation
and sterility of identified areas during operative or other invasive procedures.
92. Recommendations for draping include
Ans>> -handling sterile drapes as little as possible
- cuffing the drape material over the gloved hands
- holding the drapes in a controlled manner
93. Select the areas of the sterile gown that are considered sterile.
Ans>> - Gown sleeves from two inches above the elbow to the cuff, circumferential.
- The front of the gown from the chest to the level of the sterile field.
94. Select the statements below that are correct
Ans>> closed assisted gloving should be used to glove team members during initial gowning and gloving; Once the scrubbed team member's hands pass through the cuff, the cuffs are
considered contaminated; Scrubbed team members should wear two pairs of surgical gloves.
95. 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.
96. 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.
97. 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.
98. 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.
99. Accurate preoperative documentation of the patient admission is an inte-
