AORN Perioperative 101 Exam: Questions and Answers, Exams of Nursing

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AORN PERIOP 101 EXAM

Questions and Answers (Verified Revised Full Exam)

1. what is an appropriate action for a nurse assisting anesthesia? Ans>> Apply cricoid pressure if needed during intubation
2. What is not considered a basic monitor for anesthesia? Ans>> Arterial line
3. What drug is used to reverse valium and midazolam (Versed)? Ans>> Flumazenil
4. How can the perioperative nurse assist eh provider with placement of a spinal or epidural block? Ans>> Calm the patient

5. During intravenous regional anesthesia (Bier Block), the tourniquet should be deflated slowly to prevent which of the following from the entering circula- tion? Ans>> Bolus of anesthetic
6. What is the most consistent indicator of malignant hyperthermia during a surgical intervention? Ans>> unexplained increase in end title CO
7. Which assessment factor is important to include when screening patients for potential risk of malignant hyperthermia? Ans>> Family history of problems with anesthesia
8. What are complications associated with laparoscopic surgery? Ans>> CO2 em- bolism, Umbilical hernia
9. Which options can the scrub person take to help prevent accidental ther- mal burns? Ans>> inspect laparoscopic instrumentation for excessive wear replace instruments that have damaged insulation clean all instruments with sterile water

14. Damp dusting of the OR as part of the preliminary room preparation should be done Ans>> in the morning before bringing in surgical supplies
15. Which methods are most effective for terminal cleaning the floors in the OR? Ans>> damp mop with two mop system
16. Which of the following is correct regarding the disposal of contents from reusable suction systems? Ans>> Done by federal state and local regulations
17. What is true regarding spray bottles? Ans>> spray bottles can aerosolize potentially infectious materials spray bottles are occasionally used to apply disinfectant
18. The proper device for the disposal of blades, needles and stapling devices should be Ans>> sharps disposal container
19. The goals of preforming post-procedure cleaning of the OR include Ans>> it renders the environment safe for the patient following in that room to prevent cross contamination it is the patients right to a clean and safe environment it breaks the cycle of contamination from the patient to the environment to the OR personnel and subsequent patients

20. Terminal cleaning must be done Ans>> Once during each 24 hour period
21. During post procedure cleaning what must be done Ans>> all kick buckets, ham- pers, and similar receptacles must be emptied and disinfected as needed OR bed should be moved to clean floor transport vehicles are considered dirty after patient contact all horizontal surfaces of tables, and equipment should be wiped down with a lint-free cloth moistened with a hospital approved disinfectant
22. Sponge counts are not done for Ans>> state law requirements
23. What should the periop nurse ensure when positioning a patient? Ans>> use additional precautions as appropriate based on unique patient considerations
24. what physiological effects are most likely to result from positioning a patient in lithotomy? Ans>> Circulatory and respiratory compromise due to compression on the abdomen
25. What are safety measures to take into consideration when placing the patient in a lateral position?

Ans>> Upper leg is straight and supported with pillows between the legs

26. Documentation should include but is not limited to Ans>> type of positioning devices used names of persons positioning the patient
27. what are factors that should be considered in the periop assessment Ans>> age nutritional status pre-existing conditions
28. The use of PNDS helps a nurse to Ans>> Ans>> Plan the nursing interventions assess and develop nursing diagnosis' assess and evaluate the patients status Evaluate responses to positioning
29. A table flexed 90 degress for the position is a variation of the position Ans>> jack-knife (kraske), prone
30. What response is the result of tissue layers moving on each other Ans>> Shearing
31. What surgical positions adversely affect diaphragmatic movement? Ans>> Tren- delenberg, prone and lateral
32. The purpose of National patient safety goals is to Ans>> Promote specific improve- ments in safety highlight problematic areas in healthcare describe evidence and expert-based system wide solutions to the problems
33. What is a practice that implements Joint commissions universal protocol for preventing, wrong site, wrong person, wrong procedure Ans>> using a timeout procedure before beginning case

34. The elements require to create a culture of safety include Ans>> a sense of trust among team members a sincere commitment to affirming safety as the first priority development and support of a proactive approach rather than a reactive approach dissemination of receipt of information to all levels
35. The IOM report describes the importance of setting standards and expec- tations for patient safety the report states that setting standards can .... Ans>> Set expectations for the health professionals Establish consistency when it comes individuals and organizations Help set expectations of consumers and purchasers
36. Individual staff members play the biggest role in marinating a safe OR environment they are required to Ans>> Ans>> monitor identify and report safety hazards Understand and comply with the emergency power outage plan Practice sound, basic and OR specific electrical and fire safety
37. What is true regarding AORN position statement on correct site surgery?-

Ans>> The staff member should verbally verify the correct site with each member of the surgical team

prep to dry before draping

43. which of the following factors increase the patients risk for skin injury? Ans>> - unusual positions or positioning devices use of electrical equipment use of chemical agents prolonged length of surgery
44. AORN guidelines for the time out recommend that all team members verbally verify the agreement on Ans>> Ans>> the name of the patient the site of the procedure including side distinction the procedure to be preformed
45. Mechanical issues and problems that can cause skin injury include Ans>> placing heavy items on the patient dragging the patients body across the sheets Improperly applying sequential compression stockings

46. Which of the following practices is recommended to reduce the patients risk of intraoperative skin injury Ans>> protect sensitive areas of the skin with appro- priate padding
47. Which of the following is recommended when transferring a patient from an OR bed to a stretcher/gurney Ans>> Lock the wheels of the stretcher and the OR bed prior to transfer
48. Which activities should the transport person complete before transferring a patient? Ans>> Identify the patient and the surgical procedure verbally confirm the preoperative orders have been completed Reconcile any medications the patient may have been taking preoperatively
49. IN addition to back-up electrical power in the case of a power outage, ORs may plan for outage by Ans>> identifying which outlets in the OR are connected to emergency power Maintaining batter powered lights in each OR routinely checking the operating and availability of backup equipment
50. Indirect fire hazards and risks specific to the OR include Ans>> anesthetic com- plication risks postoperative infections postoperative surgical complications
51. When working with electrical equipment the perioperative nurse must

Ans>> en- sure the warming therapy devices are used at appropriate settings ensure that users are educated in the safe use of all electrical equipment never place the hose of a patient warmer directly under the patients blankets

52. Radiation exposure safety controls include

55. which of the following is a correct application of the AORN guidelines for proper eyewear during laser use Ans>> the eyewear should match the type of laser, optical density and wavelength
56. Volatile liquid Ans>> a liquid that evaporates quickly
57. combustible skin agent Ans>> a skin antiseptic agent that will burn with a flash point of grater than 100 degrees, 38. C
58. Flammable skin agent Ans>> a skin antiseptic agent that has a flash point of less than 100 degrees, 38.7 C
59. Combustible rating Ans>> an established rating used with skin antiseptic solutions that can be found by reviewing MSDS sheets
60. The nominal hazard zone for laser use is the Ans>> space where direct scattered or reflected laser radiation exceeds maximal permissible exposure
61. risks to patients and staff members associated with laser use include Ans>> eye injury fire hazards inhalation of laser plume
62. potential sources of fuel for surgical fires include Ans>> draping materials
63. the concept of standard care related to documentation includes Ans>> the nurse required to document and act as a reasonably qualified nurse would in a similar situation

64. The primary reason for documenting sharp and sponge count is Ans>> to prevent injury to the patient from a retained foreign object
65. an individual patient care plan that was initiated during the preoperative phase includes Ans>> a cultural or religious experience emotional considerations psychosocial considerations
66. what statements are true about informed consent Ans>> needs to state the indica- tion for the proposed intervention is a physicians duty and RNs are witnesses to the patients signature must contain the name of healthcare facility
67. When documenting the nurse should include Ans>> document in a timely manner use nursing diagnoses use patient statements to verify nurses findings
68. the primary purpose of documentation is to Ans>> record the chronological order of events during the nursing care of a patient
69. which of the following is true about the use of abbreviations in documen- tation Ans>> they put patients at risk for medication errors

Ans>> central suction sys- tems with 0.1 micrometer in line filter central suction system with HEPA in-line filter Smoke evacuator unit

79. Which precautions should be take for a patient with an implanted Electron- ic device Ans>> all team members should be informed about the ED the active and dispersive electrodes should be located as close together as possible
80. What is needed for documenting with an electrical surgical device Ans>> location of dispersive electrode serial or biometric device number patients kin condition before and after applying the dispersive pad
81. during laparoscopic surgery perioperative RNs can reduce the chance of capactive-coupling injuries by Ans>> using the lowest power setting and the low-voltage cutting wave form
82. AORNS guidelines for perioperative practice provides Ans>> information on ad- ministrative topics information that can be used to develop institution specific guidelines scientific evidence for clinical practices

83. what is true regarding AORN's guidelines for perioperative practice Ans>> they are based on what nurses do in ideal situations they may be fulfilled in varying degrees in different situations
84. 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
85. gross revenue Ans>> all monies received by the facility for goods and services
86. fixed expenses Ans>> medical records and administration
87. net revenue Ans>> gross revenue minus expenses
88. variable cost Ans>> costs directly related to patient volume