AORN Periop 101- FINAL 2023 Exam QUESTIONS AND ANSWERS, Exams of Health sciences

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absorbable suture? Ans - C. Open the package carefully over a small medication vial to the sterile field? Ans - D. Use a sterile transfer statement should be considered? Select all that apply. Ans - A. It When applying the concept of surgical conscience which of the following 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 technique. 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. 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 closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. Ans - A. Preoperative verification B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a device Which of the following practices is recommended for handling of natural basin to prevent splashing of the packaging solution Recommended sponge count procedures include all of the following EXCEPT? Ans - B. Counting silently so it doesn't distract other personnel. portion of tissue is incised and sent for examination. Which of the following methods listed below may prevent mishap, event, or to completely dry.

AORN Periop 101- FINAL 2022 QUESTIONS AND

ANSWERS

What is the correct definition of incisional biopsy? Ans - D. A small fire from occurring when handling electrosurgical equipment? Select all that apply. Ans - A. Allow enough time for alcohol based skin

sterilization is the recommended practice? Ans - D. Instruments may the following primary goals EXCEPT? Ans - A. Improve patient practices is indicated? Ans - B. Position knees over the break in the procedures is that MIS: Ans - A. Can be performed through smaller In addition to giving Dantrolene, which of the following treatment options for

• B. Provide 100% oxygen, used iced saline to cool patient. An important difference between minimally invasive (MIS) and open surgical incisions. 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 place a patient safely in TRENDELENBURG position, which of the following procedure bed to allow for knee flexion. The first step in the sterilization process of surgical instruments that have been used in case is: Ans - A. Cleaning The preoperative team implements aseptic technique practices to meet all of satisfaction When a "Time Out" discrepancy occurs, the nurse's priority action should be situation. B. Document the "Time Out" discrepancy C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. malignant hyperthermia should the nurse anticipate and prepare for?Ans By using a high radio frequency electrical current, surgeons routinely use electrosurgery to the tissue. Ans - C. Cut and coagulate Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE abbreviations, Acronyms and Symbols? Ans - A. MS to: Ans - A. Call the patient's family to make them aware of the

members are true? Select all that apply. Ans - C. Sterile gowns should include: Select all that apply. Ans - A. The body area prepped patient? Ans - A. The patient is free from signs and symptoms of Which of the following practices is recommended when transferring from 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. Which of the following statements about regional anesthesia is correct? Ans - B. Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. Ans - B. Act as a witness attesting to the authenticity 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. Which PNDS outcome is the most important when draping the surgical infection Which of the following components should be included in documentation of 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 The preoperative nurse's documentation of the skin prep procedure should B. Name of the person performing the prep C. Preoperative assessment of the skin at the operative site. D. Skin prep agent used. Which of the following statements about proper attire of surgical team resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants Preoperative safety concerns that should be considered when caring fro a patient with an implanted electrical device (IED) include which of the 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 gurney to the OR bed? Select all that apply. Ans - A. Ensure that intraoperative patient position? Select all that apply. Ans - A. following? Select all that apply. Ans - A. Bipolar surgery should be

preoperative nurse is trying to attend to several tasks at once? Ans - patients? Select all that apply Ans - A. Employ deep vein thrombosis the preoperative RN to remember that: Ans - C. The nurse is safety within a healthcare organization? Ans - C. Prompt disciplinary technique is: Ans - D. Implemeted during surgical procedures to During your preoperative assessment of a patient undergoing a laparoscopic cholecystectomy, which of the following considerations would be important previous abdominal surgery. B. History of DVT. C. Voiding in the prep area prior to going to the OR. Which of the following is the best definition of sterile technique? Sterile prevent microbial contamination Which of the following is NOT a characteristic that promotes a culture of action when errors occur. When setting up insufflation equipment for an abdominal endoscopic procedure 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 When faced with an electrical power outage in the OR it is most important for responsible for knowing, understanding and complying with the facilities emergency electrical outage pace What interventions can the preoperative nurse preform to protect elderly prophylactic devices B. Position the patient for effective air exchange D. Use warming devices to maintain normothermia Which type of human factor is responsible for an error that occurs when a C. Situational A surgical hand scrub includes the following steps: Select all that apply: Ans - A. Clean the sublingual areas of both hands using a disposable nail cleaner B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side E. Wash your hands and forearms with soap and running water to you as a preoperative nurse. Select all that apply. Ans - A. Patients

apply. Ans - A. All preoperative personnel involved in a surgical successful infection control? Ans - B. Washing your hands prior to following areas. Match the area with the rational listed below: Ans - A. Ans - 1. Open the farthest wrapper flap

2. Open side flaps
3. Open the nearest wrapper flap A. Administration of ordered preoperative medication C. Performance of the Universal Protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment The following information is important in the management of forensic but are not limited to hair, fibers, debris, body fluids and foreign bodies B. Forensic specimens require special handling when the surgeon is using metal instruments C. Hospitals need to have policies to give guidance to the preoperative nurse about the management of forensic specimens According to the CDC, which surgical wound classification should be documented for the patient who underwent a laparoscopic appendectomy (Dirty/Infected) The preoperative nurse should avoid placing the dispersive electrode on the 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 Which of the following strategies should be considered for implementing greeting the patient in the pre-operative room Which of the following practices help to prevent contamination in the surgical 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. Which of the following statements about counts is correct? Select all that procedure are responsible for the accuracy of sponge counts Preoperative documentation should include: Select all that apply: Ans - Put the following steps in order when opening a wrapped sterile package: specimens. Select all that apply. Ans - A. Forensic specimens include with the diagnosis of perforated appendicitis? Ans - D. Class IV suite? Select all that apply Ans - B. All horizontal surfaces should be

Which of the following statements about the gowning procedure are correct? Ans - D. Step back from the table into an unobstructed area to let the gown unfold A psychosocial assessment may include the patient's: Select all that apply Ans - A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure 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 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 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 Ans - B. Change the gown and gloves of the contaminated team members C. Break down the entire back table and re-establish a sterile field Important skills affecting the clinical setting include which of the following? Ans - D. Problem solving and situational awareness 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, Recommendation operative site as possible Proper OR attire for restricted areas includes: Select all that apply Ans - 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 All of the following organization provide guidance related to tissue banking EXCEPT: Ans - D. American National Standards Institute (ANSI) The dispersive electrode should: Ans - C. Be placed as close to the Which of the following latex sensitivity categories match the description provided? Ans - C. Irritant contact dermatitis: non which includes: Ans - C. Situation, Background, Assessment,

transmission of microorganisms? Ans - D. Use personal protective include: Select all that apply. Ans - A. Handling powered instrument to on the patient's heels would be to: Ans - A. Elevate (offload) heels off recommendations include: Ans - C. Evacuating the patient and the reaction usually aggravated by glove power and chemical agents added to raw latex If the preoperative team is unable to extinguish the fire in the OR, preoperative team following the organization fire plan The best intervention to prevent intraoperative pressure ulcer development the bed Important values affecting the clinical setting include which of the following? Ans - C. Fair and equitable care During which phase of wound healing does contraction occur? Ans - C. Proliferation Which of the following recommendation for enhancing the future of nursing included in the 21011 Institute of Medicine report? Select all that apply. Ans - A. Nurses should engage in life long learning C. Nurses should achieve higher levels of education D. Academic institutions should improve their systems to provide academic progression Safety precaution when handling and caring for powered instruments the surgeon with the safety mechanism on B. Having irrigation ready to use the drill or saw D. Using the instrument with the blade guard or drill guard in place During admission of a patient to Phase 1 of post anesthesia care, the perianesthesis nurse is responsible for which of the following? Select all that apply Ans - A. Assessing the patient's level of consciousness B. Assessing the patients pain level C. Maintaining a patent airway D. Monitoring blood pressure, heart rate and oxygen saturation Which of the following environmental sanitation practices is used to limit equipment when handling body fluid spills Which type of needle point should you expect to be needed for suturing viable tissue such as the liver? Ans - A. Blunt You have been asked to give a presentation for your unit colleagues on preventing surgical site infections, which of the following discussion points is

include: select all that apply Ans - A. Anxiety about an uncertain following into considerations. Select all that apply Ans - A. Mobility perioperative nurse should do all of the following except: Ans - D. Set A. Bone Reamers C. Saw D. Tissue shavers When setting up the insufflator for a robotic hysterectomy procedure, the the initial insufflators pressure to 12mmHg A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history of smoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. You are concerned about his wound healing post-operatively based on the following factors: Select all that apply Ans - B. Corticosteroids may potentially delay wound healing C. People with diabetes have a higher risk for infection due to the increase in glucose levels D. Smoking as been documented to increase the probability of nonunion at a fracture site When making the preoperative assessment, the nurse should take the C. Planned duration of the procedure D. Preexisiting healthy conditions E. Type of anesthesia Barriers to effective patient and family education in perioperative settings outcome B. Discomfort or pain C. Fear of the unknown D. Limited time for assessment and teaching RACE: Rescue patients and staf f members in immediate danger Notify the fire department Confine the fire. Shut the doors Evacuate according to the facility plan Preoperative fluid management is important because excessive amounts of fluid could lead to which of the following conditions? Select all that apply. Ans - B. Hypervolemia C. Hyponatremia Types of powered cutting instruments include: Select all that apply. Ans - Place the four basic steps of fire safety in the correct order: Ans - An area of painful skin that is abraded, blistered, or had shallow craters would be classified as which stage of ulcer? Ans - B. Stage II

outpatient procedures is: Select all that apply. Ans - A. Ask about Performance of the "time out" for patient safety includes verbal team A. Patient identification using two patient identifiers B. Site of the procedure, including right-left distinction D. Procedure to be performed The principle elements required for an infection to occur are: Select all that apply. Ans - A. A method of transmission B. A source or reservoir C. A susceptible host with a portal of entry to receive an infection While waiting for the prep solution to dry, the circulator observes the laparotomy drape fall below the waist level of the scrub person. What is the drape is contaminated and replace with a sterile drape The purpose of conducting postoperative phone calls within 24-48 horns for patient satisfaction with care D. Direct future hospital performance activities E. Note any surgical complications The goals of patient and family education include all of the following EXCEPT: Ans - A. Achieve long-lasting improvements in patient health status B. Improve patient satisfaction C. Provide information/knowledge to the patient and and family Mechanical, chemical and thermal Which of the following statement is true concerning the use of the AORN situations variations may determine the extent to which the AORN Guidelines can be applied gown should be fastened in the back before donning gloves All of the following statements indicate an understanding of the constantly monitored What are the three methods used to accomplish hemostasis? Ans - A. Which of the following statements about gloving is true? Ans - B. The agreement on which of the following items: Select all that apply. Ans - best action for the nurse to take? Ans - A. Alert the team that the Guideline for Preoperative Practices? Ans - D. Work setting and recommended attire for the circulating nurse during and invasive procedure EXCEPT: Ans - C. Jewelry should on the outside of

nurse should: Ans - D. Use additional precautions as appropriate Select all that apply Ans - B. Keep stainless and titanium instruments C. Performance of the universal protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment The preoperative nurse's role in preparing and administering medications includes: Ans - B. Assessing the patient's medication allergies and use of herbal or dietary supplements C. Documenting and reading back the surgeon's oral orders before preparing medications D. Verifying the administration of the correct medication, dose and route What special care procedures are required for microsurgical instruments? separated C. Use a non-birous sponge wipes to clean the instruments recommended D. Use tip covers or protective sleeves when instruments are not used. To minimize the potential for injury to patients related to the use of the ESU, the perioperative nurse should employ which of the following safety can be heard if it is activated B. If expecting fluids, encase the footswitch in an impervious cover C. Never pour fluids on the generator or foot switch You are preparing your OR for a laparoscopic splenectomy. Which of the following would you need to address after inspecting the surgical One of the surgical lights are dim D. There are no specimen containers available To follow the AORN Guidelines for positioning the patient , the perioperative based on unique considerations WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? blood, serosanguinous fluid and purulent material C. Drains function by passive (gravity) or active means (suction) D. Hand-of f report to the PACU nurse should include; the type location and patency of the drain Types of powered cutting instruments include: Select all that apply. Ans - A. Bone Reamers B. Ultrasonic dissectors C. Saws measure? Select all that apply Ans - A. Ensure that the audible alarm environment prior to starting your case? Select all that apply Ans - A. SELECT ALL THAT APPLY. Ans - B. Drains expedite healing by removing

OR? Damp dusting should: Ans - D. Begin with higher surfaces and optimal level of suction that Ans - A. Insulation defects can cause for a posterior lumbar laminectomy? Select all that apply. Ans - A. correct? Select all that apply Ans - A. Both model professional nursing D. Tissue shavers The goals of the surgical skin prep are to: Select all that apply. Ans - A. Inhibit rapid rebound growth of microorganisms B. Reduce the risk of postoperative site infection C. Remove soil and transient microorganisms and to reduce the number of resident microorganisms Endoscopic instrumentation maintenance may be enhanced by all of the following EXCEPT: Ans - C. Irrigating channels with normal saline at the end of each case Which of the following statements concerning mentors and preceptors are behaviors B. Mentors guide nurses through global professional activities C. Preceptors guide nurses through defined clinical activities Which nursing diagnosis is a PRIORITY for the patient who is being positioned Impaired gas exchange D. Risk for preoperative positioning injury When performing a plastic surgery skin closure, which choice of suture size would be most appropriate? Ans - C. 5- Compression injuries to blood vessels The most important reason for maintaining endoscopic instruments at an unseen burns They often cause more scarring than other skin closure methods Which of the following practices is recommended for damp dusting in the finish with lower surfaces Which is the following a disadvantage of using skin clips? Ans - C. Based on your understanding of chemical safety issues, identify the best strategy to reduce the risk associated with ignition of prep solution vapor. Ans - A. Allow the prep to dry before draping to allow vapors to Over-oressurizaiton of a tourniquet cull may cause: Ans - B.

patient? Ans - A. The patient is free from signs and symptoms of pressure ulcer include: Select all that apply. Ans - A. Duration of the authenticity of the patients signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgery with the patient and the patient has signed the consent. Intrinsic and extrinsic factors that may lead to development of preoperative procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition Length of surgery C. Past experience with anesthesia D. Surgical procedure

• B. Utilities C. Support services E. Administrative personnel What responsibilities do OR staf f 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. Which PNDS outcome is the most important when draping the surgical infection All of the following are important examples of activities that re made possible information regarding surgical procedure and iqsgnosis to patient's family and employer postoperatively Identify the conditions listed below that are important considerations in condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges B. Outside shipping containers are segregated from items on shelves C. Traffic should be controlled to limit access to those trained in the handling of sterile supplies The choice of anesthesia is influenced by all of the following: Ans - A. Indirect expenses include which of the following: Select all that apply. Ans with preoperative nursing EXCEPT: Ans - B. Ability to freely distribute maintaining the sterility of an item. Select all that apply. Ans - A. The

transmission of microorganisms? Ans - D. Use PPE when handling instruments? Select all that apply. Ans - B. Open box locks and D. Sterile supplies are able to be stored in a manner that allows adequate air circulation Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? Select all that apply. Ans - A. Applying cricoid pressure if necessary B. Double checking blood if administered D Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure In which type of healing does the wound remain open and allowed to heal on its own without additional surgery? Ans - B. Granulation You are circulating on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters non-purulent inflammation and ask for a culture. The procedure is completed using the laparoscope without need to open the abdomen, in completing your documentation of wound class the best choice would be: Ans - C. Contaminated Which item blow is typically subjected to non-biologic testing? Ans - C. Bullet from a crime scene Which of these practices is recommended during decontamination of used dissemble instruments with multiple parts D. Use enzymatic detergent on heavily soiled instruments E. Wear PPE Which of the following environmental sanitation practices is used to limit the body fluid spills What is the most appropriate needle point for performing a vascular anastomosis? Ans - C. Taper Point According to the CDC, which wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? Ans - D. Dirty (Class IV) Your are the circulating RN for a patient having an operative hysteroscopy. Actions you should take to achieve correct fluid management for the patient NPO status NPO status, weight, medication, and allergies. When making the preoperative assessment the nurse should take the factors into consideration? Select all that apply. Ans - A. Mobility includes all of the following EXCEPT: Ans - A. Assessing the patients