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AORN Periop 101 Final Exam Questions
and Answers Already Passed
NUMBER OF VENTILATION EXCHANGES FOR AN INDIVIDUAL OR Correct Answer- 20 PER HOUR WITH 4 EXCHANGES FROM OUTDOOR AIR
HUMIDITY RANGE FOR AN INDIVIDUAL OR Correct Answer- 20 - 60%
TEMPURATURE RANGE FOR AN INDIVIDUAL OR Correct Answer- 68 - 75 DEGREES FAHRENHEIT 20-24 DEGREES CELSIUS
THIS LOSES PLIABILITY IF DRIED OUT OPEN OVER SMALL BASIN SURGICAL GUT (PLAIN OR CHROMIC) AND COLLAGEN Correct Answer-NATURAL ABSORBABLE SUTURE
MAXON MONOCRYL VICRYL DEXON PDS & PDS II
DO NOT SOAK OR DIP IN WATER (THIS CAUSES HYDROLYSIS AND REDUCTION OF TENSILE STRENGTH) Correct Answer-SYNTHETIC ABSORBABLE SUTURE
SILK SURGICAL COTTON (WEAKEST; GAINS STRENGTH WHEN WET) LINEN
STAINLESS STEEL (USED FOR CLOSURE OF STERNUM, RETENTION SUTURE,
SECONDARY REPAIR, RESP TRACT, ORTHO, NEUROSURGERY) Correct Answer- NATURAL NONABSORBABLE SUTURE
NYLON SUTURE -MONOFILAMENT (ETHILON & DERMALON) -COATED (SURGILON) -UNCOATED (NEUROLON)
POLYESTER FIBER SUTURE -COATED (TICRON, ETHIBOND, TEFLON) -UNCOATED (MERSILENE & DACRON)
POLYPROPYLENE (PROLENE & SURGILENE) POLYBUTESTER (NOVAFIL) POLY ETHYLENE (DERMALENE) Correct Answer-SYNTHETIC NONABSORBABLE SUTURE
-NO INFLAMMATION -RESP, AILMENTARY, AND GU TRACTS NOT ENTERED -EX. EYE SURGERY, HERNIA REPAIRS, BREAST SURGERY, NONTRAUMATIC NEURO & ORTHO SURGERY, CARDIAC, OR PERIPHERAL VASCULAR SURGERY Correct Answer-CLASS I-CLEAN WOUNDS
-RESP, AILMENTARY, OR GU WOUNDS ENTERED UNDER CONTROLLED CONDITIONS AND WITHOUT CONTAMINATION OF SURROUNDING TISSUE -NO EVIDENCE OF INFECTION OR MAJOR BREAK IN ASEPTIC TECHNIQUE -EX. D&C, TOTAL HYSTERECTOMY, GASTRECTOMY, CHOLE WITHOUT SPILLAGE, ELECTIVE APPY, CYSTOSCOPY, TURP ON PT W/ NEGATIVE URINE CULTURES, SIGMOID COLON RESECTION Correct Answer-CLASS II-CLEAN CONTAMINATED
ELEMENTS OF PROFESSIONALISM Correct Answer--GOVERNED BY PRACTICE ACTS THAT OUTLINE LEGAL SCOPE OF PRACTICE -MAINTAIN CURRENT KNOWLEDGE -SEEK OUT COLLEAGUES TO ASSESS THEIR PRACTICE -ACTIVATE PARTICIPANTS IN PROFESSIONAL ORGANIZATIONS -ENGAGE IN ONGOING PROFESSIONAL DEVELOPMENT -MAINTAIN COMPETENCE ACTIVITIES THROUGOUT CAREER
PICO Correct Answer-POPULATION, PATIENT, PROBLEM INTERVENTION COMPARISON OUTCOME
3 MAIN CATEGORIES OF DIRECT COSTS Correct Answer-MEDICAL SUPPLIES PERSONNEL PURCHASING SERVICES
IOM REPORT Correct Answer-INSTITUTE OF MEDICINE SAYS THAT NURSES SHOULD PRACTICE TO TE FULL EXTENT OF THEIR EDCUCATION AND TRAINING
AREAS OF THE STERILE GOWN TAHT ARE CONSIDERED STERILE Correct Answer- CHEST, GOWN SLEEVES AT 2 INCHES ABOVE ELBOW TO CUFF CIRCUMFERENTIALLY, CHEST TO LEVEL OF STERILE FIELD
WHY IS THERE A RECOMMENDATION TO CHANGE SURGICAL GLOVES AFTER MAX TIME OF 150 MINUTES Correct Answer-PERFORATION RATES INCREASE AFTER 150 MINUTES RELATED TO INCREASED WATER ABSORPTION CAUSING INCREASED PERMEABILITY AND POROSITY
3 CATEGORIES OF DISINFECTION ACCORDING TO SPAULDING CLASSIFICATION SYSTEMS Correct Answer--NONCRITICAL: CONTACT WITH UNBROKEN SKIN
-SEMI CRITICAL: CONTACT WITH MUCOUS MEMBRANES
-CRITICAL: CONTACT WITH BLOOD STREAM OR OTHERWISE NORMALLY STERILD
BODY AREAS
FIRST STEP IN STERILIZATION PROCESS Correct Answer-CLEANING (REMOVING GROSS SOIL AND MOISTENING)
STEPS IN DECONTAMINATION PROCESS Correct Answer-1. OPEN BOX LOCKS & DISASSEMBLE INSTRUEMENTS WITH MULTIPLE PARTS
- USE ENZYMATIC DETERGENT ON HEAVILY SOILED INSTRUMENTS
- WEAR PPE
- INSTRUMENTS WITH LUMEN SHOULD BE FLUSED WITH WATER OR DETERGENT SOLUTION
CLASS 3 CHEMICAL INDICATOR REACTS TO: Correct Answer-A SINGLE PARAMETER OF STERILIZATION PROCESS
CLASS 5 CHEMICAL INDICATOR REACTS TO: Correct Answer-ALL CRITICAL PARAMETERS OVER A SPECIFIED RANGE OF STERILZATION CYCLES
INDUCED REVERSIBLE STATE OF UNCONSCIOUSNESS INCLUDES AMNESIA, ANALGESIA, LOSS OF RESPONSIVENESS, DECREASED STRESS RESPONSE, AND LOSS OF SKELETAL MUSCLE REFLEXES Correct Answer-GENERAL ANESTHESIA
INJECTION OF LOCAL ANESTHETICS NEAR NERVE FIBERS TO CAUSE REVERSIBLE LOSS OF SENSATION OVER AN AREA OF THE BODY Correct Answer-REGIONAL ANESTHESIA
INFILTRATION OR TOPICAL ADMINISTRATION OF AGENTS TO ANESTHETIZE A PART OF THE BODY Correct Answer-LOCAL ANESTHESIA
4 STEPS OF WRONG SITE, WRONG PROCEDURE, WRONG PERSON SURGERY
PROTOCOL Correct Answer-PATIENT PARTICIPATION INDENTIFYING THE PATIENT MARKING THE SITE TIME OUT
FIRE TRIANGLE Correct Answer-IGNITION SOURCE, OXIDIZER, FUEL
-ARM EXTENTION SHOULD BE LESS THAN 90 DEGREES TO AVOID COMPRESSION OF BRACHIAL PLEXUS -PRESSURE POINTS PADDED -SOFT PILLOW UNDER KNEES TO PREVENT LOWER BACK STRESS -SAFETY STRAP APPLIED WITH BLANKET PROTECTING SKIN Correct Answer-SUPINE POSITION
-PATIENT'S BUTTOCKS IS EVEN WITH LOWER BREAK IN OR BED BUT SHOULD NOT EXTEND OVER THE BREAK TO PREVENT STRAIN ON SACRUM -ARMS ARE PLACED ON PADDED ARM BOARDS TO PREVENT PATIENT FINGERS FROM RESTING IN THE OR TABLE BREAK
PHYSIOLOGIC EFFECTS -SIGNIFICANT DROP IN BP IF LEGS LOWERED TOO QUICKLY -CIRCULATORY AND RESP SYSTEMS MAY BE COMPROMISED DUE TO COMPRESSION OF ABDOMEN ON INFERIOR VENA CAVA AND AB AORTA -DISLOCATION OF HIPS IF LEGS NOT RAISED OR LOEWRED SIMULATNEOUSLY OR NOT POSITIONED AT EQUAL HEIGHTS Correct Answer-LITHOTOMY POSITION
-MAINTAIN FEET IN CORRECT ANATOMICAL POSITION TO PREVENT FOOT DROP -EYES PADDED AND PRESSURE AVOIDED TO PREVENT CONJUNCTIVAL EDEMA, CORNEAL ABRASION, OR RETINAL ISCHEMIA
-ARMS ROTATED SLOWLY ON ARM BOARDS PREVENTING BRACHIAL PLEXUS
INJURY
-MOST VULNERABLE TO RESP PROBLEMS DUE TO COMPRESSION OF DIAPHRAGM
WHICH IMPAIRS GAS EXCHANGE Correct Answer-PRONE POSITION
-HEADREST OR PILLOW PLACED UNDER PATIENTS HEAD -UPPER ARM ABOVE LOWER ARM ON SAME PLANE AS SHOULDER; FOREARM AND WRIST IN NEUTRAL POSITION; PALM DOWN -LOWER ARM ON SAME PLANE AS OR MATTRESS; FOREARM AND WRIST IN NEUTRAL POSITINO; PALM UP -DON'T FORGET THE AXILLARY ROLL!! -LOWER LEG IS FLEXED AT HIP AND KNEES -UPPER LEG IS STRAIGHT AND SUPPORTED WITH PILLOWS BETWEEN LEGS -SAFETY STRAP! (OR BEAN BAG; OR PEGS) Correct Answer-LATERAL POSITION
TISSUE LAYERS MOVE ON EACH OTHER CAUSING BLOOD VESSELS AND TISSUES TO STRETCH, ANGULATE AND BECOME DAMAGED Correct Answer-SHEARING
SKIN RUBS OVER A ROUGH STATIONARY SURFACE AND CAN DENUDE THE EPIDERMIS Correct Answer-FRICTION
PRIOTIZATION OF HOOKING THINGS UP FOR MIS Correct Answer-INSUFFLATION TUBING LIGHT CORD BIPOLAR CORD SUCTION TUBING IRRIGATION TUBING
SEQUENCE OF BODY'S DEFENSE MECHANISMS FOR A WOUND Correct Answer-STOP THE BLEED CLEAN THE WOUND OF DEBRIS
-TENSILE STRENGTH GAIN: YEARS OF SCAR TISSUE IS CREATED AND RETAINS
ONLY 80% AS STRONG
GRANULATION OF SECOND INTENTION HEALING PROCESS Correct Answer-WOUND LEFT OPEN AND ALLOWED TO HEAL FROM INNER LAYER TO OUTER SURFACE WITHOUT ADDITIONAL SURGERY
WHY IS COLLAGEN PRODUCTINO SO IMPORTANT IN WOUND HEALING Correct Answer-COLLAGEN IS THE BASIC PROTEIN SUBSTANCE OF CONNECTIVE TISSUE AND INCREASES TENSILE STRENGTH OF WOUND
SAFE DISTANCE FROM STERILE FIELD (INCHES) Correct Answer-12 INCHES
TYPE OF NEEDLE USED FOR VASCULAR ANASTAMOSIS Correct Answer-TAPER POINT NEEDLE
WHERE IS CHG USED? Correct Answer-FOR TOPICAL SKIN APPLICATION ONLY BELOW NECK OTOTOXIC AND TOXIC TO EYES
ANTIMICROBIAL AGENTS SHOULD BE: Correct Answer--NONTOXIC -BROAD SPECTRUM -HIGH LOG REDUCTION CAPABILITY -PERSISTENT -NONIRRITATING -FAST ACTING
MOST COMMON ROUTE PERIOP NURSE GIVES ANTIBIOTICS Correct Answer- IRRIGATION
COMPLICATIONS OF LAPAROSCOPIC SURGERY Correct Answer-WOUND INFECTIONS
CO2 EMBOLISM
CHARACTERISTIC OF ANTIMICROBIAL AGENTS
UNIVERSAL PROTOCOL FOR PREVENTING WRONG SITE, WRONG PROCEDURE,
WRONG PERSON SURGERY Correct Answer-1. PT PARTICIPATION
- IDENTIFY PT
- MARK THE SITE
- TIME OUT
WHY DO WE CHECK INSULATION ON ACTIVE ELECTRODES DURING MIS Correct Answer-TO PREVENT CAPACITIVE COUPLING
ASEPSIS DEFINITION Correct Answer-GETS RID OF PATHOGENIC MICROORGANISMS
STERILE DEFINITION Correct Answer-GETS RID OF ALL LIVING MICROORGANISMS
WHAT DO YOU NOT DO WITH FORCEPS Correct Answer-STAND THEM ALONG THE SIDES OF TRAYS OR PITCHERS
NOMINAL HAZARD ZONE FOR LASER USE Correct Answer-SPACE WHERE DIRECT, SCATTERED, OR REFLECTED LASER RADIATION EXCEEDS MAXIMAL PERMISSIBLE EXPOSURE
GOALS OF STERILE TECHNIQUE AND ASEPTIC PRACTICES Correct Answer--PREVENT SSI -OPTIMIZE PRIMARY WOUND HEALING -MINIMIZE LENGTH OF RECOVERY
DEFINITION OF TENSILE STRENGTH Correct Answer-THE FORCE, MEASURED IN POUNDS, THAT THE SUTURE STRAND CAN WITHSTAND BEFORE IT BREAKS WHEN KNOTTED
FOR INFECTION AND REMOVE NONVIABLE TISSUE; SUTURING IS DELAYED TO
WALL OFF AREA OF GROSS INFECTION; WOUND KEPT OPEN TO MONITOR
INFECTION; CLOSED DAY 3-5; LEAVES WIDE FIBROUS SCAR
EX. COMPARTMENT SYNDROME, BURNS,DEBRIDEMENT, WOUND DISRUPTION,
EXCESSIVE TRAUMA Correct Answer-DELAYED PRIMARY CLOSURE OR THIRD INTENTION
USED TO INCISE, CUT, DISSECT, OR SEPARATE TISSUE EX. SCALPELS, SCISSORS, CHISELS, CURETTES, RONGEURS, OSTEOTOMES, AND A VARIETY OF POWERED SURGICAL INSTRUMENTS Correct Answer-CUTTING INSTRUMENTS
USED TO HOLD, JOIN, OR COMPRESS PARTS TOGETHER Correct Answer-CLAMPING INSTRUMENTS
TYPE OF CLAMPING INSTRUMENTS USED TO GRASP BLEEDING VESSELS
EX. CRILE, MOSQUITO, KELLY (PEON) Correct Answer-HEMOSTATS
TYPE OF CLAMPING INSTRUMENTS USED TO CLAMP BOWEL, DUCTS, VESSELS, AND OTHER TISSUES
EX. KOCHERS, OSHNERS, AND HEMOSTATS Correct Answer-OCCLUDING CLAMPS
USED FOR TISSUE RETRACTION EX. BABCOCK, KOCHER, ALLIS Correct Answer-GRASPING INSTUMENTS
THIS HEALTH CARE ORGANIZATION DEVELOPS POLICIES, GUIDELINES, AND PROCEDURES USED TO CARRY OUT THIS ORGANIZATIONS RESPONSIBILITIES FOR
ADMINISTERING HEALTH INSURANCE PROVISIONS OF THE SOCIAL SECURITY ACT
Correct Answer-CMS (CENTERS FOR MEDICARE/MEDICAID)
NONPROFIT ORGANIZATION DEVOTED TO PROVIDING LEADERSHIP
SERVES AS A SOURCE FOR ACCESS TO CURRENT RESEARCH AND PUBLICATIONS DEVOTED TO HEALTH CARE Correct Answer-IOM (INSTITUTE OF MEDICINE)
EVALUATES HEALTH CARE ORGANIZATIONS AND INSPIRES THEM TO EXCEL IN PROVIDING SAFE AND EFFECTIVE CAREOF THE HIGHEST QUALITY AND VALUE Correct Answer-TJC (THE JOINT COMMISSION)
DEALS WITH PUBLIC HEALTH AND INTERNATIONAL PUBLIC HEALTH POLICY Correct Answer-WHO (WORLD HEALTH ORGANIZATION)
WHAT IS TRUE ABOUT USE/ APPLICATION OF AORN GUIDELINES IN THE WORKPLACE? Correct Answer--KEEP PATIENTS SAFE -STANDARDIZE PRACTICE -ACHIEVE WORKPLACE SAFETY
HEALTHCARE ORGANIZATION THAT DEALS WITH PATENTS ON ITEMS Correct Answer-FDA
HEALTHCARE ORGANIZATION THAT ENSURES SAFE AND HEALTHFUL WORKING CONDITIONS FOR EMPLOYEES AND STAFF Correct Answer-OSHA
HEALTHCARE ORGANIZATION THAT ACCOUNTS FOR PATIENT SAFETY OR THE PUBLIC AS WELL AS EFFECTIVENESS OF CARE Correct Answer-TJC
