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AORN Periop 101 Final Exam Study Guide
COMPLETE GUIDE LATEST EDITION
GUARANTEED PASS GRADE A+
- This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver.
What is a Blunt needle point?
- These particular wound closing items are available in a wide variety of instrument sizes.
What are disposable stapler sets?
3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols.
What is cc?
5.The surgical wound classification for a total abdominal hysterectomy.
What is Clean contaminated?
4.Following an excisional breast biopsy, the circulating nurse would anticipate the need to have available this type of drain
What is a Jackson-Pratt?
6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen.
What is Lithotomy Position?
7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this:
What is to reduce the patient's risk of intraoperative skin injury.
8.An environmental sanitation practice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills
What is personal protective equipment?
9.It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS
What is capacitive coupling?
- According to AORN RP for positioning the patient, the perioperative nurse should:
What is...
a. Use a consistent method of procedure-specific position for each patient
b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning
c. use additional precautions as appropriate based on unique patient considerations
d. Depend on the patient's natural defense mechanisms to indicate the need for positioning alterations
c. use additional precautions as appropriate based on unique patient considerations
11.The disadvantage of using this type of wound closure is because they often cause more scarring than other skin closure methods.
What is skin clips?
12.An automatic intraoperative suspension of a do-not-resuscitate decision violates a patient's ethical right to...
What is Self-determination?
- This type of human factor error is responsible when a perioperative nurse is trying to attend to several tasks at once
What is situational-based error?
What is place it in a designated neutral zone with a verbal cue
- To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion.
What is Trendelenberg?
- A packaging system for items undergoing sterilization should possess this characteristic:
What is....
- Made of only disposable materials
- to permit aseptic delivery of contents to the sterile field
- Maintain sterility of the items for a specified length of time.
- Compatible with all sterilization processes
- to permit aseptic delivery of contents to the sterile field
- Silicone catheters should be stocked on this particular cart in the surgical suite.
What is a Latex-safe cart?
- Open this package carefully over a small basin to prevent splashing of the packaging solution.
What is handling natural absorbable sutures (plain, chromic)
- An example of administrative controls to assure safe use of lasers, is the appointment of a person in this role:
What is a laser safety officer?
- This statement about the perioperative nurse's role in bioethical decision making is most justifiable. The perioperative nurse should... WHAT IS...
a. Try to avoid involvement in ethical dilemmas unless they are personally engaged in a situation.
b. Refer all ethical dilemmas to the institution's ethics committee to decide the best course of action.
c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse
d. Defer to surgeons judgment when there is disagreement about the right course of action.
c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse
- A precaution that should be taken when using this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver).
What is microfibrillar collagen
- A designation of 4-0 on a suture package indicates this about the suture material.
What is the diameter?
- A recommended means of promoting the safety of personnel in the surgical suite is:
What is....
a. Routine screening of patients for HIV and hepatitis C
b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment
c. Double-glove for every procedure
d. Leaving the room when x-rays are being used, even if scrubbed.
b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment
- This type of healing the wound remains open
What is Granulation?
- An abstract concept that has been developing since Socrates.
What is Critical thinking?
- This item is placed as close to the operative site as possible
What is the dispersive electrode?
- Principles of care for forceps during a procedure should include this: WHAT IS...
a. Stand them upright along the sides of the instrument tray so that handles are easily grasped when needed
b. Move them from the mayo stand to the back table if the surgeon says that they are not working properly.
c. frequently inspect tips and wipe clean of blood or tissue as needed
d. Organize them on the may stand or back table by placing one inside another.
c. frequently inspect tips and wipe clean of blood or tissue as needed
- A critical perioperative nursing diagnosis within the PNDS is:
What is risk for perioperative positioning injury?
- There are 3 process monitors in the sterilization process; this particular monitor indicates that the intended physical conditions in the sterilizer were met.
What is biological monitoring?
- This is the most reliable early indication of malignant hyperthermia
What is unexplained increase in end-tidal CO2?
- This statement concerning the use of AORN Recommended Practices is true:
a. RPs supersede departmental and institutional policies
b. Work setting and situation variations may determine the extent to which the RPs can be applied
c. RPs are based on scientific evidence of how nurses actually practice in perioperative settings
d. Licensed and accredited institutions are required to comply with the RPs
b. Work setting and situation variations may determine the extent to which the RPs can be applied
- Lock the wheels of the stretcher and the OR bed is a recommendation when:
What is transferring pt from OR bed to gurney?
- Begin this task with higher surfaces and finish with the lowest levels
What is recommended for damp dusting in the OR?
- Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery.
What is using a time-out before beginning the procedure?
- This can be performed through smaller incisions
What is the Difference between MIS and open surgical procedures?
- After this is procured by the surgeon, the scrub person should keep it moist with saline and in a sterile basin until it can be passed to the circulating nurse.
What is a surgical specimen?
- Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs.
What is proper handling of explants
Skin prep agent contraindicated for use during reconstruction of the external ear.
What is CHG?
- AORN RP states, this should be matched to the type of laser, optical density, and wavelength
What is appropriate eyewear during laser surgery?
- Use a sterile transfer device
What is critical thinking?
Evaluation of pt outcomes, Nursing plan of care, Occurrence of any unusual events, and Periop nurses legal signature are components that should be included in this
perioperative nursing documentation.
- According to Dewey and Glaser this statement about critical thinking is incorrect.
a. Logical inquiry and thoughtful reasoning
b. Active, persistent and careful consideration of the evidence supporting a decision
c. Passive acceptance of an unreflective jump to conclusion required in the OR.
d. Skill in applying the methods of logical inquiry and reasoning
Passive acceptance of an unreflective jump to conclusion required in the OR.
- During this phase of wound healing contraction occurs
What is proliferation phase?
- Placing the light in standby mode when not in use
What are guidelines for safe use of an endoscopic light source?
- What is a kocher?
an example of an occluding clamp
- The surgical team member responsible for preparing the surgical specimen to be sent to the lab
Who is the circulating nurse?
- Exposure to this sterilization method is potentially carcinogenic and mutagenic to personnel and patients.
What is EO
- The AORN RP that most directly pertains to this phase of cleaning in the Periop environment states that a safe, clean environment should be reestablished after each surgical procedure.
What is interim cleaning?
- Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence.
What is a bullet?
- During which phase of Cleaning includes the entire floor, moving the OR bed to clean 3-4 feet around it
What is the activity performed during post-procedure cleaning of the OR?
- Clinical nurse progression from Novice to Expert requires enhancement of this, and the development and refinement of this is affected by Clinical narratives, simulation, questioning; Partnering with proficient nurses; and the nurse's level of knowledge and experience
What is critical thinking skills?
- When performing a skin prep on a patient scheduled for a bunionectomy what steps should be included?
a. Prop the foot to allow ample access to all surfaces during the prep
b. use an impervious drape to protect the tourniquet
c. start at the incision site, include toes and move up the leg.
- Name the perioperative nurse's role in pt and family education?
a. Explain what the patient will experience -
b. Provide emotional support to enhance coping -
c. Teaching specific skills that the pt will need to perform post-op -
- During admission of a patient to Phase 1 in PACU, what is the Perianesthesia nurse responsible for?
a. Assessing patient's level of consciousness -
b. Assessing the patient's pain level -
c. Assessing the surgical dressing -
d. Maintaining a patent airway -
e. Monitoring BP, HR, and O2 saturation -
- Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells
a. Bone marrow-
b. Muscle-
c. Nerve-
d. Testicular-
- List 4 items necessary included in Preoperative documentation
a. Administration of ordered preoperative medications-
b. Oral verification by the pt of the procedure to be performed-
c. Patient allergies to medications and materials used in the surgical suite-
d. Patient identification, using oral verification and patient records-
- List Clinical manifestation of a true allergic response to latex
a. Contact urticarial-
b. Periorbital edema and itching-
c. Wheezing-
- List 4 components that should be included in documentation of intraoperative patient position.
a. Names of personnel assisting with positioning-
b. Placement of arms-
c. Position that pt is placed in for procedure-
d. Use of specific positioning devices-
- AORN guidelines for a "time-out" specify that all surgical team members must agree on the following 3 things
a. Name of pt-
b. Procedure to be performed-
c. Site of procedure-
- 4 Barriers to effective pt and family education in the perioperative setting.
a. Anxiety about an uncertain outcome-
b. Discomfort or pain-
c. Fear of unknown-
d. Short period of time for assessment and teaching-
a. Anxiety about an uncertain outcome
b. Discomfort or pain
c. Fear of unknown
d. Short period of time for assessment and teaching
a. Diabetes-
b. Protein deficiency-
c. Smoking-
d. Steroid use-
The purposes of the surgical hand scrub
a. Reduce risk of microbial contamination-
b. Remove soil and debris-
c. Suppress growth of microorganisms-
- List Recommended Practices for sponge count procedures
e. If draping without assistance, walk around the OR bed to drape the other side-
- State 4 reasons why perioperative pt and family education is important
a. Conveying genuine caring for the pts well-being-
b. Increasing pt and family adherence to the plan of care-
c. Increasing pts and family satisfaction with quality of care-
d. Legal, ethical, and regulatory mandates-
2 Characteristics included in the elements of a culture of safety within a healthcare organization:
a. Commitment to safety as the first priority in providing care*
b. Trust among healthcare team members*
- 4 things the perioperative nurse should do when setting up the insufflation equipment for an abdominal endoscopic procedure
a. Have a back up tank available-
b. Verify that CO2 pressure and supply alarms are on and functioning-
c. Position the insufflator at pts heart level or above
d. Verify that the tank valve is open
- Name 2 methods or items that accomplish hemostasis by occluding a severed blood vessel, and causing platelets to clump together
a. Ligatures-
b. Pledget-
- Name 4 ways to prevent or minimize ESU injuries to the pt
a. Assure that prep solutions have dried and vapors evaporated before the device is used-
b. Confirm each requested power setting change orally with the surgeon-
c. Inspect each circuit component if the surgeon repeatedly requests higher power settings-
d. Inspect the ESU unit before use to verify electrical integrity
- List 3 things the perioperative nurse should do when a Bier Block is used during a procedure
a. Check the calibration of the tourniquet before applying it-
b. Monitor the length of time the tourniquet is inflated-
c. Deflate the tourniquet slowly
d. Inflate the proximal cuff first
- Name 2 unique identifiers to ensure proper handling of surgical specimens verified by the perioperative nurse before the pt enters the OR.
a. Pts medical record number-
b. Spelling of pts name-
- A psychosocial assessment of your pt should include:
a. Cultural beliefs and practices-
b. Expectations of perioperative care-
c. Spiritual or religious beliefs-
d. Understanding of the surgical procedure-
- The Perioperative nurse's documents of the skin prep procedure should include
a. Body area prepped-
b. Name of person performing prep-
c. Preoperative assessment of skin at the operative site-
d. Skin prep agent-
e. Type and extent of hair removal if ordered-
b. The sterile field should be prepared as close as possible to the time of use-
c. The sterile field may be covered with a sterile drape-
- What are 3 Safety precautions when handling and caring for powered instrument
a. Hand the powered instrument to the surgeon with the safety mechanism on-
b. Have irrigation ready to use with the drill or saw-
c. Use the instrument with the blade or drill guard in place-
- A patient is unable to transfer independently to the procedure bed. To achieve the PNDS outcomes related to safe patient transfer, which measures may be used to prevent shearing injury?
a. Request additional personnel to assist with pt transfer-
b. Use a friction-reducing transfer sheet-
c. Use a slider or roller board-
d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal structure-
- What Practices are recommended during decontamination of used instruments
a. Open box locks and disassemble instrument with multiple parts-
b. Use enzymatic detergent on heavily soiled instruments-
c. Wear PPE-
- What is the Perioperative nurses role in preparing and administering meds
a. Assess pts medication allergies and use of herbal or dietary supplements-
b. Verify the administration of the correct med, dose, and route-
c. Writing down and reading back the surgeons oral orders before preparing medication-
d. Verify expiration date
- The OR management team has responsibility for safety in the surgical suite which includes:
a. Establishing policies related to electrical, fire, radiation, pt management safety-
b. Monitoring adherence to safety policies and practices-
c. Providing education to staff members regarding safety policies and procedures-
d. Reporting safety hazards and violations to appropriate authorities-
- The OR staff members are responsible for maintaining a safe OR environment which include:
a. Adhering to facility policies related to safety-
b. Consistently applying OR-specific safety practices-
c. Reporting safety hazards and violations to appropriate authorities-
- The EPA registered germicides labeled as hospital disinfectants must demonstrate effectiveness against these 3 microorganisms:
a. Pseudomonas aeruginosa-
b. Salmonella cholera suis-
c. Staphylococus aureus-
