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AORN Periop 101 Final Exam Study Guide COMPLETE GUIDE LATEST EDITION GUARANTEED PASS GRADE A+
Typology: Exams
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What is a Blunt needle point?
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?
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?
What is situational-based error?
What is place it in a designated neutral zone with a verbal cue
What is Trendelenberg?
What is....
What is a Latex-safe cart?
What is handling natural absorbable sutures (plain, chromic)
What is a laser safety officer?
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
What is microfibrillar collagen
What is the diameter?
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
What is Granulation?
What is Critical thinking?
What is the dispersive electrode?
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
What is risk for perioperative positioning injury?
What is biological monitoring?
What is unexplained increase in end-tidal CO2?
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
What is transferring pt from OR bed to gurney?
What is recommended for damp dusting in the OR?
What is using a time-out before beginning the procedure?
What is the Difference between MIS and open surgical procedures?
What is a surgical specimen?
What is proper handling of explants
Skin prep agent contraindicated for use during reconstruction of the external ear.
What is CHG?
What is appropriate eyewear during laser surgery?
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.
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.
What is proliferation phase?
What are guidelines for safe use of an endoscopic light source?
an example of an occluding clamp
Who is the circulating nurse?
What is EO
What is interim cleaning?
What is a bullet?
What is the activity performed during post-procedure cleaning of the OR?
What is critical thinking skills?
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.
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 -
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 -
a. Bone marrow-
b. Muscle-
c. Nerve-
d. Testicular-
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-
a. Contact urticarial-
b. Periorbital edema and itching-
c. Wheezing-
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-
a. Name of pt-
b. Procedure to be performed-
c. Site of procedure-
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-
e. If draping without assistance, walk around the OR bed to drape the other side-
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*
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
a. Ligatures-
b. Pledget-
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
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
a. Pts medical record number-
b. Spelling of pts name-
a. Cultural beliefs and practices-
b. Expectations of perioperative care-
c. Spiritual or religious beliefs-
d. Understanding of the surgical procedure-
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-
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. 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-
a. Open box locks and disassemble instrument with multiple parts-
b. Use enzymatic detergent on heavily soiled instruments-
c. Wear PPE-
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
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-
a. Adhering to facility policies related to safety-
b. Consistently applying OR-specific safety practices-
c. Reporting safety hazards and violations to appropriate authorities-
a. Pseudomonas aeruginosa-
b. Salmonella cholera suis-
c. Staphylococus aureus-