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AORN Periop 101 Final Exam Study Guide
Questions and Revised Correct Answers
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- What does AORN's guideline for Preoperaitve patient skin antisepsis rec- ommend for prepping areas with high microbial counts? a) Prep them first b) Prep them last c) Prep them during the procedure d) Prep them whenever necessary Answer Prep them last
- Which of the following should be avoided during hair removal?
a) Use of clippers b) Clipping of hair against the grain of hair growth c) Nicking or cutting the skin
d) Removal of loose hair from prepped area Answer Nicking or cutting the skin
- Which of the following observations are critical when doing skin antisepsis on pediatric patients:
a) Take measures to prevent the loss of body heat b) The relatively small bodies of pediatric patients require smaller amounts of antimicrobial agents c) Children are not sensitive to chemical agents. d) The whole body must be prepped irrespective of the operative site. Answer Take measures to prevent the loss of body heat
- Which actions should the perioperative nurse take in prepping an extremity when a tourniquet is used? Select all that apply
a) Drape the tourniquet with a cloth towel to keep solution from going under the tourniquet. b) Start prepping at the level of the tourniquet. c) Start the prep at the incision site and extend both distally and proximally to
a) Antiseptic agent used b) Hair removal if performed c) Name of person holding the limb if applicable d) Name of the person performing the prep e) Placement of blotting towels f) Preoperative assessment of the skin at the operative site. Answer Antiseptic agent used b) Hair removal if performed d) Name of the person performing the prep f) Preoperative assessment of the skin at the operative site.
- By which route are antibiotics most commonly administered by the peri- operative nurse during intraoperative phase?
a) Intramuscular b) Intravenous c) Irrigation solution d) Subcutaneous Answer Irrigation solution
- The perioperative nurse's role in preparing and administering medications includes: Select all that apply
a) Administering all medications ordered by the surgeon b) Assessing the patient's medication allergies and use of herbal or dietary supplements c) Verifying the administration of the correct medication, dose, and route. d)Checking expiration date of medication Answer Assessing the patient's medication allergies and use of herbal or dietary supplements d) Verifying the administration of the correct medication, dose, and route. d)Checking expiration date of medication
- Based on your knowledge of medications, identify the true statements from those given below. Select all that apply.
a) Papaverine and Ringer's lactate solution can be administered safely. b) Radiographic dyes are a risk to patients allergic to iodine and shellfish. c) Radiographic dyes are instilled directly into an organ or duct with a catheter or tube.
c) For vaginal or mucous membrane preps d) In the brain or meninges Answer For topical skin application only below the neck.
- What agents are effective in removing resident microorganisms:
a) Mechanical agents b) Chemical agents c) Biochemical agents d) Hydrostatic agents Answer Chemical agents
- Which of the following are desired characteristics of antimicrobial agents? Select all that apply
a) Broad spectrum b) High log reduction capability c) Effective for long periods of time d) High toxicity e) Low toxicity
Answer Broad Spectrum b) High log reduction capability c) Effective for long periods of time
- Which of the following statements is correct regarding hair removal from a surgical patient?
a) Hair should be removed from the surgical site before any surgical proce- dure. b) Hair should be removed from the surgical site by using clippers or razors. c) Hair should be removed from the surgical site only when the hair is so thick that it will interfere with the procedure. d) All of the above Answer Hair should be removed from the surgical site only when the hair is so thick that it will interfere with the procedure.
- During the medication administration phase of the medication use process, nursing assessment should include which of the following factors? Select all that apply.
- When medication is administered from the sterile field, it is removed from an original container by the RN circulator and presented to the scrub person. It should immediately and clearly labeled with: Select all that apply
a) Concentration and amount
b) Date prepared c) Expiration date when used within 24 hours d) Expiration time if less than 24 hours e) Initials of RN preparing the medication Answer Concentration and amount b) Date prepared d) Expiration time if less than 24 hours e) Initials of RN preparing the medication
- Computerized provider order entry systems (CPOE), especially those with clinical rule-based decision support aids, can help reduce medication errors. True or False: True
- Components of the electrosurgical circuit include:
a) Active electrode, dispersive electrode, and generator. b) Dispersive electrode, fiber, and generator. c) Active electrode, dispersive electrode, generator, and scratch pad. d) Dispersive electrode, fiber, generator, and key. Answer Active electrode, dispersive electrode, and generator.
- To reduce the possibility of an injury or burn, which of the following most
a) Get another ESU unit immediately b) Check the circuitry for possible disruption
c) Switch to a bipolar generator and electrode d) Change the active electrode and dispersive electrode Answer Check the circuitry for possible disruption
- Alternate pathway burns can occur because of improper placement of the dispersive electrode.The dispersive electrode should not be applied on which of the following: Select all that apply
a) Hairy skin surfaces b) Burn tissue c) Well-perfused muscle d) Bony prominences Answer Hairy skin surfaces b) Burn tissue d) Bony prominences
- 1. When using argon-enhanced coagulation (AEC), there is a risk of . a) Electrosurgical injuries b) Carbon dioxide purge c) Gas emboli d) Decreased insufflator pressure
as possible. Answer All team members should be informed about the IED.
d) The active and dispersive electrodes should be located as close together as possible.
- According to the AORN guideline for Safe Use of Energy Generating De- vices, which of the following are recommended components of documentation when using an ESU? Select all that apply.
a) Location of the dispersive electrode b) Serial or biomedical device number c) ESU brand name d) Patient's skin condition before and after applying the dispersive pad. Answer
Location of the dispersive electrode b) Serial or biomedical device number d) Patient's skin condition before and after applying the dispersive pad.
- During laparoscopic surgery, perioperative RNs can reduce the chances of capacitive-coupling injuries by:
a) Using a combination of insulated and non-insulated instruments. b) Using coagulation waveform and a high setting. c) Using metal and plastic cannulas together. d) Using the lowest power setting and the low-voltage cutting waveform.
a) Cutting instrument b) Clamp
c) Grasper d) Retractor Answer Clamp
- When passing sharps during a procedure, the best way to protect yourself and surgeon is by using.
a) Extra care b) Assistive devices c) A neutral zone d) A knife handle Answer A neutral zone
- Curved Mayo scissors are used for which of the following?
a) To cut delicate tissue b) To cut heavy tissue c) To hold suture material d) To grasp tissue Answer To cut heavy tissue
- What biting instrument is used for cutting tough tissue or bone?
