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1 g/
- What g is g a g Blunt g needle g point Ans>> g1.Thisgtypegofgneedlegpointgisgwhatgyougwould expectgtogbegneededgforgsuturinggfriablegtissuegsuchgasgthegliver.
- What g are g disposable g stapler g sets Ans>> g2.Thesegparticulargwoundgclosinggitemsgareg availablegingagwidegvarietygofginstrumentgsizes.
- What g is g cc Ans>> g3.GivegonegexamplegfromgTJCglistgofgDo-Not-UsegAbbreviations,g Acronyms,gandgSymbols.
- What g is g Clean g contaminated Ans>> g5.Thegsurgicalgwoundgclassificationgforgagtotalg abdominalghysterectomy.
AORN PERIOP 101 FINAL EXAM STUDY GUIDE
Questions and Answers (Verified Revised Full Exam)
2 g/
- What g is g a g Jackson-Pratt Ans>> g4.Followinggangexcisionalgbreastgbiopsy,gthegcirculat- ginggnursegwouldganticipategthegneedgtoghavegavailablegthisgtypegofgdrain
- What g is g Lithotomy g Position Ans>> g6.Thisgpositiongcangcausegphysiologicalgeffectsgofg circulatorygandgrespiratorygcompromiseg duegtogpressuregongthegabdomen.
- What g g is g g to g g reduce g g the g g patient's g g risk g g of g g intraoperative g g skin g g injury g A ns>> g7.Togprotectgsensitivegareasgofgthegskingwithgappropriategpaddinggisgagrecommendedgpracticegforg this:
- What g is g personal g protective g equipment Ans>> g8.Angenvironmentalgsanitationgprac- g ticegthatgisgrequiredgtoglimitgthegtransmissiongofgmicroorganismsgtogpersonnelgwheng handlinggbodygfluid gspills
- What g is g capacitive g coupling Ans>> g9.Itgisgrecommendedgtoginspectgthegactivegelec- gtrodegforginsulationgdefectsgtogpreventgthisgfromgoccurringgduringgMIS
4 g/
- What g is g aseptic g technique Ans>> g14.Restrictinggpathogenicgorganismsgfromgtheg patient,genvironment,gequipment,gandgsup pliesgisgthegdefinitiongof....
- What g are g draping g materials Ans>> gThegmostgimportantgconsiderationgwhengselect- g inggthesegmaterialsgisgtogpreventgriskgofgcontaminatinggpatientsgwithgendogenousgand
5 g/ exogenousgmicroorganisms;gandgriskgofgexposingghealthcaregworkersgtogpatient'sgblo odgandgbodygfluids
- What g is g Phase g II Ans>> g16.Patientgandgcaregivergeducationgforgcontinuinggpost- opg caregatghomegisgthegprimarygfocusgofgthisgPhasegofgpostganesthesiagcare.
- What g are g Healthcare g organizations Ans>> g17.AccordinggtogthegInstitutegofgmedicineg recommendationsgforgimprovinggpatientgsafety,gthisgor ganizationghasgtheggreatestgpotentialgimpactgtogmakegchangesgongimprovinggptgsafety
- b. g The g scrub g gown g should g be g fastened g in g the g back g before g donning g gloves- : g18.gThisgstatementgaboutgglovinggtechniquegisgtrueg Whatgis... a. Whengglovingganothergperson,galwaysgglovegthegleftghandgfirst. b.Thegscrubggowngshouldgbegfastenedgingthegbackgbeforegdonningggloves c. Opengglovegtechniquegisgusedgforginitialgdonninggofgthegsterileggowngandggloves. d. Closedgglovegtechniquegisgusedgtogglovegthegsurgeongorgassistant.
- What g is g fuel g source Ans>> g19.gDrapinggmaterialgisgthisgsourcegingthegfiregtriangle?g (fuel,gignition,goxidizer)
- What g is g place g it g in g a g designated g neutral g zone g with g a g verbal g cue: g20.gThegsafestg waygtogpassgagcuttingginstrumentgtogagsurgeongis:
- What g is g Trendelenberg Ans>> g21.gTogplacegagpatientgsafelygingthisgparticulargpositiongthegkneesgaregovergthegbreakgingthegprocedu regbedgtogallowgforgkneegflexion.
7 g/ Whatgis....
- Madegofgonlygdisposablegmaterials
- togpermitgasepticgdeliverygofgcontentsgtogthegsterilegfield
- Maintaingsterilitygofgthegitemsgforgagspecifiedglengthgofgtime.
- Compatiblegwithgallgsterilizationgprocesses
- What g is g a g Latex-safe g cart Ans>> g23.gSiliconegcathetersgshouldgbegstockedgongthisg particulargcartgingthegsurgicalgsuite.
- What g is g handling g natural g absorbable g sutures g (plain, g chromic): g24.gOpengthisg pack agegcarefullygovergagsmallgbasingtogpreventgsplashinggofgthegpackaginggsolution.
- What g is g a g laser g safety g officer Ans>> g25.gAngexamplegofgadministrativegcontrolsgtog assuregsafegusegofglasers,gisgthegappointmentgo fgagpersongingthisgrole:
- c. g act g according g to g the g terms g of g agreement g establishing g the g nature g of g the g r elationship g between g the g pt g and g the g nurse: g26.gThisgstatementgaboutgtheg perioperati vegnurse'sgrolegingbioethicalgdecisiongmakinggisgmostgjustifiable.gTheg perioperativegnursegshoul d...gWHATgIS... a. Trygtogavoidginvolvementgingethicalgdilemmasg unlessgtheygaregpersonallygengagedgingagsituation.
8 g/ b. Refergallgethicalgdilemmasgtogtheginstitution'sgethicsgcommitteegtogdecidegthegbestg coursegofgaction. c. actgaccordinggtogthegtermsgofgagreementgestablishinggthegnaturegofgthegrelationshipg betweengtheg ptgandgthegnurse d. Defergtogsurgeonsgjudgmentgwhengtheregisgdisagreementgaboutgthegrightgcourseg ofgaction.
- What g is g microfibrillar g collagen: g27.gAgprecautiongthatgshouldgbegtakengwheng usinggt hisghemostaticgagentgintraoperativelygisgtogavoidgusinggitgwithgangautologousgbloodgsalvagegunitg( cellgsaver).
- What g is g the g diameter Ans>> g28.gAgdesignationgofg4-0gongagsuturegpackagegindicatesg thisgaboutgthegsuturegmaterial.
- b. g Providing g access g to g MSDS g (material g safety g data g sheets) g for g hazardous g agents g in g that g environment: g29.gAgrecommendedgmeansgofgpromotinggthegsafetygofgpersonnelging thegsurgicalgsuitegis: Whatgis.... a. RoutinegscreeninggofgpatientsgforgHIVgandghepatitisgC b. Providinggaccessg togMSDSg(materialg safetygdatagsheets)g forghazardousgagentsg ing thatgenvironment c. Double-gloveg forg everyg procedure d. Leavinggthegroomgwhengx-raysgaregbeinggused,gevengifgscrubbed.
- What g is g Granulation Ans>> g30.gThisgtypegofghealinggthegwoundgremainsgopen
- What g is g Critical g thinking Ans>> g31.gAngabstractgconceptgthatghasgbeengdevelopingg sincegSocrates.
- What g is g the g dispersive g electrode
10 g/
- c. g The g patient g reports g adequate g pain g control g throughout g the g perioperative g proc ess: g33.gThisgisgdesiredgpatientgoutcomegmostgcloselygrelatedgtogthegusegofglocalg anesthesiagforgagproced ure:gWhatgis.... a. Thegptgisgthegrecipientgofgcompetentgandgethicalgcaregwithinglegalgstandardsgofgpractice. b.Thegptgisgnormothermicgatgthegconclusiongofgthegprocedure c. Thegpatientgreportsgadequategpaingcontrolgthroughoutgthegperioperativegprocess d. Thegpt'sgrespiratorygfunctiongisgconsistentgwithgpreoperativegbaselineglevels.
- What g is g Irrigation g solution Ans>> g34.gAntibioticsgaregmostgcommonlygadministeredgduringgthegintraoperativegphasegthroughg thisgroute
- d. g Nurse g Managers g would g prefer g to g hire g a g certified g nurse g over g an g otherwise g equ ally g qualified g non-certified g nurse Ans>> g35.gRecentgresearchgstudiesgongthegvalueg ofgcertificationgfoundgthat:gWHATgis.... a. Non-certifiedgnursegmanagersg sawglittlegvaluegingcertificationgrelatedg togprofession-
11 g/ alggrowth. b.Thegmostgfrequentgreasongforgachievinggcertificationgisgthegexpectationgofghigherg salarygand gcareergadvancement c. Mostgfacilitiesgdognotgofferganygincentivesgforgachievinggcertification. d. NursegManagersgwouldgprefergtoghiregagcertifiedgnursegovergangotherwisegequallygqualifiedgnon- gcertifiedgnurse.
- What g is g a g routine g process g monitoring g device g (chemical g indicator, g integra- g tor) g Ans>> g36.gThegrecommendedgpracticegforgflashgsterilizationgisgthegitemgshouldgbeg processedg withgthis:
- What g is g location g of g drain Ans>> g37.gWhengdocumentinggthegplacementgofgsurgicalgdrains,gitgshouldginclude:
- What g is g Alert g surgeon g for g the g need g for g appropriate g selection g of g skin g pre p g solution Ans>> g38.gThegactiongthatgthegperioperativegnursegshouldgtakegifgthegptgstatesg he/ shegisgallergicgtogshellfishgandgbreaksgoutginghivesgwhengingested.
- c. g frequently g inspect g tips g and g wipe g clean g of g blood g or g tissue g as g needed: g39.g Princip lesgofgcaregforgforcepsgduringgagproceduregshouldgincludegthis:gWHATgIS... a. Standgthemguprightgalonggthegsidesgofgtheginstrumentgtraygsogthatghandlesgareg easilyggraspe dgwhengneeded b. Movegthemgfromgthegmayogstandgtogthegbackgtablegifgthegsurgeongsaysgthatgtheygaregnotgworkingg properly. c. frequentlyginspectgtipsgandgwipegcleangofgbloodgorgtissuegasgneeded d. Organizegthemgongthegmaygstandgorgbackgtablegbygplacinggoneginsideganother.
13 g
- What g is g biological g monitoring Ans>> g41.gTheregareg 3 gprocessgmonitorsgingthegsterilizationgprocess;gthisgparticulargmonitorgindica tesgthatgthegintendedgphysicalgconditionsgingthegsterilizergweregmet.
- What g is g unexplained g increase g in g end-tidal g CO Ans>> g42.gThisgisgthegmostgreliableg earlygindicationgofgmalignantghyperthermia
- b. g Work g setting g and g situation g variations g may g determine g the g extent g to g which g the g RPs g can g be g applied: g43.gThisgstatementgconcerninggthegusegofgAORNgRecom- g mendedgPracticesgisgtrue: a. RPsgsupersedegdepartmentalgandginstitutionalgpolicies b.WorkgsettinggandgsituationgvariationsgmaygdeterminegthegextentgtogwhichgthegRPsg cangbegapplied c. RPsgaregbasedgongscientificgevidencegofghowgnursesgactuallygpracticegingperioper-g ativegsettings d. LicensedgandgaccreditedginstitutionsgaregrequiredgtogcomplygwithgthegRPs
14 g
- What g is g transferring g pt g from g OR g bed g to g gurne y g Ans>> g44.gLockgthegwheelsgofgthe stretchergandgthegORgbedgisgagrecommendationgwhen:
- What g is g recommended g for g damp g dusting g in g the g OR Ans>> g45.gBegingthisgtaskgwithghighergsurfacesgandgfinishgwithgtheglowestglevels
- What g is g using g a g time-out g before g beginning g the g procedure Ans>> g46.gNamegoneg stepgthatgshouldgbegusedgtogfollowgTJCguniversalgprotocolgforgpreventinggwro nggsite,gwronggprocedure,gandgwronggpersongsurgery.
- What g is g the g Difference g between g MIS g and g open g surgical g procedur es g Ans>> g47.gThisgcangbegperformedgthroughgsmallergincisions
- What g is g a g surgical g specimen Ans>> g48.gAftergthisgisgprocuredgbygthegsurgeon,gtheg scrubgpersongshouldgkeepgitgmoistgwithgsalineg andgingagsterilegbasinguntilgitgcangbeg passedgtogthegcirculatinggnurse.
- What g is g proper g handling g of g explants: g49.gDocumentationgofgthegserialgnumberg ingthe gmedicalgrecordgandgongthegpathologygrequisitiongwhengangapparentgdefectgorgfailuregoccurs.
- What g is g CHG Ans>> gSkingprepgagentgcontraindicatedgforgusegduringgreconstructiong ofgthegexternalgear.
- What g is g appropriate g eyewear g during g laser g surgery Ans>> g51.gAORNgRPgstates,g thisgshouldgbegmatchedgtogthegtypegofglaser,gopticalgdensity,gandgwavelength
- What g is g recommended g for g transferring g medication g from g a g multi- use g vial g to g the g sterile g field Ans>> g52.gUsegag sterileg transfergdevice
- What g are g assessment g factors g when g screening g pts g for g potential g risk g of g malig nant g hyperthermia
16 g
- What g is g critical g thinking Ans>> g60.gWhatgtypegofgthinkinggisgrequiredgtog delivergsafe patientgcaregbasedgongthegstatementg"safegcaregrequiresgteamworkgandgcaregtailoredgtogthegindividualgpat ient?"
- perioperative g nursing g documentation Ans>> gEvaluationgofgptgoutcomes,gNursinggplangofgcare,gOccurrencegofganygunusualgevents,gandgPe riopgnursesglegalgsignaturegaregcomponentsgthatgshouldgbegincludedgingthis
- Passive g acceptance g of g an g unreflective g jump g to g conclusion g required g in g the g OR g Ans>> g62.gAccordinggtogDeweygandgGlasergthisgstatementgaboutgcriticalgthinkinggisg incorrec t. a. Logicalg inquiryg andg thoughtfulg reasoning b.Active,gpersistentg andg carefulg considerationg ofg theg evidencegsupportingg ag decision c. PassivegacceptancegofgangunreflectivegjumpgtogconclusiongrequiredgingthegOR. d. Skillgingapplyinggtheg methodsgofglogicalg inquirygandgreasoning
- What g is g proliferation g phase Ans>> g63.gDuringgthisgphasegofgwoundghealinggcontrac-g tiongoccurs
- What g are g guidelines g for g safe g use g of g an g endoscopic g light g so urce g Ans>> g64.gPlacinggtheglightgingstandbygmodegwhengnotginguse
- an g example g of g an g occluding g clamp: g65.gWhatgisgagkocher?
- Who g is g the g circulating g nurse Ans>> g66.gThegsurgicalgteamgmembergresponsiblegforg preparinggthegsurgicalgspecimengtogbegsentgtogthe glab
- What g is g EO: g67.gExposuregtogthisgsterilizationgmethodgisgpotentiallygcarcinogenicgandgmutagenicg
17 g togpersonnelgandgpatients.
- What g is g interim g cleaning Ans>> g68.gThegAORNgRPgthatgmostgdirectlygpertainsgtogthisg phasegofgcleaninggingthegPeriop
19 g
- a. g Explain g what g the g patient g will g experience g - b. g Provide g emotional g support g to g enhance g coping g - c. g Teaching g specific g skills g that g the g pt g will g need g to g perform g post- op g -: g73.gNamegthegperioperativegnurse'sgrolegingptgandgfamilygeducation?
- a. g Herbal g supplements g may g affect g the g metabolism g of g drugs g administered g - b. g Recreational g drug g use g may g affect g choice g of g preoperative g sedation g - c. g Smoking g may g affect g circulatory g and g respiratory g system g assessment g results -: g74.gWhygshouldgthegperioperativegnursegaskgaboutgagpatient'sgusegofgherbalgprepa- g rations,galcohol,gtobaccogproducts,gandgrecreationalgdrugsgduringgthegperioperativeg interview.
- a. g Scrub g person g - b. Surgical g assistant g - c. Surgeon d. Medical g student/resident/PA/ NP: g75.gListg 4 gteamgmembersgwhogweargsterileggownsgandggloves.
- a. g Eye g injury g - b. g Fire g hazards g - c. g Inhalation g of g laser g plume g -: g76.gNameg 3 grisksgtogpatientsgandgstaffgmembersg associatedg with glaserguse:
- a. g Bone g reamers g - b. Dissectors g - c. Saws g - d. Tissue g shavers g -: g77.gNameg 4 gtypesgofgpoweredgcuttingginstrumentsgusedging surgery
- a. g Airborne g contact g -
20 g b. g Cutaneous g contact g -: g78.gNameg 2 gwaysgthatghealthgcaregworkersgaregmostglikelyg togbecome