Download AORN PERIOP 101 FINAL EXAM STUDY GUIDE Questions and Answers (Verified Revised Full Exam), and more Exams Nursing in PDF only on Docsity!
AORN PERIOP 101 FINAL EXAM STUDY
GUIDE
Questions and Answers (Verified Revised Full Exam)
- What is a Blunt needle point
Ans>> 1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver.
- What are disposable stapler sets
Ans>> 2.These particular wound closing items are available in a wide variety of instrument sizes.
- What is cc
Ans>> 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols.
- What is Clean contaminated Ans>> 5.The surgical wound classification for a total abdominal hysterectomy.
- What is a Jackson-Pratt
Ans>> 4.Following an excisional breast biopsy, the circulat- ing nurse would anticipate the need to have available this type of drain
- What is Lithotomy Position
Ans>> 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen.
- What is to reduce the patient's risk of intraoperative skin injury Ans>> 7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this:
- What is personal protective equipment
Ans>> 8.An environmental sanitation prac- tice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills
- What is capacitive coupling
Ans>> 9.It is recommended to inspect the active elec- trode for insulation defects to prevent this from occurring during MIS
- What is aseptic technique
Ans>> 14.Restricting pathogenic organisms from the patient, environment, equipment, and supplies is the definition of....
- What are draping materials
Ans>> The most important consideration when select- ing these materials is to prevent risk of contaminating patients with endogenous and
exogenous microorganisms; and risk of exposing healthcare workers to patient's blood and body fluids
- What is Phase II
Ans>> 16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care.
- What are Healthcare organizations
Ans>> 17.According to the Institute of medicine recommendations for improving patient safety, this organization has the greatest potential impact to make changes on improving pt safety
- b.The scrub gown should be fastened in the back before donning gloves-
: 18. This statement about gloving technique is true What is...
a. When gloving another person, always glove the left hand first.
b. The scrub gown should be fastened in the back before donning gloves
c. Open glove technique is used for initial donning of the sterile gown and gloves.
d. Closed glove technique is used to glove the surgeon or assistant.
- What is fuel source
Ans>> 19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)
- What is place it in a designated neutral zone with a verbal cue: 20. The safest way to pass a cutting instrument to a surgeon is:
- What is Trendelenberg
Ans>> 21. To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion.
- 2. to permit aseptic delivery of contents to the sterile field: 22. A packaging system for
items undergoing sterilization should possess this characteristic:
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.
- What is microfibrillar collagen: 27. 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 the diameter
Ans>> 28. A designation of 4 - 0 on a suture package indicates this about the suture material.
- b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment: 29. 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.
- What is Granulation
Ans>> 30. This type of healing the wound remains open
- What is Critical thinking
Ans>> 31. An abstract concept that has been developing since Socrates.
- What is the dispersive electrode Ans>> 32. This item is placed as close to the operative site as possible
- c. The patient reports adequate pain control throughout the perioperative process:
- This is desired patient outcome most closely related to the use of local anesthesia for a procedure: What is....
a. The pt is the recipient of competent and ethical care within legal standards of practice.
b. The pt is normothermic at the conclusion of the procedure
c. The patient reports adequate pain control throughout the perioperative process
d. The pt's respiratory function is consistent with preoperative baseline levels.
- What is Irrigation solution Ans>> 34. Antibiotics are most commonly administered during the intraoperative phase
through this route
- d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse Ans>> 35. Recent research studies on the value of certification found that: WHAT is....
a. Non-certified nurse managers saw little value in certification related to profession-
- What is biological monitoring
Ans>> 41. 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 unexplained increase in end-tidal CO
Ans>> 42 .This is the most reliable early indication of malignant hyperthermia
- b. Work setting and situation variations may determine the extent to which the RPs can be applied: 43. This statement concerning the use of AORN Recom- mended 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 perioper- ative settings
d. Licensed and accredited institutions are required to comply with the RPs
- What is transferring pt from OR bed to gurney Ans>> 44. Lock the wheels of the
stretcher and the OR bed is a recommendation when:
- What is recommended for damp dusting in the OR Ans>> 45. Begin this task with higher surfaces and finish with the lowest levels
- What is using a time-out before beginning the procedure
Ans>> 46. Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery.
- What is the Difference between MIS and open surgical procedures Ans>> 47. This can be performed through smaller incisions
- What is a surgical specimen
Ans>> 48. 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 proper handling of explants: 49. Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs.
- What is CHG
Ans>> Skin prep agent contraindicated for use during reconstruction of the external ear.
- What is appropriate eyewear during laser surgery Ans>> 51. AORN RP states, this should be matched to the type of laser, optical density, and
wavelength
- What is recommended for transferring medication from a multi-use vial to the sterile field
Ans>> 52. Use a sterile transfer device
- What are assessment factors when screening pts for potential risk of malignant hyperthermia
- What is critical thinking
Ans>> 60. What type of thinking is required to deliver safe
patient care based on the statement "safe care requires teamwork and care tailored to the individual patient?"
- perioperative nursing documentation
Ans>> 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
- Passive acceptance of an unreflective jump to conclusion required in the OR Ans>> 62. 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
- What is proliferation phase
Ans>> 63. During this phase of wound healing contrac- tion occurs
- What are guidelines for safe use of an endoscopic light source Ans>> 64. Placing the light in standby mode when not in use
- an example of an occluding clamp: 65. What is a kocher?
- Who is the circulating nurse Ans>> 66. The surgical team member responsible for preparing the surgical specimen to be sent to the lab
- What is EO: 67. Exposure to this sterilization method is potentially carcinogenic and mutagenic to personnel and patients.
- What is interim cleaning
Ans>> 68.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 a bullet
Ans>> 69. Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence.
- What is the activity performed during post-procedure cleaning of the OR?-
: 70. During which phase of Cleaning includes the entire floor, moving the OR bed to clean
3-4 feet around it
- What is critical thinking skills
Ans>> 71. 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
- 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 Ans>> 72. When performing a skin prep on a patient scheduled for a bunionectomy what steps should be included?
sensitized to latex
- 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 -: 79. During admission of a patient to Phase 1 in PACU, what is the Perianesthesia nurse responsible for?
- a. Bone marrow-
b. Muscle-
c. Nerve-
d. Testicular-: 80. Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells
- 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-: 81. List 4 items necessary included in Preoperative documentation
- a. Contact urticarial-
b. Periorbital edema and itching-
c. Wheezing-: 82. List Clinical manifestation of a true allergic response to latex
- 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-: 83. List 4 components that should be included in documentation of intraoperative patient position.
- a. Name of pt-
b. Procedure to be performed-
c. Site of procedure-: 84. AORN guidelines for a "time-out" specify that all surgical team members must agree on the following 3 things
- a. Anxiety about an uncertain outcome-
b. Discomfort or pain-
c. Fear of unknown-
d. Short period of time for assessment and teaching-: 85. 4 Barriers to effective pt and family education in the perioperative setting.
- a. Diabetes-
b. Protein deficiency-
- a. Apply cricoid pressure if needed during intubation-
b. Remain at the pts side to offer reassurance and promote safety-: 89. List 2 ways that the Perioperative nurse assists with general anesthesia induction
- a. Grasp gown at shoulders and pull downward, turning sleeves inside out-
b. Remove gown first-
c. Use a glove-to-glove and skin-to-skin technique to remove gloves-: 90. List 3 steps that should be followed to remove of the gown and gloves at the end of the procedure
- a. Assess pts cross-sensitivities and previous reactions to latex-
b. Indicate latex precaution on door signs for every room pt occupies-
c. Use latex-free supplies for IVs, hair covering, dressing materials, etc.-
d. Verify surgeon is aware of the allergy-
e. Schedule pt as first case of the day if possible: 91. List 5 actions that should be included in the perioperative nursing care of a pt with a suspected latex allergy.
- a. Drape from sterile to unsterile areas-
b. Drape from operative site outward-
c. Form a cuff with the drape and place gloved hands under the cuff-
d. Handle each drape as little as possible-
e. If draping without assistance, walk around the OR bed to drape the other side-:
- List 5 steps that should be followed in correctly draping the sterile field
- 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-: 93. State 4 reasons why periopera- tive pt and family education is important
- a. Commitment to safety as the first priority in providing care*
b.Trust among healthcare team members:* 2 Characteristics included in the elements of a culture of safety within a healthcare organization:
- 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: 95. 4 things the perioperative nurse should do when setting up the insufflation equipment for an abdominal endoscopic procedure
- a. Ligatures-
b. Pledget-: 96. Name 2 methods or items that accomplish hemostasis by occluding a severed blood vessel, and causing platelets to clump together
- 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-
