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AORN PERIOP 101 FINAL EXAM STUDY GUIDE Questions and Answers (Verified Revised Full Exam), Exams of Nursing AORN PERIOP 101 FINAL EXAM STUDY GUIDE Questions and Answers (Verified Revised Full Exam), Exams of Nursing
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Ans>> 1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver.
Ans>> 2.These particular wound closing items are available in a wide variety of instrument sizes.
Ans>> 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols.
Ans>> 4.Following an excisional breast biopsy, the circulat- ing nurse would anticipate the need to have available this type of drain
Ans>> 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen.
Ans>> 8.An environmental sanitation prac- tice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills
Ans>> 9.It is recommended to inspect the active elec- trode for insulation defects to prevent this from occurring during MIS
Ans>> 14.Restricting pathogenic organisms from the patient, environment, equipment, and supplies is the definition of....
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
Ans>> 16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care.
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
: 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.
Ans>> 19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)
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.
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.
Ans>> 28. A designation of 4 - 0 on a suture package indicates this about the suture material.
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.
Ans>> 30. This type of healing the wound remains open
Ans>> 31. An abstract concept that has been developing since Socrates.
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.
through this route
a. Non-certified nurse managers saw little value in certification related to profession-
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.
Ans>> 42 .This is the most reliable early indication of malignant hyperthermia
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
stretcher and the OR bed is a recommendation when:
Ans>> 46. Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery.
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.
Ans>> Skin prep agent contraindicated for use during reconstruction of the external ear.
wavelength
Ans>> 52. Use a sterile transfer device
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?"
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
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
Ans>> 63. During this phase of wound healing contrac- tion occurs
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.
Ans>> 69. Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence.
: 70. During which phase of Cleaning includes the entire floor, moving the OR bed to clean
3-4 feet around it
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
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
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?
b. Muscle-
c. Nerve-
d. Testicular-: 80. Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells
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
b. Periorbital edema and itching-
c. Wheezing-: 82. List Clinical manifestation of a true allergic response to latex
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.
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
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.
b. Protein deficiency-
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
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
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.
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-:
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
b.Trust among healthcare team members:* 2 Characteristics included in the elements of a culture of safety within a healthcare organization:
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
b. Pledget-: 96. Name 2 methods or items that accomplish hemostasis by occluding a severed blood vessel, and causing platelets to clump together
b. Confirm each requested power setting change orally with the surgeon-