AORN PERIOP 101 Final Exam Test Bank Questions and Answers Verified, Exams of Nursing, Exams of Nursing

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AORN PERIOP 101 FINAL EXAM TEST BANK

Questions and Answers (Verified Revised Full Exam)

1. Evidence-based practice questions are typically formatted as PICO ques- tions. What does PICO stand for? a) Patient, Intervention, Comparison, Outcome

b) Patient, Investigation, Comparison, Outlier c) Population, Intervention, Counter-Intervention, Outlier d) Problem, Investigation, Counter-Intervention, Outcome Ans>>: a

2. Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can partic- ipate in cost containment in the OR? a) Ask the surgeon to use a less expensive implant b) Begin cleaning the OR for the next case before the patient leaves the room c) Open all supplies listed on preference card, including "available" supplies

d) Verify with surgeon before opening suture Ans>>: d

3. An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating ac- countability in his/her: a) Certification requirements for professional achievement in perioperative nursing b) Collaboration among team members c) Professional growth and maintenance of competency d) Verification of nursing knowledge Ans>>: c
4. Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice? a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines

b) The AORN Guidelines legally supersede departmental and institutional policies c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied Ans>>: d

6. The phrase "At least one individual failed to do what a similarly situated, reasonable, and prudent professional would have done under similar circum- stances" is the definition of: a) Abandonment b) Negligence c) Unethical behavior d) Malpractice Ans>>: b
7. All of the following are accurate descriptions of "professional accountabil- ity" EXCEPT: a) Becoming certified in your specialty

b) Collaborating with peers in selecting the right instruments and right equip- ment for each patient c) Pursuing a higher academic degree

d) Relying ONLY on peer evaluations e) Staying current with changes in your specialty Ans>>: d

8. Part of the AORN standards of Professional Practice mandate that nurses evaluate the quality of their nursing practice. Four ways to ensure professional practice related to the AORN practice include: maintaining competency, the use of evidence-based practice, certification, and:

a) Mentoring student nurses b) Pursuit of lifelong learning

c) Achieving a minimum of an associate's degree d) Achievement of an advanced practice nurse degree Ans>>: b

9. After transferring a male patient into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST: a) Administer medication to the patient for nausea and vomiting b) Ask the patient is he has any pain

c) Assess the patient's airway and respirations d) Care for this patient and two other patients as assigned Ans>>: c

10. During a handover report to the PACU RN, the perioperative RN may use a communication method identified by the acronym "SBAR." What does SBAR stand for? a) Safety, Background, Actions, Recovery expectations b) Situation, Background, Assessment, Recommendation c) Safety concerns, Background, Assessment, Responsibility

d) Surgeon, Background, Assessment, Recovery time Ans>>: b

11. A 40-year-old male patient is awake and alert in the post anesthesia care unit after right shoulder surgery. What is the BEST measure to assess the patient's pain?

d) Surgeon, Background, Assessment, Recovery time Ans>>: c

15. You have just transferred your patient into the Phase I PACU. Which activ- ities would you expect to observe FIRST? a) Administering medication for nausea and vomiting b) Asking patients if they have any pain c) Assessing patient airway and respirations

d) Caring for patients in 1:3 ratio Ans>>: c

16. A hand-over communication report is given by the anesthesia professional and the?

a) Surgical resident b) Medical student c) OR nurse d) Inpatient nurse Ans>>: c

17. What should be included as part of the psychological nursing assess- ment? a) Anxiety, temperature, and religious beliefs b) Anxiety, temperature, and cultural practices

c) Cultural beliefs, perception of surgery, and religious beliefs d) Cultural practice, religious beliefs, and age Ans>>: c

18. During a preoperative interview, a patient reports that a surgical prep solution made him breakout in hives after a previous surgical procedure. What action should the perioperative RN take? a) Alert the surgeon and discuss the selection of preoperative skin antiseptic. b) Ask the surgeon for an antihistamine to be administered preoperatively

c) Monitor the patient more closely after administrating preoperative sedation d) Notify the anesthesia professional of a potential interaction with anesthetic agents Ans>>: a

19. During the preoperative interview, the perioperative RN should ask the patient's about their use of: a) Alcohol b) Herbal preparations c) Recreational Drugs

d) Tobacco products e) All of the above: e

20. The PRIMARY purpose of conducting a preoperative assessment is to: a) Define the patient's risk factors and develop a plan of care b) Determine the length of the procedure and needed supplies

c) Introduce the patient to the surgical team d) Provide information necessary for discharge Ans>>: a

21. Which of the following sensory assessment findings is common among elderly

24. Which of the following factors make geriatric patients more sensitive to injury and cold? a) Decrease in subcutaneous fat b) Lung capacity decreases with age

c) Bilirubin and hemoglobin shift d) Medication absorption is decreased Ans>>: a

25. A preoperative nursing assessment should be conducted by a periopera- tive RN at what point? a) Prior to discharge b) Before the surgery c) In the surgeon's office d) Before the surgical consent is signed Ans>>: b
26. In relation to transcultural needs of the patient, it is important to include needs in the nursing assessment. a) Medical b) Activities of daily living c) Pharmacological

d) Spiritual Ans>>: d

27. A directive interview is: a) Open-ended and unstructured b) Structured with predetermined questions

c) Used to determine personality traits

d) An observation of the patient's nonverbal behavior Ans>>: b

28. Factors that may affect postoperative pain are? Select all that apply. a) The surgical site

b) The nature and intended purpose of the surgery c) The patient's fears regarding anesthesia or surgery d) The level of anxiety of the patient's family members Ans>>: a , b, c

29. Which of the following BEST illustrates the purpose of perioperative pa- tient and family education? a) To convey genuine caring for the patient's well-being b) To increase patient and family adherence to the plan of care c) To increase the patient's and family's satisfaction with the quality of care

d) To support legal, ethical, and regulatory mandates Ans>>: b

30. Sally is a 43-year-old female scheduled for a laparoscopic cholecystecto- my. The perioperative RN should provide preoperative education to Sally and her family, including: a) Detailed information about the surgical procedure, including risks and benefits

a) Irrevocable and unchanged once established b) Not intended to be upheld in the perioperative environment

c) Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery d) Not reinstated until the patient leaves the perioperative environment Ans>>: c

35. Match the designated surgical area with the correct surgical zone:

a) Perioperative patient care area b) Work area for processing instruments c) Individual OR suite with sterile supplies opened

1 - Restricted 2 - Semi-restrict 3 - Unrestricted

**(Answer with and separate numbers w/commas) (Use numbers to correctly match w/"a, b, c" order): 3, 2, 1

36. Clean supplied do NOT need to be separated from sterile supplies inside the surgical suite:

a) True b) False Ans>>: b

37. The relative humidity in the OR suite should be maintained within a range of: a) 20-30% b) 20-60% c) 30-70% d) 40-50% Ans>>: b
38. A surgical mask should cover both mouth and nose, and should be: a) Allowed to hang around the neck between procedures

b) Changed after two hours of use c) Removed and discarded after every case d) Tied snugly with strings crossed Ans>>: c

39. The ventilation system in the restricted area of the OR should have an air exchange rate of at least air exchanged per hour. a) 5 b) 20

c) 10 d) 15 Ans>>: b

40. The pathology laboratory and blood bank are usually situated in which of the following areas?

a) Unrestricted area

b) Unrestricted zone c) Restricted zone Ans>>: c

44. Nursing interventions to reduce inadvertent hypothermia include all of the following EXCEPT: a) Initiating forced air warming b) Infusing warm IV fluids

c) Applying warm blankets preoperatively d) Lowering the relative humidity below 20% Ans>>: d

45. The following statements concerning the surgical suite zone areas are true EXCEPT: a) Equipment and sterile supply storage are semi-restricted b) Operating rooms are semi-restricted c) Sterile processing department is semi-restricted

d) The pre-op holding area is unrestricted Ans>>: b

46. When transporting soiled instruments from the OR to the decontamination area, the correct traffic pattern follows movement: a) From the semi-restricted area to the unrestricted area

b) From the unrestricted area to the restricted area c) From the restricted area to the unrestricted area d) From the restricted area to the semi-restricted area Ans>>: d

47. A 65-year-old patient is the the pre-operative holding area. The patient's

preoperative laboratory test results show several critical values. Which of the following actions should the circulating nurse complete first? a) Ask the laboratory to draw confirmatory lab tests b) Inform the anesthesia provider of the lab values c) Notify the charge nurse of your findings

d) Proceed with the scheduled case Ans>>: b

48. Which statement about immediate use steam sterilization (IUSS) is the recommended practice?

a) After an item is immediate use steam sterilized, it may be packaged and stored for future use b) Because the instrument is needed quickly, the cleaning process may be omitted c) Instruments may be immediate use steam sterilized when there is inade- quate inventory d) Instruments may be immediate use steam sterilized only when there is insufficient time to process by the preferred wrapped or container method Ans>>: d

49. What is the BEST method for keeping instruments clean on the sterile field?

52. Biological monitoring: a) Is utilized to document the sterility of an item b) Indicates that the intended physical conditions in the sterilizer were met

c) Can be read immediately after the sterilization cycle is complete d) Should never be used in immediate use steam sterilizers (IUSS) Ans>>: b

53. A does not permit a person to excuse an error but rather to admit and rectify one readily. a) Adherence to aseptic technique b) Practice of professional c) Surgical conscience d) Just culture Ans>>: c
54. Endoscopic instrumentation maintenance may be enhanced by the follow- ing EXCEPT

a) Cleaning off external debris during the case b) Flushing channels with sterile water during surgery to remove gross soil

c) Irrigating channels with normal saline at the end of each case d) Testing scissors for sharpness prior to sterilization Ans>>: c

55. According to AORN Recommended Practices, the shelf life of a sterile package kept in storage is: a) Time-related b) Event-related

c) Content-related d) Sterilization-related Ans>>: b

56. According to Spaulding's Classification System, to prepare items such as blood pressure cuffs for patient use the appropriate process is: a) Decontamination b) Low-level disinfection c) High-level disinfection

d) Sterilization Ans>>: b

57. An integrator is a multiparameter indicator designed to measure which of the following parameters? a) Pressure, steam, and temperature

b) Temperature, time, and presence of steam c) Pressure and sterility Ans>>: b

58. In which surgical wound category should a total abdominal hysterectomy be classified?