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Periop 101 Final Exam Questions and
Answers Already Graded A
a Correct Answer-Evidence-based practice questions are typically formatted as PICO questions. 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
d Correct Answer-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 participate 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
c Correct Answer-An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability 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
d Correct Answer-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
c Correct Answer-Which of the following is NOT an example of an ethical dilemma that perioperative nurses may encounter? a) Do-not-resuscitate (DNR) order for a surgical patient b) Family disagreement regardings possible organ donation c) Family disagreement about a below the knee amputation on an 18 year old who has already given consent d) Human experimentation
b Correct Answer-The phrase "At least one individual failed to do what a similarly situated, reasonable, and prudent professional would have done under similar circumstances" is the definition of: a) Abandonment b) Negligence c) Unethical behavior d) Malpractice
d Correct Answer-All of the following are accurate descriptions of "professional accountability" EXCEPT: a) Becoming certified in your specialty b) Collaborating with peers in selecting the right instruments and right equipment for each patient c) Pursuing a higher academic degree d) Relying ONLY on peer evaluations e) Staying current with changes in your specialty
d Correct Answer-What would be the MOST important information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient? a) How long the patient has been diabetic b) If there is someone to drive them home c) The last time the patient ate or drank d) The type of insulin the patient takes
c Correct Answer-The Perianesthesia nurse has ASPAN to guide their practice. What does ASPAN stand for? a) American Sterilization of PeriAnesthesia Nurses b) Association of Specialized PeriAnesthesia Nursing c) American Society of PeriAnesthesia Nursing d) Association of Surgical Post Anesthesia Nursing
c Correct Answer-You have completed your case and must now transport your patient to PACU. To give report to the PACU nurse, your facility requires that you provide report in SBAR, which stands for: a) Safety, Background, Actions, Recovery, Expectations b) Safety concerns, Background, Assessment, Responsibilities c) Situation, Background, Assessment, Recommendations d) Surgeon, Background, Assessment, Recovery time
c Correct Answer-You have just transferred your patient into the Phase I PACU. Which activities 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
c Correct Answer-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
c Correct Answer-What should be included as part of the psychological nursing assessment? 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
a Correct Answer-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
e Correct Answer-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
a Correct Answer-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
a) Prior to discharge b) Before the surgery c) In the surgeon's office d) Before the surgical consent is signed
d Correct Answer-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
b Correct Answer-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
a, b, c Correct Answer-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
b Correct Answer-Which of the following BEST illustrates the purpose of perioperative patient 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
d Correct Answer-Sally is a 43-year-old female scheduled for a laparoscopic cholecystectomy. The perioperative RN should provide preoperative education to Sally and her family, including: a) Detailed information about the surgical procedure, including risks and benefits b) Obtaining informed consent from Sally and suspending any DNR orders c) Verification of financial resources d) Wound care and pain management
a Correct Answer-Which of the following practices violates a patient's ethical right to self- determination? a) Automatic intraoperative suspension of a do-not-resuscitate decision b) Including family members in the education process c) Performing emergency surgery without informed consent d) Providing information about the scientific evidence for planned care
b Correct Answer-Obtaining informed consent is a two-step process of: a) Weighing the benefits and burdens of tx options b) Communicating information and documenting the decision c) Determining patient competency and authenticity of the signature d) Communicating the plan of care and reaching a decision
b Correct Answer-How does the perioperative nurse test patient's level of understanding? a) By checking to see whether the patient feels knowledgable enough to sign the consent b) By asking questions about the procedure and evaluating the answer c) By offering reassurance d) By returning at another time to test recall
c Correct Answer-A preoperative patient's do-not-resuscitate order is: 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
b Correct Answer-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
a Correct Answer-The pathology laboratory and blood bank are usually situated in which of the following areas? a) Unrestricted area b) Semi-restricted area c) Restricted area d) Fully-restricted area
c Correct Answer-___________________________ stockings are used to prevent deep vein thrombosis during a surgical procedure. a) Symmetrical compression b) Spatial compression c) Sequential compression d) Secondary compression
b Correct Answer-Which of the following humidity levels are considered optimal environmental conditions for OR? a) 10% to 50% b) 20% to 60% c) 30% to 60% d) 40% to 80%
c Correct Answer-The patient's hair should be covered before entering the: a) Semi-restricted zone b) Unrestricted zone
c) Restricted zone
d Correct Answer-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%
b Correct Answer-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
d Correct Answer-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
b Correct Answer-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
b) Decontamination c) Disinfection d) Transport to the sterilizer
b Correct Answer-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)
c Correct Answer-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
c Correct Answer-Endoscopic instrumentation maintenance may be enhanced by the following 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
b Correct Answer-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
b Correct Answer-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
b Correct Answer-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
b Correct Answer-In which surgical wound category should a total abdominal hysterectomy be classified? a) Clean b) Clean contaminated c) Contaminated d) Dirty
b Correct Answer-Immediate use steam sterilization can be used: a) For implants b) In urgent situations c) Under no circumstances d) For all items
b, c, d Correct Answer-The AORN Surgical Wound Classification Decision Tree is helpful in determining: Select all that apply. a) If closed drainage is necessary b) If a major break in technique will affect the wound class c) What constitutes an old injury
b) Surgical gloves c) The bones d) Prepping with povidone-iodine (Betadine) solution
d Correct Answer-Which of the following environmental sanitation practices is used to limit the transmission of microorganisms? a) All contaminated disposable items should be considered potentially infectious b) Place soiled linens in cloth bags that can be laundered along with the linens c) Use a spray bottle with hospital approved disinfectant to clean small spills d) Use personal protective equipment when handling body fluid spills
a Correct Answer-Which of the following is a method for preventing blood-borne pathogen exposure? a) Changing gloves after each patient or procedure b) Using surgical gowns made from material that allow air and fluid to move freely in order to minimize thermal discomfort of the team during the case c) Wearing exam gloves under surgical gloves as an additional barrier d) Wearing reading glasses to improve sight accuracy during the procedure
c Correct Answer-The best method that a perioperative nurse can utilize to prevent the spread of infection is to: a) Isolate all patients who are suspected of having an infection b) Rinse hands with a strong antiseptic solution c) Wash hands before and after each patient contact d) Wear sterile gloves while performing nursing procedures
b Correct Answer-Which of the following strategies should be considered for implementing successful infection control? a) Leaving the syringe in a vial of bupivacaine to facilitate dispensing additional medication if needed during the case b) Washing your hands prior to greeting the patient in the pre-operative area
c) Wearing an extra warm-up jacket when prepping the patient who has an infected wound d) Wiping down the OR table with saline at the end of each case to prevent mattress deterioration
3 Correct Answer-Vaccine-preventable disease against which health care providers should be immunized include: a) Hepatitis B b) Seasonal influenza c) Tuberculosis d) Varicella
1 - B and C 2 - A and D 3 - A, B, and D 4 - A, B, C, and D
*Answer with the correct NUMBER only.
c Correct Answer-Which of the three elements required for an infection to occur is related to inanimate environmental surfaces? a) Method of transmission b) Susceptible host c) Source or reservoir
a Correct Answer-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 ped. 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
a) AORN Guideline on Preoperative Patient Skin Antisepsis b) Available evidence-based research c) Manufacturer's instructions for use (IFU) d) Recommendations from the facility's infection control dept.
c Correct Answer-The skin can be sterilized: a) Always b) Easily c) Never d) None of the above
b Correct Answer-Chlorhexidine gluconate (CHG) is an antimicrobial skin prepping agent used: a) Above the neck b) For topical skin application only below the neck c) For vaginal or mucous membrane preps d) In the brain or meninges
b Correct Answer-Which agents are effective in removing resident microorganisms? a) Mechanical agents b) Chemical agents c) Biochemical agents d) Hydrostatic agents
c Correct Answer-Which of the following should be avoided during hair removal? a) Use of clippers b) Clipping of hair against the grain of growth c) Nicking or cutting of the skin d) Removal of loose hair from prepped area
c Correct Answer-Which device should be used while carrying out an extremity prep? a) Cuff
b) Tape c) Assistive prop d) Clip
c, e, a, d, b Correct Answer-Identify the correct sequence for prepping: a) Dip the sponge into the antimicrobial solution, squeezing out any excess liquid b) Once the prepping is completed, discard the sponge into a trash container c) Perform hand hygiene d) Beginning at the site of the incision, use friction and scrub in a circular motion e) Don sterile gloves and prepare the prep set
*Use the letters separated w/commas to indicate correct order (first through last step)
a Correct Answer-Iodophors with added detergent are referred to as "________," and those without added detergents are referred to as "________." a) Scrubs; paints b) Paints; scrubs c) Gels; film-forming d) Scrubs; gels
a Correct Answer-Transient microorganisms live in the ______ layer of the skin. a) Epidermal b) Dermal c) Fatty (adipose) d) All of the above
a Correct Answer-Which nerve is MOST frequently injured as a result of improper positioning of the patients arms? a) Brachial plexus b) Lumbar plexus c) Sciatic
