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AORN Final Study Guide Questions with
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what outlines the professional RN's legal scope of practice? a. practice acts b. evidence-based standards c. AORN guidelines d. departmental and institutional policies - ✔✔practice acts the overall goal of QSEN addresses the challenge of preparing future RNs with the _______ needed to continuously improve the quality and safety of the health care systems in which they work a. guidelines, professionalism, and knowledge b. education, attitudes, and professionals c. education, evaluation, and skill d. knowledge, skills, and attitudes - ✔✔knowledge, skills, and attitudes being dependable in all situations, taking responsibility for your actions, and making decisions using the BEST input available at the time are examples of what type of accountability? a. patient b. personal c. professional d. developmental - ✔✔b. personal which QSEN competency recognizes the pt or designee as the source of control and full partner in providing compassionate, coordinated care based on respect for pt's preferences, values, and needs? a. teamwork and collaboration b. evidence-based practice c. patient-centered care
d. safety - ✔✔c. patient-centered care QSEN defines which competency as minimizing risk of harm to pts through both system effectiveness and individual performance: a. teamwork and collaboration b. evidence-based practice c. safety d. informatics - ✔✔c. safety which of the following are ways in which perioperative RNs can improve professionally? a. attending AORN chapter meetings b. attending continued education conferences c. reading perioperative journals d. all of the above - ✔✔d. all of the above which function does NOT describe a requirement of the baccaleureate degree for the nursing profession? - ✔✔prepares the nurse's practice as focused solely on illness, not prevention State Practice Acts outline a nurse's legal scope of practice. which is CORRECT? a. state practice acts are the same for all states b. it is not the responsibility of the nurse's employer to know the regulation and licensing of nurses that work at their hospital c. a hospital's policies can override guidelines from a state's practice act d. maintaining state licensure is a requirement for employment as well as all speciality certification and credentialing - ✔✔d. maintaining state licensure is a requirement for employment as well as all speciality certification and credentialing AORN's value of communication is defined as follows: a. supporting growth and excellence b. adovcating for pt and staff through exemplary practice in all phases of perioperative nursing
___ are the conditions where people are born, where they grow up, where they work, and where they live a. health equity b. social determinants of health c. patient- and family-centered care d. social justice - ✔✔b. social determinants of health what is one way the RN circulator can support a family member in the waiting room during their loved one's surgical procedures? a. have lunch during the procedure with the family while your assigned pt is in the OR b. ask the surgeon to talk to the family member after the procedure c. phone call to the family member d. avoid making a phone call because you are too busy - ✔✔c. phone call to the family member what is an example of health equity? a. requiring people to take public transportation for a check up b. providing resources to one pt population c. offering noon appts for people working during the day d. providing low-cost health services for those living in low income housing - ✔✔d. providing low-cost health services for those living in low income housing what is a SDOH resource that can enhance population health outcomes? a. unsanitary housing conditions b. fast foods c. intermittent internet services d. public safety - ✔✔d. public safety which of the following items below is NOT a purpose of an ERAS protocol? a. optimize their physiological function b. increased communication amongst the care team
c. facilitate recovery d. reduce the patient's surgical stress response - ✔✔b. increased communication amongst the care team teach-back is a particularly valuable tool for peroperative nurses when providing: a. intraoperative teaching b. perioperative discharge instructions c. information for informed consent d. assessment information obtained during the intake - ✔✔b. perioperative discharge instructions what is one hallmark of patient-centered care? a. new information is delivered within 48 hours b. physical comfort and emotional well-being are priorities c. families have specific visiting hours d. decisions are made and shared with the patient and family - ✔✔b. physical comfort and emotional well-being are priorities An organization with a culture of safety A. focuses on errors B. changes care delivery as a result of an error C. encourages health care providers to report another provider's near miss D. All of the above - ✔✔B. changes care delivery as a result of an error AORN advocates for patient and worker safety through the Guidelines for Preoperative Practice and A. position statements B. tool kits C. Mission, Vision, and Values statements D. All of the above - ✔✔D. All of the above
A. a commitment of resources that focus on accidents B. teams and disciplines that operate in silos C. an environment that emphasizes individual recriminations D. consistent and safe delivery or services - ✔✔D. consistent and safe delivery or services In November 1999, the Institute of Medicine (IOM), now the National Academy of Medicine (NAMI), published the landmark report To Err is Human: Building a Safer Health System" and reported A. To prevent errors, a safer system needs to be designed. B. When an error occurs the system needs to be examined. C. Standardization of process D. All of the above - ✔✔D. All of the above What of the following is NOT a skill-based behavior error? A. The nurse programs a new electrosurgical unit based on the machine she has used in the past B. The nurse fails to respond to a device alarm C. The nurse forgets to retrieve a unit a blood when called to do a sponge count D. The nurse hits the wrong button instead of the correct button beside it - ✔✔B. The nurse fails to respond to a device alarm A situational factor error can occur because of A. a mistake in judgement B. incorrect dosage calculation C. a lack of attention D. an assumption concerning a medication dosage - ✔✔C. a lack of attention identify the nursing processes that are part of the preoperative phase a. developing a nursing diagnosis b. collecting data c. performing a pt assessment
d. all of the above - ✔✔d. all of the above identify the nursing processes that are part of the intraoperative phase a. coordinate interventions b. document the care delivered c. evaluating nursing interventions d. all of the above - ✔✔d. all of the above identify the nursing processes that are part of the postoperative phase a. communicate the care given b. performing a patient assessment c. identify possible complications from the surgical procedure d. all of the above - ✔✔d. all of the above what are advantages of using a standardized nursing vocabulary such as the PNDS for documentation? a. help RNs to label and define nursing contributions to pt outcomes b. it is inconsistent c. allows nurses to communicate in code so the pt doesn't understand d. assists doctors in communicating with patient family - ✔✔a. help RNs to label and define nursing contributions to pt outcomes nursing diagnosis includes two CRITICAL problems specific to the care of perioperative patients. they are: a. risk for imbalanced fluid volume and body temp imbalance b. risk for infection and risk for positioning injury c. anxiety and deficient knowledge d. risk for postoperative nausea and vomiting - ✔✔b. risk for infection and risk for positioning injury what information should be included in patient records? a. allergies
who assists the surgeon in suturing, ligating, and other tasks during the procedure? a. scrub person b. first assistant c. RN circulator d. anesthesia assistant - ✔✔a. scrub person gathering supplies and equipment for the surgical procedure; establishing and maintaining the sterile field; keeping an accurate count of sponges, sharps, and instruments; and monitoring sterile techniques are responsibilities of the ___ a. RN circulator b. perianesthesia RN c. first assistant d. scrub person - ✔✔d. scrub person what is the primary role of the RN circulator? a. documenting patient care b. creating and maintaining a safe environment c. being the patient's advocate d. performing ongoing pt assessment - ✔✔c. being the patient's advocate all of the following are responsibilities of the RN circulator except: a. communicating information to other members of health care team and the pt's family b. performing ongoing pt assessment c. coordinating nursing care from other health care team members for each pt d. passing supplies and instruments to the surgeon and assistants - ✔✔d. passing supplies and instruments to the surgeon and assistants which member of the perioperative team are certified in ACLS and PALS? a. circulating RNs b. PACU RNs
c. scrub persons d. all the above - ✔✔b. PACU RNs which of the following occurs in the preadmission testing unit? a. none of the above b. RN determines the need for lab, x-rays, or electrocardiogram tests c. pt changes into a gown d. RN establishes IV - ✔✔b. RN determines the need for lab, x-rays, or electrocardiogram tests which of the following are part of the preoperative assessment? a. advanced directive review b. discharge planning c. pain assessment d. all the above - ✔✔d. all the above which is the PACU RN's primary responsibility? a. protect the pt's airway while continually assessing and monitoring the pt's hemodynamic status b. monitor the pt's LOC c. prevent health care-associated conditions such as pressure ulcer and venous thromboembolism d. assess the pt's pain level and administer pain meds as appropriat e - ✔✔a. protect the pt's airway while continually assessing and monitoring the pt's hemodynamic status the PACU RN receives a hand-over report from which member of the surgical team listed here? a. the surgeon b. the RN circulator c. the scrub person d. the anesthesia professional and the RN circulator - ✔✔d. the anesthesia professional and the RN circulator
which of the following statements about bringing personal items into the OR is FALSE? - ✔✔A. personal items should not be brought into the OR which of the following statements about laundering at a health care accredited facility and about home laundering are TRUE? a. health care-accredited laundry facilities follow industry standards b. home laundering could expose the public to potentially infectious materials c. home laundering is not monitored for quality, consistency, or safety d. all the above - ✔✔d. all the above what action should be taken FIRST to remove a gown and gloves after the completion of a surgical procedure? - ✔✔a. with gloved hands, pull the gown away from your body and break the ties, then roll it into a bundle touching only the outside of the gown which one of the areas listed below is considered a sterile area of the surgical gown? a. back of the gown b. front of the gown c. axilla d. cuff of the gown - ✔✔b. front of the gown how often should sterile gloves be changes during a procedure? a. every 30 min b. every 45-60 min c. every 90-150 min d. they do not need to be changed during the procedure unless there is suspected contamination or a perforation - ✔✔c. every 90-150 min which of the following is NOT an option when a scrubbed team member needs to change a contaminated glove? a. have another team member assist in regloving b. use the open glove technique
c. remove both gown and gloves, regown, and reglove d. use the closed glove technique - ✔✔d. use the closed glove technique why is positive air pressure used in the restricted zone? - ✔✔to prevent contaminated air from other zones from entering the restricted zone in what zone would the following statement be true? sterile set-up should be far enough from the pt to prevent contamination from respiratory droplets? - ✔✔restricted the physical design of the surgical suite supports prevention of surgical site infection by all the following EXCEPT: - ✔✔designation of the surgical suite as a semi-restricted zone which piece of equipment is a small, wheeled table that holds instruments frequently used during surgical procedure? - ✔✔mayo stand ____ compression devices are used to prevent VTE during a surgical procedure - ✔✔sequential forced-air warming warms the pt during surgery - ✔✔with a warm-air generating machine attached to blankets which statements about volatile liquids and agents is TRUE? - ✔✔volatile agents may be found in aerosol spray this zone includes peripheral support areas, preoperative holding, sterile processing and decontamination areas, clean and sterile supply storage scrub sinks - ✔✔semi-restricted zone which statement about using electrosurgical equipment in the OR is TRUE? - ✔✔place the foot switch in a location that minimizes the change of unintentional depression identify the INCORRECT measure to reduce personnel exposure to specimen fixatives - ✔✔never pour a volatile liquid under a flow hood
the debriefing process provides an opportunity to do all the following except: - ✔✔identify individual mistakes and missteps what are the key elements that can lead to the occurrence of infection? - ✔✔source, mode of transmission, susceptible host which of the following is a mode of transmission? - ✔✔body fluid splatter all of the following are methods to break the chain of infection EXCEPT: - ✔✔cleaning and disinfection of surfaces on an as needed basis (eg after a spill) which is a type of transmission-based precaution: a. airborne b. contact c. droplet d. all the above - ✔✔d. all the above which statement is NOT correct when maintaining the sterile field? - ✔✔contamination is considered minor and should not be addressed during the procedure why does the scrub person avoid touching the rim of a rigid container when removing sterile items from it? - ✔✔the rim of the rigid container is not considered sterile which statement below is NOT a best practice when moving around the sterile field? - ✔✔to help direct scrubbed team members around a sterile field, place your hand on their back to direct them when a RN circulator opens a wrapped package to be used on the sterile field, which flap should be opened first? - ✔✔NOT the flap farthest from the RN circulator it won't show me the right answer sorry
what does the internal chemical indicator inside of sterile package or rigid container indicate? - ✔✔the contents have been through the sterilization process what should be done with unused, opened medications and solutions? - ✔✔the contents should be discarded which of the following statements about hand lotions is incorrect? - ✔✔hand lotions with petroleum as an ingredient are acceptable for use with surgical gloves which instruction for drying the hands and arms after surgical hand antisepsis is CORRECT? - ✔✔keep hands and elbows up and away from your body to prevent contact with the scrub attire what is the BEST reference for the appropriate use for a commercially based alcohol-based surgical hand scrub? - ✔✔the manufacturer's IFU the more common areas missed during handwashing includes all of the following EXCEPT: - ✔✔palms of hands when should alcohol-based hand rube be used for general hand hygiene? - ✔✔before performing a sterile task such as handling invasive medical devices or wrapped sterile packages recommendations for surgical scrub agents include all of the following EXCEPT: - ✔✔agent is slow acting the rationale for precleaning prior to the surgical hand scrub is: a. to reduce the transmission of skin bacteria from the hands in the event of an unknown glove puncture during the surgical procedure b. inhibit bacteria growth under the glove c. allow for increased antimicrobial efficacy of the surgical scrub d. all the above - ✔✔d. all the above
which is the importance of nutritional status related to prevention of SSI? a. poor wound healing and skin integrity b. poor blood supply c. potential for electrolyte imbalances d. all the above - ✔✔d. all the above acute appendicitis without pus is an example of what type of wound classification? - ✔✔class III operative wounds in which there is no evidence of infection or major break in sterile technique describe:
- ✔✔class I and II when performing skin antisepsis - ✔✔ensure the site markings remain visible when should the drapes be placed after prepping with a flammable skin antiseptic - ✔✔after the skin antiseptic dries select one principle of surgical draping - ✔✔handle the drapes as little as possible which of the following items is typically a part of the sterile field and requires a sterile drape cover? - ✔✔instrument table which of the following is NOT a correct practice. to follow when draping? - ✔✔reposition drapes as needed during the procedure what is a characteristic of transient microorganisms? - ✔✔they are usually limited to exposed areas of the epidermis what is a goal of surgical skin antisepsis? - ✔✔to reduce the risk of the pt developing an SSI which of the items below is used to square-off an incision site? - ✔✔not incision drape or split sheet (?)
surgical drapes are considered a(n) ____ source when considering fire hazards and risks - ✔✔fuel which measure helps decrease the risk of fire caused by skin antiseptics? - ✔✔prevent flammable skin antiseptics from pooling or soaking into linens or the pts hair all of the following are goals of surgical positioning EXCEPT: - ✔✔exposure of the operative site is based on the ease of positioning which position is used for MOST abdominal procedures and vascular surgery? - ✔✔supine which position is MOST vulnerable to respiratory problems due to compression of the diaphragm? - ✔✔prone if the pt's arms are placed on arm boards in the prone position, at what level should the arm boards be placed? - ✔✔not above the chest or level with the pt's chest right lateral includes all of the following EXCEPT - ✔✔right side up three forces can act on patients in surgery and cause pressure injuries. the force of skin surfaces rubbing over a rough, stationary surface is called - ✔✔friction transfer of an unmedicated pt able to walk to and from the OR typically requires how many staff members? - ✔✔one member according to the AORN Guideline Essentials, it is important to assess the pt and perioperative environment prior to handling and movement to identify high-risk tasks associated with all of the following EXCEPT - ✔✔surgical site infection AORN's Guideline Essentials for Safe Pt Handling and Movement understand that safe pt handling depends: - ✔✔the need to adhere to ergonomic principles for the surgical team to foster pt safety
