AORN Periop 101 Questions and Answers 2024

AORN Periop 101 Questions and Answers A child in which of the following age groups can be described as "likes to socialized and can interpret terms"? - ✔3 to 6 years A designation of "4-0" on a suture package indicates the suture material's: - ✔a. diameter A directive interview is - ✔Structures with predetermined questions A mosquito is classified as a - ✔Clamp A packing system for items undergoing sterilization should - ✔Permit aseptic delivery of contents to the sterile field A preoperative patient's DNR order is - ✔Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery Accurate preoperative documentation of the patient admission is an integral part of the nursing process. This includes - ✔Patient identification; Preoperative orders; Patient assessment.

After the surgical hand scrub, the scrub person should keep the fingers pointed in which direction to allow water to drip off away from the attire? - ✔Upwards An individualized patient care plan that was initiated during the preoperative phase includes - ✔A cultural or religious preferences; Emotional considerations; Psychosocial considerations An integrator is a multiparameter indicator designed to measure which of the following parameters - ✔Temperature, time, and presence of steam AORN guidelines for the time out recommend that all team members verbally verify their agreement on the following: SATA - ✔b. the name of the pt. c. the site of the procedure including R/L distinction d. the procedure to be performed AORN's Guidelines for Perioperative Practice provides - ✔Information on administrative topics; Information that can be used to develop institution-specific policies; Scientific evidence for clinical practices.

At what point in the healing process do most wound disruptions occur? - ✔Beginning of proliferative phase- Phase 2- 2 to 10 days Atraumatic forceps are most often used in - ✔Cardiovascular surgery Because skin is a major source of contamination in the surgical environment, which of the following statements is true? - ✔Health care personnel who have cuts on their hands should not provide direct patient care Benefits of evidence based practice include which of the following? - ✔The professional perioperative nurse can base his or her practice on evidence; Provides point of care clinicians with tools that can assist in improving patient care, The evidence collected is rated for quality and strength.

Biopsies that require specialized methods of preparation and preservation to preserve the cells include... - ✔Bone marrow; Muscle; Nerve; Testicular By which route are antibiotics most commonly administered by the perioperative nurse during the intraoperative phase? - ✔Irrigation solution Carbone Dioxide is the gas used for abdominal insufflation because it - ✔-Is inexpensive -suppresses combustion -is rapidly eliminated from the body chlorhexidine gluconate CHG is a antimicrobial skin prepping agent used - ✔For topical skin application only below the neck Competency statements - ✔Direct a nurse's activity in the perioperative arena; Provide a basic model to evaluate the quality of nursing practice; Ascertain a level of skills and abilities necessary to fulfill the professional role (All of the above) Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and - ✔Chamber humidity Correct statements about spray bottles - ✔Spray bottles can aerosolize potentially infectious materials; Spray bottles are not used to apply disinfectant Correct surgical attire for the restricted areas include: - ✔b. Head covering that covers all hair d. Scrub top tucked into scrub pants and a warm-up jacket

Creating cultures that supports patient safety through which of the following mechanisms? - ✔Convene and communicate with members about safety; Incorporate attention to patient safety into training programs; Collaborate across disciplines.

Curved Mayo scissors are used for which of the following? - ✔To cut heavy tissue Damp dusting of the OR as part of the preliminary room preparation should be done ✔In the morning before bringing in any surgical supplies Data collection is part of which phase in the nursing process - ✔Assessment Defining nursing goals and intervention strategies is a part of which phase in the nursing process - ✔Outcome identification Depending on state laws and hospital policies, which of the following types of anesthesia can be performed without a professional anesthesia provider? - ✔Moderate sedation Documentation of the perioperative nursing care should include, but not be limited to ✔Type of positioning devices used; Names of persons positioning the patient Droplet precautions include all of the following except - ✔Consulting with the risk manager During admission of a patient to Phase 1 of postanesthesia care, the perianesthesia nurse is responsible for - ✔-assessing the patient's level of consciousness -assessing the patient's pain level -maintaining a patent airway -monitoring blood pressure, heart rate, and oxygen saturation During intravenous regional anesthesia (Bier Block), the tourniquet should be deflated slowly to prevent which of the following from entering the circulation? - ✔Bolus of anesthetic During post procedure cleaning - ✔All kick buckets, hampers, and similar receptacles must be inspected and disinfected as needed; Transport vehicles are to be considered contaminated after patient contact; All horizontal surfaces of tables and equipment, including the anesthesia machine, should be wiped down with a lint free cloth moistened with a hospital approved disinfectant.

During the medication administration phase of the medication use process, nursing assessment should include which of the following factors? - ✔Current medications, including herbal; Medication allergies; Patient weight in pounds and kilograms During the preoperative interview, why should the perioperative nurse ask patients about their use of herbal preparations, alcohol, tobacco, and recreational drugs? ✔Herbal supplements may affect the metabolism of drugs administered; Recreational drug use may affect the choice of preoperative sedation; Smoking may affect circulatory and respiratory system assessment results.

During which phase of wound healing does contraction occur? - ✔Proliferation Effective methods for preventing SIs include - ✔Effective environmental cleaning procedures; Performance of sterile technique; Use of surgical attire and other barriers (All of the above) Factors that affect the patient's ability to learn include - ✔Disability; Fear of dying; Pain; Self-esteem Factors that may affect an adult patient's ability to learn include - ✔Age; Attitude; Emotional state; Intellectual ability; Physical ability Factors that may affect the amount of pain the patient will experience postoperatively are - ✔The surgical site; The nature and intended purpose of the surgery; the patient's fears regarding anesthesia or surgery Factors that Negatively affect wound healing - ✔-A surgical complication -Failure to eliminate dead space when closing the incision -Implantation of orthopedic hardware -Surgical incisions in an area of high mobility For a professional nurse, personal accountability means - ✔Willingness to take responsibility for one's actions; Being dependable in all situations; Making the best decisions with the input available; Willingness to bare consequences for one's actions

How can the perioperative nurs assist the anesthesia provider with placement of a spinal or epidural block? - ✔Calm the patient How does the perioperative nurse test the patient's level of understanding? - ✔By asking questions about the procedure and evaluating the answer Identify one characteristic difference between laparoscopic instruments and those used in open procedures - ✔Laparoscopic instruments have long, thin shafts to accommodate trocar cannulas Identify some methods used to maintain a sterile camera head - ✔-Put the camera head in a sterile pouch -Gas-sterilize the camera head Identify the pathogens that can be commonly found in the OR environement ✔Escherichia coli; Methicilin resistant STaph aureus; Serratia marcescens.

Identify the proper sequence of events in the body's defense mechanism ✔Hemostasis- cleaning up the pathogens;wound sealing;regeneration of epidermal covering;repairing deeper tissue damage Identify the true statements from those given - ✔Radiographic dyes are a risk to patients allergic to iodine and shellfish; Radiographic dyes are instilled directly into an organ or duct with a catheter or tube; Miotic agents are used to reduce intraocular pressure.

Immediate use steam sterilization can be used - ✔In urgent situations Immunizations and testing for health care workers should include all of the following except - ✔Shingles In addition to back up electrical power in the case of power outage, ORs may plan for outage by - ✔Identifying which outlets in the OR are connected to emergency power; Maintaining battery operated lights in each OR; Routinely checking the operation and availability of back up equipment In addition to hyponatremia, which of the following conditions can be a result of improper fluid management? - ✔b. Hypervolemia In addition to the surgeon, which surgical team members wear sterile gowns and gloves during the procedure? - ✔Scrub Person AND Surgical assistant

In creating a sterile field, which of the following are recommended by AORN? - ✔a. Cuff the drapes over your gloved hand to prevent contamination. c. Place drapes in sequence from the surgical site to peripheral areas. d. Place drapes on the patient and any furniture and equipment that will be in the sterile field. e. When placing drapes do not lean across unsterile areas.

In Phase II, patient education becomes a critical task. What aspects of post-discharge life should the nurse be teaching the patient? - ✔-how to empty drainage fluid -coughing and deep breathing exercises -how to take the prescribed medications In what areas would you most likely find a perianesthesia nurse? - ✔Extended Care Unit; Postanesthesia Care Unit; Preadmission Testing Unit; Preoperative Holding In which surgical wound category should a total abdominal hysterectomy be classified?

- ✔Clean contaminated wound Indirect fire hazards and risks specific to the OR include - ✔Anesthetic complication risks; Postoperative infections; Postoperative surgical complications Maintaining a safe OR environment, staff members are required to - ✔Monitor, identify, and reports safety hazards; Understand and comply with the emergency power outage plan; Practice sound, basic and OR specific electrical and fire safety.

Match each staff member with the appropriate responsibility - ✔Scrub person- Monitors aseptic technique; RN circulator- Creates and maintains a safe environment; Housekeeping- Cleans the furniture at the end of the OR day; Nurse anesthetistadministers anesthesia to the patient Match each Surgical Position with its correct Physiological Effect - ✔Supine- Increase in cardiac output; Trendelenburg- Elevated blood pressure; Reverse Trendelenburg- decreased cardiac return; Lithotomy- Potential femoral, obturator, and perineal nerve damage; Sitting or Semi Sitting- Hypotension related to the position; Prone- Compression of the diaphragm; Lateral recumbent- Pooing of blood in the dependent limb.

Match each type of wound with its appropriate example - ✔Clean woundsThyroidectomy.

Clean contaminated wounds- Colon resection.

Contaminated wounds- Open or fresh traumatic wounds.

Dirty wounds- Ruptured appendix.

Match medications - ✔Antibiotics- controlling infection.

Anticoagulants- Delays the coagulation of blood.

Hemostatic agents- Assist in blood clotting.

Cardiac agents- Test patency and integrity of a graft Anti inflammatory agents- Reduce post operative edema.

Match terms - ✔Disinfection- A chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects.

Decontamination- The use of physical or chemical means to remove, inactivate, or destroy bloodborne or other pathogens on a surface or item.

Sterilization- The process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms.

High level disinfection- A process that destroys all microorganisms with the exception of high numbers of bacterial spores.

Match the age groups with their ability for learning and understanding - ✔Birth to one month- The child is able to express only through crying; 1-12 months- The baby will smile, babble, and gurgle; One to three years- The baby is able to understand and respond to simple commands; Three to six years- The child is able to literally interpret terms.

Match the basic categories of surgical instrument with their uses - ✔Graspers- To handle tissues and dressings.

Retractors- To provide exposure of the operative site.

Cutting instruments- To incise, cut, dissect, or separate tissue.

Clamps- To hold join, or compress parts together.

Match the correct wound elements with the wound classification - ✔Class I CleanProcedure does not involve the respiratory, alimentary, or genitourinary tract and no infection or inflammation is present.

Class 2 Clean Contaminated- alimentary, or genitourinary tract is entered under controlled condition.

Class 3 Contaminated- Gross spillage from GI tract occurs or unsterile instruments are used .

Class 4 Dirty- A clinical infection exists or an internal organ perforation is present.

Match the following terms with their definitions - ✔Volatile liquid- a liquid that evaporates quickly;

Combustible skin agent- A skin antiseptic agent that will burn with a flash point of greater than 100 degrees F; Flammable skin agent- A skin antiseptic agent that has a flash point of less than 100 degrees F; Combustible rating- An established rating used with skin antiseptic solutions that can be found by reviewing the material safety data sheet Match the needle point with its appropriate description - ✔Conventional cutting pointCutting edge on the inside curvature, creating a very small path that heals quickly.

Reverse cutting point- Curved needles with cutting edges on the outer curvature.

Side cutting point- These needles do not penetrate underlying tissues, but rather split tissue layers, used for ophthalmic surgery.

Trocar point- Used to punch through tough tissues.

Taper point- pushes the tissue aside when passing through.

Taper cut- Has cutting edges at the point only.

Blunt point- used on organs, as they are less apt to puncture the vessels within organs, used for dissection of friable tissue.

Match the phase or unit or age group with the correct nurse patient ratio - ✔Extended Care Unit- 1:3/5; Patients are under age 8: 1:2; Upon admission: 1:1; Patient recovering in CCU: 2:1 Match the physical descriptor of a suture to the definition - ✔Memory- Capacity of a suture to regain former shape after being reformed.

Elasticity- Ability to regain original form and length after being stretched.

Knot tensile strength - When knotted, the force, in pounds, which the suture can withstand before it breaks.

Capillarity- Ability to soak up fluid along a strand.

Match the suture with its appropriate description - ✔Surgical silk- Gives good support during early ambulation and promotes rapid healing, used to close fascia when on infection is present.

Virgin silk- Composed of natural fibers, used for ophthalmic surgery.

Dermal silk- Strands are encased in a gelatin or protein substance; used for skin sutures.

Surgical cotton- Weakest of the nonabsorbable material choices, gains strength when wet.

Linen- Tensile strength is inferior to other nonabsorbables, used for GI surgery.

Steel- Used in ortho; may also be used in the presence of infection.

Match the suture with its appropriate example - ✔Monofilament nylon- Ethilon and Dermalon.

Coated multifilament nylon- Surgilon.

Uncoated polyester fiber- Mersilene and Dacron.

Coated polyester fiber- Ticron, Ethibond, Teflon, Polydek, and Tevdek.

Polybutester- Novafil.

Polyethylene- Dermalene.

Polypropylene- Prolene and Surgilene.

Match the terms given below with their definitions. - ✔1. Surgical conscience-Allows for no compromise in the principles of sterile technique 2. Sterile- The absence of all living microorganisms.

3. Sterile Technique- The use of specific actions and activities to prevent contamination and sterility of identified areas during operative or other invasive procedures.

Match the three types of transmission based precautions with the correct examples of precautions that should be implemented - ✔Contact- Donning PPE and environmental cleaning; Droplet- Donning PPE and patient placement Airborne- Donning PPE and waring a surgical mask with a respirator level of N95 or higher Match the Topical Hemostatic Method with the appropriate method of Action ✔Passive- Provide barrier Flowables- mechanically obstruct flow of blood Fibrin Sealants- Increase amount of fibrinogen at site Active- Enhanced clotting Match the type of budget with its description - ✔Gross revenue- All monies received by the facility for goods and services; Fixed expenses- Medical records and administration; Net revenue- gross revenue minus expenses; Variable costs- Costs directly related to patient volume Mechanical issues and problems that can cause skin injury include: SATA - ✔a. placing heavy objects on the pt c. dragging the pts body across the sheets d. improperly applying sequential compression stockings Methods of producing hemostasis include which of the following? - ✔Administering blood; Applying pressure; Using electrocautery; Using topical hemostatic agents Nursing documentation for pneumatic tourniquete use includes - ✔Identification/serial number and model of the specific tourniquete; Location of the cuff; Skin and tissue integirty under the cuff before the use of the pneumatic tourniquet; Time of inflation and deflation

Obtaining informed consent is a two step process of - ✔Communicating information and documenting the decision One of the most effective ways to prevent disease transmission and control infections in health care settings is - ✔Hand Hygiene Patient and family education is a combination process involving - ✔Influencing behavior; Producing changes in knowledge; Producing change in attitudes and skills Patients in which of the following age groups have the greatest blood volume per unit of body weight? - ✔Children Perioperative nursing documentation of the sin prep procedure should include which of the following components? - ✔Antiseptic agent used; Hair removal if performed; Name of the person performing the prep; Preoperative assessment of the skin at the operative site Plastic incise drapes - ✔May increase moisture and bacterial growth under the drape; Are NOT recommended for use.

Potential sources of fuel for surgical fires include - ✔Draping materials Professionalism in nursing means - ✔Showing personal accountability in understanding the Nurse Practice Act; Maintaining a current knowledge base; Participating in professional organizations.

Prolonged high dosages of steroids preoperatively delay______ - ✔collagen formation Proper handling of an explant removed because of an apparent defect or failure includes - ✔Completing a risk management report; Documentation of the serial number in the medical record and on the pathology requisition Radiation exposure safety controls include - ✔Nonessential personnel should leave the room; Pregnant health car workers should avoid or limit exposure; Lead protective aprons, gloves, and thyroid collars should be worn Recommendations for draping include - ✔-handling sterile drapes as little as possible - cuffing the drape material over the gloved hands - holding the drapes in a controlled manner

Risks to patients and staff members associated with laser use include - ✔Eye injury; Fire hazards; Inhalation of laser plume Safety measures to prevent complications or injury due to the use of a pneumatic tourniquet includes - ✔Keep fluids from pooling under the cuff; Only minimal effective pressure should be used to create a bloodless field; There should be a complete preoperative patient assessment; The cuff should fit properly on the patient; The inflation time should be monitored Scrubbing Procedures Steps - ✔1. Inspection of hands and arms 2. Open the gown and place on the table 3. Open the sterile scrub sponge package 4. Wet and later the hands and forearms 5. Clean under the fingernails of both hands with the nail cleaner 6. Scrub fingertips, nails, palm, and wrist to two inches above elbow 7. Repeat the procedure for other hand 8. Rinse hands and arms keeping the fingers pointed upward Select the areas of the sterile gown that are considered sterile. - ✔- Gown sleeves from two inches above the elbow to the cuff, circumferential.

- The front of the gown from the chest to the level of the sterile field.

Select the statements below that are correct - ✔closed assisted gloving should be used to glove team members during initial gowning and gloving; Once the scrubbed team member's hands pass through the cuff, the cuffs are considered contaminated; Scrubbed team members should wear two pairs of surgical gloves. select the suture material below that is a synthetic absorbable suture - ✔c. polyglycolic acid Several types of infections may be acquired in the perioperative settting - ✔Surgical site infections- SSIs; Multidrug resistant organisms- MDROs; Central line associated blood stream nfections- CLABSIs; Catheter associated urinary tract infections- CAUTIs Shelf life is related to - ✔Exposure to external events; Type of packaging material used; Number of personnel who may have handled the package.

Songs counts are done for all the following reasons, EXCEPT - ✔Because state laws require specific count procedures

sponge and instrument counts are performed according to facility policy and procedure.

Generally, the times during sx procedure that sponges are counted are: SATA - ✔a. at skin closure c. before the procedure begins d. when new sponges are added to the field e. when wound closure begins Surgical tissue banking is - ✔The retrieval, processing, preserving, and storing of selected human tissue for later transplantation back into the patient or into another patient Terminal cleaning must be done - ✔Once during each 24 hour period The benefits of a standardized count procedure include which of the following? ✔Assists in achieving accuracy during the count procedure; Assists in conducting efficient counts; Human error studies have shown that many errors results from deviation The CDC's classification of Surgical Wounds system is intended to_______ - ✔monitor postoperative infections and suggest steps to take to reduce these infections The concept of a standard of care related to documentation - ✔Requires the nurse to document and act as a reasonably qualified nurse would in a similar situation The elements required to create a cultures of safety include - ✔A sense of trust among team members; A sincere commitment of affirming safety as the first priority; Development and support of a proactive approach rather than a reactive blaming approach; Dissemination of receipt of information to all levels of staff.

The following safety measures should be considered when placing a patient in the lateral position - ✔The upper leg is straight and supported with pillows between the legs; Lower arm on same plane as OR bed mattress, forearm and wrist in neutral position, palm up; The patient's dependent ear should be assessed to ensure that it is not folded.

The goal of patient and family education is to - ✔Provide information to the patient; Improve knowledge; Achieve long lasting changes in behavior; Take ownership of the patient's care; Improve the patient's outcome.

The goals of performing post procedure cleaning of the OR/procedure room include the following - ✔It renders the environment safe for the patient following in that room to prevent cross contamination;

It breaks the cycle of contamination from the patient to the environment and from the environment to OR personnel and then to subsequent patients; It is the patient's right to have a clean and safe environment.

The importance of patient and family education is reflected by which of the following phrases? - ✔Improvement in quality of care; Increase in patient satisfaction; Increase in patient compliance; Ethical and legal mandates for patient education The IOM report describes the importance of setting standards and expectations for patient safety. Setting standards can_____ - ✔Set expectations for the health professionals; Establish consistency across individuals and organizations; Help set expectations of consumers and purchases.

The nominal hazard zone for laser use is the - ✔Space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure The OSHA Bloodborne Pathogen standard requires health care personnel to wear the following when splashes, spray, spatter, or droplets occur - ✔Masks; Shoe coverings; Eye protection devices; Gloves The pathology laboratory and blood bank are usually situated in which of the following areas? - ✔Unrestricted area The patient, the surgeon, and the scrub person all interact with the circulator in the management of specimens and each have special roles - ✔Patient- Concerned with diagnosis, speed of diagnosis, psychosocial concerns.

Surgeon- communicates identifying characteristics to the scrub person and to the circulator.

Scrub person- Ensure accurate identification of the specimen by having a sterile marking pen to write location and type of tissue.

Circulator- Sensitive to the scrub person's needs and to actions that facilitate accurate specimen management The perioperative nurse provides care to each patient undergoing a surgical intervention in a manner that preserves and protects - ✔Patient autonomy, dignity, and human rights The perioperative nurse should use the directive interview technique over a nondirective interview technique when the information he or she needs - ✔Consists of predetermined questions; Consists of questions in a predetermined order; Is to document the patient's health history

The perioperative nurse's role in preparing and administering medications includes ✔Assessing the patient's medication allergies and use of herbal or dietary supplements; Verifying the administration of the correct medication, dose, and route; Checking expiration date of medication the point of the forceps should be facing __________ when passing it to the surgeon? ✔Downward The primary purpose of documentation is to - ✔Record the chronological order of events during the nursing are of a patient.

The primary reason for documenting sharp, sponge, and instrument counts is - ✔to prevent injury to the patient from a retained foreign object The process of digestion of pathogens by neutrophils and macrophages is known as ______ - ✔phagocytosis The proper device for the disposal of blades, needles, stapling devices, pins, and cautery tips should be - ✔A sharps disposal container The purpose of performing a surgical hand scrub include - ✔To reduce the resident microbial count to a minimum; To inhibit rapid rebound growth of microorganisms; To remove soil, debris, and transient microorganisms The purpose of the National Patient Safety Goals is to - ✔Promote specific improvements in patient safety; Highlight problematic areas in health care; Describe evidence and expert-based system-wide solutions to the problems The single most important factor in preventing the spread of infection is - ✔Hand Hygiene The surgical hand scrub controls resident microorganisms by - ✔The chemical action of microbial agents used.

The table is flexed 90 degrees for the _____ position, which is a variation of the _____ position. - ✔Jack-knife (Kraske), prone the use of the PNDS helps a periop nurse to - ✔Plan the nursing interventions; Assess and develop the nursing diagnoses; Assess and evaluate the patient's status; Evaluate response to positioning

To ensure proper handling of surgical specimens, which unique identifiers should the perioperative nurse verify before the patient enters the OR? - ✔Patient's medical record number; Spelling of the patient's name; Surgeon's name To follow the AORN guidelines for positioning the patient, the perioperative nurse should - ✔Use additional precautions as appropriate based on unique patient considerations Trocar needle points are used for which type of tissue? - ✔Penetration of tough tissues What action below is the best course to take when a hair is found in an instrument tray on the back table? - ✔c. The entire sterile field should be broken down and a sterile field reestablished.

What actions can the RN circulator take to assist the scrub personnel during gowning? ✔Touch only the ties, Velcro, or snaps to secure the back of the gown at the neck and the waist; Adjust the gown by grasping the bottom edge and pulling down to eliminate any blousing.

What agents are effective in removing resident microorganisms - ✔chemical agents What are the complications associated with laparoscopic surgery? - ✔-Wound infections -CO2 embolism What are the most common roles of the perioperative nurse in preparing medications and solutions? - ✔Preparing medications and solutions per the physiciansrpeference card; Preparing and labeling medications and solutions; Document and verify by verbally reading back to the provider all verbal orders, per facility policy What biting instrument is used for cutting tough tissue or bone? - ✔A Rongeur What does AORN's guideline for preop patient skin antisepsis recommend for prepping areas with high microbial counts? - ✔Prep them last What interventions can the perioperative nurse perform to protect elderly patients? ✔Employ DVT prophylactic devices; Position the patient for effective air exchange; Use warming devices to maintain the normothermia

What is an important safety consideration when using a light source? - ✔Place the light source in standby mode whenever it is not in use What is the most consistent indicator of MH during a surgical intervention? ✔Unexplained increase in end tidal CO2 What is the rationale for wearing gloves when handling or transporting surgical specimens? - ✔To avoid exposure to biohazardous substances What phases of the nursing process does the periopeartive nurse practice during the preoperative phase of the surgical experience? - ✔Assessment, Identification of desired outcome, Nursing diagnosis, Planning What precaution should be taken when microfibrillar collagen is used as a hemostatic agent intraoperatively? - ✔Avoid using it with an autologous blood salvage unit What response is the results of tissue layers moving on each other - ✔Shearing What would be the most important information for a nurse in preadmission Testing (PAT) to collect on a insulin dependent diabetic patient? - ✔The type of insulin that patient takes when a count discrepancy occurs, what should be the FIRST action by the RN circulator? - ✔c. inform the surgical team of the discrepancy When documenting the placement of a surgical drain, which of the following components should be included? - ✔Where the drain was placed on the patient.

When documenting the use of a pneumatic tourniquet, which items must be included? ✔Cuff pressure; Location where the cuff was placed; Name of person who applied the tourniquet cuff; Serial number of the unit When documenting, the perioperative nurse should - ✔Document in a timely manner; Use nursing diagnoses based on sound judgement; Use patient statements to verify the nurse's findings.

When does the body's reaction to the suture material start? - ✔At the time of insertion When medication is administered from the sterile field, it is removed from an original container by the RN circulator and presented to the scrub person. It should be immediately and speedily labeled with - ✔Concentration and amount; Date prepared;

Expiration time if less than 24 hours; Initials of the RN preparing the medication When passing sharps during a procedure, the best way to protect yourself and surgeon is by using - ✔A neutral zone When transferring medication and solutions to the sterile field the perioperative nurse should - ✔Avoid removing stoppers from vials.

Discard unused, opened irrigation or IV solutions at the end of the procedures.

Dispense the entire contents to the container slowly.

Use a sterile transfer device.

When using chemical products, the perioperative nurse should - ✔Use skin prep solutions according to the manufacturer's recommendations; Ensure the prep solution does not pool on the drapes; Apply blotting towels before performing a skin prep; allow skin prep solutions to dry before draping When working with electrical equipment, the perioperative nurse must - ✔Ensure that warming therapy devices are used at appropriate settings; Ensure that users are educated in the safe use of all electrical equipment; Never place the hose of a patient warmer directly under the patient's blankets Where should the scrub person's sterile gown be opened? - ✔c. On a separate mayo stand Which actions can the scrub person take to help prevent incidental thermal burns? - ✔Inspect laparoscopic instruments for excessive wear or obvious breaks and replace when necessary -Replace instruments that have damaged insulation Which actions should the perioperative nurse take in prepping an extremity when a tourniquete is used - ✔Start the prep at the incision site and extend both distally and proximally to include the entire extremity; Use an assistive device to support the extremity during the prep; Use an impervious drape to protect the tourntiquet Which activities should the transport person complete before transferring a patient? ✔Identify the patient and the surgical procedure; Verbally confirm that the preoperative orders have been completed; Reconcile any medications the patient may have been taking preoperatively Which assessment factor is important to include when screening patients for potential risk of MH? - ✔Family history of problems related to anesthesia

Which classification of hemostatic methods involves pressure or the use of ligating clips? - ✔Mechanical Which drug is used to reverse valium and midazolam? - ✔Flumazenil Which factors contributed to the creation of a specialized care unit for the surgical patient? - ✔-use of anesthetic gases -use of specialized equipment -introduction of PACU standards Which factors determine the likelihood of transmission and persistence of multi drug resistant organisms - ✔Effectiveness of prevention methods; Numbers of colonized patients; Vulnerability of the patients Which intraoperative factors should be considered during periop assessment? - ✔Type of anesthesia delivered; Duration of the surgery; Position required Which items are included in a psychosocial assessment? - ✔Coping styles; cultural beliefs and practices; Expectations of perioperative care; Spiritual or religious beliefs Which method is used to prevent aspiration during endotracheal intubation? - ✔Applying cricoid pressure Which methods are most effective for terminal cleaning floors in the OR - ✔Wet vacuum or single use mop Which of the concepts are appropriate for the care of forceps during a procedure? ✔Cleaning the tips of blood or tissue frequently.

Handing them off the sterile field to the circulating RN if the surgeon says that they are not working properly.

Which of the following a natural absorbable suture materials? - ✔Chromic catgut; collagen Which of the following actions should be included in the perioperative nursing care of a patient with a suspected latex allergy? - ✔Assess the patient's cross sensitivities and previous reactions to latex; Indicate latex precautions on door signs for every room that the patient occupies; Use latex free supplies for IVs, hair covering, and dressing materials; Verify that the surgeon is aware of the allergy.

Which of the following actions should the scrub person perform for most specimens after receiving them from the surgeon? - ✔Keep it in a sterile basin until it can be passed to the RN circulator; Keep it moist with saline Which of the following AORN Position Statement on Correct site of surgery is true? ✔The staff member should verbally verify the correct site with each member of the surgical team Which of the following are desired characteristics of antimicrobial agents? - ✔Broad spectrum; High log reduction capacity; Effective for long periods of time Which of the following are reasons to avoid using radiopaque sponges for postoperative dressings? - ✔Possible invalidation of subsequent sponge counts if the patient were returned to the OR with intact dressings; Radiopaque sponges may appear as a foreign body on postop x-rays Which of the following are recommended guidelines for preserving a bullet collected as forensic evidence? - ✔Do not drop bullet into metal basin or bowl; Rinse the bullet with water if requested by local authorities; Handle as little as possible Which of the following are true about AORN's Guidelines for Perioperative Practice? ✔They are based on what nurses do in ideal situations; They may be fulfilled to varying degrees in different situations.

Which of the following are true about low temperature hydrogen peroxide gas plasma sterilization - ✔Items can be stored for future use; No toxic residue is produced; The sterilant is bactericidal, viruicidal, and fungicidal; It can be used for items that are heat sensitive.

Which of the following best describes sterile technique - ✔Implemented during surgical procedures to prevent microbial contamination Which of the following definitions are correct? - ✔Liable means to bind or to be responsible to or to be under obligation to; Negligence means the failure to exercise care that a prudent person would perform under the same circumstances.

Which of the following drains allows for passive drainage of fluid from the body? ✔Penrose; T-tube

Which of the following factors increase the patient's risk for skin injury? - ✔Unusual positions or positioning devices; Use of electrical equipment; Use of chemical agents; Prolonged length of surgery Which of the following factors make geriatric patients more sensitive to injury and cold?

- ✔Decrease in subcutaneous fat Which of the following forensic specimens should be placed in a paper envelope, labeled, and sealed? - ✔Finger nails; Carpet remnants Which of the following form part of patient's ongoing education needs as a patient? ✔Contact information for questions or concerns after surgery; Counseling on modified diet to be followed after surgery; List of foods that might interfere with prescribed mediation; Medications to be given and time intervals for taking.

Which of the following is a correct application of the AORN Guidelines for use of appropriate eyewear during laser use? - ✔The eyewear should be matched to the type of laser, optical density, and wavelength Which of the following is considered a critical perioperative nursing diagnosis within the PNDS? - ✔Risk for perioperative positioning injury Which of the following is correct regarding the disposal of contents from reusable suction systems? - ✔done according to federal, state, and local regulations Which of the following is NOT included in basic monitoring of the patient for anesthesia?

- ✔Arterial line Which of the following is true about ethylene oxide sterilization - ✔EO exposure is potentially carcinogenic and mutagenic to personnel and patients Which of the following is TRUE about iodophor paint and iodophor scrub? - ✔A scrub has a detergent additive, a paint does not Which of the following is true about the use of abbreviations in perioperative documentation? - ✔They can put patients at risk for medication errors.

Which of the following is true about the use of peracetic acid on surgical items - ✔Items must be immersible

Which of the following is true in handling hemostatic agents such as collagen or gelatin sponges? - ✔Must not be injected or allowed to enter large vessels, as extensive intravascular clotting may occur Which of the following observations are critical when doing skin antisepsis on pediatric patients? - ✔Take measures to prevent the loss of body heat Which of the following patient factors should be considered int he perioperative assessment - ✔Age; Nutritional status; Preexisting conditions Which of the following physiological effects is most likely to results from positioning a patient in the lithotomy position? - ✔Circulatory and respiratory compromise due to pressure on the abdomen Which of the following practices are NOT examples of the recommendation that "A sterile field should be maintained and monitored constantly"? - ✔A sterile field that has been set up for more than 1 hour before the procedures begins should be broken down and a new set up prepared.

If a delay occurs after a sterile field is set up, the personnel may leave the room as long as the room as been secured.

Which of the following practices is recommended to reduce the patient's risk of intraoperative skin injury? - ✔Protect sensitive areas of the skin with appropriate padding Which of the following practices is recommended when transferring a patient from the OR bed to a gurney? - ✔Lock the wheels of the gurney and the OR bed before beginning the transfer Which of the following practices should be used ti implement the Joint Commission's Universal Protocol for preventing Wrong Site, Wrong Procedure, Wrong Person Surgery? - ✔Using a time-out procedure before beginning the procedure Which of the following should be avoided during hair removal - ✔Nicking or cutting the skin Which of the following skin closure products involve the use of liquid polymers? - ✔Skin adhesives Which of the following social media practices are important for the professional nurse to follow? - ✔Acknowledge that anything you post on the internet is there forever; Do no speak on behalf of your employer unless you have been authorized to do so; Facebook mixes your personal and professional lives and requires careful attention.

Which of the following statements are true about informed consent? - ✔Needs to state the indications for the proposed intervention; Is a physician's duty, and RNs are witnesses to the patient's signature; Must contain the name of the health care facility.

Which of the following statements are true about objective data? - ✔Data that is the information written in the patient's record and nursing notes; History, physical, and laboratory data are examples of objective data Which of the following statements are true in relation to scrubbing for the first procedure of the day? - ✔First, wash your hands under running water with soap.

Use an approved antimicrobial scrub agent on wet hands and arms.

Which of the following statements is correct regarding hair removal from a surgical patient? - ✔Hair should be removed from the surgical site only when the hair is so thick that it will interfere with the procedure Which of the following statements is true? - ✔Lung capacity decreases with increasing age Which of the following statements is true? - ✔The open method is used for subsequent gloving; The open glove method is used while performing sterile procedures when a gown is not worn.

Which of the following statements reflects the findings from a research study of more than 11,000 nurses conducted in 2007 related to the importance of certification? ✔Enhances feelings of personal accomplishment; Validates specialized knowledge.

Which of the following would be an appropriate action for the perioperative nurse when assisting with anesthesia? - ✔Apply cricoid pressure if needed during intubation Which of the three elements required for an infection to occur is related to inanimate environmental surfaces? - ✔Source or Reservoir Which pathology specimens require fresh preparation and the use of a sterile container? - ✔Breast tissue for hormonal assay; Cerebral spinal fluid; Semen for infertility studies Which pieces of equipment are used in laparoscopic surgery? - ✔-CO2 insufflators -electrosurgical unit -smoke evacuators

Which powered cutting instruments are used in orthopedic surgery? - ✔Tissue shavers; Bone reamers.

Which region of the patient's abdomen is traditionally used to establish pneumoperitoneum for laparoscopic surgery? - ✔Periumbilical Which surgical position adversely affects the diaphragmatic movement? ✔Trendelenburg position; Prone position; Lateral position Which type of dressing is used to prevent drying of the wound and increase the proliferation of epithelial cells? - ✔Occlusive Which type of staplers are used in the alimentary tract and in thoracic procedures? ✔Linear staples while passing scissors, which of their parts should be visible to the surgeon? - ✔Tip Why is it important for perioperative nurses to have a basic understanding of business principles? - ✔To enable them to plan safe and effective care that is also cost-effective; To facilitate competition for patient volume; To manage and allocate resources wisely Why is it important to assess the use of herbal supplements or recreational drugs before surgery? - ✔Herbal preparations can affect bleeding times; Herbal preparations can interfere with drug metabolism; Recreational drug use can result in withdrawal symptoms; Recreational drug users may require higher doses of anesthetic medications.

You have just finished a surgical procedures and are removing your gown and gloves. ✔1. Pull the gown downward from the shoulders and off the arms.

2. Fold the contaminated side of the gown to the inside, roll it up, and discard it.

3. Remove and discard the gloves using a glove to glove and skin to skin technique.

4. Wash hands with soap and water.