Preoperative Factors and Safety Considerations for Surgical Procedures, Exams of Nursing

Download Preoperative Factors and Safety Considerations for Surgical Procedures and more Exams Nursing in PDF only on Docsity! AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. All of the following are important examples of activities that are mad possible with preoperative nursing documentation EXCEPT? - CORRECT ANSWERS Ability to freely distribute information regarding surgical procedure and diagnosis to patient's family and employer When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. - CORRECT ANSWERS - It involves mental discipline & the ability to speak out -It is essential to the delivery of optimal care and prevent harm. -Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: - CORRECT ANSWERS - Air flow in the OR rooms should be cleaned by HEPA filters. - Mask are required when open sterile supplies are present. -Temperature is maintained between 68 and 75 degree You are assigned to relieve a surgical technologist for lunch. You will need: - CORRECT ANSWERS A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. - CORRECT ANSWERS - Preoperative verification -Surgical site marking -Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterile field? - CORRECT ANSWERS Use a sterile transfer device Which of the following practices is recommended for handling of natural absorbable suture? - CORRECT ANSWERS Open the package carefully over a small basin to prevent splashing of the packaging solution Recommended sponge count procedures include all of the following EXCEPT? - CORRECT ANSWERS Counting silently so it doesn't distract other personnel. AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. What is the correct definition of incisional biopsy? - CORRECT ANSWERS A small portion of tissue is incised and sent for examination. You are circulating on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters non-purulent inflammation and ask for a culture. The procedure is completed using the laparoscope without need to open the abdomen, in completing your documentation of wound class the best choice would be: - CORRECT ANSWERS Contaminated Which item blow is typically subjected to non-biologic testing? - CORRECT ANSWERS Bullet from a crime scene Which of these practices is recommended during decontamination of used instruments? Select all that apply. - CORRECT ANSWERS B. Open box locks and dissemble instruments with multiple parts D. Use enzymatic detergent on heavily soiled instruments E. Wear PPE Which of the following environmental sanitation practices is used to limit the transmission of microorganisms? - CORRECT ANSWERS Use PPE when handling body fluid spills What is the most appropriate needle point for performing a vascular anastomosis? - CORRECT ANSWERS Taper Point According to the CDC, which wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? - CORRECT ANSWERS Dirty (Class IV) Your are the circulating RN for a patient having an operative hysteroscopy. Actions you should take to achieve correct fluid management for the patient includes all of the following EXCEPT: - CORRECT ANSWERS Assessing the patients NPO status NPO status, weight, medication, and allergies. When making the preoperative assessment the nurse should take the factors into consideration? Select all that apply. - CORRECT ANSWERS A. Mobility C. Planned duration of the procedure AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. To place a patient safely in TRENDELENBURG position, which of the following practices is indicated? - CORRECT ANSWERS Position knees over the break in the procedure bed to allow for knee flexion. The first step in the sterilization process of surgical instruments that have been used in case is: - CORRECT ANSWERS Cleaning By using a high radio frequency electrical current, surgeons routinely use electrosurgery to _________ the tissue. - CORRECT ANSWERS Cut and coagulate The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? - CORRECT ANSWERS Improve patient satisfaction Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE abbreviations, Acronyms and Symbols? - CORRECT ANSWERS MS When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT ANSWERS A. Call the patient's family to make them aware of the situation. B. Document the "Time Out" discrepancy C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam sterilization is the recommended practice? - CORRECT ANSWERS Instruments may be immediate use steam sterilized only when there is insufficient time tot process by the preferred wrapped or container method. Which of the following practices is recommended when transferring from gurney to the OR bed? Select all that apply. - CORRECT ANSWERS A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning transfer. D. Secure lines and catheters prior to the move and dislodging. Which of the following statements about regional anesthesia is correct? - CORRECT ANSWERS Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks. AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. - CORRECT ANSWERS B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent. Which of the following components should be included in documentation of intraoperative patient position? Select all that apply. - CORRECT ANSWERS A. Identification of specific positioning devices used B. Names of personnel assisting with positioning C. Placement of arms D. Position that the patient is placed in for the procedure The preoperative nurse's documentation of the skin prep procedure should include: Select all that apply. - CORRECT ANSWERS A. The body area prepped B. Name of the person performing the prep C. Preoperative assessment of the skin at the operative site. D. Skin prep agent used. Which of the following statements about proper attire of surgical team members are true? Select all that apply. - CORRECT ANSWERS C. Sterile gowns should resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants Preoperative safety concerns that should be considered when caring fro a patient with an implanted electrical device (IED) include which of the following? Select all that apply. - CORRECT ANSWERS A. Bipolar surgery should be used whenever possible B. The active electrode and dispersive electrode are close together but as far away from the IED as possible. D. The patient should be monitored closely for signs of complications and IED malfunction A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which of the following skin prep agents is contraindicated for use in this case? - CORRECT ANSWERS Chlorhexidine gluconate AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. A __________ is a designated area on the sterile field where the scrub person and the surgeon place all sharp instruments. - CORRECT ANSWERS Neutral zone Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? Select all that apply - CORRECT ANSWERS A. Applying cricoid pressure during intubation if necessary B. Double checking blood if administered D. Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure Which of the following nursing tools does not reflect critical thinking and clinical reasoning? - CORRECT ANSWERS A single procedure list used for all patients scheduled for that procedure. Your manager has asked you to provide an in-service to team members regarding hand hygiene. Important information for you to include is: - CORRECT ANSWERS Skin is a major source of contamination in the surgical environment Identify the conditions listed below that are important considerations in maintaining the sterility of an item. Select all that apply. - CORRECT ANSWERS A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges C. Traffic should be controlled to limit access to those trained in handling of sterile supplies D. Sterile supplies are able to bet stored in a manner that allows adequate air circulation. E. When storing items on the top shelf of a supply cart one to consider the distance between the top of an item and the ceiling The types of questions that a novice perioperative nurse might NOT ask her preceptor about an upcoming cardiovascular surgery include which of the following? - CORRECT ANSWERS How does the conduction system of the heart work? Which of the following are advantages of disposable drapes? Select all that apply. - CORRECT ANSWERS A. Disposable drapes are lint free. D. Using disposable drapes can minimize strike-through because of their moisture repellent quality. AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Which of the following practices help to prevent contamination in the surgical suite? Select all that apply - CORRECT ANSWERS B. All horizontal surfaces should be damp dusted before the first scheduled procedure of the day. C. hands should be washed with soap and water for at least 15 seconds D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber cloth moistened with detergent for disinfectant and water. Which of the following statements about counts is correct? Select all that apply. - CORRECT ANSWERS A. All preoperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. C. All sponges must remain in the OR room until the sponge count is complete. E. Two people, one of them whom is the RN circulator, must preform the sponge count An immediate latex allergic response has 3 stages. Which of the following states is matched with the appropriate symptoms? - CORRECT ANSWERS Can progress to a sudden drop in blood pressure, increased heart rate and potential circulatory collapse The surgeon's preference for the preoperative skin pre includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: - CORRECT ANSWERS Fumes trapped underneath the drapes and could ignite Which of the following is a method for preventing blood-borne pathogen exposure? - CORRECT ANSWERS Changing gloves during regular intervals during a procedure Which elements are required to create an environment where the culture of safety is embraced? Select all that apply. - CORRECT ANSWERS A. A sense of trust among all team members B. Development of a proactive approach instead of a reactive approach D. Sincere commitment to affirming safety as the first priority E. Verification of receipt of all information at all levels of the organization Which of the following are qualities of skin adhesive products? Select all that apply. - CORRECT ANSWERS -They can be used in place of sutures. -They are primarily used on facial, extremity, and torso wounds. AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Which of the following practices violates a patient's ethical right to self-determination? - CORRECT ANSWERS Automatic intrapoperative suspension of a don-not-resusucitate decision Which of the following is NOT an example of an ethical dilemma that preoperative nurses may encounter? - CORRECT ANSWERS Family disagreement about a below knee amputation of an 19 year old who has already given consent Identify the general guidelines for identifying and labeling specimens. Select all that apply - CORRECT ANSWERS A. Ask the surgeon to identify the specimen B. Complete the laboratory or pathology requisition C. Label the outside of the specimen container with the patients name, identification number, description and source of the specimen and surgeon Which of the following statements about the gowning procedure are correct? - CORRECT ANSWERS Step back from the table into an unobstructed area to let the gown unfold A psychosocial assessment may include the patient's: Select all that apply - CORRECT ANSWERS A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure Proper OR attire for restricted areas includes: Select all that apply - CORRECT ANSWERS C. Two- piece scrub suit with top tucked into the pants and secured at the waist D. Warm-up jacket snapped, with cuffs down to wrists How can the preoperative nurse directly contribute to financial efficiency in the OR? Select all that apply. - CORRECT ANSWERS B. Manage the length of cases by having all needed supplies ready C. Participate in product evaluation and waste reduction activities D. Reducing turnover time E. Working to attain on-time starts AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. All of the following organization provide guidance related to tissue banking EXCEPT: - CORRECT ANSWERS American National Standards Institute (ANSI) After setting up for a total joint procedure, a dirty instrument is discovered on the sterile back table while waiting for the patient to enter the OR. What actions should be taken to correct the contamination? Select all that apply - CORRECT ANSWERS B. Change the gown and gloves of the contaminated team members C. Break down the entire back table and re-establish a sterile field Important skills affecting the clinical setting include which of the following? - CORRECT ANSWERS Problem solving and situational awareness If you have completed your case and must transport your patient to PACU. To give report to the PACU nurse, your facility requires the use of SBAR format, which includes: - CORRECT ANSWERS Situation, Background, Assessment, Recommendation The dispersive electrode should: - CORRECT ANSWERS Be placed as close to the operative site as possible Which of the following latex sensitivity categories match the description provided? - CORRECT ANSWERS Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove power and chemical agents added to raw latex If the preoperative team is unable to extinguish the fire in the OR, recommendations include: - CORRECT ANSWERS Evacuating the patient and the preoperative team following the organization fire plan The best intervention to prevent intraoperative pressure ulcer development on the patient's heels would be to: - CORRECT ANSWERS Elevate (offload) heels off the bed Important values affecting the clinical setting include which of the following? - CORRECT ANSWERS Fair and equitable care During which phase of wound healing does contraction occur? - CORRECT ANSWERS Proliferation AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Types of powered cutting instruments include: Select all that apply. - CORRECT ANSWERS A. Bone Reamers C. Saw D. Tissue shavers When setting up the insufflator for a robotic hysterectomy procedure, the perioperative nurse should do all of the following except: - CORRECT ANSWERS Set the initial insufflators pressure to 12mmHg A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history of smoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. You are concerned about his wound healing post-operatively based on the following factors: Select all that apply - CORRECT ANSWERS B. Corticosteroids may potentially delay wound healing C. People with diabetes have a higher risk for infection due to the increase in glucose levels D. Smoking as been documented to increase the probability of nonunion at a fracture site When making the preoperative assessment, the nurse should take the following into considerations. Select all that apply - CORRECT ANSWERS A. Mobility C. Planned duration of the procedure D. Preexisiting healthy conditions E. Type of anesthesia Barriers to effective patient and family education in perioperative settings include: select all that apply - CORRECT ANSWERS A. Anxiety about an uncertain outcome B. Discomfort or pain C. Fear of the unknown D. Limited time for assessment and teaching Place the four basic steps of fire safety in the correct order: - CORRECT ANSWERS RACE: Rescue patients and staff members in immediate danger Notify the fire department Confine the fire. Shut the doors AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Evacuate according to the facility plan Preoperative fluid management is important because excessive amounts of fluid could lead to which of the following conditions? Select all that apply. - CORRECT ANSWERS B. Hypervolemia C. Hyponatremia Performance of the "time out" for patient safety includes verbal team agreement on which of the following items: Select all that apply. - CORRECT ANSWERS A. Patient identification using two patient identifiers B. Site of the procedure, including right-left distinction D. Procedure to be performed The principle elements required for an infection to occur are: Select all that apply. - CORRECT ANSWERS A. A method of transmission B. A source or reservoir C. A susceptible host with a portal of entry to receive an infection While waiting for the prep solution to dry, the circulator observes the laparotomy drape fall below the waist level of the scrub person. What is the best action for the nurse to take? - CORRECT ANSWERS Alert the team that the drape is contaminated and replace with a sterile drape The purpose of conducting postoperative phone calls within 24-48 horns for outpatient procedures is: Select all that apply. - CORRECT ANSWERS A. Ask about patient satisfaction with care D. Direct future hospital performance activities E. Note any surgical complications The goals of patient and family education include all of the following EXCEPT: - CORRECT ANSWERS A. Achieve long-lasting improvements in patient health status B. Improve patient satisfaction C. Provide information/knowledge to the patient and and family What are the three methods used to accomplish hemostasis? - CORRECT ANSWERS Mechanical, chemical and thermal AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Which of the following statement is true concerning the use of the AORN Guideline for Preoperative Practices? - CORRECT ANSWERS Work setting and situations variations may determine the extent to which the AORN Guidelines can be applied Which of the following statements about gloving is true? - CORRECT ANSWERS The gown should be fastened in the back before donning gloves All of the following statements indicate an understanding of the recommended attire for the circulating nurse during and invasive procedure EXCEPT: - CORRECT ANSWERS Jewelry should on the outside of surgical attire to be constantly monitored The preoperative nurse's role in the patient and family education should include: Select all that apply - CORRECT ANSWERS A. Explaining what the patient will experience C. Providing emotional support to enhance coping D. Teaching specific skills that the patient will need to perform postoperatively Interventions to help prevent a surgical site infection (SSI) in the patient undergoing a laparoscopic appendectomy include: Select all that apply - CORRECT ANSWERS A. Performing the surgical skin prep beginning at the planned incision site and moving out towards the periphery in all directions C. Confirming that antibiotics are administered as ordered before the start of the case Which of the following components should be included in documenting the placement of a surgical drain? - CORRECT ANSWERS Location of the drain Which of the following practices is recommended to reduce the patient's risk of intraoperative skin injury - CORRECT ANSWERS Protect sensitive areas of the skin with appropriate padding Which of the following is an example of synthetic absorbable material? - CORRECT ANSWERS Vicryl Which of the following physiological effects is most likely to result from positioning a patient in lithotomy position? - CORRECT ANSWERS Circulatory and respiratory compromise due to pressure on the abdomen AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Endoscopic instrumentation maintenance is not enhanced by - CORRECT ANSWERS Irrigating channels with normal saline at the end of each case Which of the following statements concerning mentors and preceptors are correct? Select all that apply - CORRECT ANSWERS A. Both model professional nursing behaviors B. Mentors guide nurses through global professional activities C. Preceptors guide nurses through defined clinical activities Which nursing diagnosis is a PRIORITY for the patient who is being positioned for a posterior lumbar laminectomy? Select all that apply. - CORRECT ANSWERS A. Impaired gas exchange D. Risk for preoperative positioning injury When performing a plastic surgery skin closure, which choice of suture size would be most appropriate? - CORRECT ANSWERS 5-0 Over-oressurizaiton of a tourniquet cull may cause: - CORRECT ANSWERS Compression injuries to blood vessels The most important reason for maintaining endoscopic instruments at an optimal level of suction that - CORRECT ANSWERS Insulation defects can cause unseen burns Which is the following a disadvantage of using skin clips? - CORRECT ANSWERS They often cause more scarring than other skin closure methods Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: - CORRECT ANSWERS Begin with higher surfaces and finish with lower surfaces At the end of an orthopedic case, all of the following instrument care guidelines should be followed EXCEPT? - CORRECT ANSWERS Place heavy instruments in top of smaller instruments to promote cleaning Which of the following sensory assessment findings is common among elderly patients? - CORRECT ANSWERS Decreased color and depth perception AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. Which of the following practices should be used to implement the Joint Commissions Universal Protocol for Preventing wrong site, wrong procedure, wrong person surgery? - CORRECT ANSWERS Using the time-out procedure before beginning the procedure Which of the following is a strategy to reduce medication errors? - CORRECT ANSWERS Using only computerized physician order entry for medication management Documentation of intraoperative surgical specimens includes which of the following? Select all that apply. - CORRECT ANSWERS A. Identification of the specimen in the intraoperative record and the pathology requisition B. No Abbreviations C. Notation of markers or tags such as clips or sutures, with a statement of what they represent What steps should be followed in correctly draping the sterile field? Select all that apply. - CORRECT ANSWERS A. Drape from sterile to unsterile B. Drape from operative site outward C. Form a cuff with the drape and place gloved hands under the cuff D. Handle each drape as little as possible Which of the following best describes capacitive coupling? - CORRECT ANSWERS The transfer of electrical current form the active electrode though intact insulation to adjacent conductive items such as tissue to trocars Which of the following questions would you expect to hear in a preoperative interview? Select all that apply. - CORRECT ANSWERS A. Could you tell me about any past surgeries B. Has your surgeon reviewed the surgical procedure with you? Do you have any questions? C. What medications do you take on a regular basis Which of the following statement about regional anesthesia is correct? - CORRECT ANSWERS Continuous never stimulation help insure proper needle placement during peripheral nerve blocks What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. - CORRECT ANSWERS B. Act as a witness attesting to the authenticity of the patients AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgery with the patient and the patient has signed the consent. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include: Select all that apply. - CORRECT ANSWERS A. Duration of the procedure B. Exaggerated positions C. Circulatory disorders D. Malnutrition The choice of anesthesia is influenced by all of the following EXCEPT: - CORRECT ANSWERS A. Length of surgery C. Past experience with anesthesia D. Surgical procedure Indirect expenses include which of the following: Select all that apply. - CORRECT ANSWERS B. Utilities C. Support services E. Administrative personnel What responsibilities do OR staff members have in maintaining a safe OR environment? Select all that apply. - CORRECT ANSWERS A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards. Which PNDS outcome is the most important when draping the surgical patient? - CORRECT ANSWERS The patient is free from signs and symptoms of infection All of the following are important examples of activities that re made possible with preoperative nursing EXCEPT: - CORRECT ANSWERS Ability to freely distribute information regarding surgical procedure and iqsgnosis to patient's family and employer postoperatively AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. When the tourniquet has been used for a surgical procedure the circulating nurse should document the following: Select all that apply. - CORRECT ANSWERS B. Limp Occlusion Pressure (LOP) and cup pressure C. Location of tourniquet and time of inflation and deflation D. Skin protective measures and preoperative and post-operative skin assessments Bases on your knowledge of universal protocol, which of the following are acceptable methods to correctly identify your patient. Select all that apply. - CORRECT ANSWERS B. Aks the patient to state his or her date of birth C. Ask the patient to state his or her full name Which of the following is the best way to conduct a Time Out? - CORRECT ANSWERS The Time Out takes place once the patient is prepped and draped and involves the entire team What precautions should be taken when microbibrillar collagen is used as a hemostatic agent intrapoperatively? - CORRECT ANSWERS Avoid using it with an autologous blood salvage unit Only facility approved EPA registered disinfectants should be used to clean your facility. For which organisms must an approved disinfectant pass potency test against? - CORRECT ANSWERS B. Pseudomonas aeruginosa C. Salmonella choleraesuis D. Staphylococcus aureus Which of the following activities should be performed during post procedure cleaning of an OR? - CORRECT ANSWERS Clean the floor, moving the OR bed to clean underneath Which of the following is a finding of recent research studies on the value of certification? - CORRECT ANSWERS Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse. Which of the following are examples of regional anesthesia methods? Select all that apply. - CORRECT ANSWERS B. Epidural blocks C. Eye (Retrobulbar) blocks D. Spinal blocks AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. E. Upper extremity blocks The culture of a clinical setting if affected by which of the following skills. Select all that apply. - CORRECT ANSWERS A. Collaborations B. Conflict resolution C. Decision making Critical thinking considerations when positioning a surgical patient include all of the following EXCEPT: - CORRECT ANSWERS Assessing patient position once at the beginning of the procedure. Potential sources of fuel for surgical fires include: - CORRECT ANSWERS Draping materials During the physiologic portion of the perioperative assessment, which systems should be assessed more carefully in elderly and pediatric patients? Select all that apply. - CORRECT ANSWERS A. Cardiovascular C. Renal D. Respiratory Which of the following statements is generally true about the coping styles of pediatric patients between the ages of 3 and 6 years? - CORRECT ANSWERS This age group interprets term literally The perioperative team implements aseptic technique practices to meet all of the following primary goals except: - CORRECT ANSWERS Improve patient satisfaction Which of the following strategies are recommended to reduce the occurrence of retained surgical items? Select all that apply - CORRECT ANSWERS - Avoid distractions during the counting process. - Count items including radiopaque soft goods, sharps and other miscellaneous items and instruments. - Use a standardized approach each time a count is conducted. Based on your knowledge of the Universal Protocol, Which of the following are acceptable ways to identify your patient? SELECT ALL THAT APPLY. - CORRECT ANSWERS - Ask the patient to state his or her date of birth. AORN PERIOP 101 EXAM (80% TO PASS!) X QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED AND GRADED A+ FOR EXCELLENT PASS. - Ask the patient to state his or her full name Which nerves are most frequently injured as a result of improper positioning of the patients arms? Select all that apply. - CORRECT ANSWERS - brachial plexus - ulnar The surgeon's preference for the preoperative skin prep includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: - CORRECT ANSWERS Fumes trapped underneath the drapes could ignite What factors increase the risk for skin injury? Select all that apply. - CORRECT ANSWERS - Diabetes - Prolonged length of surgery - Unusual positions or positioning devices Documentation of intraoperative surgical specimens includes which of the following: Select all that apply - CORRECT ANSWERS - Identification of the specimens in the intra-operative record and the pathology requisition - No abbreviations - Notation of markers or tags such as clips or sutures, with a statement of what they represent The choice of anesthetic is determined after patient evaluation by and anesthesia professional. Some factors that may impact this decision include which of the following? Select all that apply. - CORRECT ANSWERS - Age - ASA physical status classification - Length of surgery - Past experience with anesthesia - Surgical procedure Timely administration of Dantrolene or Ryanodex is a critical measure in resolving a malignant hyperthermia crisis. Which of the following are also corrective measures that should be implemented? Select all that apply. - CORRECT ANSWERS - Provide 100% oxygen - Stop administration of trigging agents - Stop surgery all together if possible