AORN Periop 101 Final Exam Study Guide with 113 Questions and Answers scored 100%!!!, Exams of Health sciences

Download AORN Periop 101 Final Exam Study Guide with 113 Questions and Answers scored 100%!!! and more Exams Health sciences in PDF only on Docsity! AORN Periop 101 Final Exam Study Guide with 113 Questions and Answers scored 100 %!!! 1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver. Correct ans - What is a Blunt needle point? 2.These particular wound closing items are available in a wide variety of instrument sizes. Correct ans - What are disposable stapler sets? 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols. Correct ans- What is cc? 5.The surgical wound classification for a total abdominal hysterectomy. Correct ans - What is Clean contaminated? 4.Following an excisional breast biopsy, the circulating nurse would anticipate the need to have available this type of drainCorrect ans - What is a Jackson-Pratt? 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen. Correct ans - What is Lithotomy Position? 7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this: Correct ans - What is to reduce the patient's risk of intraoperative skin injury. 8.An environmental sanitation practice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills Correct ans - What is personal protective equipment? 9.It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS Correct ans- What is capacitive coupling? 10. According to AORN RP for positioning the patient, the perioperative nurse should: What is... a. Use a consistent method of procedure-specific position for each patient b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning 19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer) Correct ans - What is fuel source? 20. The safest way to pass a cutting instrument to a surgeon is: Correct ans - What is place it in a designated neutral zone with a verbal cue 21. To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion. Correct ans - What is Trendelenberg? 22. A packaging system for items undergoing sterilization should possess this characteristic: What is.... 1. Made of only disposable materials 2. to permit aseptic delivery of contents to the sterile field 3. Maintain sterility of the items for a specified length of time. 4. Compatible with all sterilization processes Correct ans - 2. to permit aseptic delivery of contents to the sterile field 23. Silicone catheters should be stocked on this particular cart in the surgical suite. Correct ans - What is a Latex-safe cart? 24. Open this package carefully over a small basin to prevent splashing of the packaging solution. Correct ans - What is handling natural absorbable sutures (plain, chromic) 25. An example of administrative controls to assure safe use of lasers, is the appointment of a person in this role: Correct ans - What is a laser safety officer? 26. This statement about the perioperative nurse's role in bioethical decision making is most justifiable. The perioperative nurse should... WHAT IS... a. Try to avoid involvement in ethical dilemmas unless they are personally engaged in a situation. b. Refer all ethical dilemmas to the institution's ethics committee to decide the best course of action. c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse d. Defer to surgeons judgment when there is disagreement about the right course of action. Correct ans - c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse 27. A precaution that should be taken when using this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver). Correct ans - What is microfibrillar collagen 28. A designation of 4-0 on a suture package indicates this about the suture material. Correct ans - What is the diameter? 29. A recommended means of promoting the safety of personnel in the surgical suite is: What is.... a. Routine screening of patients for HIV and hepatitis C b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment c. Double-glove for every procedure d. Leaving the room when x-rays are being used, even if scrubbed. Correct ans - b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment 30. This type of healing the wound remains open Correct ans - What is Granulation? 31. An abstract concept that has been developing since Socrates. Correct ans - What is Critical thinking? 32. This item is placed as close to the operative site as possible Correct ans - What is the dispersive electrode? 33. This is desired patient outcome most closely related to the use of local anesthesia for a procedure: What is.... a. The pt is the recipient of competent and ethical care within legal standards of practice. b. The pt is normothermic at the conclusion of the procedure c. The patient reports adequate pain control throughout the perioperative process d. The pt's respiratory function is consistent with preoperative baseline levels. Correct ans - c. The patient reports adequate pain control throughout the perioperative process 34. Antibiotics are most commonly administered during the intraoperative phase through this route Correct ans - What is Irrigation solution? 35. Recent research studies on the value of certification found that: WHAT is.... a. Non-certified nurse managers saw little value in certification related to professional growth. b. The most frequent reason for achieving certification is the expectation of higher salary and career advancement c. RPs are based on scientific evidence of how nurses actually practice in perioperative settings d. Licensed and accredited institutions are required to comply with the RPs Correct ans - b. Work setting and situation variations may determine the extent to which the RPs can be applied 44. Lock the wheels of the stretcher and the OR bed is a recommendation when: Correct ans - What is transferring pt from OR bed to gurney? 45. Begin this task with higher surfaces and finish with the lowest levels Correct ans - What is recommended for damp dusting in the OR? 46. Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery. Correct ans - What is using a time-out before beginning the procedure? 47. This can be performed through smaller incisions Correct ans - What is the Difference between MIS and open surgical procedures? 48. After this is procured by the surgeon, the scrub person should keep it moist with saline and in a sterile basin until it can be passed to the circulating nurse. Correct ans - What is a surgical specimen? 49. Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs. Correct ans - What is proper handling of explants Skin prep agent contraindicated for use during reconstruction of the external ear. Correct ans - What is CHG? 51. AORN RP states, this should be matched to the type of laser, optical density, and wavelength Correct ans - What is appropriate eyewear during laser surgery? 52. Use a sterile transfer device Correct ans - What is recommended for transferring medication from a multi-use vial to the sterile field? 53. Family history of problems related to anesthesia; and pts previous experience with anesthesia Correct ans - What are assessment factors when screening pts for potential risk of malignant hyperthermia? 54. The space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure Correct ans - What is the nominal hazard zone for laser use? 55. First step in the sterilization process of surgical instruments that have been used in a procedure Correct ans - What is decontamination? 67. Exposure to this sterilization method is potentially carcinogenic and mutagenic to personnel and patients. Correct ans - What is EO 68. The AORN RP that most directly pertains to this phase of cleaning in the Periop environment states that a safe, clean environment should be reestablished after each surgical procedure. Correct ans - What is interim cleaning? 69. Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence. Correct ans - What is a bullet? 70. During which phase of Cleaning includes the entire floor, moving the OR bed to clean 3-4 feet around it Correct ans - What is the activity performed during post-procedure cleaning of the OR? 71. Clinical nurse progression from Novice to Expert requires enhancement of this, and the development and refinement of this is affected by Clinical narratives, simulation, questioning; Partnering with proficient nurses; and the nurse's level of knowledge and experience Correct ans - What is critical thinking skills? 72. When performing a skin prep on a patient scheduled for a bunionectomy what steps should be included? Correct ans - a. Prop the foot to allow ample access to all surfaces during the prep b. use an impervious drape to protect the tourniquet c. start at the incision site, include toes and move up the leg. 73. Name the perioperative nurse's role in pt and family education? Correct ans - a. Explain what the patient will experience - b. Provide emotional support to enhance coping - c. Teaching specific skills that the pt will need to perform post-op - 74. Why should the perioperative nurse ask about a patient's use of herbal preparations, alcohol, tobacco products, and recreational drugs during the perioperative interview. Correct ans - a. Herbal supplements may affect the metabolism of drugs administered - b. Recreational drug use may affect choice of preoperative sedation - c. Smoking may affect circulatory and respiratory system assessment results - 75. List 4 team members who wear sterile gowns and gloves. Correct ans - a. Scrub person - b. Surgical assistant - c. Surgeon d. Medical student/resident/PA/NP 76. Name 3 risks to patients and staff members associated with laser use: Correct ans - a. Eye injury - b. Fire hazards - c. Inhalation of laser plume - 77. Name 4 types of powered cutting instruments used in surgery Correct ans - a. Bone reamers - b. Dissectors - c. Saws - d. Tissue shavers - 78. Name 2 ways that health care workers are most likely to become sensitized to latex Correct ans - a. Airborne contact - b. Cutaneous contact - 79. During admission of a patient to Phase 1 in PACU, what is the Perianesthesia nurse responsible for? Correct ans - a. Assessing patient's level of consciousness - b. Assessing the patient's pain level - c. Assessing the surgical dressing - d. Maintaining a patent airway - e. Monitoring BP, HR, and O2 saturation - 80. Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells Correct ans - a. Bone marrow- b. Muscle- c. Nerve- d. Testicular- 81. List 4 items necessary included in Preoperative documentation Correct ans - a. Administration of ordered preoperative medications- b. Oral verification by the pt of the procedure to be performed- c. Patient allergies to medications and materials used in the surgical suite- d. Patient identification, using oral verification and patient records- 82. List Clinical manifestation of a true allergic response to latex Correct ans - a. Contact urticarial- b. Periorbital edema and itching- c. Wheezing- 83. List 4 components that should be included in documentation of 91. List 5 actions that should be included in the perioperative nursing care of a pt with a suspected latex allergy. Correct ans - a. Assess pts cross- sensitivities and previous reactions to latex- b. Indicate latex precaution on door signs for every room pt occupies- c. Use latex-free supplies for IVs, hair covering, dressing materials, etc.- d. Verify surgeon is aware of the allergy- e. Schedule pt as first case of the day if possible 92. List 5 steps that should be followed in correctly draping the sterile field Correct ans - a. Drape from sterile to unsterile areas- 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- e. If draping without assistance, walk around the OR bed to drape the other side- 93. State 4 reasons why perioperative pt and family education is important Correct ans - a. Conveying genuine caring for the pts well-being- b. Increasing pt and family adherence to the plan of care- c. Increasing pts and family satisfaction with quality of care- d. Legal, ethical, and regulatory mandates- 2 Characteristics included in the elements of a culture of safety within a healthcare organization: Correct ans - a. Commitment to safety as the first priority in providing care* b. Trust among healthcare team members* 95. 4 things the perioperative nurse should do when setting up the insufflation equipment for an abdominal endoscopic procedure Correct ans - a. Have a back up tank available- b. Verify that CO2 pressure and supply alarms are on and functioning- c. Position the insufflator at pts heart level or above d. Verify that the tank valve is open 96. Name 2 methods or items that accomplish hemostasis by occluding a severed blood vessel, and causing platelets to clump together Correct ans - a. Ligatures- b. Pledget- 97. Name 4 ways to prevent or minimize ESU injuries to the pt Correct ans - a. Assure that prep solutions have dried and vapors evaporated before the device is used- b. Confirm each requested power setting change orally with the surgeon- c. Inspect each circuit component if the surgeon repeatedly requests higher power settings- d. Inspect the ESU unit before use to verify electrical integrity 98. List 3 things the perioperative nurse should do when a Bier Block is used during a procedure Correct ans - a. Check the calibration of the tourniquet before applying it- b. Monitor the length of time the tourniquet is inflated- c. Deflate the tourniquet slowly d. Inflate the proximal cuff first 99. Name 2 unique identifiers to ensure proper handling of surgical specimens verified by the perioperative nurse before the pt enters the OR. Correct ans - a. Pts medical record number- b. Spelling of pts name- 100. A psychosocial assessment of your pt should include: Correct ans - a. Cultural beliefs and practices- b. Expectations of perioperative care- c. Spiritual or religious beliefs- d. Understanding of the surgical procedure- 101. The Perioperative nurse's documents of the skin prep procedure should include Correct ans - a. Body area prepped- b. Name of person performing prep- c. Preoperative assessment of skin at the operative site- d. Skin prep agent- e. Type and extent of hair removal if ordered- 102. What special care procedures are required for microsurgical instruments Correct ans - a. Keep stainless steel and titanium instruments separated- b. Use a non-fibrous sponge wipe to clean the instrument tip if recommended- c. Use tip covers or protective sleeves when instruments are not being used- 103. Name factors regarding the proper attire of surgical team member Correct ans - a. Sterile gowns should resist fluid strike- through- b. Head covering should be donned before pulling on the scrub top- c. Scrub top must be secured at the waist or tucked into the pants- d. Shoe covers are optional e. Masks are changed after each patient 104. What phases of the nursing process that the perioperative nurse practices during the preoperative phase of the surgical experience? Correct ans - a. Assessment- b. Identification of desired outcome- b. Monitoring adherence to safety policies and practices- c. Providing education to staff members regarding safety policies and procedures- d. Reporting safety hazards and violations to appropriate authorities- 112. The OR staff members are responsible for maintaining a safe OR environment which include: Correct ans - a. Adhering to facility policies related to safety- b. Consistently applying OR-specific safety practices- c. Reporting safety hazards and violations to appropriate authorities- 113. The EPA registered germicides labeled as hospital disinfectants must demonstrate effectiveness against these 3 microorganisms: Correct ans - a. Pseudomonas aeruginosa- b. Salmonella cholera suis- c. Staphylococus aureus-