Download AORN Perioperative Nursing 101 Module Questions and Answers and more Exams Nursing in PDF only on Docsity!
AORN PERIOP 101 MODULE QUESTIONS WITH 100% CORRECT ANSWERS
"Which items of attire are required when entering the sterile processing area? SATA a. scrub suit b. head cover c. shoe covers
d. surgical mask - CORRECT ANSWER A & B"
"What phases of the nursing process does the periop nurse practice during the preop phase of the surgical experience? SATA a. assessment b. eval c. identification of desired outcomes d. implementation e. nursing dx
f. planning - CORRECT ANSWER A, C, E, F"
"Data collection is part of which phase in the nursing process? - CORRECT ANSWER
Assessment" "Competency statements: a. direct a nurse's activity in the periop arena b. provide a basic model to eval the quality of nursing practice c. ascertain a level of skills and abilities necessary to fulfill the processional role
d. all of the above. - CORRECT ANSWER D"
"True or False: it is important for perioperative nurses to practice within the context of professional standards
and to maintain current knowledge of nursing practice? - CORRECT ANSWER True"
"based on what you have learned about various sources of information, identify the ways in
which the periop nurse can improve professionally? - CORRECT ANSWER The different ways in
which a perioperative nurse can improve professionally are: AORN continuing education conferences, attending chapter meetings, reading AORN Journals, and visiting AORN websites."
"True or False: AORN guidelines can replace departmental and institutional policies? - CORRECT
ANSWER False"
"non-research parts of evidence ratings include the following: SATA a. summaries of the evidence b. organizational experience c. consensus on appraisal scores d. community standards e. clinician experience and expert opinion
f. consumer preferences - CORRECT ANSWER Everything except C"
"Some of the ways by which professional nurses can protect themselves from legal action include maintaining; A. Documentation of performance appraisals B. Documentation of administrative competencies C. Documentation of continuing education
D. Knowledge of state nurse practice act - CORRECT ANSWER A, C, D"
"Based on the knowledge you have gained about legal and risk management issues, identify ways to enhance one's professional practice. A. documentation of orientation program B. documentation of clinical competency C. documentation of employee performance evaluations D. knowledge of the nursing practice act in your state E. documentation of continuing education activities
F. revision of all departmental policies and procedures - CORRECT ANSWER A, B, D, E"
"birth - one month ability for learning and understanding - CORRECT ANSWER baby is only
able to express through crying"
"one month - twelve months ability for learning and understanding - CORRECT ANSWER baby
will smile, babble, and gurgle"
"one - three years ability for learning and understanding - CORRECT ANSWER baby is able to
understand and respond to simple commands"
"three- six years ability for learning and understanding - CORRECT ANSWER the child is able to
literally interpret terms"
A. help in reviewing the work of the organization B. set expectations for health professionals C. establish consistency across individuals and organizations
D. help set expectations of consumers and purchasers - CORRECT ANSWER B, C, D"
"Which of the following "AORN Position Statement on Correct Site Surgery" statement is true? A. Family members should NOT be involved in identifying the correct site B. the surgical site should be marked with a washable marker C. staff member should verbally verify the correct site with each member of the surgical team
D. wrong site surgery is most common in ophthalmologic procedures - CORRECT ANSWER C"
"Individual staff members play the biggest role in maintaining a safe OR environment. Staff members are required to: SATA A. Monitor, identify, and report safety hazards B. set appropriate electrical and fire safety hazards C. understand and comply with the emergency power outage plan
D. Practice sound, basic, and OR specific electrical and fire safety. - CORRECT ANSWER A, C, D"
"Which of the elements required for an infection to occur is related to inanimate environmental surfaces? A. method of transmission b. susceptible host
c. source of reservoir - CORRECT ANSWER c. source of reservior"
"One of the most effective ways to prevent disease transmission and control infections in health care settings is: A. Cough etiquette B. Effective cleaning of healthcare surfaces C. hand hygeine
D. Use of PPE - CORRECT ANSWER c. hand hygiene"
"match the three types of transmission based precautions with the correct examples of precautions that should be implemented for them: a. contact b. droplet c. airborne
- donning PPE and patient placement
- donning PPE and env cleaning
3. donning PPE and wearing a surgical mask with a respirator level of N95 or higher - CORRECT
ANSWER 1=b
2=a 3=c" "Immunizations and testing of healthcare workers should include all of the following except: A. Hep B B. MMR C. Tetanus toxoid D. Seasonal influenza
E. Shingles - CORRECT ANSWER E"
"What wound class... -Procedure does not involve the resp, alimentary, or GU tract and no infection/inflammation is
present - CORRECT ANSWER Wound class 1: clean"
"What wound class...
-Procedure does involve the resp, alimentary, or GU tract, entered under controlled conditions -
CORRECT ANSWER Wound class 2: clean-contaminated"
"What wound class...
-Gross spillage from the GI tract occurs or unsterile instruments are used - CORRECT ANSWER
Wound class 3: contaminated" "What wound class...
-a clinical infection exists or an internal organ perforation is present - CORRECT ANSWER
Wound class 4: dirty, infected" "Droplet precautions include all of the following except: A. Donning PPE B. Consulting with the risk manager C. Placing a mask on the patient during transport D. Placing the patient in a single patient room
E. using an isolation room for the patient - CORRECT ANSWER B."
"Plastic Incise drapes... a. may increase moisture and bacterial growth under the drape b. are recommended for use only for certain procedures
"Which of the following practices are NOT examples of the recommendation that "A sterile field should be maintained and monitored constantly" SATA A. A sterile field that has been set up for more than 1 hour before the procedure begins should be broken down and a new set up prepared. B. If a delay occurs after a sterile field is set up, it may be covered with sterile drapes until the delay is resolved C. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as the room has been secured
D. The sterile field should be prepared as close as possible to the time of use - CORRECT
ANSWER A & C"
"When transferring medication and solutions to the sterile field the perioperative nurse should adhere to which of the following recommendations? SATA A. Avoid removing stoppers from vials B. Discard unused, opened irrigation or IV solutions at the end of the procedure C. Dispense the entire content of the container slowly D. Replace caps on opened medication to maintain sterility
E. Use a sterile transfer device - CORRECT ANSWER A, B, C, E"
"Which of the following practices is recommended when transferring a patient from the OR bed to the gurney? A. Apply a safety strap around the patients's hips once the patient is centered on the gurney B. Lock the wheels of the gurney and the OR bed before beginning the transfer C. One person may transfer a patient who is alert and able to cooperate
D. remove the sheet covering the patient before asking the patient to move laterally - CORRECT
ANSWER B"
"Which of following practices is recommended to reduce the patient's risk of intraoperative skin injury? A. allow prep solution to remain on the skin postop to prevent infection B. Leaving the blotting towels in places after the skin prep is complete C. Place the hose of the patient warmer under the patient's blankets, avoiding contact with the skin
D. Protect sensitive areas of the skin with appropriate padding - CORRECT ANSWER D"
"Which of the following factors increase the patient's risk for skin injury? SATA A. use of the wrong type of linen B. Unusual positions or positioning devices C. Use of electrical equipment
D. Use of chemical agents
E. Prolonged length of surgery - CORRECT ANSWER B, C, D, E"
"When using chemical products, the perioperative nurse should: SATA A. Use skin prep solutions according to the manufacturer's recommendations B. Never remove the skin prep solutions C. Ensure the prep solution does not pool on the drapes D. Apply blotting towels before performing a skin prep
E. Allow skin prep solutions to dry before draping - CORRECT ANSWER A, C, D, E"
"The purposes of performing a surgical hand scrub include: SATA A. To accomplish personal hygiene B. To kill microorganisms C. To reduce the resident microbial count to a minimum D. To inhibit rapid rebound growth of microorganisms
E. To remove soil, debris, and transient microorganisms - CORRECT ANSWER C, D, E"
"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? A. Downwards B. Upwards C. Straight
D. Curled towards the palm - CORRECT ANSWER B"
"Which actions can the RN circulator take to assist the scrub personnel during gowning? SATA A. Touch only the ties, Velcro, or snaps to secure the back of the gone at the neck and the waist B. Don the sterile gloves before fastening the gown to prevent contamination from the gown flaps C. Grasp the ties 4-6 inches from the tag and pull
D. Adjust the gown by grasping the bottom edge and pulling down to eliminate any blousing -
CORRECT ANSWER A & D"
"Because skin is a major source of contamination in the surgical environment, which of the following statements is true? A. Hand hygiene is only necessary before providing care to a patient B. Hand hygiene should be considered effective only if you are using an antimicrobial solution C. Hand lotions with petroleum as an ingredient are acceptable for use with gloves
B. Circulatory pooling in the lower legs C. Decreased brainstem perfusion
D. pressure on the brachial nerves - CORRECT ANSWER A"
"The following safety measures should be considered when placing a patient in the lateral position SATA A. The upper leg is straight and supported with pillows between the legs B. Lower arm on same plane as OR bed mattress; forearm and wrist in neutral position; palm up C. A safety strap is applied at the chest level
D. The patient's dependent ear should be assessed to ensure that is is not folded - CORRECT
ANSWER A, B, D"
"Documentation of the perioperative nursing care should include, but not be limited to: SATA A. Type of positioning devices used B. Name of the operating surgeon C. Names of persons positioning the patient
D. Preoperative outcome evaluation - CORRECT ANSWER A & C"
"Which of the following patient factors should be considered in the perioperative assessment? SATA A. Age B. Ethnicity C. Nutritional status D. Preexisting conditions
E. Gender - CORRECT ANSWER A, C, & D"
"Which intraoperative factors should be considered during the perioperative assessment? SATA A. Type of anesthesia delivered B. Duration of the surgery C. Position required
D. Type of draping used - CORRECT ANSWER A, B, C"
"The table is flexed 90 degrees for the __________ position, which is a variation of the __________ position A. lateral, prone B. Jack-knife, prone C. Trendelenburg, supine
D. Jack-knife, supine - CORRECT ANSWER B"
"Which surgical position adversely affects the diaphragmatic movement? SATA A. Trendelenburg B. Prone position C. Sitting or Semi-sitting position
D. Lateral position - CORRECT ANSWER A, B, & D"
"The use of the PNDS helps a perioperative nurse to: SATA A. plan the nursing interventions B. assess and develop the nursing diagnoses C. assess and evaluate the patient's status D. evaluate responses to positioning
E. determine medical diagnoses - CORRECT ANSWER A, B, C, D"
"Which of the following statements is correct regarding hair removal from a surgical patient? A. Hair should be removed from the surgical site before any surgical procedure B. Hair should be removed from the surgical site by using clippers or razors C. Hair should be removed from the surgical site only when the hair is so thick that it will interfere with the procedure
D. all of the above - CORRECT ANSWER C"
"What does AORN Guideline for Preoperative Patient Skin Antisepsis recommend for prepping areas with high microbial counts? A. Prep them first B. Prep them last C. Prep them during the procedure
D. Prep them whenever necessary - CORRECT ANSWER B"
"Which of the following should be avoided during hair removal? A. use of clippers B. clipping of hair against the grain of hair growth C. nicking or cutting the skin
d. removal of loose hair from prepped area - CORRECT ANSWER C"
"Which of the following is true about iodophor paint and iodophor scrub? A. a paint has a detergent additive, a scrub does not B. a scrub has a detergent additive, a paint does not C. Iodophors have a low fungicidal and high bacterial kill rate
D. iodophors have a high persistence activity - CORRECT ANSWER B"
A. area outside the maximum permissible exposure B. area within 3 ft of the surgical field C. distance from the laser delivery device to the target tissue D. Space where direct, scattered, or reflected laser radiation exceeds maximal permissible
exposure - CORRECT ANSWER D"
"Risks to patients and staff members associated with laser use include: SATA A. eye injury B. fire hazards C. inhalation of laser plume
D. radiation hazards - CORRECT ANSWER A, B, C"
"Nursing documentation for the pneumatic tourniquet use includes: SATA A. identification/serial number and model of the specific tourniquet B. location of the cuff C. name of the company who manufactured the cuff D. skin and tissue integrity under the cuff before the use of the pneumatic tourniquet E. skin temperature
F. Time of inflation and deflation - CORRECT ANSWER A, B, D, F"
"Which of the following is a correct application of the AORN guidelines for perioperative practice for use of appropriate eyewear during laser use? A. Personnel should not use protective eyewear in common B. Protective eyewear is required only for certain types of lasers C. Regular corrective lenses, including contact lenses, are sufficient for most types of lasers
D. The eyewear should be matched to the type of laser, optical density, and wavelength -
CORRECT ANSWER D"
"In addition to back-up electrical power in the case of a power outage, ORs may plan for outrages by: SATA A. having a generator in each hospital wing B. identifying which outlets in the OR are connected to emergency power C. maintaining battery-operated lights in each OR
D. Routinely checking the operating and availability of back-up equipment - CORRECT
ANSWER B, C, D"
"Radiation exposure safety controls include: SATA A. nonessential personnel should leave the room
B. Pregnant health care workers should avoid or limit exposure C. OR nurses all should be trained to operate x-ray machines
D. Lead protective aprons, gloves, and thyroid collars should be worn - CORRECT ANSWER A,
B, D"
"Indirect fire hazards and risks specific to the OR include: SATA A. anesthetic complication risks B. gas emboli risks C. postop infections
D. postop surgical complications - CORRECT ANSWER A, C, D"
"Components of the electrosurgical circuit include: A. active electrode, dispersive electrode, and generator B. dispersive electrode, fiber, and generator C. active electrode, dispersive electrode, generator, and scratch pad
D. dispersive electrode, fiber, generator, and key - CORRECT ANSWER A"
"To reduce the possibility of an injury or burn, which of the following most accurately describes where the periop nurse should place the dispersive electrode? A. as far from the operating site as feasible B. Directly on the operative site C. As close to the operative site as feasible
D. Anywhere it will be easy to access - CORRECT ANSWER C"
"Which statement best describes the path for bipolar surgical current? A. current leaves the generator, is applied to tissue using a pencil device, is collected in the dispersive pad, and returns to the generator B. current leaves the generator, is applied to tissue using a pencil device, and returns to the generator C. current leaves the generator, is applied to tissue using a two-poled instrument, and returns to
the generator - CORRECT ANSWER C"
"If the surgeon continuously asks for higher power settings, what is the first action the periop RN should take? A. Get another ESU unit immediately B. Check the circuitry for possible disruption C. Switch to a bipolar generator and electrode
D. Change the active electrode and dispersive electrode - CORRECT ANSWER B"
B. using coagulation waveform and a high setting C. using metal and plastic cannulas together
D. using the lowest power setting and low voltage cutting waveform - CORRECT ANSWER D"
"In which surgical wound category should a total abdominal hysterectomy be classified? A. clean B. clean contaminated C. contaminated
D. dirty - CORRECT ANSWER B"
"immediate-use steam sterilization can be used: A. for implants B. in urgent situations C. under no circumstances
D. for all items - CORRECT ANSWER B"
"A packing system for items undergoing sterilization should: A. be compatible with all sterilization processes B. be made of only disposable materials C. maintain sterility of the items for a specified length of time
D. permit aseptic delivery of contents to the sterile field - CORRECT ANSWER D"
"Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and: A. proper packaging B. aeration C. chamber humidity
D. pressure - CORRECT ANSWER C"
"Which of the following is true about ethylene oxide sterilization? A. EO exposure is potentially carcinogenic and mutagenic to personnel and patients B. It cannot be used for heat-sensitive items C. It is effective against prions
D. Items processed by EO sterilization may be used immediately - CORRECT ANSWER A"
"Which of the following is true about the use of peracetic acid on surgical items? A. Items can be stored for future use B. items must be aerated C. items can withstand high temperatures D. items must be isolated for 7 days
E. items must be immersible - CORRECT ANSWER E"
"An integrator is a multiparameter indicator designed to measure which of the following parameters? A. pressure, steam, and temperature B. Temperature, time, and presence of steam
C. Pressure and sterility - CORRECT ANSWER B"
"Which of the following are true about low temperature hydrogen peroxide gas plasma sterilization? SATA A. exhaust monitoring required B. items can be stored for future use C. no toxic residue is produced D. the sterilant is bactericidal, virucidal, and fungicidal
E. It can be used for items that are heat sensitive - CORRECT ANSWER B, C, D, E"
"Shelf life is related to: SATA A. exposure to external events B. methods of sterilization C. type of packaging material used D. number of personnel who may have handled the package
E. time from initial sterilization - CORRECT ANSWER A, C, D"
"What biting instrument is used for cutting tough tissue or bone? A. rongeur B. rasp C. osteotome
D. curette - CORRECT ANSWER A"
"Which of the concepts below are appropriate for the care of forceps during the procedure? A. cleaning the tips of blood or tissue frequently B. handing them off the sterile field to the circulating RN if the surgeon say they aren't working correctly C. organizing them on the back table by nesting them D. Standing them upright along the sides of the instrument tray so the handles are easily grasped
CORRECT ANSWER A & B"
"What powered instruments are used in orthopedic surgery? A. Dermatomes
"During what phase of wound healing does contraction occur? - CORRECT ANSWER
Proliferation"
"Identify the proper sequence of events in the body's defense mechanism for wound healing -
CORRECT ANSWER Hemostasis
Cleaning up the pathogens wound sealing regeneration of epidermal covering repairing deeper tissue damage" "At what point in the healing process do most wound disruptions occur? A. beginning of proliferative phase (2-10 days) B. End of proliferative phase (10-22 days) C. Beginning of maturation phase (21 days - 6 weeks)
D. End of maturation phase (6 weeks-2 years) - CORRECT ANSWER A"
"prolonged high dosages of steroids preoperatively delay _______ A. hemoglobin formations B. bile production C. insulin production
D. collagen formation - CORRECT ANSWER D"
“In addition to the surgeon which surgical team members wear sterile gowns and gloves during the procedure? SATA a. anesthesia b. circulating nurse c. scrub
d. surgical assistant - CORRECT ANSWER C & D: Scrub and Surgical assistant"
"The pathology laboratory and blood bank are usually situated in which of the following areas? -
CORRECT ANSWER Unrestricted area"
"Defining nursing goals and intervention strategies is a part of which phase in the nursing
process? - CORRECT ANSWER Outcome Identification"
"The goals of perioperative nursing interventions are to deliver optimal patient care.... SATA A. conveniently B. effectively C. efficiently
D. safely
E. skillfully - CORRECT ANSWER B, C, D, E"
"Which of the following is considered a critical perioperative nursing diagnosis within the PNDS? A. Impaired tissue integrity B. Pain C. Risk for fluid volume deficit
D. Risk for perioperative positioning injury - CORRECT ANSWER D"
"Professional nurses seek to support and encourage peers by... - CORRECT ANSWER Through
precepting, mentoring, and role modeling, and providing feedback, the professional nurse is a daily example of excellence in the perioperative setting"
"Perioperative nurses can enhance their professionalism by... - CORRECT ANSWER A nurse
can improve professionally by making use of the various online and independent study resources developed by AORN and by participating in continuing the facility's education activities and accessing perioperative textbooks" "When using the forum for public commenting on clinical guidelines and offering a suggested change in the comment field, it is very important that you: SATA a. suggest alternate phrasing b. cite evidence to support your change c. provide rationale for your suggestion
d. call the consult line to clarify the content with the guideline author - CORRECT ANSWER A,
B, & C:
suggest alternate phrasing, cite evidence to support your change, provide rationale for your suggestion" "Key business metrics over which you can have control to affect the bottom line are: SATA a. length of procedures b. on time starts c. physician satisfaction d. turnover time
e. volume of procedures - CORRECT ANSWER A, B, D, E"
"Based on knowledge you have gained about ethics and ethical decision making, identify the situations where a decision would be made on ethical grounds A. Using new technology B. Implementing or suspending the DNR order on a patient C. After the patient gives consent to surgery: refusing to proceed until all involved personnel discuss the situation D. Participating in human experiments that are conducted at your facility
