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TEST BANK FOR ALEXANDERS CARE OF THEPATIENT IN
EDITION BY ROTHROCK ISBN10: 0323479146 ISBN13: 9
,Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide pat
the statement that best describes the dynamic relationship within the model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANSWER: A
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing dia
interventions, and patient outcomes. These domains are in continuous interaction with the health system
perioperative nursing practice—the patient.
2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing desc
interventions, and activities with patients. This is based on which standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANSWER: B
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
quality objectives in perioperative nursing.
3. Which order best describes the process used to implement evidence-based professional nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
ANSWER: D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
design and implement a practice change, and to evaluate the process.
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their un
gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANSWER: C
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
evidence. Using research to guide practice is called evidence-based practice (EBP).
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient re
project. Where might they look for information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Guidelines for Perioperative Practice on sterilization and
disinfection
d. Consult with facility instrument vendor representatives for their advice
ANSWER: B
When there is not enough evidence to guide practice, perioperative nurses should consider gathering in
, 7. Which of the following actions best describes an element of the perioperative nursing assessment?
a. Scanning the surgical schedule for the day before morning report.
b. Reading the pick/preference list attached to the case cart.
c. Reviewing the patient medical record.
d. Studying an on-line tutorial about the intended surgical procedure.
ANSWER: C
Assessment is the collection and analysis of relevant health data about the patient. Sources of data may
with the patient and the patient’s family; review of the planned surgical or invasive procedure; review
record; examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia
other personnel.
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk fo
factors related to her preexisting conditions and overall health status. As part of developing a plan to gu
standardized descriptive terms. This step of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
ANSWER: A
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way
plan nursing care. Nursing diagnosis components include a definition of the diagnostic term, defining c
factors.
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-wal
activities are what stage of the nursing process?
a. Assessment
b. Implementation
c. Outcome identification
d. Evaluation
ANSWER: B
Implementation is performing the nursing care activities and interventions that were planned and respo
and orderly action to changes in the surgical procedure, patient condition, or emergencies. Implementat
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the perioperati
patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list and re
cart setup to reflect this new information and change in care delivery. Which two phases of the nursing
the nurse’s actions?
a. Assessment and planning
b. Assessment and implementation
c. Planning and implementation
d. Nursing diagnosis and intervention
ANSWER: C
Planning is preparing in advance for what will or may happen and determining the priorities for care. P
assessment results in knowing the patient and the patient’s unique needs. Implementation is performing
and interventions that were planned and responding with critical thinking and orderly action. Implemen
nursing.
11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by ther
accomplishment of this intervention would meet which of the following desired nursing outcomes?
a. The patient is free from signs and symptoms of injury from anxiety.
b. The patient is free from signs and symptoms of impaired skin integrity.
c. The patient is free from signs and symptoms of surgical site infection.
d. The patient is free from signs and symptoms of hyperthermia.
ANSWER: B
, 13. A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative ch
interviewed by her perioperative nurse in the preoperative intake lounge. The patient’s weight on admi
assessment, the nurse returned to the operating room (OR) and modified the standard plan of care by in
strategies that were derived from information from the preoperative assessment. A good example of thi
described by:
a. replacing the regular OR bed with a bariatric-specific OR bed.
b. providing protective lead aprons for all staff during the procedure.
c. writing the patient’s name, allergies, and body weight on the whiteboard.
d. administering antibiotics to the patient 1 hour before the incision.
ANSWER: A
Planning is preparing in advance for what will or may happen and determining the priorities for care. P
assessment results in knowing the patient and the patient’s unique needs so that alterations in events, su
on a bariatric-specific OR bed as opposed to a regular OR bed, can be readily accommodated. Replacin
OR bed is a nurse-sensitive preventive intervention that provides equipment based on patient need.
14. Adoption of an electronic medical record requires the use of consistent terminology. Empirically valida
perioperative nursing language may be found in the:
a. Perioperative Patient Focused Model.
b. Nursing Alliance for Quality Care (NAQC).
c. Perioperative Nursing Data Set (PNDS).
d. Standards of Perioperative Nursing.
ANSWER: C
After 6 years of research and validation, the Perioperative Nursing Data Set (PNDS) was recognized as
language, providing a uniform and systematic method to document the basic elements of perioperative
15. When delegating a task, such as removing an intravenous (IV) catheter, to an unlicensed individual, the
a. retains responsibility for evaluating the outcome of the task.
b. must comply with the seven “rights” of delegation.
c. trANSWERfers the authority to perform the related assessments.
d. trANSWERfers the supervision of the competent person to another competent person.
ANSWER: C
Delegation trANSWERfers to a competent person the authority to perform a selected nursing task in a
to the “five rights” of delegation. When delegating care activities, perioperative nurses retain accountab
evaluatingthe outcomes of delegated tasks.
16. A hospital nursing excellence center for education developed standards for nursing advancement that w
achievement of professional performance. They developed a clinical advancement ladder based on the
acquisition model and established worthy criteria for each level. Select the response that might best des
achievement for a perioperative staff nurse.
a. Certified nurse, OR (CNOR) credential, BSN, and chair of the nursing
research committee
b. Published article in the hospital newsletter and 15 years’ service pin
c. BCLS instructor and weekend Emergency Medical Technician (EMT) trANSWERport
d. Patient safety champion and nurses’ union representative
ANSWER: A
Achieving certification (CNOR), pursuing lifelong learning, and maintaining competency and current k
nursing are the hallmarks of the professional.
17. Performance improvement activities in the perioperative practice setting are designed to promote:
a. cost savings by eliminating fines for near-misses and never events.
b. customer satisfaction and loyalty.
c. time measurement activities.
d. efficient, effective, and ethical quality care.
ANSWER: D
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