AORN PERIOP 101 FINAL EXAM STUDY GUIDE 200
QUESTIONS AND ANSWERS (2023/2024) (VERIFIED
ANSWERS BY EXPERT)
When applying the concept of surgical conscience which of the
following statement should be considered? Select all that apply. -
ANSWER- A. It involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. 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: - ANSWER- A. Air flow in the OR rooms should be cleaned by
HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will
need: - ANSWER- A. 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. - ANSWER- A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring
a medication vial to the sterile field? - ANSWER- D. Use a sterile
transfer device
,Which of the following practices is recommended for handling of
natural absorbable suture? - ANSWER- C. 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? - ANSWER- B. Counting silently so it doesn't distract other
personnel.
What is the correct definition of incisional biopsy? - ANSWER- D. A
small portion of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap,
event, or fire from occurring when handling electrosurgical equipment?
Select all that apply. - ANSWER- A. Allow enough time for alcohol
based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea
when oxygen is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and
coagulation instruments before use.
Intrinsic and extrinsic factors that may lead to development of
preoperative pressure ulcer include: Select all that apply. - ANSWER-
A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical
thinking? Select all that apply. - ANSWER- C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
,What is the best drape to use for an umbilical hernia repair? -
ANSWER- B. Laparotomy
Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis? - ANSWER- D. Prep should
start at the site of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for
allergies? - ANSWER- C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to
specimen fixatives such as formalin. Select all that apply. - ANSWER-
A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or
surface where accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar
with their use.
After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient? - ANSWER- A.
Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe
OR environment? Select all that apply. - ANSWER- A. Adhering to
facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment
options for malignant hyperthermia should the nurse anticipate and
prepare for? - ANSWER- B. Provide 100% oxygen, used iced saline to
cool patient.
, An important difference between minimally invasive (MIS) and open
surgical procedures is that MIS: - ANSWER- A. Can be performed
through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following
patient complaints? Select all that apply. - ANSWER- B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the
following practices is indicated? - ANSWER- B. 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: - ANSWER- A. Cleaning
By using a high radio frequency electrical current, surgeons routinely
use electrosurgery to _________ the tissue. - ANSWER- C. Cut and
coagulate
The preoperative team implements aseptic technique practices to meet
all of the following primary goals EXCEPT? - ANSWER- A. Improve
patient satisfaction
Which of the following examples is included on the "Joint Commission"
list of DO-NOT-USE abbreviations, Acronyms and Symbols? -
ANSWER- A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action
should be to: - ANSWER- 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
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