AORN Periop 101 Exam (80% to
pass!)/217 Questions and
Answers
When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply. - -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: - -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: -
-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. -
-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? - -D. Use a sterile transfer device
-Which of the following practices is recommended for handling of natural
absorbable suture? - -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? - -B. Counting silently so it doesn't distract other personnel.
-What is the correct definition of incisional biopsy? - -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. - -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. - -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. - -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? - -B.
Laparotomy
-Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - -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? - -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. - -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? - -A. Administration,
excitement, intrasurgery, respiratory failure
-What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply. - -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? - -
B. Provide 100% oxygen, used iced saline to cool patient.
-An important difference between minimally invasive (MIS) and open
surgical procedures is that MIS: - -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. - -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? - -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: - -A. Cleaning
-By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue. - -C. Cut and coagulate
-The preoperative team implements aseptic technique practices to meet all
of the following primary goals EXCEPT? - -A. Improve patient satisfaction
-Which of the following examples is included on the "Joint Commission" list
of DO-NOT-USE abbreviations, Acronyms and Symbols? - -A. MS
-When a "Time Out" discrepancy occurs, the nurse's priority action should
be to: - -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? - -D. Instruments may be
immediate use steam sterilized only when there is insufficient time tot
process by the preferred wrapped or container method.
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