AORN Periop 101 Final Exam Study Guide
1. A critical perioperative nursing diagnosis within the PNDS is: - ANS-What is
risk for perioperative positioning injury?
1.This type of needle point is what you would expect to be needed for suturing
friable tissue such as the liver. - ANS-What is a Blunt needle point?
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
c. use additional precautions as appropriate based on unique patient
considerations
d. Depend on the patient's natural defense mechanisms to indicate the need for
positioning alterations - ANS-c. use additional precautions as appropriate based
on unique patient considerations
100. A psychosocial assessment of your pt should include: - 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 - 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 -
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 - 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? - ANS-a. Assessment-
b. Identification of desired outcome-
c. Nursing diagnosis-
d. Planning-
105. Name 4 practices you should follow during the surgical scrub procedure -
ANS-a. Fingernails should be cleaned under running water-
b. Stand slightly back from the sink and lean over to prevent splashing scrub
suit-
c. Forearms scrubbed 2" above the elbow
d. Hands held higher than the elbows to scrub and rinse
106. What are practices from AORN RP V that states "a sterile field should be
maintained and monitored constantly." - ANS-a. The sterile field should be
constantly monitored-
b. The sterile field should be prepared as close as possible to the time of use-
c. The sterile field may be covered with a sterile drape-
107. What are 3 Safety precautions when handling and caring for powered
instrument - ANS-a. Hand the powered instrument to the surgeon with the safety
mechanism on-
b. Have irrigation ready to use with the drill or saw-
c. Use the instrument with the blade or drill guard in place-
108. A patient is unable to transfer independently to the procedure bed. To
achieve the PNDS outcomes related to safe patient transfer, which measures may
be used to prevent shearing injury? - ANS-a. Request additional personnel to
assist with pt transfer-
b. Use a friction-reducing transfer sheet-
c. Use a slider or roller board-
d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal
structure-
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