Test Bank for Alexander’s Care of the Patient in
17th Edition by Rothrock
, Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
MULTIPLE CHOICE
1. The Perioperative client Focused Model presents key components of nursing influence that guide clien
statement that best describes the dynamic relationship within the model.
a. The client experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative professional nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the client to the model.
CORRECT CHOICE✔✔ A
The Perioperative client Focused Model consists of domains or areas of nursing concern: nursing diag
and client outcomes. These domains are in continuous interaction with the health system that encircles
nursing practice—the client.
2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing desc
interventions, and activities with clients. This is based on which standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
CORRECT CHOICE✔✔ 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
CORRECT CHOICE✔✔ D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and e
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.
CORRECT CHOICE✔✔ 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
CORRECT CHOICE✔✔ B
, d. Studying an on-line tutorial about the intended surgical procedure.
CORRECT CHOICE✔✔ C
Assessment is the collection and analysis of relevant health data about the client. Sources of data may b
with the client and the client’s family; review of the planned surgical or invasive procedure; review of
examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia provide
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
professional nurse uses standardized descriptive terms. This step of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
CORRECT CHOICE✔✔ 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 professional nurse initiated the discharge teaching and demonstrate
The teaching activities are what stage of the nursing process?
a. Assessment
b. Implementation
c. Outcome identification
d. Evaluation
CORRECT CHOICE✔✔ B
Implementation is performing the nursing care activities and interventions that were planned and respo
and orderly action to changes in the surgical procedure, client condition, or emergencies. Implementatio
10. While conducting the preoperative interview with a client scheduled for a septoplasty, the perioperativ
learned that the client was latex sensitive. Based on this knowledge, the professional nurse reviewed th
reassembled the surgical case cart setup to reflect this new information and change in care delivery. W
nursing process are represented in the nurse’s actions?
a. Assessment and planning
b. Assessment and implementation
c. Planning and implementation
d. Nursing diagnosis and intervention
CORRECT CHOICE✔✔ C
Planning is preparing in advance for what will or may happen and determining the priorities for care. P
assessment results in knowing the client and the client’s unique needs. Implementation is performing th
interventions that were planned and responding with critical thinking and orderly action. Implementatio
11. The perioperative professional nurse implements protective measures to prevent skin or tissue injury ca
sources. Successful accomplishment of this intervention would meet which of the following desired nu
a. The client is free from signs and symptoms of injury from anxiety.
b. The client is free from signs and symptoms of impaired skin integrity.
c. The client is free from signs and symptoms of surgical site infection.
d. The client is free from signs and symptoms of hyperthermia.
CORRECT CHOICE✔✔ B
Chemical and thermal sources used in surgery can cause skin and tissue burns (e.g., electrosurgery, po
lasers). The client being free from signs and symptoms of chemical injury, radiation injury, and electr
NANDA International nursing diagnoses.
12. The nursing diagnosis is derived from:
a. patient data retrieved from the nursing assessment.
, 13. A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative ch
interviewed by her perioperative professional nurse in the preoperative intake lounge. The client’s weig
lb. After the assessment, the professional nurse returned to the operating room (OR) and modified the s
instituting risk reduction strategies that were derived from information from the preoperative assessme
action would best be 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 client’s name, allergies, and body weight on the whiteboard.
d. administering antibiotics to the client 1 hour before the incision.
CORRECT CHOICE✔✔ A
Planning is preparing in advance for what will or may happen and determining the priorities for care. P
assessment results in knowing the client and the client’s unique needs so that alterations in events, such
bariatric-specific OR bed as opposed to a regular OR bed, can be readily accommodated. Replacing the
bed is a nurse-sensitive preventive intervention that provides equipment based on client 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 client Focused Model.
b. Nursing Alliance for Quality Care (NAQC).
c. Perioperative Nursing Data Set (PNDS).
d. Standards of Perioperative Nursing.
CORRECT CHOICE✔✔ 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. transfers the authority to perform the related assessments.
d. transfers the supervision of the competent person to another competent person.
CORRECT CHOICE✔✔ C
Delegation transfers to a competent person the authority to perform a selected nursing task in a selected
“five rights” of delegation. When delegating care activities, perioperative nurses retain accountability fo
the 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) transport
d. Patient safety champion and nurses’ union representative
CORRECT CHOICE✔✔ 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.
CORRECT CHOICE✔✔ D
Performance improvement efforts encompass improvements in quality and effectiveness, based on ethi
