a) Semi-restricted zone
c) Restricted zone - ANSWER-The patient's hair should be covered before entering the:
a) Patient, Intervention, Comparison,
... [Show More] Outcome - ANSWER-Evidence-based practice questions are typically formatted as PICO questions. What does PICO stand for?
d) Verify with surgeon before opening suture - ANSWER-Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can participate in cost containment in the OR?
c) Professional growth and maintenance of competency - ANSWER-An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability in his/her:
d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied - ANSWER-Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice?
c) Family disagreement about a below the knee amputation on an 18 year old who has already given consent - ANSWER-Which of the following is NOT an example of an ethical dilemma that perioperative nurses may encounter?
b) Negligence - ANSWER-The phrase "At least one individual failed to do what a similarly situated, reasonable, and prudent professional would have done under similar circumstances" is the definition of:
d) Relying ONLY on peer evaluations - ANSWER-All of the following are accurate descriptions of "professional accountability" EXCEPT:
b) Pursuit of lifelong learning - ANSWER-Part of the AORN standards of Professional Practice mandate that nurses evaluate the quality of their nursing practice. Four ways to ensure professional practice related to the AORN practice include: maintaining competency, the use of evidence-based practice, certification, and:
c) Assess the patient's airway and respirations - ANSWER-After transferring a male patient into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST:
b) Situation, Background, Assessment, Recommendation - ANSWER-During a handover report to the PACU RN, the perioperative RN may use a communication method identified by the acronym "SBAR." What does SBAR stand for?
c) Ask patient to describe his pain or use a standardized pain scale - ANSWER-A 40-year-old male patient is awake and alert in the post anesthesia care unit after right shoulder surgery. What is the BEST measure to assess the patient's pain?
d) The type of insulin the patient takes - ANSWER-What would be the MOST important information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient?
c) American Society of PeriAnesthesia Nursing - ANSWER-The Perianesthesia nurse has ASPAN to guide their practice. What does ASPAN stand for?
c) Situation, Background, Assessment, Recommendations - ANSWER-You have completed your case and must now transport your patient to PACU. To give report to the PACU nurse, your facility requires that you provide report in SBAR, which stands for:
c) Assessing patient airway and respirations - ANSWER-You have just transferred your patient into the Phase I PACU. Which activities would you expect to observe FIRST?
c) OR nurse - ANSWER-A hand-over communication report is given by the anesthesia professional and the _________________?
c) Cultural beliefs, perception of surgery, and religious beliefs - ANSWER-What should be included as part of the psychological nursing assessment?
a) Alert the surgeon and discuss the selection of preoperative skin antiseptic. - ANSWER-During a preoperative interview, a patient reports that a surgical prep solution made him breakout in hives after a previous surgical procedure. What action should the perioperative RN take?
a) Alcohol
b) Herbal preparations
c) Recreational Drugs
d) Tobacco products
e) All of the above - ANSWER-During the preoperative interview, the perioperative RN should ask the patient's about their use of:
a) Define the patient's risk factors and develop a plan of care - ANSWER-The PRIMARY purpose of conducting a preoperative assessment is to:
a) Decrease in vision including color and depth perception - ANSWER-Which of the following sensory assessment findings is common among elderly patients?
c) 3 to 6 years - ANSWER-A child in which of the following age groups can be described as "likes to socialize and can interpret terms"?
d) Lung capacity decreases with increasing age - ANSWER-Which of the following statements is true?
a) Decrease in subcutaneous fat - ANSWER-Which of the following factors make geriatric patients more sensitive to injury and cold?
b) Before the surgery - ANSWER-A preoperative nursing assessment should be conducted by a perioperative RN at what point?
d) Spiritual - ANSWER-In relation to transcultural needs of the patient, it is important to include _______________ needs in the nursing assessment.
b) Structured with predetermined questions - ANSWER-A directive interview is:
a) The surgical site
b) The nature and intended purpose of the surgery
c) The patient's fears regarding anesthesia or surgery - ANSWER-Factors that may affect postoperative pain are? Select all
b) To increase patient and family adherence to the plan of care - ANSWER-Which of the following BEST illustrates the purpose of perioperative patient and family education?
d) Wound care and pain management - ANSWER-Sally is a 43-year-old female scheduled for a laparoscopic cholecystectomy. The perioperative RN should provide preoperative education to Sally and her family, including:
a) Automatic intraoperative suspension of a do-not-resuscitate decision - ANSWER-Which of the following practices violates a patient's ethical right to self-determination?
b) Communicating information and documenting the decision - ANSWER-Obtaining informed consent is a two-step process of:
b) By asking questions about the procedure and evaluating the answer - ANSWER-How does the perioperative nurse test patient's level of understanding?
c) Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery - ANSWER-A preoperative patient's do-not-resuscitate order is:
1 - Restricted - Individual OR suite with sterile supplies opened
2 - Semi-restrict - Work area for processing instruments
3 - Unrestricted - Perioperative patient care area - ANSWER-Match the designated surgical area with the correct surgical zone:
b) False - ANSWER-Clean supplies do NOT need to be separated from sterile supplies inside the surgical suite:
b) 20-60% - ANSWER-The relative humidity in the OR suite should be maintained within a range of:
c) Removed and discarded after every case - ANSWER-A surgical mask should cover both mouth and nose, and should be:
b) 20 - ANSWER-The ventilation system in the restricted area of the OR should have an air exchange rate of at least _____ air exchanged per hour.
c) Sequential compression - ANSWER-___________________________ stockings are used to prevent deep vein thrombosis during a surgical procedure.
a) Unrestricted area - ANSWER-The pathology laboratory and blood bank are usually situated in which of the following areas?
b) 20% to 60% - ANSWER-Which of the following humidity levels are considered optimal environmental conditions for OR?
a) 10% to 50%
b) 20% to 60%
c) 30% to 60%
d) 40% to 80%
d - ANSWER-Nursing interventions to reduce inadvertent hypothermia include all of the following EXCEPT:
a) Initiating forced air warming
b) Infusing warm IV fluids
c) Applying warm blankets preoperatively
d) Lowering the relative humidity below 20%
b - ANSWER-The following statements concerning the surgical suite zone areas are true EXCEPT:
a) Equipment and sterile supply storage are semi-restricted
b) Operating rooms are semi-restricted
c) Sterile processing department is semi-restricted
d) The pre-op holding area is unrestricted
d) From the restricted area to the semi-restricted area - ANSWER-When transporting soiled instruments from the OR to the decontamination area, the correct traffic pattern follows movement:
b) Inform the anesthesia provider of the lab values - ANSWER-A 65-year-old patient is the the pre-operative holding area. The patient's preoperative laboratory test results show several critical values. Which of the following actions should the circulating nurse complete first?
d) Instruments may be immediate use steam sterilized only when there is insufficient time to process by the preferred wrapped or container method - ANSWER-Which statement about immediate use steam sterilization (IUSS) is the recommended practice?
d) Wipe instruments with a sponge moistened with sterile water and flush lumens with sterile water - ANSWER-What is the BEST method for keeping instruments clean on the sterile field
a) Blood pressure cuff - Non-critical
b) Laryngoscope blade - Semi-critical
c) Orthopedic implants - Critical - ANSWER-Select the appropriate Spaulding Classification System category for each item listed:
a) Cleaning - ANSWER-What is the FIRST step in reprocessing surgical instruments after they have been used in a procedure?
b) Indicates that the intended physical conditions in the sterilizer were met - ANSWER-Biological monitoring:
c) Surgical conscience - ANSWER-A ___________ does not permit a person to excuse an error but rather to admit and rectify one readily.
c) Irrigating channels with normal saline at the end of each case - ANSWER-Endoscopic instrumentation maintenance may be enhanced by the following EXCEPT
b) Event-related - ANSWER-According to AORN Recommended Practices, the shelf life of a sterile package kept in storage is:
b) Low-level disinfection - ANSWER-According to Spaulding's Classification System, to prepare items such as blood pressure cuffs for patient use the appropriate process is:
b) Temperature, time, and presence of steam - ANSWER-An integrator is a multiparameter indicator designed to measure which of the following parameters?
b) Clean contaminated - ANSWER-In which surgical wound category should a total abdominal hysterectomy be classified?
b) In urgent situations - ANSWER-Immediate use steam sterilization can be used:
b) If a major break in technique will affect the wound class
c) What constitutes an old injury
d) Which wound class a surgery should be assigned - ANSWER-The AORN Surgical Wound Classification Decision Tree is helpful in determining: Select all that apply.
a) Contact, Droplet, Airborne - ANSWER-What are the three types of transmission-based precautions?
c) Using PPE and handwashing - ANSWER-Which is the BEST method for preventing blood-borne pathogen exposure?
d) Dirty - ANSWER-You are circulating on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters purulent inflammation and asks for a culture. The procedure using the laparoscope without need to open the abdomen. In completing your documentation of wound class, the best choice would be:
a) A method of transmission, a reservoir, a susceptible host - ANSWER-What are the principle elements required for infection to occur?
a) The skin - ANSWER-The body's first line of defense against infection is:
d) Use personal protective equipment when handling body fluid spills - ANSWER-Which of the following environmental sanitation practices is used to limit the transmission of microorganisms?
a) Changing gloves after each patient or procedure - ANSWER-Which of the following is a method for preventing blood-borne pathogen exposure?
a) Changing gloves after each patient or procedure
c) Wash hands before and after each patient contact - ANSWER-The best method that a perioperative nurse can utilize to prevent the spread of infection is to:
b) Washing your hands prior to greeting the patient in the pre-operative area - ANSWER-Which of the following strategies should be considered for implementing successful infection control?
a) Hepatitis B
b) Seasonal influenza
d) Varicella - ANSWER-Vaccine-preventable disease against which health care providers should be immunized include:
c) Source or reservoir - ANSWER-Which of the three elements required for an infection to occur is related to inanimate environmental surfaces?
a) Take measures to prevent the loss of body heat - ANSWER-Which of the following observations are critical when doing skin antisepsis on pediatric patients?
b) Prepped first - ANSWER-If a highly contaminated area is part of the surgical procedure, the area with lower bacterial count should be:
a) Aqueous iodophor - ANSWER-A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which skin prep agent is indicated for use in this case?
c) Chlorhexidine gluconate - ANSWER-A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which of the following skin prep agents is contraindicated for this case:
d) The prep should start at the site of incision and move outwards - ANSWER-Which statement correctly describes recommendations for preoperative patient skin antisepsis?
c) Manufacturer's instructions for use (IFU) - ANSWER-When performing surgical skin prep, the antiseptic agent should be applied for the length of the time designated by the
b) For topical skin application only below the neck - ANSWER-Chlorhexidine gluconate (CHG) is an antimicrobial skin prepping agent used:
b) Chemical agents - ANSWER-Which agents are effective in removing resident microorganisms?
c) Nicking or cutting of the skin - ANSWER-Which of the following should be avoided during hair removal?
c) Assistive prop - ANSWER-Which device should be used while carrying out an extremity prep?
Perform hand hygiene
Don sterile gloves and prepare the prep set
Dip the sponge into the antimicrobial solution, squeezing out any excess liquid
Beginning at the site of the incision, use friction and scrub in a circular motion
Once the prepping is completed, discard the sponge into a trash container - ANSWER-Identify the correct sequence for prepping:
a) Scrubs; paints - ANSWER-Iodophors with added detergent are referred to as "________," and those without added detergents are referred to as "________."
a) Epidermal - ANSWER [Show Less]