AORN Periop 101 Final Exam Study
Guide with Complete Solutions
1.This type of needle point is what you would expect to be needed for suturing friable
tissue such as the liver. -Answer- What is a Blunt needle point?
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AORN Periop 101 Final Exam Study
Guide with Complete Solutions
1.This type of needle point is what you would expect to be needed for suturing friable
tissue such as the liver. -Answer- What is a Blunt needle point?
2.These particular wound closing items are available in a wide variety of instrument
sizes. -Answer- What are disposable stapler sets?
3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and
Symbols. -Answer- What is cc?
5.The surgical wound classification for a total abdominal hysterectomy. -Answer- What
is Clean contaminated?
4.Following an excisional breast biopsy, the circulating nurse would anticipate the need
to have available this type of drain -Answer- What is a Jackson-Pratt?
6.This position can cause physiological effects of circulatory and respiratory
compromise due to pressure on the abdomen. -Answer- What is Lithotomy Position?
7.To protect sensitive areas of the skin with appropriate padding is a recommended
practice for this: -Answer- What is to reduce the patient's risk of intraoperative skin
injury.
8.An environmental sanitation practice that is required to limit the transmission of
microorganisms to personnel when handling body fluid spills -Answer- What is personal
protective equipment?
9.It is recommended to inspect the active electrode for insulation defects to prevent this
from occurring during MIS -Answer- What is capacitive coupling?
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 -Answer- c. use additional precautions as appropriate based on
unique patient considerations
11.The disadvantage of using this type of wound closure is because they often cause
more scarring than other skin closure methods. -Answer- What is skin clips?12.An automatic intraoperative suspension of a do-not-resuscitate decision violates a
patient's ethical right to... -Answer- What is Self-determination?
13. This type of human factor error is responsible when a perioperative nurse is trying to
attend to several tasks at once -Answer- What is situational-based error?
14.Restricting pathogenic organisms from the patient, environment, equipment, and
supplies is the definition of.... -Answer- What is aseptic technique?
The most important consideration when selecting these materials is to prevent risk of
contaminating patients with endogenous and exogenous microorganisms; and risk of
exposing healthcare workers to patient's blood and body fluids -Answer- What are
draping materials?
16.Patient and caregiver education for continuing post-op care at home is the primary
focus of this Phase of post anesthesia care. -Answer- What is Phase II?
17.According to the Institute of medicine recommendations for improving patient safety,
this organization has the greatest potential impact to make changes on improving pt
safety -Answer- What are Healthcare organizations?
18. This statement about gloving technique is true
What is...
a. When gloving another person, always glove the left hand first.
b. The scrub gown should be fastened in the back before donning gloves
c. Open glove technique is used for initial donning of the sterile gown and gloves.
d. Closed glove technique is used to glove the surgeon or assistant. -Answer- b. The
scrub gown should be fastened in the back before donning gloves
19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer) -AnswerWhat is fuel source?
20. The safest way to pass a cutting instrument to a surgeon is: -Answer- What is place
it in a designated neutral zone with a verbal cue
21. To place a patient safely in this particular position the knees are over the break in
the procedure bed to allow for knee flexion. -Answer- What is Trendelenberg?
22. A packaging system for items undergoing sterilization should possess this
characteristic:
What is....
1. Made of only disposable materials
2. to permit aseptic delivery of contents to the sterile field
3. Maintain sterility of the items for a specified length of time.
4. Compatible with all sterilization processes -Answer- 2. to permit aseptic delivery of
contents to the sterile field23. Silicone catheters should be stocked on this particular cart in the surgical suite. -
Answer- What is a Latex-safe cart?
24. Open this package carefully over a small basin to prevent splashing of the
packaging solution. -Answer- What is handling natural absorbable sutures (plain,
chromic)
25. An example of administrative controls to assure safe use of lasers, is the
appointment of a person in this role: -Answer- What is a laser safety officer?
26. This statement about the perioperative nurse's role in bioethical decision making is
most justifiable. The perioperative nurse should... WHAT IS...
a. Try to avoid involvement in ethical dilemmas unless they are personally engaged in a
situation.
b. Refer all ethical dilemmas to the institution's ethics committee to decide the best
course of action.
c. act according to the terms of agreement establishing the nature of the relationship
between the pt and the nurse
d. Defer to surgeons judgment when there is disagreement about the right course of
action. -Answer- c. act according to the terms of agreement establishing the nature of
the relationship between the pt and the nurse
27. A precaution that should be taken when using this hemostatic agent intraoperatively
is to avoid using it with an autologous blood salvage unit (cell saver). -Answer- What is
microfibrillar collagen
28. A designation of 4-0 on a suture package indicates this about the suture material. -
Answer- What is the diameter?
29. A recommended means of promoting the safety of personnel in the surgical suite is:
What is....
a. Routine screening of patients for HIV and hepatitis C
b. Providing access to MSDS (material safety data sheets) for hazardous agents in that
environment
c. Double-glove for every procedure
d. Leaving the room when x-rays are being used, even if scrubbed. -Answer- b.
Providing access to MSDS (material safety data sheets) for hazardous agents in that
environment
30. This type of healing the wound remains open -Answer- What is Granulation?
31. An abstract concept that has been developing since Socrates. -Answer- What is
Critical thinking?32. This item is placed as close to the operative site as possible -Answer- What is the
dispersive electrode?
33. This is desired patient outcome most closely related to the use of local anesthesia
for a procedure: What is....
a. The pt is the recipient of competent and ethical care within legal standards of
practice.
b. The pt is normothermic at the conclusion of the procedure
c. The patient reports adequate pain control throughout the perioperative process
d. The pt's respiratory function is consistent with preoperative baseline levels. -Answerc. The patient reports adequate pain control throughout the perioperative process
34. Antibiotics are most commonly administered during the intraoperative phase through
this route -Answer- What is Irrigation solution?
35. Recent research studies on the value of certification found that: WHAT is....
a. Non-certified nurse managers saw little value in certification related to professional
growth.
b. The most frequent reason for achieving certification is the expectation of higher
salary and career advancement
c. Most facilities do not offer any incentives for achieving certification.
d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally
qualified non-certified nurse. -Answer- d. Nurse Managers would prefer to hire a
certified nurse over an otherwise equally qualified non-certified nurse.
36. The recommended practice for flash sterilization is the item should be processed
with this: -Answer- What is a routine process monitoring device (chemical indicator,
integrator).
37. When documenting the placement of surgical drains, it should include: -AnswerWhat is location of drain?
38. The action that the perioperative nurse should take if the pt states he/she is allergic
to shellfish and breaks out in hives when ingested. -Answer- What is Alert surgeon for
the need for appropriate selection of skin prep solution?
39. Principles of care for forceps during a procedure should include this: WHAT IS...
a. Stand them upright along the sides of the instrument tray so that handles are easily
grasped when needed
b. Move them from the mayo stand to the back table if the surgeon says that they are
not working properly.
c. frequently inspect tips and wipe clean of blood or tissue as needed
d. Organize them on the may stand or back table by placing one inside another. -
Answer- c. frequently inspect tips and wipe clean of blood or tissue as needed1. A critical perioperative nursing diagnosis within the PNDS is: -Answer- What is risk
for perioperative positioning injury?
41. There are 3 process monitors in the sterilization process; this particular monitor
indicates that the intended physical conditions in the sterilizer were met. -Answer- What
is biological monitoring?
42. This is the most reliable early indication of malignant hyperthermia -Answer- What is
unexplained increase in end-tidal CO2?
43. This statement concerning the use of AORN Recommended Practices is true:
a. RPs supersede departmental and institutional policies
b. Work setting and situation variations may determine the extent to which the RPs can
be applied
c. RPs are based on scientific evidence of how nurses actually practice in perioperative
settings
d. Licensed and accredited institutions are required to comply with the RPs -Answer- b.
Work setting and situation variations may determine the extent to which the RPs can be
applied
44. Lock the wheels of the stretcher and the OR bed is a recommendation when: -
Answer- What is transferring pt from OR bed to gurney?
45. Begin this task with higher surfaces and finish with the lowest levels -Answer- What
is recommended for damp dusting in the OR?
46. Name one step that should be used to follow TJC universal protocol for preventing
wrong site, wrong procedure, and wrong person surgery. -Answer- What is using a timeout before beginning the procedure?
47. This can be performed through smaller incisions -Answer- What is the Difference
between MIS and open surgical procedures?
48. After this is procured by the surgeon, the scrub person should keep it moist with
saline and in a sterile basin until it can be passed to the circulating nurse. -AnswerWhat is a surgical specimen?
49. Documentation of the serial number in the medical record and on the pathology
requisition when an apparent defect or failure occurs. -Answer- What is proper handling
of explants
Skin prep agent contraindicated for use during recons
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