AORN Review for Final Exam Latest 2022 Update; consists of the actual exam questions with all the correct answers

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AORN Review for Final Exam Latest 2022 Update; consists of the actual exam questions with all the correct answers Which of the following statements are true about objective data? a. Data that cons... ists of the patient's own feelings and perceptions. b. Age, religion, or culture are examples of objective data. c. Data that is the information written in the patient's record and nursing notes. d. History, physical, and laboratory data are examples of objective data. - Correct Answer>>c. Data that is the information written in the patient's record and nursing notes. d. History, physical, and laboratory data are examples of objective data. Match the age groups with their ability for learning and understanding. 1. Birth to one month 2. 1-12 months 3. 1-3 years 4. 3-6 years a. The baby will smile, babble, and gurgle. b. The baby is able to understand and respond to simple commands. c. The child is able to literally interpret terms. d. The child is able to express only through crying. - Correct Answer>>1. D 2. A 3. B 4. C Patients in which of the following age-groups have the greatest blood volume per unit of body weight. a. children b. elderly adults c. middle adults d. young adults - Correct Answer>>a. children During the preoperative interview, why should the perioperative nurse ask patients about their use of herbal preparations, alcohol, tobacco products, and recreational drugs? (select all that apply) a. herbal supplements may affect the metabolism of drugs administered b. patients who use alcohol heavily are unable to tolerate general anesthesia c. recreational drug use may affect the choice of preoperative sedation. d. smoking may affect circulatory and respiratory system assessment results. - Correct Answer>>a. herbal supplements may affect the metabolism of drugs administered c. recreational drug use may affect the choice of preoperative sedation d. smoking may affect circulatory and respiratory system assessment results. Which items below are included in a psychosocial assessment? (select all that apply)a. coping styles b. cultural beliefs and practices c. expectations of perioperative care d. sensory impairment e. spiritual or religious beliefs - Correct Answer>>a. coping styles b. cultural beliefs and practices c. expectations of perioperative care e. spiritual or religious beliefs Which of the following statements is true? a. blood pressure remains constant with age. b. body temperature increases with increasing age. c. heart rate increases with increasing age d. lung capacity decreases with increasing age - Correct Answer>>d. lung capacity decreases with increasing age Which of the following factors make geriatric patients more sensitive to injury and cold? a. decrease in subcutaneous fat b. lung capacity decreases with age c. bilirubin and hemoglobin shift d. rage of medication absorption is decreased - Correct Answer>>a. decrease in subcutaneous fat Why is it important to assess the use of herbal supplements or recreational drugs before surgery? a. herbal preparations can decrease the toxicity of other drugs administered during anesthesia. b. herbal preparations can affect bleeding times. c. herbal preparations can interfere with drug metabolism. d. recreational drug use can result in withdrawal symptoms. e. recreational drug users may require higher doses of anesthetic medications. - Correct Answer>>b. herbal preparations can affect bleeding times. c. herbal preparations can interfere with drug metabolism. d. recreational drug use can result in withdrawal symptoms. e. recreational drug users may require higher doses of anesthetic medications. What interventions can the perioperative nurse perform to protect elderly patients? a. employ deep vein thrombosis prophylactic devices. b. position the patient for effective air exchange. c. slide patient onto the OR bed without use of assistive device. d. use warming devices to maintain the normothermia. - Correct Answer>>a. employ deep vein thrombosis prophylactic devices. c. slide patient onto the OR bed without use of assistive device. d. use warming devices to maintain the normothermia.A child in which of the following age groups can be described as "likes to socialize and can interpret terms?" a. 1-12 months b. 1-3 years c. 3-6 years d. 6-12 years - Correct Answer>>c. 3-6 years After the preoperative assessment has been conducted on a patient, the perioperative nurse should document: a. cuts and abrasions b. preoperative hair removal, if ordered c. skin condition d. financial arrangements e. the patient's verbal consents for preoperative orders - Correct Answer>>a. cuts and abrasions b. preoperative hair removal, if ordered c. skin condition e. the patient's verbal consents for preoperative orders Based on the knowledge you have gained about preoperative orders, identify the preoperative orders that should be recorded. a. NPO orders b. skin preparation orders c. DNR orders d. patient's mental state of alertness e. medication orders - Correct Answer>>a. NPO orders b. skin preparation orders e. medication orders Based on the knowledge you have gained about preoperative orders, identify the preoperative orders that should be recorded. a. NPO orders b. skin preparation orders c. DNR orders d. patient's mental state of alertness e. medication orders - Correct Answer>>a. NPO orders b. skin preparation orders e. medication orders Which of the following statements are accurate regarding the documentation required for equipment used during operative procedures? 1. location of the dispersive electrode pad 2. the use of any warming/cooling blankets 3. the identification number on the laser 4. identification of the person that applied the tourniquet a. 2 & 4b. 1, 3, & 4 c. 1, 2, & 4 d. 1, 2, 3,& 4 - Correct Answer>>d. 1, 2, 3, & 4 Based on the knowledge you have gained about documenting requirements, identify the true statements. a. You may be required to write out the physician's verbal orders for medications administered and have the physician sign the order. b. Hypersensitivity reactions should be documented. c. The manufacturer of implants should be documented. d. The manufacturer of the Foley catheter should be documented. e. Rationale for counts not performed should be documented. - Correct Answer>>a. You may be required to write out the physician's verbal orders for medications administered and have the physician sign the order. b. Hypersensitivity reactions should be documented. c. The manufacturer of implants should be documented. e. Rationale for counts not performed should be documented. A fluid imbalance may occur rapidly due to fluid loss as a result of: a. fluid restrictions b. accurate measurement of irrigation fluids c. wound drainage d. nasogastric tubes e. inadequate fluid replacement - Correct Answer>>a. fluid restrictions c. wound drainage d. nasogastric tubes e. inadequate fluid replacement Any tissue or fluid removed from the body is documented and identified. some of the items included in the documentation accompanying specimens are: a. site, location, type of dressing, loss of fluid b. type of specimen, date and time of collection, and hypersensitive reactions c. date and time of collection, site, surgeon's name and contact info - Correct Answer>>c. date and time of collection, site, surgeon's name and contact info When documenting a dressing, the name of the person applying the dressing should be noted. a. true b. false - Correct Answer>>b. false Based on the knowledge you have gained about using abbreviations, identify the true statements about abbreviations. a. Abbreviations are to be used by physicians only. b. Abbreviations can lead to medical errors. c. Abbreviations are difficult to read.d. Abbreviations might be wrongly interpreted. - Correct Answer>>b. Abbreviations can lead to medical errors. c. Abbreviations are difficult to read. d. Abbreviations might be wrongly interpreted. A successful lawsuit that an RN could be involved in: a. does not require patient injury b. only requires a nurse-patient relationship c. must show duty, breach, causation, and damages d. considers whether the patient has filed previous lawsuits - Correct Answer>>c. must show duty, breach, causation, and damages Based on the knowledge you have gained about legal aspects of documentation and nursing practice, which elements must be proved for a negligence claim to be successful? a. Damages: actual injury to the patient b. Breach of duty: care provided was not within the standard of care c. Reasonableness: a nurse in the same circumstance would have done the same thing d. Duty: a nurse-patient relationship exists e. Causation: what the nurse did or did not do resulted in patient injury - Correct Answer>>a. Damages: actual injury to the patient b. Breach of duty: care provided was not within the standard of care d. Duty: a nurse-patient relationship exists e. Causation: what the nurse did or did not do resulted in patient injury When documenting, always include your assessment of the situation, the actions you took, and the patient's response to them. a. True b. False - Correct Answer>>a. True Charting by exception is a time saver and ________. a. is easy even if you don't understand what is expected of a nurse b. does not require assessment skills c. is based on the premise that the patient manifests normal response to most interventions d. does not require documentation during the shift or notes on changes in the patient's progress - Correct Answer>>c. is based on the premise that the patient manifests normal response to most interventions Accurate preoperative documentation of the patient admission is an integral part of the nursing process. This includes: a. patient identification b. preoperative orders c. discharge referral d. patient assessment - Correct Answer>>a. patient identification b. preoperative ordersd. patient assessment The primary purpose of documentation is to: a. be prepared in case a court case is filed b. make sure everything is written down c. record the chronological order of events during the nursing care of a patient d. relate any conversations and discussion with the patient or family in detail - Correct Answer>>c. record the chronological order of events during the nursing care of a patient When documenting the placement of a surgical drain, which of the following components should be included? a. date for expiration noted on the packaging b. manufacturer's name c. serial number d. where the drain was placed on the patient - Correct Answer>>d. where the drain was placed on the patient Which of the following is true about the use of abbreviations in perioperative documentation? a. there are only three possible words that could present problems in the clinical setting b. they are easy to interpret when writing orders c. they are not part of the Joint Commission and AORN safety goals d. they can put patients at risk for medication errors - Correct Answer>>d. they can put patients at risk for medication errors When documenting, the perioperative nurse should: a. document in a timely manner b. use medical diagnoses c. use nursing diagnoses based on sound judgement d. use patient statements to verify the nurse's findings e. document patient statements as facts - Correct Answer>>a. document in a timely manner c. use nursing diagnoses based on sound judgement d. use patient statements to verify the nurse's findings Which of the following statements are true about informed consent? a. Needs to state the indications for the proposed intervention b. Is a physician's duty, and the RNs are witnesses to the patient's signature c. Does not expose the nurse to liability if the nurse does not follow hospital policy d. Does not allow approved substitutes to give consent for patient e. Must contain the name of the health care facility. - Correct Answer>>a. Needs to state the indications for the proposed intervention b. Is a physician's duty, and the RNs are witnesses to the patient's signature e. Must contain the name of the health care facility. When documenting the use of a pneumatic tourniquet, which items should be included?a. cuff pressure b. location where the cuff was placed c. name of person who applied the tourniquet cuff d. name of person who inflated the tourniquet e. serial number of the unit - Correct Answer>>a. cuff pressure b. location where the cuff was placed c. name of person who applied the tourniquet cuff e. serial number of the unit The concept of a standard of care related to documentation: a. is not determined by hospital policy or AORN standards b. requires the nurse's care to be perfect c. requires the nurse to document and act as a reasonably qualified nurse would in a similar situation d. is set in law and never changes - Correct Answer>>c. requires the nurse to document and act as a reasonably qualified nurse would in a similar situation An individualized patient care plan that was initiated during the preoperative phase includes: a. cultural or religious preferences b. emotional considerations c. financial considerations d. psychosocial considerations - Correct Answer>>a. cultural or religious preferences b. emotional considerations d. psychosocial considerations The primary reason for documenting sharp, sponge, and instrument counts is: a. to prevent injury to the patient from a retained foreign object b. to maintain inventory for the sterile processing department c. to provide an accurate item charge for the patient d. to track instruments that might be needed for the next procedure - Correct Answer>>a. to prevent injury to the patient from a retained foreign object The use of powered air-purifying respirator (PAPR) is not recommended by the CDC because: a. the belt-mounted blower and tubing is designed to be worn on the inside of the gown. b. the device does not filter the wearer's exhaled air. c. the sterile field is protected by distance from the scrub team. d. none of the above. - Correct Answer>>b. the device does not filter the wearer's exhaled air. Identify which of the following statements are correct. (select all that apply) a. Perioperative personnel should wear a clean surgical mask that prevents venting of oropharyngeal and/or nasopharyngeal droplet dispersal. b. According to the CDC, PAPRs are suitable respiratory protection in the presence of a sterile field.c. Surgical gloves should be changed every 75-120 minutes. d. Gown sizes and critical zone configurations are specified by the manufacturer on the product label. - Correct Answer>>a. Perioperative personnel should wear a clean surgical mask that prevents venting of oropharyngeal and/or nasopharyngeal droplet dispersal. d. Gown sizes and critical zone configurations are specified by the manufacturer on the product label. Which of the following is incorrect? a. The sterile field should be prepared as close as possible to the time of use. b. A sterile field can be covered and moved to another room if there is a schedule change. c. Only sterile supplies and instruments should be used on a sterile field. d. If there is doubt about an item's sterility, it should be considered contaminated. - Correct Answer>>b. A sterile field can be covered and moved to another room if there is a schedule change. What is the ideal time to open an implant? a. When the scrub is setting up the back table. b. As close as possible to the time of implantation. c. While the cement is being mixed. d. Before anatomical reduction with the trial implants. - Correct Answer>>b. As close as possible to the time of implantation. Which of the following statements are correct? (SATA) Medications and solutions should be transferred: a. via a sterile transfer device such as a sterile vial spike, filter straw, or plastic catheter. b. as fast as possible so the scrub is not away from the surgical field. c. into a receptacle that is placed at the back edge of the back table or held by a scrub team member. d. at the time that the back table is being set up. - Correct Answer>>a. via a sterile transfer device such as a sterile vial spike, filter straw, or plastic catheter. c. into a receptacle that is placed at the back edge of the back table or held by a scrub team member. Regarding recommendation of continual monitoring of the sterile field. What is recommended in the event of a breach of sterile technique? a. Take corrective action immediately b. Consider any clamped instruments contaminated c. All perioperative personnel should monitor the sterile field for contamination d. All of the above - Correct Answer>>d. All of the above At what times should a sterile field be covered? (SATA) a. For procedural delays b. When the patient is being repositioned c. When the evening crew is setting up tables for next day cases.d. A separate closure field that contains dressing sponges - Correct Answer>>a. For procedural delays b. When the patient is being repositioned Which of the following statements are true? (SATA) a. Scrubbed personnel should stay as close to the sterile field as possible. b. Door openings decrease OR environmental contamination by allowing air to escape from the OR. c. Scrubbed team members can turn their back on the sterile field when getting instruments or equipment from the back table. d. The number of people and movement within the OR may contribute to OR environmental contamination. - Correct Answer>>a. Scrubbed personnel should stay as close to the sterile field as possible. d. The number of people and movement within the OR may contribute to OR environmental contamination. A large amount of data is collected in the event of an SSI. From the following, select all that are discoverable by the infection preventionist and other members of an interdisciplinary team. a. Intraoperative and postoperative delays. b. Hand hygiene and surgical hand antisepsis routines. c. Implementation of IUSS. d. Movement of personnel around and within the sterile field. - Correct Answer>>b. Hand hygiene and surgical hand antisepsis routines. c. Implementation of IUSS. d. Movement of personnel around and within the sterile field. Adhesive incision drapes: a. without antimicrobial properties are preferred for most surgeries. b. may be used according to the manufacturer's instructions for use c. with antimicrobial properties should be used unless contraindicated d. B & C e. All of the above - Correct Answer>>d. B & C In the event of an SSI, the infection preventionist will evaluate sterile technique practices. Which of the following will be reviewed by the infection preventionist and the interdisciplinary team? a. Implementation of Immediate Use Steam Sterilization (IUSS) b. Numbers and roles of all personnel who were in the OR during the case in question c. Heater/cooler device use d. A & B e. All of the above - Correct Answer>>e. All of the above. Match the terms given below with their definitions. 1. Surgical conscience 2. Sterile3. Sterile technique a. The use of specific actions and activities to prevent contamination and maintain sterility of identified areas during operative or other invasive procedures. b. Allows for no compromise in the principles of sterile technique. c. The absence of all living microorganisms. - Correct Answer>>1. b 2. c 3. a Recommendations for draping include: a. handling sterile drapes as little as possible. b. cuffing the drape material over the gloved hands. c. holding the drapes in a controlled manner. d. All of the above - Correct Answer>>d. All of the above. Select the areas of the sterile gown that are considered sterile (SATA) a. back of the gown from the nape of the neck to the level of the elbows b. gown sleeves from two inches above the elbow to the cuff, circumferentially c. front of the gown from the chest to the level of the sterile field d. sleeve cuff that is covered by the sterile glove - Correct Answer>>b. gown sleeves from two inches above the elbow to the cuff, circumferentially c. front of the gown from the chest to the level of the sterile field Which of the following are correct concerning the surgical gown and gloves? a. Surgical gloves should be changed after touching methyl methacrylate, optic eye pieces, and surgical helmet systems. b. The cuff of the sterile gown is considered contaminated once the hands pass through the cuff. c. Wear one pair of surgical gloves for short procedures. d. A & B e. All of the above. - Correct Answer>>d. A & B In creating a sterile field, which of the following are recommended by AORN? (SATA) a. Cuff the drapes over your gloved hand to prevent contamination. b. Handle the drapes as needed to get the best coverage. c. Place drapes in sequence from the surgical site to peripheral areas. d. Place drapes on the patient and any furniture and equipment that will be in the sterile field. e. When placing drapes do not lean across unsterile areas. After placing the drape on the pt, reposition as needed to provide coverage. - Correct Answer>>a. Cuff the drapes over your gloved hand to prevent contamination. c. Place drapes in sequence from the surgical site to peripheral areas. d. Place drapes on the patient and any furniture and equipment that will be in the sterile field. e. When placing drapes do not lean across unsterile areas. After placing the drape on the pt, reposition as needed to provide coverage.Breaks in sterile technique should be immediately corrected. Which of the following statements is correct? a. Instruments should be considered contaminated when found assembled or clamped closed and/or with organic material or other debris found on or in the instrument. b. When contaminated instruments are found within the instrument set, the contaminated instrument is removed, leaving the other instruments to be used throughout the surgery. c. It can be assumed that sterility or high-level disinfection was achieved if only one instrument was found with organic or other debris. d. All of the above. - Correct Answer>>a. Instruments should be considered contaminated when found assembled or clamped closed and/or with organic material or other debris found on or in the instrument. Which of the following statements about covering [Show More]

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