AORN Periop 101 Final Exam Study Guide Solved 100%

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 va ...

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) - ANSWER What 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 field 23. 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. - ANSWER c. 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: - ANSWER What 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 needed 1. 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 time-out 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. - ANSWER What 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 reconstruction of the external ear. - ANSWER What is CHG?