AORN PeriOP 101 Exam graded A+ already passed 2023

Document Content and Description Below

When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. A. It involves mental discipline & the ability to speak out B. It is es ... sential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: A. Air flow in the OR rooms should be cleaned by HEPA filters. C. Mask are required when open sterile supplies are present. E. Temperature is maintained between 68 and 75 degree F. You are assigned to relieve a surgical technologist for lunch. You will need: A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving. The Joint Commission Universal Protocol consists of: Select all that apply. A. Preoperative verification B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterile field? Use a sterile transfer device Recommended sponge count procedures include all of the following EXCEPT? Counting silently so it doesn't distract other personnel. What is the best drape to use for an umbilical hernia repair? Laparotomy Which of the following statements correctly describes recommendations for preoperative patient skin antisepsis? D. Prep should start at the site of the incision and move outwards. The following steps can be used to reduce personnel exposure to specimen fixatives such as formalin. Select all that apply. A. Avoid splashing while pouring C. When pouring wear gloves and a mask. D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage occurs. E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use. After initial administration, which statement below the proper order of the 4 stages of general anesthesia affecting the patient? A. Administration, excitement, intrasurgery, respiratory failure What responsibilities do OR staff members have in maintaining a safe OR environment? Select all that apply. A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards. An important difference between minimally invasive (MIS) and open surgical procedures is that MIS: A. Can be performed through smaller incisions. The first step in the sterilization process of surgical instruments that have been used in case is: A. Cleaning The preoperative team implements aseptic technique practices to meet all of the following primary goals EXCEPT? A. Improve patient satisfaction When a "Time Out" discrepancy occurs, the nurse's priority action should be to: A. Call the patient's family to make them aware of the situation. B. Document the "Time Out" discrepancy C. Notify the manager or administrator D. Stop the procedure from beginning until the discrepancy is resolved Which of the following statements about the immediate use steam sterilization is the recommended practice? D. Instruments may be immediate use steam sterilized only when there is insufficient time to process by the preferred wrapped or container method. What are the perioperative nurses responsibilities for the informed consent process? Select all that apply. B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary nature of the patient's consent, and that the patient is competent to give consent. D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the patient and the patient has signed the consent. A __________ is a designated area on the sterile field where the scrub person and the surgeon place all sharp instruments. A. Neutral zone Which of the following is the best definition of sterile technique? Sterile technique is: D. Implemeted during surgical procedures to prevent microbial contamination When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative nurse should: Select all that apply. A. Have a backup tank available C. Verify that the CO2 pressure and supply alarms are on and functioning Which type of human factor is responsible for an error that occurs when a preoperative nurse is trying to attend to several tasks at once? C. Situational Put the following steps in order when opening a wrapped sterile package: 1. Open the farthest wrapper flap 2. Open side flaps 3. Open the nearest wrapper flap According to the CDC, which surgical wound classification should be documented for the patient who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? D. Class IV (Dirty/Infected) Which of the following practices help to prevent contamination in the surgical suite? Select all that apply B. All horizontal surfaces should be damp dusted before the first scheduled procedure of the day. C. hands should be washed with soap and water for at least 15 seconds D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber cloth moistened with detergent for disinfectant and water. Which of the following statements about counts is correct? Select all that apply. A. All preoperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. C. All sponges must remain in the OR room until the sponge count is complete. E. Two people, one of them whom is the RN circulator, must preform the sponge count Latex Allergic Response Stages (matching) Stage I: Contact uticaria at the site of exposure. Symptoms could include: swelling, redness, itching and/or burning. Stage II: The allergic reaction spreads. Symptoms include: edema, itching around the eyes, acute rhinitis, nasal itching, sneezing, SOB Stage III: Can progress to a sudden drop in blood pressure, increased heart rate and potential circulatory collapse The surgeon's preference for the preoperative skin pre includes the application of an alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: Fumes trapped underneath the drapes and could ignite Which elements are required to create an environment where the culture of safety is embraced? Sincere commitment to affirming safety as the first priority Which of the following practices violates a patient's ethical right to self-determination? Automatic intrapoperative suspension of a don-not-resusucitate decision Which of the following statements about the gowning procedure are correct? Step back from the table into an unobstructed area to let the gown unfold A psychosocial assessment may include the patient's: Select all that apply A. Cultural beliefs and practices B. Expressed level of anxiety or stress C. Spiritual or religious beliefs D. Understanding of the surgical procedure Proper OR attire for restricted areas includes: Select all that apply C. Two-piece scrub suit with top tucked into th [Show More]

Last updated: 2 years ago

Preview 1 out of 20 pages