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AORN PERIOP 101 EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS
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"The Joint Commission Universal Protocol consists of: Select all that apply. - CORRECT
ANSWER 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? - CORRECT ANSWER D. Use a sterile transfer device"
"Which of the following practices is recommended for handling of natural absorbable suture? -
CORRECT ANSWER C. Open the package carefully over a small basin to prevent splashing of
the packaging solution"
"Recommended sponge count procedures include all of the following EXCEPT? - CORRECT
ANSWER B. Counting silently so it doesn't distract other personnel."
"What is the correct definition of incisional biopsy? - CORRECT ANSWER D. A small portion of
tissue is incised and sent for examination." "Which of the following methods listed below may prevent mishap, event, or fire from occurring
when handling electrosurgical equipment? Select all that apply. - CORRECT ANSWER A. Allow
enough time for alcohol based skin preparations to completely dry. B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient. D. Visually check the integrity and insulation of all cords and coagulation instruments before use."
"What are the 3 main factors to consider when assessing the patient for allergies? - CORRECT
ANSWER C. Prior reaction, heredity, type of reaction"
"The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. - CORRECT ANSWER 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? - CORRECT ANSWER A. Administration, excitement,
intrasurgery, respiratory failure" "What responsibilities do OR staff members have in maintaining a safe OR environment? Select
all that apply. - CORRECT ANSWER A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards." "In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for? - CORRECT ANSWER B. Provide
100% oxygen, used iced saline to cool patient." "An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - CORRECT ANSWER A. Can be performed through smaller incisions."
"By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. - CORRECT ANSWER C. Cut and coagulate"
"The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - CORRECT ANSWER A. Improve patient satisfaction"
"Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? - CORRECT ANSWER A. MS"
"When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT
ANSWER 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? - CORRECT ANSWER D. Instruments may be immediate use steam
sterilized only when there is insufficient time tot process by the preferred wrapped or container method."
E. Assessing the patient throughout the operative procedure"
"Which of the following nursing tools does not reflect critical thinking and clinical reasoning? -
CORRECT ANSWER A. A single procedure list used for all patients scheduled for that
procedure." "Your manager has asked you to provide an in-service to team members regarding hand hygiene.
Important information for you to include is: - CORRECT ANSWER D. Skin is a major source of
contamination in the surgical environment" "Identify the conditions listed below that are important considerations in maintaining the sterility
of an item. Select all that apply. - CORRECT ANSWER A. The condition of the storage area, that
is, cleanliness, temperature, humidity, air exchanges C. Traffic should be controlled to limit access to those trained in handling of sterile supplies D. Sterile supplies are able to bet stored in a manner that allows adequate air circulation. E. When storing items on the top shelf of a supply cart one to consider the distance between the top of an item and the ceiling" "The types of questions that a novice perioperative nurse might NOT ask her preceptor about an
upcoming cardiovascular surgery include which of the following? - CORRECT ANSWER A. How
does the conduction system of the heart work?" "Which of the following is NOT a characteristic that promotes a culture of safety within a
healthcare organization? - CORRECT ANSWER C. Prompt disciplinary action when errors
occur." "When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - CORRECT ANSWER A. Have a backup tank
available C. Verify that the CO2 pressure and supply alarms are on and functioning" "When faced with an electrical power outage in the OR it is most important for the preoperative
RN to remember that: - CORRECT ANSWER C. The nurse is responsible for knowing,
understanding and complying with the facilities emergency electrical outage pace" "What interventions can the preoperative nurse preform to protect elderly patients? Select all
that apply - CORRECT ANSWER A. Employ deep vein thrombosis prophylactic devices
B. Position the patient for effective air exchange
D. Use warming devices to maintain normothermia" "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? - CORRECT ANSWER C. Situational"
"The following information is important in the management of forensic specimens. Select all that
apply. - CORRECT ANSWER A. Forensic specimens include but are not limited to hair, fibers,
debris, body fluids and foreign bodies B. Forensic specimens require special handling when the surgeon is using metal instruments C. Hospitals need to have policies to give guidance to the preoperative nurse about the management of forensic specimens" "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? -
CORRECT ANSWER D. Class IV (Dirty/Infected)"
"The preoperative nurse should avoid placing the dispersive electrode on the following areas.
Match the area with the rational listed below: - CORRECT ANSWER A. Scar tissue: May act as
insulation B. Tattoo sites: contain metallic elements that could attract current C. Implanted prosthesis: Contain metal which could attract current and impede return current flow D. Hairy sites: Inhibits the flow of electrical current" "Which of the following strategies should be considered for implementing successful infection
control? - CORRECT ANSWER B. Washing your hands prior to greeting the patient in the pre-
operative room" "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: - CORRECT ANSWER B. Fumes trapped underneath the drapes and could
ignite"
"Which of the following is a method for preventing blood-borne pathogen exposure? -
CORRECT ANSWER A. Changing gloves during regular intervals during a procedure"
"How can the preoperative nurse directly contribute to financial efficiency in the OR? Select all
that apply. - CORRECT ANSWER B. Manage the length of cases by having all needed supplies
ready C. Participate in product evaluation and waste reduction activities D. Reducing turnover time E. Working to attain on-time starts"
"The dispersive electrode should: - CORRECT ANSWER C. Be placed as close to the operative
site as possible"
"Which of the following latex sensitivity categories match the description provided? - CORRECT
ANSWER C. Irritant contact dermatitis: non allergic skin reaction usually aggravated by glove
power and chemical agents added to raw latex"
"If the preoperative team is unable to extinguish the fire in the OR, recommendations include: -
CORRECT ANSWER C. Evacuating the patient and the preoperative team following the
organization fire plan" "The best intervention to prevent intraoperative pressure ulcer development on the patient's
heels would be to: - CORRECT ANSWER A. Elevate (offload) heels off the bed"
"Important values affecting the clinical setting include which of the following? - CORRECT
ANSWER C. Fair and equitable care"
"During which phase of wound healing does contraction occur? - CORRECT ANSWER C.
Proliferation" "Which of the following environmental sanitation practices is used to limit transmission of
microorganisms? - CORRECT ANSWER D. Use personal protective equipment when handling
body fluid spills" "Which type of needle point should you expect to be needed for suturing viable tissue such as the
liver? - CORRECT ANSWER A. Blunt"
"You have been asked to give a presentation for your unit colleagues on preventing surgical site
infections, which of the following discussion points is NOT recommended in AORN guidelines? -
CORRECT ANSWER C. Using soap and water to perform surgical skin prep"
"A patient is unable to transfer independently to the procedure bed, to achieve the outcomes related to safe patient transfer, which measures may be used to prevent shearing injury? Select
all that apply. - CORRECT ANSWER B. Request additional personnel to assist with patient
transfer C. Use a friction-reducing transfer sheet. D. Use a slider or roller board E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the skeletal structures" "When documenting medications, which of the following elements should be included? Select all
that apply. - CORRECT ANSWER B. Drug name, concentrations, route of administration, dose
and time it was administered. D. Verbal orders" "Which process should be performed before construction begins, after demolition, and at the end
of an OR construction project? - CORRECT ANSWER A. Air sampling"
"An area of painful skin that is abraded, blistered, or had shallow craters would be classified as
which stage of ulcer? - CORRECT ANSWER B. Stage II"
"Types of powered cutting instruments include: Select all that apply. - CORRECT ANSWER A.
Bone Reamers C. Saw D. Tissue shavers" "When setting up the insufflator for a robotic hysterectomy procedure, the perioperative nurse
should do all of the following except: - CORRECT ANSWER D. Set the initial insufflators
pressure to 12mmHg" "A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history of smoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. You are concerned about his wound healing post-operatively based on the following factors: Select all
that apply - CORRECT ANSWER B. Corticosteroids may potentially delay wound healing
C. People with diabetes have a higher risk for infection due to the increase in glucose levels
"Which of the following statement is true concerning the use of the AORN Guideline for
Preoperative Practices? - CORRECT ANSWER D. Work setting and situations variations may
determine the extent to which the AORN Guidelines can be applied"
"Which of the following statements about gloving is true? - CORRECT ANSWER B. The gown
should be fastened in the back before donning gloves" "All of the following statements indicate an understanding of the recommended attire for the
circulating nurse during and invasive procedure EXCEPT: - CORRECT ANSWER C. Jewelry
should on the outside of surgical attire to be constantly monitored" "The preoperative nurse's role in the patient and family education should include: Select all that
apply - CORRECT ANSWER A. Explaining what the patient will experience
C. Providing emotional support to enhance coping D. Teaching specific skills that the patient will need to perform postoperatively" "When you are receiving a handoff report at a shift change, you notice there appears to be an
unlabeled medication on the field. What is the best course of action in this situation? - CORRECT
ANSWER C. Discard the medication and replace with an unopened container"
"Which AORN guideline most directly pertains to interim cleaning in the perioperative
environment? - CORRECT ANSWER A. A safe, clean environment should be reestablished after
each surgical procedure."
"The Joint Commission Universal Protocol consists of: Select all that apply - CORRECT ANSWER
A. Preoperative verification B. Surgical site marking C. Time Out"
"Preoperative documentation should include: Select all that apply - CORRECT ANSWER A.
Administration of ordered medications C. Performance of the universal protocol for preventing wrong site, wrong procedure, wrong person surgery D. Skin assessment"
"The preoperative nurse's role in preparing and administering medications includes: - CORRECT
ANSWER B. Assessing the patient's medication allergies and use of herbal or dietary
supplements C. Documenting and reading back the surgeon's oral orders before preparing medications D. Verifying the administration of the correct medication, dose and route"
"What special care procedures are required for microsurgical instruments? Select all that apply -
CORRECT ANSWER B. Keep stainless and titanium instruments separated
C. Use a non-birous sponge wipes to clean the instruments recommended D. Use tip covers or protective sleeves when instruments are not used." "To minimize the potential for injury to patients related to the use of the ESU, the perioperative
nurse should employ which of the following safety measure? Select all that apply - CORRECT
ANSWER A. Ensure that the audible alarm can be heard if it is activated
B. If expecting fluids, encase the footswitch in an impervious cover C. Never pour fluids on the generator or foot switch" "You are preparing your OR for a laparoscopic splenectomy. Which of the following would you need to address after inspecting the surgical environment prior to starting your case? Select all
that apply - CORRECT ANSWER A. One of the surgical lights are dim
D. There are no specimen containers available"
"To follow the AORN Guidelines for positioning the patient , the perioperative nurse should: -
CORRECT ANSWER D. Use additional precautions as appropriate based on unique
considerations" "WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT
APPLY. - CORRECT ANSWER B. Drains expedite healing by removing blood, serosanguinous
fluid and purulent material C. Drains function by passive (gravity) or active means (suction) D. Hand-off report to the PACU nurse should include; the type location and patency of the drain"
"Types of powered cutting instruments include: Select all that apply. - CORRECT ANSWER A.
Bone Reamers B. Ultrasonic dissectors C. Saws D. Tissue shavers"
"Which of the following questions would you expect to hear in a preoperative interview? Select
all that apply. - CORRECT ANSWER A. Could you tell me about any past surgeries
B. Has your surgeon reviewed the surgical procedure with you? Do you have any questions? C. What medications do you take on a regular basis"
"Which of the following statement about regional anesthesia is correct? - CORRECT ANSWER
B. Continuous never stimulation help insure proper needle placement during peripheral nerve blocks" "What are the perioperative nurses responsibilities for the informed consent process? Select all
that apply. - CORRECT ANSWER B. Act as a witness attesting to the authenticity of the patients
signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgery with the patient and the patient has signed the consent."
"Which PNDS outcome is the most important when draping the surgical patient? - CORRECT
ANSWER A. The patient is free from signs and symptoms of infection"
"All of the following are important examples of activities that re made possible with preoperative
nursing EXCEPT: - CORRECT ANSWER B. Ability to freely distribute information regarding
surgical procedure and iqsgnosis to patient's family and employer postoperatively" "Identify the conditions listed below that are important considerations in maintaining the sterility
of an item. Select all that apply. - CORRECT ANSWER A. The condition of the storage area, that
is, cleanliness, temperature, humidity, air exchanges B. Outside shipping containers are segregated from items on shelves C. Traffic should be controlled to limit access to those trained in the handling of sterile supplies D. Sterile supplies are able to be stored in a manner that allows adequate air circulation" "Which of these practices is recommended during decontamination of used instruments? Select
all that apply. - CORRECT ANSWER B. Open box locks and dissemble instruments with multiple
parts D. Use enzymatic detergent on heavily soiled instruments E. Wear PPE"
"Which of the following environmental sanitation practices is used to limit the transmission of
microorganisms? - CORRECT ANSWER D. Use PPE when handling body fluid spills"
"What is the most appropriate needle point for performing a vascular anastomosis? - CORRECT
ANSWER C. Taper Point"
"Which of the following are preoperative systemic factors that negatively affect wound healing?
Select all that apply. - CORRECT ANSWER A. Diabetes
C. Protein deficiency D. Smoking E. Steroid use" "Documentations of intraoperative surgical specimens include which of the following? Select all
that apply. - CORRECT ANSWER A. Indication of the specimen in the intraoperative record and
the pathology requisition B. NO abbreviations C. Notation of markers or tags such as slices or sutures with a statement of what they represent." "All of the following are important examples of activities that are mad possible with preoperative
nursing documentation EXCEPT? - CORRECT ANSWER D. Ability to freely distribute
information regarding surgical procedure and diagnosis to patient's family and employer" "Which of these practices is recommended during decontamination of used instruments? Select
all that apply. - CORRECT ANSWER B. Open box locks and disassemble instruments with
multiple parts D. Use an enzymatic detergent on heavily soiled instruments E. Wear PPE" "To prevent or minimize electrosurgical injuries to patients the preoperative nurse should Select
all that apply. - CORRECT ANSWER A. Assure that the prep solutions have dried and vapors
evaporated before the device is used B. Confirm each requested power setting orally with the surgeon C. Inspect each circuit component if the surgeon repeatedly requests high power settings D. Inspect the electrosurgical unit before each use to verify the electrical integrity." "Which of the following are examples of the Guidelines - A sterile field should be maintained and
monitored constantly. Select all that apply. - CORRECT ANSWER B. If a delay occurs after a
sterile field is set up, it may be covered with sterile drapes until the delay is resolved.
"Bases on your knowledge of universal protocol, which of the following are acceptable methods
to correctly identify your patient. Select all that apply. - CORRECT ANSWER B. Aks the patient
to state his or her date of birth C. Ask the patient to state his or her full name"
"Which of the following is the best way to conduct a Time Out? - CORRECT ANSWER D. The
Time Out takes place once the patient is prepped and draped and involves the entire team" "What precautions should be taken when microbibrillar collagen is used as a hemostatic agent
intrapoperatively? - CORRECT ANSWER C. Avoid using it with an autologous blood salvage
unit" "Only facility approved EPA registered disinfectants should be used to clean your facility. For
which organisms must an approved disinfectant pass potency test against? - CORRECT
ANSWER B. Pseudomonas aeruginosa
C. Salmonella choleraesuis D. Staphylococcus aureus" "Which of the following activities should be performed during post procedure cleaning of an OR?
- CORRECT ANSWER A. Clean the floor, moving the OR bed to clean underneath"
"Which of the following is a finding of recent research studies on the value of certification? -
CORRECT ANSWER C. Nurse Managers would prefer to hire a certified nurse over an otherwise
equally qualified non-certified nurse."
"Which of the following are examples of regional anesthesia methods? Select all that apply. -
CORRECT ANSWER B. Epidural blocks
C. Eye (Retrobulbar) blocks D. Spinal blocks E. Upper extremity blocks"
"The culture of a clinical setting if affected by which of the following skills. Select all that apply. -
CORRECT ANSWER A. Collaborations
B. Conflict resolution C. Decision making"
"Critical thinking considerations when positioning a surgical patient include all of the following
EXCEPT: - CORRECT ANSWER A. Assessing patient position once at the beginning of the
procedure."
"Potential sources of fuel for surgical fires include: - CORRECT ANSWER A. Draping materials"
"During the physiologic portion of the perioperative assessment, which systems should be
assessed more carefully in elderly and pediatric patients? Select all that apply. - CORRECT
ANSWER A. Cardiovascular
C. Renal D. Respiratory" "Which of the following statements is generally true about the coping styles of pediatric patients
between the ages of 3 and 6 years? - CORRECT ANSWER A. This age group interprets term
literally" "The perioperative team implements aseptic technique practices to meet all of the following
primary goals except: - CORRECT ANSWER A. Improve patient satisfaction"
"Which of the following strategies are recommended to reduce the occurrence of retained
surgical items? Select all that apply - CORRECT ANSWER - Avoid distractions during the
counting process.
- Count items including radiopaque soft goods, sharps and other miscellaneous items and instruments.
- Use a standardized approach each time a count is conducted." "Based on your knowledge of the Universal Protocol, Which of the following are acceptable ways
to identify your patient? SELECT ALL THAT APPLY. - CORRECT ANSWER - Ask the patient to
state his or her date of birth.
- Ask the patient to state his or her full name" "Which nerves are most frequently injured as a result of improper positioning of the patients
arms? Select all that apply. - CORRECT ANSWER - brachial plexus
- ulnar" "The surgeon's preference for the preoperative skin prep 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: - CORRECT ANSWER Fumes trapped underneath the drapes could
ignite"
"When a preoperative nurse is assigned to monitor the patient receiving moderate sedation the
following are recommendations for this role. Select all that apply. - CORRECT ANSWER - ACLS
certification
- Competency in the use of monitoring and emergency resuscitative equipment and drugs
- Access to and ability to administer appropriate reversal medications" "Terminal cleaning is performed on a daily basis after scheduled cases are completed. This
process includes cleaning of the following: Select all that apply. - CORRECT ANSWER -
Anesthesia carts and equipment
- Ceilings and walls
- Mopping or wet vacuuming floors
- OR beds, and positioning devices" "According to AORN Guideline on Environmental Cleaning a safe clean environment should be reestablished after each surgical procedure. Facility approved EPA registered disinfectants are
used to accomplish which of the following activities? Select all that apply. - CORRECT ANSWER
- All mattress and pad surfaces on the OR bed are to be cleaned
- Kick buckets haps are inspected and cleaned if soiled
- The area of the floor cleaned should include all areas that are visible soiled" "Preliminary room preparation is performed before the first case of the day. All of the following
are activities included in the preparation EXCEPT: - CORRECT ANSWER Damp dust with a lint-
free cloth moistened with 70% isopropyl alcohol" "Which of the following attributes of the nursing process reflect the use of critical thinking skills?
Select all that apply. - CORRECT ANSWER - Requires evaluation and reflection
- Requires seeking additional information
- Results in a decision" "When assessing your patients tolerance for the planned surgical position which factors are
important to consider? Select all that apply. - CORRECT ANSWER - BMI
- Nutritional status
- Physical limitations
- Pre-exisiting conditions" "According to the AORN Guideline on Environmental Cleaning, which of the following are strategies for effective between procedure cleaning in the surgical environment? Select all that
apply. - CORRECT ANSWER - Evidence based literature support cleaning the entire floor after
each surgical procedure
- Extend the perimeter of the floor area being mopped to include all areas that are visibly soiled" "You are second scrubbing today with another nurse. As you are both changing in the locker room, you notice the following aspects of her surgical attire. Which aspects of her surgical attire
are acceptable? Select all that apply. - CORRECT ANSWER - Hair is contained in a facility
approved bouffant head covering
- Scrub top is secured by tucking it into her pants
- Putting on a long sleeved warm-up jacket to prepare for her circulating role" "A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history of smoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. Based on
this history, your would be concerned about which of the following. - CORRECT ANSWER
Delayed wound healing" "Two types of regional anesthesia include spinal and epidural blocks. Which of the following
reflect complications of an epidural block? - CORRECT ANSWER hypotension, high spinal
paralysis, spinal headache"
"What are the 3 main factors to consider when assessing the patient for allergies? - CORRECT
ANSWER Prior reaction, hereditary, type of reaction"
"To follow AORN Guidelines for positioning the patient, the preoperative nurse should -
CORRECT ANSWER use additional precautions as appropriate based on unique patient
considerations" "Which of the following statements is TRUE concerning use of the AORN guidelines for
Preoperative Practice? - CORRECT ANSWER Work setting and situation variations may
determine the extent to which the AORN guidelines can be applied"
"Proper OR attire for restricted areas include: Select all that apply. - CORRECT ANSWER - Two
piece scrub suit with top tucked into pants and secured at waist.
- Warm up jacket snapped with cuffs down to wrists shoe coverings required for all team members during c-section" "When documenting medications, which of the following elements should be included? Select all
that apply - CORRECT ANSWER - Drug name, concentration, route of administration, dose and
time it was administered
