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AORN PERIOP 101 EXAM QUESTIONS WITH ANSWERS
"An element that is not part of the Surgical Checklist Pre-Procedure Check-In is? A. Confirmation of the procedure and the procedure site B. Presence of the content(s) and history and physical C. Introduction of team members
D. Confirmation of the surgical site marking(s) - CORRECT ANSWER C. Introduction of team
members" "The focused assessment collects data for a specific health issue and is continuous throughout all nurse-patient interactions. Which element would the nurse assess for the integumentary system? A. Turgor B. Fall risk C. Dyspnea
D. Hypoxia - CORRECT ANSWER A. Turgor"
"Which of the following drugs is NOT an anticoagulant? A. Heparin B. Fragmin C. Tylenol
D. Lovenox - CORRECT ANSWER C. Tylenol"
"When should anticoagulants be discontinued prior to surgery? A. 12 Hours B. 24 Hours C. 36 Hours
D. 48 Hours - CORRECT ANSWER D. 48 Hours"
"Virtually every body system is affected by Cannabis. Tetrahydrocannibinol (THC) is metabolized through the liver. Which of the following is NOT a route of elimination? A. Sweat B. Feces
C. Urine
D. Bile - CORRECT ANSWER A. Sweat"
"What is an important element when assessing your patient's pain? A. Always having the patient read the pain scale B. Always using the same scale with the same patient C. Asking the family member what level the patient's pain level is
D. Checking the patient's pain across 2 pain scales - CORRECT ANSWER B. Always using the
same scale with the same patient" "Which of the following is the CORRECT product for OR cleaning after a procedure? a) Alcohol b) EPA- registered product c) High-level disinfectant
d) Liquid Chemical sterilant - CORRECT ANSWER b) EPA- registered product"
"Which of the following is not correct regarding handling and use of cleaning products? a) Use a spray bottle to dispense solutions b) Label secondary containers when poured from the original container c) Cleaning equipment should not be shared between restricted and semi-restricted areas
d) Cleaning with a wet mop reduces the spread of contamination - CORRECT ANSWER a) Use a
spray bottle to dispense solutions" "One of the physiological effects of the Trendelenburg position is______ b) When the head and neck are in the neutral position b) Even distribution of lung ventilation c) Increased cardiac output
d) Venous pooling in the lower extremities - CORRECT ANSWER b) When the head and neck
are in the neutral position" "Considerations for the patient in the prone position include_____ a) Keeping the patient in the prone position for the shortest time possible b)Maintaining 5 degrees to 10 degrees of reverse Trendelenburg to reduce orbital venous congestion and pressure c) Using positioning devices or beds that allow for chest and abdominal expansion
d) All of the above - CORRECT ANSWER d) All of the above"
a) Using an OR bed that is rated for the pt's weight b) Leaving the pt unattended while gathering supplies outside of the OR c) Placing the safety strap 3" above the pt's knees
d) Unlocking the stretcher before patient transfer to the OR bed - CORRECT ANSWER a) Using
an OR bed that is rated for the pt's weight" "Areas of a sterile gown that should be considered sterile include the: a) The neck below the natural waist b) The chest to the level of the sterile field c) The shoulder to the proximal edge of the cuff
d) 2 Inches above the elbow to the distal edge of the cuff - CORRECT ANSWER b) The chest to
the level of the sterile field" "A principle of covering or uncovering a sterile field includes______ a) Covering multiple sterile fields to allow for quick turnovers b) Covering a portion of a sterile field until needed c) Covering a sterile field with one uncuffed drape
d) Removing a cover by lifting the drape from below the sterile field - CORRECT ANSWER b)
Covering a portion of a sterile field until needed" "Which of the following is NOT a safety practice for energy-generating devices? a) Use of an insulation scanning device b) Use of a conductive trocar systems c) Activation of the foot pedal by the assistant
d) Use of the lowest possible power setting - CORRECT ANSWER c) Activation of the foot pedal
by the assistant" "The preoperative to intraoperative hand-over documentation would NOT include______ a) Diagnostic test results b) The preformed procedure c) Patient mobility issues
d) Family contact information - CORRECT ANSWER b) The preformed procedure"
"Of the following which is NOT a type of closed drainage system? a) T-tube b) Negative wound therapy c) Hemovac
d) Chest tube - CORRECT ANSWER a) T-tube"
"Which of the following is NOT a symptom of anaphylaxis? a) Tachycardia b) Hypertension c) Abdominal Pain
d) Stridor - CORRECT ANSWER b) Hypertension"
"Extravasation can lead to ______ a) Hyponatremia b) Pulmonary complications b) Intra-abdominal compartment syndrome
d) Hypervolemia - CORRECT ANSWER b) Intra-abdominal compartment syndrome"
"Which preoperative assessment option is NOT correct? a) Discuss the presence of abrasions or lesions with the surgeon b) Identify the most appropriate skill prep solution with the surgeon in the event of a patient allergy c) Check that the surgical site marking is visible after the prep is completed
d) Instruct the patient not to remove jewelry prior to surgery - CORRECT ANSWER d) Instruct
the patient not to remove jewelry prior to surgery" "Which statement in draping the sterile field is INCORRECT? a) Scrubbed personnel remove and replace their top gloves after draping b) There is an increased risk for contamination of the sterile team members' gowns and gloves when draping the sterile field
c) The unscrubbed team members apply the sterile drapes to create a sterile field - CORRECT
ANSWER c) The unscrubbed team members apply the sterile drapes to create a sterile field"
"Which of the following sterile towels is considered a drape? a) Disposable cloth towel b) Reusable cloth towel c) Skin prep towel
d) Impervious Towel - CORRECT ANSWER d) Impervious Towel"
"Which element of the chain of infection describes a microorganism's route after exiting an infections reservoir? a) Mode of transmission
"What is included in the Universal Protocol for preventing wrong site, wrong procedure, and wrong person surgery? a) Briefing and time out b) Preoperative verification and handover report c) Preoperative verification, surgical site marking, and time out
d) Surgical site marking and time out - CORRECT ANSWER c) Preoperative verification, surgical
site marking, and time out" "The basic surgical positions each with their own variations are_____ a) Kraske, sitting, supine b) Supine, prone, kraske c) Supine, prone, lateral
d) Prone, supine, lithotomy - CORRECT ANSWER c) Supine, prone, lateral"
research - CORRECT ANSWER is a systemic inquiry used to generate new knowledge."
"wages of full time workers who use punch cards to clock in and out - CORRECT ANSWER
which of the following is an example of a direct expense in the perioperative department?"
"breach of privacy - CORRECT ANSWER the patient you cared for had bug bites and you hear
you team member make a snide comment about the patient in the cafeteria. what type of behavior is this?"
"the Association of periOperative Registered Nurses - CORRECT ANSWER which organization
writes the standards of perioperative nursing?"
"not obtaining informed consent - CORRECT ANSWER example of assault and battery"
"changes care delivery as a result of an error - CORRECT ANSWER an organization with a
culture of safety"
"position statements, tool kits, mission/value/values statements - CORRECT ANSWER AORN
advocates for patient and worker safety through the Guidelines for Perioperative Practice and ___" "Data collection is necessary and adequate
the 4 of them:
- nurses should strive for higher education -the us health care redesign should empower nurses
-nurses should practice to the full extent of their education - CORRECT ANSWER the 2010
Future of Nursing report outlined four key messages. which is not one of them?"
"WHO - CORRECT ANSWER the surgical safety checklist was an initiative of"
"the patient should be identified prior to the site marking - CORRECT ANSWER the surgical site
marking is a regulatory requirement. which of the following statements about surgical site marking is true?"
"consistent and safe delivery of services - CORRECT ANSWER organizational elements of a
culture of safety include"
"semirestricted - CORRECT ANSWER hallways leading to the OR and the sterile processing
areas are designated as _______ areas of the perioperative environment"
"positive - CORRECT ANSWER the airflow in an OR has a _________ pressure relationship to
the adjacent OR hallway"
"operating room - CORRECT ANSWER which of the following areas in a perioperative
environment is considered a restricted area?" "dantrolene sodium calcium chloride 10% and sodium bicarb 8.4% are medications that also should be available in the
MH care as well as refrigerated regular insulin - CORRECT ANSWER the primary medication to
treat a patient experiencing a malignant hyperthermia crisis"
"electrosurgery and laser - CORRECT ANSWER which of the following are considered ignition
sources that may cause a fire to ignite during surgery?" "remove the endotracheal tube and any segments of the burned tube that remain in the airway
CORRECT ANSWER which intervention should be implemented immediately when when a fire
occurs in a patients airway"
Research - CORRECT ANSWER A study conducted on children's response to pain. (Example)"
"Evidence-based Practice - CORRECT ANSWER Implementation of infection control principles
based on current research (Example)"
"Quality Improvement - CORRECT ANSWER An initiative to determine the relevance of patient
discharge instructions. (Example)"
"Tort - CORRECT ANSWER A breach of duty to another person as outlined by law."
"Standard of Care - CORRECT ANSWER Actions of a reasonable and prudent professional in
the same or similar circumstance."
"5 Rights of Delegation - CORRECT ANSWER 1. Right task
- Right circumstance
- Right person
- Right direction/communication
- Right supervision/evaluation"
"Professional Organizations to help guide practice (2 entities) - CORRECT ANSWER 1. ASCA
(Surgery Center Association)
- AORN (Association of periOperative Registered Nurses)"
"4 Elements of Safety Culture - CORRECT ANSWER 1. Consistent and safe delivery of services.
- Collaborative efforts among all teams and disciplines.
- Environment that places reporting of errors and near misses ahead of blaming and recrimination.
- Commitment of resources that focuses on safety."
"Key takeaways from IOM "To Err is Human: Building a Safer Health System" - CORRECT
ANSWER 44,000 to 98,000 patient deaths may occur each year in the U.S. from PREVENTABLE
MEDICAL ERRORS"
"What type of culture changes care delivery as a result of an error? - CORRECT ANSWER
Culture of Safety"
"AORN advocates through Guidelines for Perioperative Practice and: (3 terms) - CORRECT
ANSWER 1. Position Statements
- Tool Kits
- Mission, Vision, and Values Statements"
"The Surgical Safety Checklist was an initiative of what organization? - CORRECT ANSWER
WHO (World Health Organization)"
"Which major entity publishes regulatory requirements? - CORRECT ANSWER Centers for
Medicare & Medicaid Services (CMMS)"
"Surgical sire marking is a regulatory requirement. What is true about marking? - CORRECT
ANSWER Patient should be identified prior to site marking."
"Organizational safety culture elements include: - CORRECT ANSWER Consistent and safe
delivery of services"
"IOM, now NAMI, in "To Err is Human", published and reported: (3 statements) - CORRECT
ANSWER 1. To prevent errors a safer system needed to be designed.
- When an error occurs, the system needs to be examined.
- Standardization of process"
"A situational factor can occur because of: - CORRECT ANSWER A lack of attention"
"What's the minimum number of air exchanges per hour in the OR? - CORRECT ANSWER 20"
"Timeout Criteria (Minimum of 4) - CORRECT ANSWER 1. Correct patient
- Correct site
- Correct patient position
- Correct procedure"
"Hallways leading to the OR and the sterile processing areas are designated as: - CORRECT
ANSWER Semi-restricted areas"
"The airflow in the OR has what type of relationship to the adjacent OR hallway? - CORRECT
ANSWER Positive"
D. Patient and family education - CORRECT ANSWER C. Opioid-only pain relief"
"The Nurse Alliance for Quality of Care (NAQC) emphasizes patient-centered care that includes patient engagement. Which of the following is one of the nine assumptions of patient engagement? A. Physicians must make the decisions about the patient's care B. Nurses must form an active partnership with their patient, the patient's support system, and the patient's care providers C. Circumstances surrounding the need for healthcare interventions do not influence the patient's level of engagement D. Cultural, racial, and ethnic diversity can't be considered when healthcare providers make
decisions for the patient - CORRECT ANSWER B. Nurses must form an active partnership with
their patient, the patient's support system, and the patient's care providers" "Which of the following contains the elements of economic stability and built environment? A. Enhanced Recovery After Surgey B. The Joint Commission requirements for the history and physical C. Social determinants of health
D. Patients' Bill of Rights - CORRECT ANSWER C. Social determinants of health"
"Anxiety and stress cause unpleasant physiological reactions in patients before surgery. What can patients do to lessen their preoperative anxiety? A. Listen to music B. Practice aromatherapy C. Perform meditation
D. all of the above - CORRECT ANSWER D. all of the above"
Damp dusting of horizontal surfaces in the OR suite should be performed: a) Before every single procedure set up b) Beginning with the highest surfaces and moving to the lowest c) Using a disposable cloth moistened with isopropyl alcohol
d) When the OR suite has been vacant for 24 hrs - CORRECT ANSWER b) Beginning with the
highest surfaces and moving to the lowest" "Which of the following is associated with increased risk for perioperative hypothermia? a) Female Sex b) Higher than normal body weight c)Hyperthyroidism
d)Hypertension - CORRECT ANSWER a) Female Sex"
"Which of the following describes the administration of sedatives by an anesthesia provider with an additional medications and medical services needed? a) Moderate sedation b) Monitored anesthesia care c) Local anesthesia injection
d) General anesthesia - CORRECT ANSWER b) Monitored anesthesia care"
"Two elements of economic stability within the framework of social determinates of health include: a) Employment and enrollment in higher education b) Housing instability and civic participation c) Food insecurity and employment
d) Poverty and access to health care - CORRECT ANSWER c) Food insecurity and employment"
"Which of the following is a particular consideration for postoperative care of a patient who is a regular user of cannabis products? a) Euphoria b) Galactorrhea c) Bispectral index (BIS) elevation
d) Unknown tolerance to analgesics - CORRECT ANSWER d) Unknown tolerance to analgesics"
"A brachial plexus injury is NOT likely to occur____ a) With lateral head and neck rotation b) When the head and neck are in the neutral position c) When the patient is positioned in the lateral position with an axillary roll
d) During intraoperative of the patient - CORRECT ANSWER b) When the head and neck are in
the neutral position" "A culture of safety focuses on_____ a) The individual health care provider b) Organizational care delivery c) Patient safety regulatory requirements
d) Medical staff goals - CORRECT ANSWER b) Organizational care delivery"
"Which of the following statements regarding surgical attire is CORRECT? a) Personnel don a head covering before entering the unrestricted area b) Masks are required in semi-restricted surgical zones c) Personnel remove all hand and wrist jewelry before performing hand hygiene
"The use of verbal orders should be reserved only for clinical necessity. Which of the following should be done regarding a verbal order? a) Verify the surgeon's verbal order with the scrub person b) Enter the order just prior to the pt's transport to the PACU c) Ask the physician assistant to sign the order
d) Document the order as close as possible to the time the order was communicated - CORRECT
ANSWER d) Document the order as close as possible to the time the order was communicated"
"When a count discrepancy occurs____ a) The surgical assistant attempts to locate missing item on the back table b) A recount of that item is conducted after the missing item is found c) The circulator immediately calls radiology for intraoperative imaging
d) The surgeon stops surgery - CORRECT ANSWER b) A recount of that item is conducted after
the missing item is found" "An important step of the preoperative skin antisepsis is the documentation. Which element is recorded after surgery? a) Pre-existing skin conditions b) Area prepped c) Skin antiseptic used
d) Hypersensitivity - CORRECT ANSWER d) Hypersensitivity"
"What is a consideration for the abdominoperineal preoperative skin antisepsis? a) The bladder is drained before the vaginal prep b) Three or more prep kits are necessary c) Positioning devices should be ready for use prior to positioning
d) The three areas that are prepped are the abdomen, vagina, and thighs - CORRECT ANSWER
c) Positioning devices should be ready for use prior to positioning" "The purpose of the surgical drape is to_______ a) Reduce the risk of hospital- acquired infections b) Cover furniture for use by non-sterile personnel c) Allow the passage of microbes between unsterile and sterile areas
d) Provide a two-sided sterile barrier - CORRECT ANSWER a) Reduce the risk of hospital-
acquired infections" "Choose the option that describes the personal protective equipment (PPE) necessary for health care personnel transporting a patient who requires contact precautions. a) PPE is always required for all team members for all patient transport b) PPE is not required for any patient transport c) PPE is required for all team members when the patient is coughing
d) PPE is required for a designated team member when patient contact is necessary. - CORRECT
ANSWER d) PPE is required for a designated team member when patient contact is necessary."
"Which statement about a patient who requires airborne precautions is TRUE? a) Elective surgery is postponed until tests confirm that the patient is not infectious b) Room access is restricted until 95% of airborne particles have been filtered c) A multi-use bacterial filter is used on either the breathing circuit or endotracheal tube d) The CDC and AORN endorse the use of powered air- purifying respirators during surgical
procedures - CORRECT ANSWER a) Elective surgery is postponed until tests confirm that the
patient is not infectious" "Which is an accurate statement regarding shelf-life? a) Shelf-life is event related b) Shelf-life is time related c) Shelf life is not affected by handling
d) Shelf-life is not affected by storage temperature - CORRECT ANSWER a) Shelf-life is event
related" "Choose the option that does NOT accurately depict concepts of immediate use steam sterilization (IUSS) a) An instrument for IUSS should be cleaned in the scrub sink b) A rigid, enclosed container is used for the IUSS cycle c) A biological indicator is run with any implant load
d) Items are not stored for future procedures - CORRECT ANSWER a) An instrument for IUSS
should be cleaned in the scrub sink" "Which practice violates a patient's ethical right to self-determination or removes his or her ability to make informed choices? a) Automatically suspending an intraoperative "do-not-resuscitate" b) Including family members in the education process c) Performing emergency surgery without informed consent
d) Providing information about the scientific evidence for planned care - CORRECT ANSWER a)
Automatically suspending an intraoperative "do-not-resuscitate"" "What is the BEST way to conduct a time out? a) Perform the time out in the pre-procedure area if all team members are present b) Preform the time out when the patient first enters the room so that he or she may participate c) The time out is preformed with verbal input that is accepted only from the surgeon, assistant, and circulator
"hand hygiene - CORRECT ANSWER which of the following is recognized as a primary means to
prevent health care associated infections?"
"liquid peracetic acid sterilizers - CORRECT ANSWER geobacillus stearothermophilus is a
biological indicator used for"
"cleaning - CORRECT ANSWER what is the first step of instrument processing?"
"chemical - CORRECT ANSWER what type of monitored is an externmal strip or tape?"
"toothed tip to hold tough tissue - CORRECT ANSWER kocher clamp"
"cutters, clamps, retractors, and other - CORRECT ANSWER four categories of instruments"
"25 pounds - CORRECT ANSWER weight of instrument tray should not exceed"
"powered by air, electricity, or battery - CORRECT ANSWER powered surgical instruments"
"weight - CORRECT ANSWER ergonomic consideration for instrument use"
"turnover cleaning - CORRECT ANSWER conducted between surgical procedures"
"hand hygiene - CORRECT ANSWER single most important action to prevent the spread of
"Nursing Malpractice - CORRECT ANSWER An intentional act or an act of omission causing
physical, financial, emotional, psychosocial, and/or cognitive damage to the person in the nurse's care. (There are two tiers: Primary ((related to bedside skills)) and Secondary ((revolve around shared responsibilities such Dx, surgery)))."
"Respondeat Superior - CORRECT ANSWER "Let the master answer" an employer is vicariously
liable for the behavior of an employee working within his or her scope of employment"
"US Regulatory Organizations at the State Level include (3 entities) - CORRECT ANSWER 1.
Public Health depts
- Licensing Boards
- Insurance commissioners"
"US Accreditation Agencies (4 entities) - CORRECT ANSWER 1. AAAHC (Ambulatory Health
Care)
- ACHC (Health Care)
- DNV GL
- TJC (The Joint Commission)"
"2010 Future of Nursing IOM Report (4 recommendations) - CORRECT ANSWER 1. Nurses
should strive for higher levels of education and training.
- Nurses should practice to the full extent of their education and training.
- Nurses should be full partners with all health professionals in the redesign of US health care.
- Better data collection and information infrastructure are necessary for workforce planning and policy creation."
"Types of Errors (3 types) - CORRECT ANSWER 1. Skill-based error (ex: incorrect ESU settings,
wrong button pushed, etc)
- Situational factor error (ex: under stress, etc)
- Knowledge-based performance error (ex: fails to respond to an alarm)"
"What are examples of skill-based behavior errors? (3 examples) - CORRECT ANSWER 1. RN
programs a new ESU based on the machine she has used in the past.
- RN hits the wrong button instead of the correct button beside it.
- RN forgets to retrieve a unit of blood when called to do a sponge count."
