Periop 101

Which of the following statements is incorrect about hazardous chemical agents in the perioperative environment? a. eyewash stations must be easily accessible within 20 seconds of use and storage locations b. agents include anesthetic gases and cleaning agents c. formaldehyde is a carcinogenic agent d. all hazardous agents should be handled according to the manufacturers IFU.

A

An example of a simple drain is the: a. Penrose b. hemovac c. Jackson-Pratt d. Chest tube drain

A.

From the options provided, which describes a portal of entry for an infectious agent? a. mucous membranes b. dirty surfaces and equipment c. aerosols d. an individual receiving healthcare

A.

One of the physiological effects of the Trendelenburg position is: a. Intracranial hypertension b. Even distribution of lung ventilation c. Increased cardiac output d. Venous pooling in the lower extremities

A.

The purpose of the surgical drape is to: a. Reduce risk of hospital-acquired infection. b. cover furniture for use by non-scrubbed personnel c. allow the passage of microbes between unsterile and sterile areas. d. provide a 2-sided sterile barrier

A.

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

A.

Which of the following is NOT a type of closed drainage system? a. T-Tube b. Negative wound therapy c. hemovac d. chest

A.

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 ET tube. d. The CDC and AORN endorse the use of powered air-purified surgical procedures.

A.

Which statement related to biological indicator testing is TRUE? a. an unprocessed BI vial should produce a positive test result after incubation. b. Both BI test vials are placed in the sterilizer together. c. A sterilizer quality test is performed at least every 6 months. d. Any BI type can be used for any sterilization method.

A.

Which of the following is not correct regarding the handling and use of cleaning products? a. Use a spray bottle to disperse solution b. Label secondary containers when a product is poured from it's 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

A. Use a spray bottle

Areas of the sterile gown that are considered sterile are: a. The neck to 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.

B.

Fast-Tracking: a. Does not require a nursing hand-off b. is the patient's transfer to phase II Post anesthesia care c. requires a 1:1 nurse-to-patient ratio d. does not include patient and family education

B.

The definition of a health disparity is: a. adherence to the standard of care for every individual b. a higher burden of disease for some populations c. the equal distribution of healthcare resources across the population d. all of the above

B.

The most SPECIFIC early indicator of a malignant hyperthermia crisis is: a. a change in the electrocardiogram b. an increase in end-tidal CO2 c. Hyperkalemia d. tachypnea

B.

The preoperative hand-over documentation would NOT include: a. diagnostic test result b. the performed procedure c. patient mobility issues d. family contact information

B.

The principle of covering or uncovering a sterile field include: a. Covering multiple sterile fields to allow for quick turnover 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.

B.

When a count discrepancy occurs: a. The surgical assistant attempts to locate the missing item on the back table. b. a recount of that item is conducted after the missing item is found. c. The RN circulator immediately calls radiology for intraoperative imaging. d. the surgeon stops surgery.

B.

Which of the following describes the administration of sedatives by an anesthesiologist with additional medical services as needed? a. Moderate sedation b. monitored anesthesia care c. local anesthesia injection d. general anesthesia

B.

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

B.

Which of the following options concerning minimally invasive surgery that is performed via a robot is NOT correct? a. Robotic instruments are similar to laparoscopic instruments b. The robotic arms are part of the surgeons console c. The video cart contains equipment such as the camera monitor and light source. d. The operating surgeon has control of the robotic instruments, camera, and scope.

B.

Why is water temperature an important consideration when cleaning instruments? a. cool water makes it harder to remove soil from instrument crevices. b. cool water prevents blood coagulation c. hot water makes blood removal easier d. hot water is preferred by all cleaning solution manufacturers

B.

Which is not a symptom of anaphylaxis? a. Tachycardia b. hypertension c. abdominal pain d. stridor

B. Hypertension

A culture of safety focuses on: A. The individual healthcare provider b. organizational care delivery c. patient safety regulatory requirements d. medical staff goals.

B. Organizational care delivery

A mechanical method of achieving surgical hemostasis includes the use of: a. vasopressors b. electrosurgical devices c. sutures, staples, clips d. vessel-sealing devices

C.

Before a central venous catheter insertion, the provider should: a. use and area-specific plastic drape b. don a long-sleeved jacket c. don a sterile gown and gloves d. wipe the area with an alcohol swab

C.

Choose the option that describes the PPE necessary for health care personnel transporting a patient who requires contact precautions: a. PPE is required for all team members for each patient transport b. PPE is not required for any patient transport c. PPE is required for all team members when patient contact is necessary. d. PPE is required for a designated team member when patient contact is necessary.

C.

Extravasation can lead to: a. hyponatremia b. pulmonary complications c. intraabdominal compartment syndrome d. hypervolemia

C.

LAST is a patient medical emergency that occurs when: a. a sedative bolus is injected IV. b. the airway is occluded c. the local anesthetic blood threshold is exceeded. d. an unintended hypothermic event occurs.

C.

Of the following, which is NOT a characteristic of patient and family centered care: A. Alliance between healthcare practitioners, the patient, and the patient's support system. B. focus on communication with all involved in the patient's care, the patient, and the family. c. health care decisions provided to the patient and family. d. patient and family participation in care

C.

Two elements of economic stability within the framework of social determinants 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 healthcare

C.

What is a consideration for the abdominoperitoneal preoperative skin antisepsis? a. The bladder is drained before 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.

C.

When is it appropriate for the perioperative nurse to release cricoid pressure? a. As the anesthesia provider starts to intubate the patient b. as the trachea is occluded c. when the ET tube cuff is inflated d. When the ET tube stylet is removed

C.

Which description of additional skin closure options is applicable to a zipper closure? a. Limited to use for superficial wounds b. easier to remove than sutures c. distributes skin-stretching forces over a side surface area. d. a stand-alone skin approximation method or used in conjunction with suture closure.

C.

Which nursing message was NOT part of the report THE FUTURE OF NURSING: Leading change, Advancing healthcare: a. Strive for higher levels of education b. Engage in practice that reflects the achieved education level c. Accept healthcare system redesign d. lead research projects that inform policy creation

C.

Which option is NOT a gas cylinder safety consideration? a. The correct key opens the cylinder b. A second full cylinder is immediately available c. The cylinder is in the closed position before use d. The cylinder label is checked before use

C.

Which option is NOT an effective method for correct instrument handling and care? a. Transport instruments to the decontamination area in a closed cart or container. b. Instruments are organized on the sterile field. c. Flush cannulas and wipe debris from instruments with sterile saline. d. choose instruments for use according to their design

C.

A consideration that would NOT be taken into account for instrument set assembly is: a. patient population b. type of surgery c. tray weight d. scheduling conflicts

D.

A monopolar electrosurgery intervention for the patient with an implanted IED is: a. placement of the dispersive pad as close as possible to the IED b. use of the ESU at the highest power setting for faster application c. verification that the IED and its leads are between the IED and the dispersive pads. d. Inactivate the IED, when possible

D.

Most Post-operative complications occur within: a. 8 hrs. b. 12 hrs. c. 24 hrs d. 48 hrs.

D.

There are 3 types of wound healing. Choose the option that describes secondary intention: a. The wound is approximated with no wound separation b. the wound is cleaned, debrided, and packed. c. the wound is vascularized. d. delaying healing may result in weak tissue approximation and herniation.

D.

Which of the following is a particular consideration for post-op 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

D.

Which option is NOT a radiation exposure safety measure? a. Time b. distance c. shielding d. exposure

D. exposure

Which of the following methods of estimating blood loss is the responsibility of the RN Circulator? a. Estimating blood in surgical sponges b. Weighing surgical sponges c. Ordering lab values d. Requesting the use of a cell saver.

b. Weighing surgical sponges