QUESTIONS MISSED PREVIOUSLY
A potential complication of gas insufflation is increased? a. blood pressure (HTN) b. blood flow to the kidneys c. cardiac output d. urine output
A
During peritoneal closure, the RN circulator and scrub cannot find a lap sponge despite counting a second time starting at the field, checking the mayo stand and recounting the bagged sponges. What should the RN circulator do NEXT? a. place an order for a portable x-ray b. inform the surgeon and assistant that there is a discrepancy c. search the linen and waste containers d. inform the charge nurse
B
Fast tracking: a. does not require a nursing hand off b. is the patient's transfer to Phase II post anethesia care c. Requires 1:1 nurse to patient ratio d. does not include patient and family education
B
What action should be taken when transferring a specimen off the sterile field?
confirm the type of test that is being requistioned with the surgeon
Which of the following statements is incorrect about hazardous chemical agents in the perioperative setting?
eyewash stations must be easily accessible w/in 20 seconds of use and storage locations.
Marijuana question regarding post-op
Answer was regarding Analgesics
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 ridgid, 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
A
Fall prevention in the OR includes? a. using an OR bed that is rated for the patient's weight b. leaving the patient unattended while gathering supplies outside the OR c. placing a safety strap 3" above the patient's knees d. unlocking the stretcher before the patient transfer to the OR bed
A
Of the following, which is NOT a type of closed drainage system? a. T-tube b. Negative wound therapy c. Hemovac d. Chest
A
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 un-sterile and sterile areas. d. provide a two-sided sterile barrier
A
What 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
What is an example of a non-absorbable suture? a. ethibond b. plain catgut c. moncryl d. vicryl
A
What physiological effect is MOST likely to result from positioning a patient in the lithotomy position? a. hip dislocation b. venous pooling in the legs c. damage to the brachial nerve d. severe HTN
A
Which gowning and gloving action would a scrub nurse perform? a. changing gloves every 90-150 minutes or after contact with bone cement b. drying arms and hands by waving them after a surgical hand scrub c. gloving another team member only when the hand is exposed, and the sterile gown cuffs are at the wrist. d. wearing double gloves that are extra loose to avoid numbness
A
Which of the following is NOT correct regarding the handling and use of cleaning products? a. Use a bottle to dispense cleaning solution b. label secondary containers when a product is 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
A
Which of the following is a mechanical method of hemostasis? a. bone wax b. cryosurgery c. gelatin sponge d. laser
A
Which option is not a gas cylinder safety consideration? a. The cylinder is in the closed position before use b. the correct key opens the cyclinder c. a second full cyclinder is immediately available d. The cylinder label is checked before use
A
Which statement about a patient who requires airborne precautions is TRUE? a. elective surgery is postponed until tests confirm 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 center for disease control & prevention and AORN endorse the use of powered air purifying respirators (PAPR) during surgical procedures?
A
Which statement related to biological indicators (BI) 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 associated with increased risk of perioperative hypothermia? a. female sex b. higher than normal body weight c. hyperthyroidism d. hypertension
A (Teresa has D)
The preoperative to intraoperative hand over documentation would NOT include? a. diagnostic test results b. the performed procedure c. patient mobility issues d. family contact information
A (teresa said) B (quizlet has)!!
Which of the following is the CORRECT product for OR cleaning after a procedure? a. High-level disinfectant b. EPA registered product c. Alcohol d. Liquid chemical sterilant
A (teresa) B?? (AORN)
When a count discrepancy occurs?
A recount of that item is conducted after the missing item is found
Which option describes an interrupted suture?
A single stitch that is tied independently
Decontamination of instruments should begin after the completion of all invasive procedures to prevent the formation of biofilm. Which of the following statements is correct? a. Decontamination of instruments occurs at the time of use of the instrument b. Decontamination begins when instruments are treated with an approved chemical application or covered with a moistened towel. c. Decontamination of lumened instruments begins with flushing the lumen with sterile saline d. Instruments with multiple parts are not disassembled if they are not used during surgery.
A. Decontamination of instruments occurs at the time of use of the instrument.
Perioperative teaching encompasses the three elements of information, psychological support, and skills training. What most accurately describes the skills training level? a. Information describing specific tasks to be performed by the patient in the postoperative recovery period. b. Coping mechanisms provided by fear and anxiety c. The explanation of the perioperative process d. Description of intraoperative patient care activities
A. Information describing specific tasks to be performed by the patient in the postoperative recovery period.
Allison, a 23 year old female with a diagnosis of cerebral palsy, a history of multiple childhood surgeries which required urinary catheter insertions. She is scheduled for a surgery to follow the first case of the day. The RN circulator notifies the charge nurse of Allison's latex allergy. What immediate action will the surgeon do in the light of this information? a. Reschedule Allison as the first case the following day b. Wear latex indicator gloves beneath latex-free gloves c. Do a complex latex work-up d. Invite medical students and residents into the room for first-hand experience.
A. Reschedule Allison as the first case the following day
The patient's privacy is guaranteed under the Health Insurance Portability and Accountability Act (HIPPA). What other resource should the nurse consult before sharing a patient's health information? a. The facility's policy and procedure b. Facility's legal department c. Physician d. None of the above
A. The facility's policy and procedure
Who is responsible for ensuring that the daily operations for the surgical suite meet accrediting and regulatory agency requirements? a. Administrative support staff b. biomedical staff c. environmental support staff d. surgical team
A. administrative support staff
One of the physiological effects of the Trendelenburg position is? a. Decreased diaphragmatic movement b. even distribution of lung ventilation c. increased cardiac output d. venous pooling in the lower extremities **Intra-cranial HTN?**
A. decreased diaphragmatic movement
An accountable care organization? a. is a voluntary, coordinated effort across healthcare specialties b. is a mandated, coordinated effort across healthcare specialties c. provides an education based program for surgical condidates d. provides an education based program for facility medical and nursing team candidates
A??
Which of the following should be a part of the surgical count process?
All counted items are kept in the surgical/procedure room until all counts have been completed
Considerations for the patient in prone position include?
All of the above
Biological monitoring a. is utilized to document the sterility of an item b. indicates that the intended physical conditions in the sterilizer were met c. can be read immediately after the sterilization cycle is complete d. should never be used in immediate use steam sterilization (IUSS)
B
How should the RN circulator proceed when it is necessary to evacuate the OR due to a room fire? a. ask unassigned personnel to run ahead and secure an elevator b. if possible, take the patient's medical records c. grab a fire extinguisher when evacuating d. bring the patient to an empty room and return to the OR to fight the first.
B
Store autologous vessels submerged in a buffered storage solution or tissue culture medium between 2C-8C (35.6F-46.4F) for no longer than: a. 7 days b. 14 days c. 21 days d. 72 hours
B
The culture of safety focuses on? a. the individual healthcare provider b. organizational care delivery c. patient safety regulatory requirements d. medical staff goals
B
The relative humidity in the OR suite should be maintained within a range of? a. 20-30% b. 20-60% c. 30-70% d. 40-50%
B
Which of the following describes the administration of sedatives by an anesthesia provider with additional medications and medical services as needed? a. moderate sedation b. monitored anesthesia care (MAC) c. local anesthesia injection d. general anesthesia
B
Which of the following is NOT a symptom of anaphylaxis? a. Tachycardia b. HTN c. Abdominal pain d. Stridor
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 surgeon's 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
Which statement is an accurate description of negative pressure wound therapy? a. applies constant, positive wound pressure b. promotes wound contracture c. increases bacterial load d. encourages edema
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 of the following is the correct product for OR cleaning after a procedure? a. Alcohol b. EPA c. High-level disinfectant d. Liquid chemical sterilant
B or C ???
A brachial plexus injury is NOT likely to occur: a. With lateral head and nect 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 repositioning of the patient
B or C???
Damp dusting of horizontal surfaces in the OR suites should be performed? a. Before every surgical procedure set-up b. beginning with highest surfaces and moving to lowest c. using a disposable cloth moistened with isopropyl alcohol d. when the OR suite has been vacant for 24 hours
B. Beginning with the highest surfaces and moving to the lowest
In which type of healing does the wound remain open and is allowed to heal on its own w/out additional surgery? a. delayed primary closure b. granulation c. infected d. primary union
B. Granulation
Which of the following is NOT a goal of the surgical skin prep? a. the removal of soil and transient microbes b. the reduction of resident microbes below a pathogenic level c. the promotion of rapid rebound growth of microorgisms d. all options are correct
C
When transporting a patient who is on contact precautions, the transporter? a. Always wears PPE b. Wears PPE for a restless or intubated patient c. Wears PPE if they are uncertain if they will need to touch the patient d. Wears PPE only when touching the bedrails
B. Wears PPE for a restless or intubated patient (& requires direct contact )
A surgical mask should cover both the mouth and nose and it should be: a. allowed to hang around the neck between procedures b. changed after two hours of use c. removed and discarded after every case d. tied snugly with strings crossed
C
Extravasation can lead to: a. Hyponatremia b. Pulmonary complications c. Intra-abdominal compartment syndrome d. hypervolemia
C
Facilities are required to develop and maintain safety data sheets (SDS) by the occupational safety and health administration (OSHA). Why are these documents important to the perioperative team? a. provide post exposure information b. documents are stored in the facility's biomedical department c. informs the user how a substance is NOT to be used d. the charge nurse knows what to do in an emergency
C
Instrument sets might not weigh more than: a. 15 pounds b. 20 pounds c. 25 pounds d. 30 pounds
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 family centered care? a. alliance between health care 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 patient's family. c. healthcare decisions provided to the patient and family d. patient and family participation in care
C
Positioning the patient has critical safety implications. What must the RN circulator and periop team do to ensure that the patient does not suffer an injury or permanent damage? a. use positioning devices that are sized for all patients b. positions the geriatric patient according to the preference card c. repositions extremities when possible during long surgeries d. places arms on non-padded arm boards to reduce patient profile.
C
Two elements of economic stability w/in 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
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 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 area that are prepped are the abdomen, vagina, and thighs
C
What is recommended for managing excised breast cancer tissue specimens? a. Keep the tissue dry until transfer from the sterile field b. place the breast cancer specimen on a sterile, dry, absorbent material before placing it into a sterile container for transport to pathology. c. the time from excision to fixation of the breast cancer specimen should be less than one hour. d. keep the specimen on a counted sponge for transport
C
What statement about surgical hand rubs is TRUE? a. apply surgical hand rub only to hands, concentrating on finger tips. b. dry hands with sterile towel after applying a surgical hand rub c. wash hands with soap and water before performing a surgical hand rub, according to manufacturer's IFU. d. The surgical hand rub method should never be performed before setting up for orthopedic surgeries.
C
When is it appropriate for the perioperative nurse to release cricoid pressure? a. as the anesthesia provider starts to intubate the patient b. after 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 closing
C
Which is NOT a component of ERAS (enhanced recovery after surgery)? a. patient and family education b. multimodal analgesia c. patient fasting 12 hours prior to surgery d. return to normal diet on the day of surgery
C
Which of the following legal terms describes the actions of a reasonable and prudent professional in the same or similar circumstance? a. tort b. respondent superior c. standard of care d. liability
C
Surgical sponges are used for: a. to absorb blood and body fluids b. blunt dissection c. tissue protection d. all of the above
D
What is the age range in which physiologic functioning begins to decline? a. 25-35 b. 40-44 c. 35-60 d. 40-60
C. 35-60
Which of the following is NOT employed with the neutral zone use? a. use of a basin, instrument mat, magnetic pad, or a designated area on the Mayo Stand. b. giving verbal notification when a sharp is in the neutral zone. c. placing all necessary sharps needed for immediate use in the neutral zone. d. orientating the sharp for easy retrieval by the surgeon
C. Placing all necessary sharps needed for immediate use in the neutral zone.
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
C. Supine, Prone, Lateral
Which nursing message was NOT part of the report, "The Future of Nursing: Leading Change, Advancing Health?" 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 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 d. beard covers are required surgical attire only in the restricted area
C??
Which of the following is NOT an appropriate action for specimen handling on the sterile field?
Ensure that the specimen stays dry until transfer off the sterile field
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 electronic device (IED) is: a. placement of the dispersive pad as close as possible to the IED b. Use of the ESU a the highest power setting for faster application c. verification that the IED and its leads are between the ESU pencil and the dispersive pad d. inactivation of the IED, when possible
D
Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can participate in cost containment in the OR? a. ask the surgeon to use a less expensive implant b. begin cleaning the OR for the next case before the patient leaves the room c. open all supplies listed on the preference card, including "available" supplies. d. Verify with surgeon before opening suture.
D
Most postoperative complications occur within? a. 8 hours b. 12 hours c. 24 hours d. 48 hours
D
Retrieval of bullets and other metal objects for forensic study requires: a. rinsing, washing, and wiping the item clean of blood and other body fluids. b. retrieving the item with metal instrument c. an open procedure rather than an endoscopic procedure d. metal instrument tip protectors
D
Risk factors for the surgical patient who uses/abuses alcohol include? a. Shortened bleeding times b. normal cardiac function c. strengthened immune function d. exaggerated physiological stress response
D
There are "3" types of wound healing. Choose the option that describes secondary intention? a. Wound is approximated with no wound separation b. Wound is cleaned, debrided and packed c. Wound is vascularized d. Delayed healing may result in weak tissue approximation and herniation
D
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. Perform the time out when the patient first enters the room so that he or she may participate c. The time out is performed with verbal input that is accepted only from the surgeon, assistant, and circulator. d. The time out occurs after the patient is prepped and draped, and involved the entire team.
D
Which barrier level gown would you choose for an anticipated high risk exposure? a. Level 1 b. Level 2 c. Level 3 d. Level 4
D
Which of the following answer options is correct when opening a wrapped sterile package? 1. Open the nearest wrapper flap 2. Open the side flaps 3. Open the farthest wrapper flap a. 3, 1, 2 b. 2, 1, 3 c. 1, 2, 3 d. 3, 2, 1
D
Which of the following social determinants of health relates to high lead levels in water and pediatric health? a. Public safety b. health food availability c. access to health services d. an environment free of life-threatening toxins
D
Which of the following statements about hemostatic agents is true? a. absorbable gelatin sponges (Gelfoam) can decrease wound infections as a result of blood residual in situ. b. Microfibrillar collagen (Avitene)should be used with blood salvage units (Cell Saver) c. the route of administration for all hemostatic agents is direct application on the bleeding site d. Topical thrombin can cause intravascular thrombosis if introduced into the vascular space.
D
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
D
Which option is NOT a radiation exposure safety measure? a. Time b. Distance c. Shielding d. Exposure
D
Which option is NOT an effective method for correct instrument handling and care? a. transport instruments to decontamination area in a closed cart or container. b. instruments are organized on the sterile field c. choose instrument according to their design d. Flush cannulas and wipe debris from instruments w/ sterile saline at point of use.
D
Which of the following is the MOST appropriate needle point for performing a vascular anastomosis? a. Blunt b. Cutting c. Taper D. Taper-cut
D (Quizlet has 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.
D (quizlet has as answer) **Teresa says "B" CDC guidelines
You are the circulator on a laparoscopic appendectomy. Upon entering the abdomen, the surgeon encounters purulent inflammation of the appendix and asks for a culture. What is the wound class for this case? a. Class I: Clean b. Class II: clean contaminated c. Class III: contaminated d. Class IV: Dirty, infected
D. Class IV: Dirty, infected
Which of the following illustrates how the RN circulator can advocate for the patient to help decrease the risk of patient injury when using an energy-generating device in a surgical procedure? a. activating the foot pedal for the surgeon b. placing the packaged accessories for the energy-generating device on the top of the machine so they can be quickly opened when requested. c. reminding the scrub person to secure the cables to the sterile drapes with a metal clamp or towel clip. d. suggesting to the surgeon to use the lowest power settings for the energy generating device being used.
D. suggesting to the surgeon to use the lowest power settings for the energy-generating device being used.
Which of the following statements is TRUE concerning using AORN guidelines for perioperative practice? a. Both medical and nursing licensing boards require health care institutions to comply with AORN guidelines. b. The AORN guidelines legally supersede departmental and institutional policies c. The AORN guidelines reflect scientific evidence of how nurses actually practice in perioperative settings. d. work setting and situation variations may determine the extent to which the guidelines can be applied.
D. work setting and situation variations may determine the extent to which the guidelines can be applied.
Which of the following is not a complication of surgical bleeding/
Decreased r/f infection
Knowing the instrument names helps with?
The count process
What is the FIRST step in processing surgical instruments after they have been used in a procedure? a. Cleaning b. decontamination c. disinfection d. transport to the sterilizer
a. Cleaning
What legal standard does the professional nurse need to meet when providing care? a. Reasonably prudent nurse standard b. certification standard c. reasonably responsible standard d. there is no legal standard
a. reasonably prudent nurse standard
Which of the following describes the ultimate goal of perioperative patient and family education? a. To reduce the patient's anxiety b. To guarantee patient and family adherence to the plan of care c. To achieve long-lasting changes in the patient's health status d. to support legal, ethical, and regulatory mandates
c. To achieve long-lasting changes in the patient's health status **Quizlet has B as an answer as well**
The specimen transport container should?
protect the integrity of the specimen
A mechanical method of achieving surgical hemostasis includes the use of:
sutures, staples, clips
Of the following, which is NOT a type of closed drainage system?
t-tube
