Periop 101 final
Failure to follow instructions for use of a health care product or device_______ a) Adheres to the equipments warranty b) Prevents patient injury c) May result in the hospital's accrediting body issuing citations d) Ensures correct device storage
a) Adheres to the equipments warranty
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
a) An instrument for IUSS should be cleaned in the scrub sink
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 an sterilization method
a) An unprocessed BI vial should produce a positive test result after incubation
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
a) Automatically suspending an intraoperative "do-not-resuscitate"
A potential complication of gas insufflation is increased_____ a) Blood pressure b) Blood flow to the kidney c) Cardiac output d) Urine output
a) Blood pressure
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
a) Elective surgery is postponed until tests confirm that the patient is not infectious
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
a) Female Sex
Which of the following is a benefit of robotic surgery? a) Instruments may have more flexibility than the human wrist b) Heavier robotic arms can impede precise instrument movements c) Instrument changes are slowed by the robotic arm release connection d) Technology cannot prevent instrument movements during the procedure
a) Instruments may have more flexibility than the human wrist
Which element of the chain of infection describes a microorganism's route after exiting an infections reservoir? a) Mode of transmission b) Susceptible host c) Portal of entry d) Infectious agent
a) Mode of transmission
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
a) Reduce the risk of hospital- acquired infections
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) Shelf-life is event related
Of the following which is NOT a type of closed drainage system? a) T-tube b) Negative wound therapy c) Hemovac d) Chest tube
a) T-tube
knowing instrument names helps with a) The count process b) Predicting the next steps of the operative procedure c) Increasing the time spent in the OR d) None of the above
a) The count process
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
a) Use a spray bottle to dispense solutions
Fall prevention in the OR includes______? 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
a) Using an OR bed that is rated for the pt's weight
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
b) A recount of that item is conducted after the missing item is found
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
b) Beginning with the highest surfaces and moving to the lowest
Why is water temperature an important consideration when cleaning instruments? a) Cool water makes is 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) Cool water prevents blood coagulation
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
b) Covering a portion of a sterile field until needed
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) EPA- registered product
Which description of additional skin closure options in 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 wide surface area d) A stand-alone skin approximation method or used in conjunction with suture closure
b) Easier to remove than sutures
Which of the following is NOT a symptom of anaphylaxis? a) Tachycardia b) Hypertension c) Abdominal Pain d) Stridor
b) Hypertension
Extravasation can lead to ______ a) Hyponatremia b) Pulmonary complications b) Intra-abdominal compartment syndrome d) Hypervolemia
b) Intra-abdominal compartment syndrome
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
b) Monitored anesthesia care
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
b) Organizational care delivery
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) Promotes wound contracture
An Area of painful skin that is abraded, blistered, or has shallow craters would be classified as which stage of pressure injury? a) Stage I b) Stage II c) Stage III d) Stage IV
b) Stage II
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
b) The chest to the level of the sterile field
Which of the following is NOT a laser safety precaution? a) Appropriate wavelength eyewear is placed at the room's entrance b) The laser is kept in the active mode throughout the procedure c) Windows are covered prior to laser use d) The laser is tested before use
b) The laser is kept in the active mode throughout the procedure
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
b) The preformed procedure
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
b) When the head and neck are in the neutral position
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
b) When the head and neck are in the neutral position
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
c) Activation of the foot pedal by the assistant
What action should be taken when transferring to a specimen of the sterile field? a) Wait until the end of the case to transfer the specimen into a container. b) Deposit the specimen into the smallest container that can be closed c) Confirm the type of test that is being requisitioned with the surgeon d) Immerse the specimen into preservative until further instruction
c) Confirm the type of test that is being requisitioned with the surgeon
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
c) Food insecurity and employment
According to AORN Guidelines, what is the correct documentation for this medication? a) M.S. 2.0 mg b) MS 3 MG c) Morphine Sulfate 2mg d) Morphine Sulfate 2.0mg
c) Morphine Sulfate 2mg
Which is NOT a key component of ERAS? 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) Patient fasting 12 hours prior to surgery
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) Personnel remove all hand and wrist jewelry before performing hand hygiene
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
c) Positioning devices should be ready for use prior to positioning
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
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
c) Supine, prone, lateral
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) The cylinder is in the closed position before use
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
c) The unscrubbed team members apply the sterile drapes to create a sterile field
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
d) All of the above
There are three 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) Delayed healing may result in weak tissue approximation and herniation
d) Delayed healing may result in weak tissue approximation and herniation
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
d) Document the order as close as possible to the time the order was communicated
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
d) Hypersensitivity
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) Impervious Towel
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
d) Instruct the patient not to remove jewelry prior to surgery
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.
d) PPE is required for a designated team member when patient contact is necessary.
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) Scheduling conflicts
Which statement is regarding delegation of nursing activities is FALSE? a) The RN who delegates a task is accountable for that task b) The delegating RN must be familiar with the state board's and the facility's policies on delegation to unlicensed assistive personal c) The RN evaluates the patient outcomes of the delegated task d) The delegating RN provides a basic description of the task, referring questions of the instructions to the charge nurse.
d) The delegating RN provides a basic description of the task, referring questions of the instructions to the charge nurse.
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 d) The time out occurs after the patient is prepped and draped and involves the entire team
d) The time out occurs after the patient is prepped and draped and involves the entire team
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
d) Unknown tolerance to analgesics
