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What legal standard does the professional nurse need to meet when
providing care?
a) Reasonably prudent care
b) certification standard
c) Reasonably responsible standard
d) There is no legal standard
ANSWER: a
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 preference card, including "available"
supplies
d) Verify with surgeon before opening suture
ANSWER: d
An RN who attends continuing nursing education and has verified
skills, knowledge, and attitudes about perioperative nursing is
demonstrating accountability in his/her:
,a) Certification requirements for professional achievement in
perioperative nursing
b) Collaboration among team members
c) Professional growth and maintenance of competency
d) Verification of nursing knowledge
ANSWER: c
Which of the following statements is TRUE concerning use of the
AORN Guidelines for Perioperative Practice?
a) Both medical and nursing licensing boards require health care
institutions to comply with the 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 AORN Guidelines can be applied
ANSWER: d
a professional practice model includes personal accountability and
ethical decision making. Which of the following is not part of
personal accountability?
a) Responsibility to self, patients, and peers
b) Make decisions and accept consequences when necessary
c) Accept performance input from direct and upper level
management only
d) Maintain professional engagement
ANSWER: c
What would be the MOST important information for a nurse in
Preadmission Testing (PAT) to collect on an insulin dependent
diabetic patient?
a. How long the patient has been diabetic
b. If there is someone to deive them home
,c. The last time the patient ate or drank
d. The type of insulin that patient takes
ANSWER: d
After transferring a male pt into the Phase I PACU, the perioperative
RN could reasonably expect the PACU RN to FIRST
a. Administere med to the pt for nausea and vomiting
b. Ask the pt if he has any pain
c. Assess the pt's airway and respirations
d. Care for this pt and 2 other pts as assigned
ANSWER: c
During a handover report to the PACU RN, the perioperative RN may
use a communication method identified by the acronym "SBAR".
What does SBAR stand for?
a. Safety, Background, Actions, Recovery expectations
b. Situation, Background, Assessment, Recommendation
ANSWER: b
A 40 yr old male pt is awake and alert in the PACU after a right
shoulder surgery. What is the best measure to assess the pt's pain?
a. Disucss the pt's pain with the anesthesiologist
b. Observe facial expressions
c. Ask the pt to rate pain from 1-10
d. Monitor vital sign changes
ANSWER: c
A 47 yr old male is admitted to the Pre-op area for an inguinal hernia
repair. What does the nurse include in the intake assessment?
a. Pain
b. Cognitive ability of the pt
c. Cultural considerations
d. All of the above
ANSWER: d
, During the preoperative interview, the perioperative nurse should
ask pt's about their use of
a. alcohol
b. herbal preparations
c. recreational drugs
d. tobacco products
e. all of the above
ANSWER: e
The preoperative interview is the final assessment of the pt. This
nurse-pt interaction enables the nurse to
a. identify any additional pt care needs prior to surgery
b. determine the length of the procedure and needed supplies
c. introduce the pt to the surgical team
d. provide info necessary for d/c
ANSWER: a
Which assessment finding is common among elderly pts?
a. An increase in oxygen saturation
b. Decrease in vision including color and depth perception
c. Increased perception of pain
d. An easy adjustment to a change in their environment
ANSWER: b
During the preoperative interview, the RN should ask the pt about
use of any herbal preparations and/or botanicals. Why is this a
critical component of the assessment?
a. These products can affect bleeding times
b. An alteration of medication metabolism can ensue
c. Anesthetic toxicity can occur
d. All of the above
ANSWER: d
It is important to discuss the pt's spiritual needs during the pre-op
assessment. What elements of different faiths should the periop