Update | Exam Prep
1. In which zone of the perioperative environment is it essential to cover the
patient's hair?
Preoperative zone
Restricted zone
Unrestricted zone
Semi-restricted zone
2. What are the four components represented by the acronym PICO in
evidence-based practice?
Patient, Intervention, Comparison, Outcome
Patient, Investigation, Comparison, Outlier
Problem, Investigation, Counter-Intervention, Outcome
Population, Intervention, Counter-Intervention, Outlier
3. A minimum of how many total air exchanges per hour should occur in an
operating room?
20
30
25
10
4. A patient undergoing surgery is at high risk for deep vein thrombosis. What
intervention should the nurse prioritize to mitigate this risk?
, Administering anticoagulants
Encouraging the patient to ambulate frequently
Increasing fluid intake before surgery
Applying sequential compression stockings
5. What is the main goal of a preoperative assessment in perioperative nursing?
Provide information necessary for discharge
Determine the length of the procedure and needed supplies
Introduce the patient to the surgical team
Define the patient's risk factors and develop a plan of care
6. Describe the significance of conducting a preoperative nursing assessment
before surgery.
It allows the surgeon to finalize the surgical plan.
It ensures that the patient is prepared and any potential issues are
identified prior to the procedure.
It is primarily for administrative purposes.
It is conducted only if the patient requests it.
7. What should a perioperative RN do if a patient reports a previous allergic
reaction to a surgical prep solution?
Alert the surgeon and discuss the selection of preoperative skin
antiseptic.
Ask the surgeon for an antihistamine to be administered
preoperatively.
, Monitor the patient more closely after administering preoperative
sedation.
Notify the anesthesia professional of a potential interaction with
anesthetic agents.
8. The surgeon has asked that thromboembolic stockings (TED) and sequential
compression devices (SCD) be placed on the client before surgery. the client
asks how these work. which response by the nurse is the most appropriate?
"They work together to prevent arterial clotting during the surgery."
"The two devices do the same thing, but one is better during surgery
and the other is better postoperatively."
"They work together to make sure you don't have a decrease in arterial
blood flow in your legs during surgery."
"They work together to prevent venous blood from backing up in
your legs and causing a deep vein thrombosis."."
9. Describe why performing emergency surgery without informed consent may
violate a patient's rights.
It ensures that the patient receives necessary treatment without delay.
It is a standard practice in emergency situations.
It allows healthcare providers to act in the best interest of the patient.
It undermines the patient's autonomy and right to make informed
decisions about their own care.
10. In preparing an elderly patient for surgery, what strategies can be
implemented to accommodate their decreased vision?
Provide instructions only in a quiet environment without visual aids.
Use clear verbal instructions and ensure a well-lit environment.
, Minimize verbal communication to avoid confusion.
Rely solely on written instructions for the patient.
11. In which area do soiled instruments originate before being transported to
the decontamination area?
Restricted area
Decontamination area
Unrestricted area
Semi-restricted area
12. What steps can be made to be more cost-effective in the operating room?
Open all supplies and equipment on the surgeon's preference card
Ask the surgeon before the case which sutures they will be using
Open only essential supplies and have the circulator open extras as
needed
B and C
13. Which of the following infection control methods involves the use of PPE
and disposal of sharps?
Sterilization
Standard Precautions
Sanitization
Disinfection
14. Why is it essential to identify a patient's risk factors during the preoperative
assessment?