AORN PERIOP 101 FINAL EXAM
Questions and Answers
1. Indemnity Payment
Answer Payment made on behalf of the policy holder
2. Liability
Answer A legal responsibility
3. Negligence
Answer An act or failure to act that deviates from the standard of care
4. Nursing Malpractice
Answer A nurse's negligence or any intentional act that causes physical, financial, emotional,
psychosocial, and/or cognitive damage to the person in the nurse's care
5. Respondeat Superior
Answer An employer is legally responsible for the nurse employee only when
o The nurse acts within the scope of practice
o Any allegations brought against the nurse occurred during the nurse's employment
o The nurse's actions were within the employer's best interests.
,6. Tort
Answer A breach of duty to another person as outlined by law
7. What are the four elements of malpractice?
Answer • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
8. Elements of Informed Consent
Answer • Must be obtained by the licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding of all implications
• Must include
o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
9. Five Rights of Delegation
Answer Right task Right
circumstance
Right person
Right communication and direction
Right supervision and evaluation
,10. Four types of patient privacy health care providers and
personnel have an
ethical and legal responsibility to always maintain
Answer • Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
11. Eight factors to consider before determining what
anesthetic to use for a particular patient
Answer • Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
12. The American Society of Anesthesiologist's NPO Guidelines
Answer • Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
, • Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
13. Circulator RN duties during Induction of anesthesia and
assisting anesthesia professional with Cricoid Pressure
Answer • Cricoid pressure application is not released until the endotra- cheal (ET) tube cutt
is inflated, tube placement is confirmed, and anesthesia provider has given a verbal confirmation to the
nurse that the cricoid pressure can be released.
• If intubation or ventilation of the patient becomes diflcult, the perioperative nurse should retrieve
additional airway equipment and supplies.
14. General anesthesia
Answer • A drug-induced reversible state of unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased stress response, and loss
of skeletal muscle reflexes to a varying degree
15. Regional anesthesia
Answer • An injection of local anesthetics near nerve fibers that causes reversible loss of
sensation over an area of the body
• Examples include spinal, epidural, and peripheral nerve blocks.
16. Monitored anesthesia care (MAC)
Answer An anesthesia provider monitors the patient, administers sedatives and other
agents as needed, and provides medical services as required.
Questions and Answers
1. Indemnity Payment
Answer Payment made on behalf of the policy holder
2. Liability
Answer A legal responsibility
3. Negligence
Answer An act or failure to act that deviates from the standard of care
4. Nursing Malpractice
Answer A nurse's negligence or any intentional act that causes physical, financial, emotional,
psychosocial, and/or cognitive damage to the person in the nurse's care
5. Respondeat Superior
Answer An employer is legally responsible for the nurse employee only when
o The nurse acts within the scope of practice
o Any allegations brought against the nurse occurred during the nurse's employment
o The nurse's actions were within the employer's best interests.
,6. Tort
Answer A breach of duty to another person as outlined by law
7. What are the four elements of malpractice?
Answer • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
8. Elements of Informed Consent
Answer • Must be obtained by the licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding of all implications
• Must include
o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
9. Five Rights of Delegation
Answer Right task Right
circumstance
Right person
Right communication and direction
Right supervision and evaluation
,10. Four types of patient privacy health care providers and
personnel have an
ethical and legal responsibility to always maintain
Answer • Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
11. Eight factors to consider before determining what
anesthetic to use for a particular patient
Answer • Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
12. The American Society of Anesthesiologist's NPO Guidelines
Answer • Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
, • Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
13. Circulator RN duties during Induction of anesthesia and
assisting anesthesia professional with Cricoid Pressure
Answer • Cricoid pressure application is not released until the endotra- cheal (ET) tube cutt
is inflated, tube placement is confirmed, and anesthesia provider has given a verbal confirmation to the
nurse that the cricoid pressure can be released.
• If intubation or ventilation of the patient becomes diflcult, the perioperative nurse should retrieve
additional airway equipment and supplies.
14. General anesthesia
Answer • A drug-induced reversible state of unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased stress response, and loss
of skeletal muscle reflexes to a varying degree
15. Regional anesthesia
Answer • An injection of local anesthetics near nerve fibers that causes reversible loss of
sensation over an area of the body
• Examples include spinal, epidural, and peripheral nerve blocks.
16. Monitored anesthesia care (MAC)
Answer An anesthesia provider monitors the patient, administers sedatives and other
agents as needed, and provides medical services as required.
