AORN PERIOP 101 FINAL REVIEW
Questions and Answers
1. Which of the following is associated with increased risk for
perioperative hypothermia?
- female sex
- higher than normal body weight
- hyperthyroidism
- hypertension
Answer female sex
2. When is it appropriate for the periop nurse to release cricoid
pressure?
- as the anesthesia provider starts to intubate the patient
- after the trachea is occluded
- when the ET tube cuff is inflated
- when the ET tube stylet Is removed
Answer - when the ET tube cuff is inflated
3. The ET tube or laryngeal mask airway is removed?
- when the pt is able to maintain their airway
- when the pt is fully awake
,- after an IV injection of Sugammedex
- after the narcotic reversal agent is administered
Answer when the pt is able to maintain their airway
4. The most specific early indicator of a malignant hyperthermia crisis
is
- change in the ECG
- increase in end-tidal CO2
- hyperkalemia
- tachypnea
Answer increase in end-tidal CO2
5. Which of the following describes the administration of sedatives
by an anes-thesia provider with additional medications and medical
services as needed?
- moderate sedation
- monitored anesthesia care (MAC)
- local anesthesia injection
- general anesthesia
Answer MAC
6. During the preop interview, the RN should ask the pt about use of
any herbal preparations and/ or botanical products. Why is this is a
critical component of the assessment?
,- these products can affect bleeding times
- anesthetic effects can be prolonged
- liver toxicity can be potentiated
- all of the above
Answer - all of the above
7. the preop interview enables the nurse to
- identify any additional pt care needs prior to surgery
- determine the length of the procedure and needed supplies
- introduce the patient to the surgical team
- provide information necessary for d/c
Answer - identify any additional pt care needs prior to surgery
8. Two elements of economic stability within the framework of SDOH
include
- employment and enrollment in higher education
- housing stability and civic participation
- food insecurity and employment
- poverty and access to health care
Answer - food insecurity and employment
9. Which of the following is a particular consideration for post-
op care of a pt who is a regular user of cannabis products?
, - euphoria
- galactorrhea
- Bispectral index (BIS) elevation
- Unknown tolerance to analgesics
Answer - Unknown tolerance to analgesics
10. Risk factors for the surgical patient who uses/ abuses ETOH
include
- shortened bleeding times
- normal cardiac function
- strengthened immune function
- exaggerated physiological stress response
Answer - exaggerated physiological stress response
11. A potential complication of gas insufflation is increased
- blood pressure
- blood flow to the kidneys
- cardiac output
- urine output
Answer blood pressure
12. One action to promote safe gas insufflation is to
- flush the insufflator with sterile saline
Questions and Answers
1. Which of the following is associated with increased risk for
perioperative hypothermia?
- female sex
- higher than normal body weight
- hyperthyroidism
- hypertension
Answer female sex
2. When is it appropriate for the periop nurse to release cricoid
pressure?
- as the anesthesia provider starts to intubate the patient
- after the trachea is occluded
- when the ET tube cuff is inflated
- when the ET tube stylet Is removed
Answer - when the ET tube cuff is inflated
3. The ET tube or laryngeal mask airway is removed?
- when the pt is able to maintain their airway
- when the pt is fully awake
,- after an IV injection of Sugammedex
- after the narcotic reversal agent is administered
Answer when the pt is able to maintain their airway
4. The most specific early indicator of a malignant hyperthermia crisis
is
- change in the ECG
- increase in end-tidal CO2
- hyperkalemia
- tachypnea
Answer increase in end-tidal CO2
5. Which of the following describes the administration of sedatives
by an anes-thesia provider with additional medications and medical
services as needed?
- moderate sedation
- monitored anesthesia care (MAC)
- local anesthesia injection
- general anesthesia
Answer MAC
6. During the preop interview, the RN should ask the pt about use of
any herbal preparations and/ or botanical products. Why is this is a
critical component of the assessment?
,- these products can affect bleeding times
- anesthetic effects can be prolonged
- liver toxicity can be potentiated
- all of the above
Answer - all of the above
7. the preop interview enables the nurse to
- identify any additional pt care needs prior to surgery
- determine the length of the procedure and needed supplies
- introduce the patient to the surgical team
- provide information necessary for d/c
Answer - identify any additional pt care needs prior to surgery
8. Two elements of economic stability within the framework of SDOH
include
- employment and enrollment in higher education
- housing stability and civic participation
- food insecurity and employment
- poverty and access to health care
Answer - food insecurity and employment
9. Which of the following is a particular consideration for post-
op care of a pt who is a regular user of cannabis products?
, - euphoria
- galactorrhea
- Bispectral index (BIS) elevation
- Unknown tolerance to analgesics
Answer - Unknown tolerance to analgesics
10. Risk factors for the surgical patient who uses/ abuses ETOH
include
- shortened bleeding times
- normal cardiac function
- strengthened immune function
- exaggerated physiological stress response
Answer - exaggerated physiological stress response
11. A potential complication of gas insufflation is increased
- blood pressure
- blood flow to the kidneys
- cardiac output
- urine output
Answer blood pressure
12. One action to promote safe gas insufflation is to
- flush the insufflator with sterile saline
