f
A. Removalfoffresidentfbacteria
B. Removalfoffdirtfandfoil
C. Thefeffectivenessfoffantimicrobials
D. Removalfofftransientfbacteria CorrectfAns -
A.fRemovalfoffresidentfbacteria
Reductionfinfresidentfbacteriafisfaidedfby:
fA.fUsefoffafdegreaser
f B.fUsefoffantimicrobials
f C.fPreppingfcleanftofdirty
f D.f Mechanical f friction CorrectfAns - B.fUsefoffantimicrobials
Prolongedfcontactfoffskinfantisepsisfagentsfdueftofpoolingfoffthefsolutionsffcanfc
ausefpatientfinjuriesfthatfinclude:
1. Chemicalf burns
2. Thermalfburns
3. Injuriesfrelatedftofequipmentfmalfunction CorrectfAns -
A.f1fandf2
WhichfonefofftheffollowingfstatementsfisfTRUE?
f A.fPovidone-iodine's fmechanismfoffactionf isftofdisrupt fthefcellfmembrane
f B.fPovidone-iodinefisfnonirritatingftofthefskin
f C.f Povidone-iodinef cannot f bef usedf onf mucous f membranes
f D.f Heatingf povidone-iodinef mayf decrease f itsf effectiveness CorrectfAnsf
- D.f Heatingf povidone-iodinef mayf decreasef itsf effectiveness
DocumentationfoffthefpreoperativefskinfprepfincludesfallfofftheffollowffEXCEPT:
f A.fHairfremoval
f B.fManufacturer foffsolutions fused
f C.f Allergies
fD.fNamefoffthefpersonfwhofperformedfthefprep CorrectfAns -
B.ffManufacturerfoffsol
utionsfused
Whenfpreppingfanfextremity,fwhichfonefofftheffollowingfisfALWAYSfrequired?
fA.fPositioningfthefextremityftofprevent fprepfsolutionffromfrunningftowardfthefi
ncisionfsite
f B.f Assistancef inf holdingf thef limb
f C.f Scrubbingfnailsfwithf afbrushfbeforefthefformalfprep
fD.fPreppingfsofthatfthefentireflimbfcanfbef draped CorrectfAns -
A.fPositioningfthefextr
emityftofpreventfprepfsolutionffromfrunningftowardftheffincisionfsite
,Surgicalfwoundfinfectionsfcanfresultfinfdecreased .
f A.f Hospitalizationf time
f B.f Intraoperative f time
f C.fIncomefforfhospitals
fD.fWorkloadfforfperioperative fnurses CorrectfAns -
C.fIncomefforffhospitals
Preoperativefskinfpreparationf isf accomplishedfby .
f A.f Removingf soilf and f transient f microbes
f B.f Reducingf resident f microbes
f C.fUsingfantimicrobial fagentsfthatfinhibitfgrowthfoffmicrobes
f D.fAllfoffthefabove CorrectfAns - D.fAllfoffthefabove
AccordingftofAORN'sfguidelinesfforfskinfpreparationfoffpatients,fhairfatftheffope
rativefsitefis .
f A.fAllowedftofremainfunlessfitfinterferes fwithfthefsurgical fprocedures
f B.f Always f removedf withf afdepilatory
f C.f Removedfatf leastftwofhours fbeforefsurgery
fD.fDryfshavedfasfopposedftofwetfshaved CorrectfAns -
A.fAllowedfftofremainfunlessfitfin
terferesfwithfthefsurgicalfprocedures
Thefconceptfoffpreppingffromfcleanftofdirtyfmeans .
fA.fCleaning fallfstomas forfopenfwounds ffirst
fB.fBeginningfatfthefincision fsitefandfusingfcircularfstrokes ftowardftheffperiphery
f C.f Prepfsolutionfisfchangedfafterfcleaningf contaminated f areas
f D.f Surgical f scrubf solutions f usedf firstf andf thenf surgical f paint CorrectfAns
-
B.fBeginningfatfthefincisionfsitefandfusingfcircularfstrokesftowardftheffperi
phery
CommonfresidentfbacteriafincludefallfEXCEPT:
f A.f Staphylococcus f epiermidis
f B.f Staphylococcus f aureus
f C.fDiphtheroidfbacillus
f D.fPseudomonas faeruginosa CorrectfAns - wrong
WhichfonefofftheffollowingfstatementsfaboutfthefskinfprepfisfFALSE?
f A.fPovidone-iodinefshouldfnotfbefallowed ftofdry
f B.fManufacturers'fguidelinesfshouldfbeffollowed
f C.fSkinfprepfisfperformedfafterfthefpatientfhasfbeenfpositioned
fD.fThefnamefoffthefpersonfperformingfthefprepfshouldfbefdocumented
fCorrect fAns
- A.fPovidone-iodinefshouldfnotfbefallowedftofdry
ObjectivesfoffthefsurgicalfprepfincludefallfEXCEPT:
f A.fRemovalfoffdirt,fskinfoil,fandfmicrobes ffromfthefskin
,f B.f Sterilizationf off skin
f C.f Reductionf off bacterialf count
f D.fPreventionfoffregrowth foffmicrobes fforfseveral fhours CorrectfAns -
B.f Sterilizationf off skin
Thefgenerallyfrecognizedflengthfofftimefrequiredfforfcontactfoffantimicrobialffage
ntsftofbefeffectivefis
f A.f1ftof3fminutes
f B.f2ftof5fminutes
f C.f3ftof5fminutes
fD.fAccordingftofmanufacturers' fdirections CorrectfAns -
D.ffAccordingftofmanuf
acturers'fdirections
ThefprinciplesfoffpreoperativefskinfpreparationfincludefallfofftheffollowingffEXCEP
T:
f A.f Prepf fromf cleanf tof dirty
f B.f Usefasepticf technique
f C.f Prepf stomasf first
f D.fPrevent fpooling CorrectfAns - C.fPrepfstomasf first
Whichfonefofftheffollowingftopicalfantimicrobialfagentsfisfneurotoxic?
f A.fPovidone-iodine
f B.f Alcohol
f C.f PCMXf (parachlorometaxylenol)
fD.fChlorhexidinefgluconate CorrectfAns -
D.fChlorhexidineffgluconate
WhichfstatementfisfTRUEfaboutfiodophorfwithf alcohol?
f A.fItfprovides frapidfreduction finfmicrobial fcounts foffskin
f B.fPersistence forfresidual factivityfisfexcellent
f C.f Itf hasf beenf shownf tof bef nontoxicf andf nonirritating
fD.fPercutaneous fabsorptionfdoes fnot foccur facross fmucous f membranes
fCorrect fAns
- wrong
WhichfstatementfisfFALSEfaboutfeye,fextremity,forfvaginalfpreps?
fA.fAf5%fsterilefophtalmicfprepfsolutionfisfcommerciallyfavailable fforfeyeffpreps
f B.f Thef vaginaf shouldf bef preppedf firstf asf part f off af vaginalf prep
fC.fWhenfpreppingfanf extremity, fitfshouldfbefpositionedfsofthatfthefincisionffsitefisf
thefupper-mostfportionfoffthefprep
fD.fIfffingers forftoesfarefincludedfinfthefsurgical ffieldf(extremityfprep), fitfmayffbefne
cessaryftofscrubfthefnailfwithfafbrushfandfsoapfsolution
CorrectffAns -
B.fThefvaginafshouldfbefpreppedffirstfasfpartfoffafvaginalfprep
Handfhygienefshouldfbefperformedfafterfwhichfofftheffollowing?
f A.fTouchingfthefoperating froomfbedfcontrols
, f B.fAdjustingfafpatient'sfbedflinens
f C.fEating
f D.f Markingf thef surgicalf site
fE.fAllfoffthefabove CorrectfAns - E.fAllfoffthefabove
Whenfshouldfperioperativefteamfmembersfusefanfalcohol-
basedfrubfforfhandfhygiene?
f A.f Afterfhands fhavefbeenfexposedftofbloodf orf otherfbodilyf fluids
f B.fAfterfusingfthefrestroom
f C.f Whenf thef hands f aref notf visiblyf soiled
f D.fWhenfcaringfforfpatients f withfspore-formingforganisms CorrectfAns
- C.fWhenf thefhandsfarefnotfvisiblyf soiled
Whatfisfthefminimumflengthfofftimefperioperativefteamfmembersfshouldffspend
f performingf handf hygiene f byf washingf withf soapf andf water?
f A.f7fseconds
f B.f15fseconds
f C.f20fseconds
f D.f 30f seconds CorrectfAns - B.f 15f seconds
Howfmuchfoffanfalcohol-
basedfhandfrubfshouldfbefusedfwhenfperformingffhandfhygiene?
f A.fAfdime-sizedfamount
f B.fAfquarter-sizedfamount
f C.f10fdrops
f D.f Thef amount f recommended f byf thef manufacturer CorrectfAns -
D.f Thef amountf recommendedf byf thef manufacturer
Perioperativefteamfmembersfshouldfmaintainffingernailsfatfafmaximumfofffwhatfl
ength?
f A.f 2f mmf (0.08f inch)
f B.f 6f mmf (0.24f inch)
f C.f 10f mmf (0.4f inch)
f D.f 12f mmf (0.5f inch) CorrectfAns - A.f2fmmf(0.08f inch)
Whichfofftheffollowingfmeasuresfisfhelpfulfforfmaintainingfhealthyfskinfandffminim
izingfthefriskfoffhandfdermatitis?
f A.f Completelyf dryingf hands f beforef puttingf onf gloves
f B.fAvoidingfwaterfhotterfthanf80°fFf(27°fC)
f C.f Usingf approvedf moisturizing f products
f D.f Usingf glovef liners
fE.fAllfoffthefabove CorrectfAns - E.fAllfoffthefabove
Whichfofftheffollowingftypesfoffjewelryfisfacceptablefforfperioperativefteamffmem
bersftofwearfinfpatientfcarefareas?
f A.fOnefringfperfhand