AORN Final exam with complete
solution
what are the American society of anesthesiologists preoperative fasting guidelines for a
healthy adult scheduled for surgery? - correct 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 and clear liquids)-stop 6 hours before surgery
fried foods, fatty foods, meat- stop 8 hours before surgery
when should you assess the patient's NPO status? - correct answer In the
preoperative area during the initial interview.
Explain why cricoid pressure may need to be applied? - correct answer cricoid
pressure is applied to prevent passive regurgitation and aspiration of gastric contents
what is the nurses role in applying cricoid pressure during intubation? - correct answer
To apply cricoid pressure until the ET tube is cuff is inflated, the tube placement is
confirmed and the anesthesia provider has given verbal confirmation that the pressure
can be released.
critical actions nurse can take when confronted with a malignant hyperthermia MH
crisis? - correct answer Retrieve the malignant hyperthermia cart and the Dantrolene
(only medication for MH)
What is malignant hyperthermia? - correct answer A side effect of general anesthesia
(tigered by inhaled genetic anesthetic and succinylcholine) - tachycardia, hypertension,
increased end tidal carbon dioxide, muscle rigidity, hyperthermia.
what is the most specific sign of malignant hyperthermia MH? - correct answer
increased end tidal carbon dioxide
How is hypothermia defined? - correct answer A core body temperature of >36
Celsius or 96.8 Fahrenheit
what is the RN role when patient is scheduled to receive local-only anesthesia during
surgery? - correct answer To monitor the patients vital signs: blood pressure, ECG,
pulse oximetry and heart rate. And observe for LAST (local anesthetic systemic toxicity).
what is L.A.S.T? - correct answer Local Anesthetic Systemic Toxicity
Drugs used for local anesthetics? - correct answer bupivacaine, lidocaine.
What is the role of the RN when patient is scheduled to receive moderate sedation
during surgery? - correct answer not have any competing responsibilities,
continuously assess for and provide moderate sedation/analgesia.
This study source was downloaded by 100000857300661 from CourseHero.com on 12-11-2022 14:25:41 GMT -06:00
https://www.coursehero.com/file/181571112/AORN-Final-Exampdf/
, AORN Final exam with complete
solution
be competent in Cardiac monitoring
be able to administer reversal medications and provide advanced cardiac life support
measures (ACLS certified).
why is it important to assess the medications (eg. prescription, over the counter, street
drugs), herbal and other supplements the patient has been taking before surgery? -
correct answer because this drugs/supplements can impact the procedure and
potentiate adverse effects when combined with anesthesia drugs.
may affect bleeding times
interfere with drug metabolism or clearance
what is the purpose of a preoperative assessment and interview? - correct answer to
determine surgical risk
to plan for safe patient care
How can the use of cannabis affect a patient during surgery? - correct answer
tolerance to induction drugs
hyperreactive airway
Bispectral index (BIS) elevation
increased myocardial infarction risk within 1 hour after use
unknown tolerance to anesthetic agents
What are the social determinants of health? - correct answer environmental
conditions in which people are born, live, worship, work, play and age
why are social determinants of health important to a patients surgical outcomes and
recovery? - correct answer because they affect a patient's health, functioning, and
quality of life. they can affect recovery and access to food and medication needed for
recovery.
describe how a patient's history of alcohol use or abuse can affect a patient during
surgery? - correct answer it increases the risk for bleeding, it lowers their immunity,
increased stress response and cardiac complications.
+
where are the gas cylinders that are used for endoscopic surgery located in your
facility? - correct answer on the video tower or central distribution hose
Does your facility have a Hybrid OR? - correct answer Yes it is C1 at Christiana
Newark Campus.
No Hybrid in Wilmington
what is a no fly zone? - correct answer area designated for the safe use of imaging
and other equipment. or to reduce the risk of collisions of people and equipment
This study source was downloaded by 100000857300661 from CourseHero.com on 12-11-2022 14:25:41 GMT -06:00
https://www.coursehero.com/file/181571112/AORN-Final-Exampdf/
solution
what are the American society of anesthesiologists preoperative fasting guidelines for a
healthy adult scheduled for surgery? - correct 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 and clear liquids)-stop 6 hours before surgery
fried foods, fatty foods, meat- stop 8 hours before surgery
when should you assess the patient's NPO status? - correct answer In the
preoperative area during the initial interview.
Explain why cricoid pressure may need to be applied? - correct answer cricoid
pressure is applied to prevent passive regurgitation and aspiration of gastric contents
what is the nurses role in applying cricoid pressure during intubation? - correct answer
To apply cricoid pressure until the ET tube is cuff is inflated, the tube placement is
confirmed and the anesthesia provider has given verbal confirmation that the pressure
can be released.
critical actions nurse can take when confronted with a malignant hyperthermia MH
crisis? - correct answer Retrieve the malignant hyperthermia cart and the Dantrolene
(only medication for MH)
What is malignant hyperthermia? - correct answer A side effect of general anesthesia
(tigered by inhaled genetic anesthetic and succinylcholine) - tachycardia, hypertension,
increased end tidal carbon dioxide, muscle rigidity, hyperthermia.
what is the most specific sign of malignant hyperthermia MH? - correct answer
increased end tidal carbon dioxide
How is hypothermia defined? - correct answer A core body temperature of >36
Celsius or 96.8 Fahrenheit
what is the RN role when patient is scheduled to receive local-only anesthesia during
surgery? - correct answer To monitor the patients vital signs: blood pressure, ECG,
pulse oximetry and heart rate. And observe for LAST (local anesthetic systemic toxicity).
what is L.A.S.T? - correct answer Local Anesthetic Systemic Toxicity
Drugs used for local anesthetics? - correct answer bupivacaine, lidocaine.
What is the role of the RN when patient is scheduled to receive moderate sedation
during surgery? - correct answer not have any competing responsibilities,
continuously assess for and provide moderate sedation/analgesia.
This study source was downloaded by 100000857300661 from CourseHero.com on 12-11-2022 14:25:41 GMT -06:00
https://www.coursehero.com/file/181571112/AORN-Final-Exampdf/
, AORN Final exam with complete
solution
be competent in Cardiac monitoring
be able to administer reversal medications and provide advanced cardiac life support
measures (ACLS certified).
why is it important to assess the medications (eg. prescription, over the counter, street
drugs), herbal and other supplements the patient has been taking before surgery? -
correct answer because this drugs/supplements can impact the procedure and
potentiate adverse effects when combined with anesthesia drugs.
may affect bleeding times
interfere with drug metabolism or clearance
what is the purpose of a preoperative assessment and interview? - correct answer to
determine surgical risk
to plan for safe patient care
How can the use of cannabis affect a patient during surgery? - correct answer
tolerance to induction drugs
hyperreactive airway
Bispectral index (BIS) elevation
increased myocardial infarction risk within 1 hour after use
unknown tolerance to anesthetic agents
What are the social determinants of health? - correct answer environmental
conditions in which people are born, live, worship, work, play and age
why are social determinants of health important to a patients surgical outcomes and
recovery? - correct answer because they affect a patient's health, functioning, and
quality of life. they can affect recovery and access to food and medication needed for
recovery.
describe how a patient's history of alcohol use or abuse can affect a patient during
surgery? - correct answer it increases the risk for bleeding, it lowers their immunity,
increased stress response and cardiac complications.
+
where are the gas cylinders that are used for endoscopic surgery located in your
facility? - correct answer on the video tower or central distribution hose
Does your facility have a Hybrid OR? - correct answer Yes it is C1 at Christiana
Newark Campus.
No Hybrid in Wilmington
what is a no fly zone? - correct answer area designated for the safe use of imaging
and other equipment. or to reduce the risk of collisions of people and equipment
This study source was downloaded by 100000857300661 from CourseHero.com on 12-11-2022 14:25:41 GMT -06:00
https://www.coursehero.com/file/181571112/AORN-Final-Exampdf/
