Periop 101 Final Exam Complete Guide 2023

Periop 101 Final Exam Complete Guide 2023 a Ans- Evidence-based practice questions are typically formatted as PICO questions. What does PICO stand for? a) Patient, Intervention, Comparison, Outcome b) Patient, Investigation, Comparison, Outlier c) Population, Intervention, Counter-Intervention, Outlier d) Problem, Investigation, Counter-Intervention, Outcome d Ans- Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can participate in cost containment in the OR? a) Ask the surgeon to use a less expensive implant b) Begin cleaning the OR for the next case before the patient leaves the room c) Open all supplies listed on preference card, including "available" supplies d) Verify with surgeon before opening suture c Ans- An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about perioperative nursing is demonstrating accountability in his/her: a) Certification requirements for professional achievement in perioperative nursing b) Collaboration among team members c) Professional growth and maintenance of competency d) Verification of nursing knowledge d Ans- Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice? a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines b) The AORN Guidelines legally supersede departmental and institutional policies c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied c Ans- Which of the following is NOT an example of an ethical dilemma that perioperative nurses may encounter? a) Do-not-resuscitate (DNR) order for a surgical patient b) Family disagreement regardings possible organ donation c) Family disagreement about a below the knee amputation on an 18 year old who has already given consent d) Human experimentation b Ans- The phrase "At least one individual failed to do what a similarly situated, reasonable, and prudent professional would have done under similar circumstances" is the definition of: a) Abandonment b) Negligence c) Unethical behavior d) Malpractice d Ans- All of the following are accurate descriptions of "professional accountability" EXCEPT: a) Becoming certified in your specialty b) Collaborating with peers in selecting the right instruments and right equipment for each patient c) Pursuing a higher academic degree d) Relying ONLY on peer evaluations e) Staying current with changes in your specialty b Ans- Part of the AORN standards of Professional Practice mandate that nurses evaluate the quality of their nursing practice. Four ways to ensure professional practice related to the AORN practice include: maintaining competency, the use of evidence-based practice, certification, and: a) Mentoring student nurses b) Pursuit of lifelong learning c) Achieving a minimum of an associate's degree d) Achievement of an advanced practice nurse degree c Ans- After transferring a male patient into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to FIRST: a) Administer medication to the patient for nausea and vomiting b) Ask the patient is he has any pain c) Assess the patient's airway and respirations d) Care for this patient and two other patients as assigned b Ans- During a handover report to the PACU RN, the perioperative RN may use a communication method identified by the acronym "SBAR." What does SBAR stand for? a) Safety, Background, Actions, Recovery expectations b) Situation, Background, Assessment, Recommendation c) Safety concerns, Background, Assessment, Responsibility d) Surgeon, Background, Assessment, Recovery time c Ans- A 40-year-old male patient is awake and alert in the post anesthesia care unit after right shoulder surgery. What is the BEST measure to assess the patient's pain? a) Discuss the patient's pain with a close family member b) Observe facial expressions and behaviors c) Ask patient to describe his pain or use a standardized pain scale d) Monitor vital sign changes d Ans- What would be the MOST important information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent diabetic patient? a) How long the patient has been diabetic b) If there is someone to drive them home c) The last time the patient ate or drank d) The type of insulin the patient takes c Ans- The Perianesthesia nurse has ASPAN to guide their practice. What does ASPAN stand for? a) American Sterilization of PeriAnesthesia Nurses b) Association of Specialized PeriAnesthesia Nursing c) American Society of PeriAnesthesia Nursing d) Association of Surgical Post Anesthesia Nursing c Ans- You have completed your case and must now transport your patient to PACU. To give report to the PACU nurse, your facility requires that you provide report in SBAR, which stands for: a) Safety, Background, Actions, Recovery, Expectations b) Safety concerns, Background, Assessment, Responsibilities c) Situation, Background, Assessment, Recommendations d) Surgeon, Background, Assessment, Recovery time c Ans- You have just transferred your patient into the Phase I PACU. Which activities would you expect to observe FIRST? a) Administering medication for nausea and vomiting b) Asking patients if they have any pain c) Assessing patient airway and respirations d) Caring for patients in 1:3 ratio c Ans- A hand-over communication report is given by the anesthesia professional and the _________________? a) Surgical resident b) Medical student c) OR nurse d) Inpatient nurse c Ans- What should be included as part of the psychological nursing assessment? a) Anxiety, temperature, and religious beliefs b) Anxiety, temperature, and cultural practices c) Cultural beliefs, perception of surgery, and religious beliefs d) Cultural practice, religious beliefs, and age a Ans- During a preoperative interview, a patient reports that a surgical prep solution made him breakout in hives after a previous surgical procedure. What action should the perioperative RN take? a) Alert the surgeon and discuss the selection of preoperative skin antiseptic. b) Ask the surgeon for an antihistamine to be administered preoperatively c) Monitor the patient more closely after administrating preoperative sedation d) Notify the anesthesia professional of a potential interaction with anesthetic agents e Ans- During the preoperative interview, the perioperative RN should ask the patient's about their use of: a) Alcohol b) Herbal preparations c) Recreational Drugs d) Tobacco products e) All of the above a Ans- The PRIMARY purpose of conducting a preoperative assessment is to: a) Define the patient's risk factors and develop a plan of care b) Determine the length of the procedure and needed supplies c) Introduce the patient to the surgical team d) Provide information necessary for discharge a Ans- Which of the following sensory assessment findings is common among elderly patients? a) Decrease in vision including color and depth perception b) Decreased ability to understand explanations c) Increased perception of pain d) Memory impairment c Ans- A child in which of the following age groups can be described as "likes to socialize and can interpret terms"? a) 1 to 12 months b) 1 to 3 years c) 3 to 6 years d) 6 to 12 years d Ans- Which of the following statements is true? a) Blood pressure remains constant with age b) Body temperature increases with increasing age c) Heart rate increases with increasing age d) Lung capacity decreases with increasing age a Ans- Which of the following factors make geriatric patients more sensitive to injury and cold? a) Decrease in subcutaneous fat b) Lung capacity decreases with age c) Bilirubin and hemoglobin shift d) Medication absorption is decreased b Ans- A preoperative nursing assessment should be conducted by a perioperative RN at what point? a) Prior to discharge b) Before the surgery c) In the surgeon's office d) Before the surgical consent is signed d Ans- In relation to transcultural needs of the patient, it is important to include _______________ needs in the nursing assessment. a) Medical b) Activities of daily living c) Pharmacological d) Spiritual b Ans- A directive interview is: a) Open-ended and unstructured b) Structured with predetermined questions c) Used to determine personality traits d) An observation of the patient's nonverbal behavior a, b, c Ans- Factors that may affect postoperative pain are? Select all that apply. a) The surgical site b) The nature and intended purpose of the surgery c) The patient's fears regarding anesthesia or surgery d) The level of anxiety of the patient's family members b Ans- Which of the following BEST illustrates the purpose of perioperative patient and family education? a) To convey genuine caring for the patient's well-being b) To increase patient and family adherence to the plan of care c) To increase the patient's and family's satisfaction with the quality of care d) To support legal, ethical, and regulatory mandates d Ans- Sally is a 43-year-old female scheduled for a laparoscopic cholecystectomy. The perioperative RN should provide preoperative education to Sally and her family, including: a) Detailed information about the surgical procedure, including risks and benefits b) Obtaining informed consent from Sally and suspending any DNR orders c) Verification of financial resources d) Wound care and pain management a Ans- Which of the following practices violates a patient's ethical right to self-determination? a) Automatic intraoperative suspension of a do-not-resuscitate decision b) Including family members in the education process c) Performing emergency surgery without informed consent d) Providing information about the scientific evidence for planned care b Ans- Obtaining informed consent is a two-step process of: a) Weighing the benefits and burdens of tx options b) Communicating information and documenting the decision c) Determining patient competency and authenticity of the signature d) Communicating the plan of care and reaching a decision b Ans- How does the perioperative nurse test pati