AORN Periop 101 Exam (80% to pass!)
When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.
A. It involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about
the restricted zone in your OR suite. The following statements are true:
A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need:
A. A sterile gown and gloves opened on a table (other than the main instrument table)
for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply.
A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?
D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural
absorbable suture?
C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
Recommended sponge count procedures include all of the following EXCEPT?
B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy?
D. A small portion of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire
from occurring when handling electrosurgical equipment? Select all that apply.
A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is
being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.
A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
,Which of the following statements reflect the concept of critical thinking? Select
all that apply.
C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair?
B. Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis?
D. Prep should start at the site of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies?
C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply.
A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where
accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4
stages of general anesthesia affecting the patient?
A. Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.
A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for
malignant hyperthermia should the nurse anticipate and prepare for?
B. Provide 100% oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical
procedures is that MIS:
A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be
suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.
B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated?
B. Position knees over the break in the procedure bed to allow for knee flexion.
The first step in the sterilization process of surgical instruments that have been
used in case is:
, A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue.
C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT?
A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of
DO-NOT-USE abbreviations, Acronyms and Symbols?
A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to:
A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
Which of the following statements about the immediate use steam sterilization is
the recommended practice?
D. Instruments may be immediate use steam sterilized only when there is insufficient
time tot process by the preferred wrapped or container method.
Which of the following practices is recommended when transferring from gurney
to the OR bed? Select all that apply.
A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning
transfer.
D. Secure lines and catheters prior to the move and dislodging.
Which of the following statements about regional anesthesia is correct?
B. Continuous nerve stimulation helps ensure proper needle placement during
peripheral nerve blocks.
What are the perioperative nurses responsibilities for the informed consent
process? Select all that apply.
B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary
nature of the patient's consent, and that the patient is competent to give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks
involved with the patient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient?
A. The patient is free from signs and symptoms of infection
Which of the following components should be included in documentation of
intraoperative patient position? Select all that apply.
A. Identification of specific positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should
include: Select all that apply.
A. The body area prepped
B. Name of the person performing the prep
When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.
A. It involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about
the restricted zone in your OR suite. The following statements are true:
A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need:
A. A sterile gown and gloves opened on a table (other than the main instrument table)
for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply.
A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?
D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural
absorbable suture?
C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
Recommended sponge count procedures include all of the following EXCEPT?
B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy?
D. A small portion of tissue is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire
from occurring when handling electrosurgical equipment? Select all that apply.
A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is
being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.
A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
,Which of the following statements reflect the concept of critical thinking? Select
all that apply.
C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair?
B. Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis?
D. Prep should start at the site of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies?
C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply.
A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where
accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4
stages of general anesthesia affecting the patient?
A. Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.
A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for
malignant hyperthermia should the nurse anticipate and prepare for?
B. Provide 100% oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical
procedures is that MIS:
A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be
suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.
B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated?
B. Position knees over the break in the procedure bed to allow for knee flexion.
The first step in the sterilization process of surgical instruments that have been
used in case is:
, A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue.
C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT?
A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of
DO-NOT-USE abbreviations, Acronyms and Symbols?
A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to:
A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
Which of the following statements about the immediate use steam sterilization is
the recommended practice?
D. Instruments may be immediate use steam sterilized only when there is insufficient
time tot process by the preferred wrapped or container method.
Which of the following practices is recommended when transferring from gurney
to the OR bed? Select all that apply.
A. Ensure that wheels are locked on both the OR bed and gurney prior to beginning
transfer.
D. Secure lines and catheters prior to the move and dislodging.
Which of the following statements about regional anesthesia is correct?
B. Continuous nerve stimulation helps ensure proper needle placement during
peripheral nerve blocks.
What are the perioperative nurses responsibilities for the informed consent
process? Select all that apply.
B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary
nature of the patient's consent, and that the patient is competent to give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks
involved with the patient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient?
A. The patient is free from signs and symptoms of infection
Which of the following components should be included in documentation of
intraoperative patient position? Select all that apply.
A. Identification of specific positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should
include: Select all that apply.
A. The body area prepped
B. Name of the person performing the prep
