AORN Periop 101 Final Lab Quiz- SLHS
Surgical Intervention: Incisional biopsy
{{Correct Ans- A small portion of tissue is incised and sent for examination.
Specimens that will be microscopically studied by the pathologist and may undergo histologic or
cytologic analysis will be sent for _______________________.
{{Correct Ans- biopsy
Physical evidence retrieved from a person involved as a suspect or victim in a crime will be sent for
_______________________ _______________________.
{{Correct Ans- frozen section
Specimens obtained for studying cell biology will be sent for __________________.
{{Correct Ans- cytology
Specimens that do not require immediate processing by the pathologist will be sent for
_______________________ _____________________.
{{Correct Ans- routine specimen
Specimens of tissue or fluid suspected of being infected will be sent for
_____________________________.
{{Correct Ans- culture
Identify 3 major guidelines for identifying and labeling specimens.
{{Correct Ans- 1. Specimen description to include type and site (also laterality if appropriate)
2. Patient name and unique identifier (medical record #)
3. Surgeon's name
What organizations provide guidance related to surgical tissue banking?
{{Correct Ans- * AORN: has guidelines for autologous tissue mgmt, or auto-transplantation on or in
the same patient
* AATB (American Association of Tissue Banks)
* FDA (US Food and Drug Administration)
Information pertaining to specimens that is required in the perioperative record generally consists of:
{{Correct Ans- * Patient identification
* Specimen ID, include location of suture tags, no abbrev.
* Pathology examination record (gross, frozen, etc.)
* Pathology requisition
* Final disposition of tissue and explanted devices
* Requests for special handling
,* Date/time of collection, notation of what markers/tags represent.
* Physician ID and contact information
* Perioperative RN identification
What are some perioperative risks in regard to physical status classification by anesthesia (ASA)?
{{Correct Ans- * Length of surgery
* Past experiences with anesthesia
* Specific surgical procedure
General anesthesia
{{Correct Ans- A reversible state of unconsciousness, consisting of amnesia, analgesia, and muscle
relaxation.
Regional anesthesia
{{Correct Ans- A reversible loss of sensation, which is achieved by injecting a local anesthetic to block
the nerve fibers from transmitting impulses.
Local anesthesia
{{Correct Ans- Functions like regional anesthesia, but usually applies to a smaller area or a single body
part such as a finger or a toe.
Monitored Anesthesia Care (MAC)
{{Correct Ans- Consists of intravenous medications and concurrent local infiltration of tissue at the
surgical site.
Four stages of anesthesia
{{Correct Ans-
Stage I: Initial Administration - admin of anesth drugs. Only a few seconds b/t admin and
unconsciousness.
Stage II: Excitement - Now unconscious. Loss of consciousness to loss of eyelid reflex. Involuntary
mvmts may occur.
Stage III: Intrasurgery - Time of surgical anesth. REM and breathing may be labored until muscles
completely relax. Time to start the surgery.
Stage IV: Possibility of respiratory failure - Patient may need help. If too much anesth. has been given
> resp failure > circulatory failure. Without breathing apparatus and heart support, patient can die.
Three phases of anesthesia
{{Correct Ans- Induction - begins with admin of anesth and lasts until surgical incision is made.
, Maintenance - begins with surgical incision and lasts until near completion of the procedure.
Emergence - starts as the patient begins to awaken and ends upon exiting the OR
Perioperative nurses must be alert to the potential for _________________________________ (due to
vasodilation) after the spinal anesthesia is given.
{{Correct Ans- hypotension
One of the most consistent physiological indications of MH is
__________________________________________.
{{Correct Ans- an increase in the ETCO2
Examples of commonly accepted nursing tools
{{Correct Ans- * the nursing process
* Perioperative Nursing Data Set (PNDS)
* the World Health Organization (WHO)
*The Joint Commission/AORN surgical safety checklists
The following statements reflect the concept of critical thinking:
{{Correct Ans- * Informed practice
* Holistic thinking
* Unbiased thinking
* Reasoned application of a step by step process
The clinical setting reflects a culture that is affected by ATTITUDES illustrating the desire to:
{{Correct Ans- provide effective care
engage in critical thinking
The clinical setting reflects a culture that is affected by the VALUES of:
{{Correct Ans- fairness
equitable care
The clinical setting highlights the effect of acquired skills on nurses' ability to demonstrate critical
thinking and clinical reasoning. These SKILLS include:
{{Correct Ans- problem-solving
situational awareness
Safety regarding endoscopic light source
{{Correct Ans- * Do not turn on the light source until the light cable is connected to the telescope.
* When not in use, the light source should be placed in "standby" mode.
* Always set your parameters according to the manufacturer's instructions.
Surgical Intervention: Incisional biopsy
{{Correct Ans- A small portion of tissue is incised and sent for examination.
Specimens that will be microscopically studied by the pathologist and may undergo histologic or
cytologic analysis will be sent for _______________________.
{{Correct Ans- biopsy
Physical evidence retrieved from a person involved as a suspect or victim in a crime will be sent for
_______________________ _______________________.
{{Correct Ans- frozen section
Specimens obtained for studying cell biology will be sent for __________________.
{{Correct Ans- cytology
Specimens that do not require immediate processing by the pathologist will be sent for
_______________________ _____________________.
{{Correct Ans- routine specimen
Specimens of tissue or fluid suspected of being infected will be sent for
_____________________________.
{{Correct Ans- culture
Identify 3 major guidelines for identifying and labeling specimens.
{{Correct Ans- 1. Specimen description to include type and site (also laterality if appropriate)
2. Patient name and unique identifier (medical record #)
3. Surgeon's name
What organizations provide guidance related to surgical tissue banking?
{{Correct Ans- * AORN: has guidelines for autologous tissue mgmt, or auto-transplantation on or in
the same patient
* AATB (American Association of Tissue Banks)
* FDA (US Food and Drug Administration)
Information pertaining to specimens that is required in the perioperative record generally consists of:
{{Correct Ans- * Patient identification
* Specimen ID, include location of suture tags, no abbrev.
* Pathology examination record (gross, frozen, etc.)
* Pathology requisition
* Final disposition of tissue and explanted devices
* Requests for special handling
,* Date/time of collection, notation of what markers/tags represent.
* Physician ID and contact information
* Perioperative RN identification
What are some perioperative risks in regard to physical status classification by anesthesia (ASA)?
{{Correct Ans- * Length of surgery
* Past experiences with anesthesia
* Specific surgical procedure
General anesthesia
{{Correct Ans- A reversible state of unconsciousness, consisting of amnesia, analgesia, and muscle
relaxation.
Regional anesthesia
{{Correct Ans- A reversible loss of sensation, which is achieved by injecting a local anesthetic to block
the nerve fibers from transmitting impulses.
Local anesthesia
{{Correct Ans- Functions like regional anesthesia, but usually applies to a smaller area or a single body
part such as a finger or a toe.
Monitored Anesthesia Care (MAC)
{{Correct Ans- Consists of intravenous medications and concurrent local infiltration of tissue at the
surgical site.
Four stages of anesthesia
{{Correct Ans-
Stage I: Initial Administration - admin of anesth drugs. Only a few seconds b/t admin and
unconsciousness.
Stage II: Excitement - Now unconscious. Loss of consciousness to loss of eyelid reflex. Involuntary
mvmts may occur.
Stage III: Intrasurgery - Time of surgical anesth. REM and breathing may be labored until muscles
completely relax. Time to start the surgery.
Stage IV: Possibility of respiratory failure - Patient may need help. If too much anesth. has been given
> resp failure > circulatory failure. Without breathing apparatus and heart support, patient can die.
Three phases of anesthesia
{{Correct Ans- Induction - begins with admin of anesth and lasts until surgical incision is made.
, Maintenance - begins with surgical incision and lasts until near completion of the procedure.
Emergence - starts as the patient begins to awaken and ends upon exiting the OR
Perioperative nurses must be alert to the potential for _________________________________ (due to
vasodilation) after the spinal anesthesia is given.
{{Correct Ans- hypotension
One of the most consistent physiological indications of MH is
__________________________________________.
{{Correct Ans- an increase in the ETCO2
Examples of commonly accepted nursing tools
{{Correct Ans- * the nursing process
* Perioperative Nursing Data Set (PNDS)
* the World Health Organization (WHO)
*The Joint Commission/AORN surgical safety checklists
The following statements reflect the concept of critical thinking:
{{Correct Ans- * Informed practice
* Holistic thinking
* Unbiased thinking
* Reasoned application of a step by step process
The clinical setting reflects a culture that is affected by ATTITUDES illustrating the desire to:
{{Correct Ans- provide effective care
engage in critical thinking
The clinical setting reflects a culture that is affected by the VALUES of:
{{Correct Ans- fairness
equitable care
The clinical setting highlights the effect of acquired skills on nurses' ability to demonstrate critical
thinking and clinical reasoning. These SKILLS include:
{{Correct Ans- problem-solving
situational awareness
Safety regarding endoscopic light source
{{Correct Ans- * Do not turn on the light source until the light cable is connected to the telescope.
* When not in use, the light source should be placed in "standby" mode.
* Always set your parameters according to the manufacturer's instructions.
