Periop 101 Final Exam
a) Semi-restricted zone
c) Restricted zone - ANS-The patient's hair should be covered before entering the:
a) Patient, Intervention, Comparison, Outcome - ANS-Evidence-based practice
questions are typically formatted as PICO questions. What does PICO stand for?
d) Verify with surgeon before opening suture - 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?
c) Professional growth and maintenance of competency - ANS-An RN who attends
continuing nursing education and has verified skills, knowledge, and attitudes about
perioperative nursing is demonstrating accountability in his/her:
d) Work setting and situation variations may determine the extent to which AORN
Guidelines can be applied - ANS-Which of the following statements is TRUE concerning
use of the AORN Guidelines for Perioperative Practice?
c) Family disagreement about a below the knee amputation on an 18 year old who has
already given consent - ANS-Which of the following is NOT an example of an ethical
dilemma that perioperative nurses may encounter?
b) Negligence - 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:
d) Relying ONLY on peer evaluations - ANS-All of the following are accurate
descriptions of "professional accountability" EXCEPT:
b) Pursuit of lifelong learning - 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:
,c) Assess the patient's airway and respirations - ANS-After transferring a male patient
into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to
FIRST:
b) Situation, Background, Assessment, Recommendation - 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?
c) Ask patient to describe his pain or use a standardized pain scale - 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?
d) The type of insulin the patient takes - ANS-What would be the MOST important
information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent
diabetic patient?
c) American Society of PeriAnesthesia Nursing - ANS-The Perianesthesia nurse has
ASPAN to guide their practice. What does ASPAN stand for?
c) Situation, Background, Assessment, Recommendations - 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:
c) Assessing patient airway and respirations - ANS-You have just transferred your
patient into the Phase I PACU. Which activities would you expect to observe FIRST?
c) OR nurse - ANS-A hand-over communication report is given by the anesthesia
professional and the _________________?
c) Cultural beliefs, perception of surgery, and religious beliefs - ANS-What should be
included as part of the psychological nursing assessment?
a) Alert the surgeon and discuss the selection of preoperative skin antiseptic. -
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) Alcohol
b) Herbal preparations
c) Recreational Drugs
,d) Tobacco products
e) All of the above - ANS-During the preoperative interview, the perioperative RN should
ask the patient's about their use of:
a) Define the patient's risk factors and develop a plan of care - ANS-The PRIMARY
purpose of conducting a preoperative assessment is to:
a) Decrease in vision including color and depth perception - ANS-Which of the following
sensory assessment findings is common among elderly patients?
c) 3 to 6 years - ANS-A child in which of the following age groups can be described as
"likes to socialize and can interpret terms"?
d) Lung capacity decreases with increasing age - ANS-Which of the following
statements is true?
a) Decrease in subcutaneous fat - ANS-Which of the following factors make geriatric
patients more sensitive to injury and cold?
b) Before the surgery - ANS-A preoperative nursing assessment should be conducted
by a perioperative RN at what point?
d) Spiritual - ANS-In relation to transcultural needs of the patient, it is important to
include _______________ needs in the nursing assessment.
b) Structured with predetermined questions - ANS-A directive interview is:
a) The surgical site
b) The nature and intended purpose of the surgery
c) The patient's fears regarding anesthesia or surgery - ANS-Factors that may affect
postoperative pain are? Select all
b) To increase patient and family adherence to the plan of care - ANS-Which of the
following BEST illustrates the purpose of perioperative patient and family education?
d) Wound care and pain management - 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) Automatic intraoperative suspension of a do-not-resuscitate decision - ANS-Which of
the following practices violates a patient's ethical right to self-determination?
b) Communicating information and documenting the decision - ANS-Obtaining informed
consent is a two-step process of:
b) By asking questions about the procedure and evaluating the answer - ANS-How does
the perioperative nurse test patient's level of understanding?
c) Reconsidered to ensure that the risks and benefits of anesthesia and surgery are
discussed before surgery - ANS-A preoperative patient's do-not-resuscitate order is:
1 - Restricted - Individual OR suite with sterile supplies opened
2 - Semi-restrict - Work area for processing instruments
3 - Unrestricted - Perioperative patient care area - ANS-Match the designated surgical
area with the correct surgical zone:
b) False - ANS-Clean supplies do NOT need to be separated from sterile supplies
inside the surgical suite:
b) 20-60% - ANS-The relative humidity in the OR suite should be maintained within a
range of:
c) Removed and discarded after every case - ANS-A surgical mask should cover both
mouth and nose, and should be:
b) 20 - ANS-The ventilation system in the restricted area of the OR should have an air
exchange rate of at least _____ air exchanged per hour.
c) Sequential compression - ANS-___________________________ stockings are used
to prevent deep vein thrombosis during a surgical procedure.
a) Unrestricted area - ANS-The pathology laboratory and blood bank are usually
situated in which of the following areas?
b) 20% to 60% - ANS-Which of the following humidity levels are considered optimal
environmental conditions for OR?
a) 10% to 50%
b) 20% to 60%
c) 30% to 60%
a) Semi-restricted zone
c) Restricted zone - ANS-The patient's hair should be covered before entering the:
a) Patient, Intervention, Comparison, Outcome - ANS-Evidence-based practice
questions are typically formatted as PICO questions. What does PICO stand for?
d) Verify with surgeon before opening suture - 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?
c) Professional growth and maintenance of competency - ANS-An RN who attends
continuing nursing education and has verified skills, knowledge, and attitudes about
perioperative nursing is demonstrating accountability in his/her:
d) Work setting and situation variations may determine the extent to which AORN
Guidelines can be applied - ANS-Which of the following statements is TRUE concerning
use of the AORN Guidelines for Perioperative Practice?
c) Family disagreement about a below the knee amputation on an 18 year old who has
already given consent - ANS-Which of the following is NOT an example of an ethical
dilemma that perioperative nurses may encounter?
b) Negligence - 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:
d) Relying ONLY on peer evaluations - ANS-All of the following are accurate
descriptions of "professional accountability" EXCEPT:
b) Pursuit of lifelong learning - 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:
,c) Assess the patient's airway and respirations - ANS-After transferring a male patient
into the Phase I PACU, the perioperative RN could reasonably expect the PACU RN to
FIRST:
b) Situation, Background, Assessment, Recommendation - 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?
c) Ask patient to describe his pain or use a standardized pain scale - 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?
d) The type of insulin the patient takes - ANS-What would be the MOST important
information for a nurse in Preadmission Testing (PAT) to collect on an insulin dependent
diabetic patient?
c) American Society of PeriAnesthesia Nursing - ANS-The Perianesthesia nurse has
ASPAN to guide their practice. What does ASPAN stand for?
c) Situation, Background, Assessment, Recommendations - 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:
c) Assessing patient airway and respirations - ANS-You have just transferred your
patient into the Phase I PACU. Which activities would you expect to observe FIRST?
c) OR nurse - ANS-A hand-over communication report is given by the anesthesia
professional and the _________________?
c) Cultural beliefs, perception of surgery, and religious beliefs - ANS-What should be
included as part of the psychological nursing assessment?
a) Alert the surgeon and discuss the selection of preoperative skin antiseptic. -
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) Alcohol
b) Herbal preparations
c) Recreational Drugs
,d) Tobacco products
e) All of the above - ANS-During the preoperative interview, the perioperative RN should
ask the patient's about their use of:
a) Define the patient's risk factors and develop a plan of care - ANS-The PRIMARY
purpose of conducting a preoperative assessment is to:
a) Decrease in vision including color and depth perception - ANS-Which of the following
sensory assessment findings is common among elderly patients?
c) 3 to 6 years - ANS-A child in which of the following age groups can be described as
"likes to socialize and can interpret terms"?
d) Lung capacity decreases with increasing age - ANS-Which of the following
statements is true?
a) Decrease in subcutaneous fat - ANS-Which of the following factors make geriatric
patients more sensitive to injury and cold?
b) Before the surgery - ANS-A preoperative nursing assessment should be conducted
by a perioperative RN at what point?
d) Spiritual - ANS-In relation to transcultural needs of the patient, it is important to
include _______________ needs in the nursing assessment.
b) Structured with predetermined questions - ANS-A directive interview is:
a) The surgical site
b) The nature and intended purpose of the surgery
c) The patient's fears regarding anesthesia or surgery - ANS-Factors that may affect
postoperative pain are? Select all
b) To increase patient and family adherence to the plan of care - ANS-Which of the
following BEST illustrates the purpose of perioperative patient and family education?
d) Wound care and pain management - 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) Automatic intraoperative suspension of a do-not-resuscitate decision - ANS-Which of
the following practices violates a patient's ethical right to self-determination?
b) Communicating information and documenting the decision - ANS-Obtaining informed
consent is a two-step process of:
b) By asking questions about the procedure and evaluating the answer - ANS-How does
the perioperative nurse test patient's level of understanding?
c) Reconsidered to ensure that the risks and benefits of anesthesia and surgery are
discussed before surgery - ANS-A preoperative patient's do-not-resuscitate order is:
1 - Restricted - Individual OR suite with sterile supplies opened
2 - Semi-restrict - Work area for processing instruments
3 - Unrestricted - Perioperative patient care area - ANS-Match the designated surgical
area with the correct surgical zone:
b) False - ANS-Clean supplies do NOT need to be separated from sterile supplies
inside the surgical suite:
b) 20-60% - ANS-The relative humidity in the OR suite should be maintained within a
range of:
c) Removed and discarded after every case - ANS-A surgical mask should cover both
mouth and nose, and should be:
b) 20 - ANS-The ventilation system in the restricted area of the OR should have an air
exchange rate of at least _____ air exchanged per hour.
c) Sequential compression - ANS-___________________________ stockings are used
to prevent deep vein thrombosis during a surgical procedure.
a) Unrestricted area - ANS-The pathology laboratory and blood bank are usually
situated in which of the following areas?
b) 20% to 60% - ANS-Which of the following humidity levels are considered optimal
environmental conditions for OR?
a) 10% to 50%
b) 20% to 60%
c) 30% to 60%
