AORN PeriOP 101 Exam
When applying the concept of surgical conscience which of the following statement
should be considered? Select all that apply. - ANS-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: - ANS-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: - ANS-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. - ANS-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? - ANS-Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? -
ANS-Counting silently so it doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? - ANS-Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - ANS-D. Prep should start at the site of the
incision and move outwards.
The following steps can be used to reduce personnel exposure to specimen fixatives
such as formalin. Select all that apply. - ANS-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? - ANS-A. Administration, excitement,
intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment?
Select all that apply. - ANS-A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - ANS-A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in
case is: - ANS-A. Cleaning
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - ANS-A. Improve patient satisfaction
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: -
ANS-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? - ANS-D. Instruments may be immediate use steam sterilized
only when there is insufficient time to process by the preferred wrapped or container
method.
What are the perioperative nurses responsibilities for the informed consent process?
Select all that apply. - ANS-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.
, A __________ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments. - ANS-A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: -
ANS-D. Implemeted during surgical procedures to prevent microbial contamination
When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ANS-A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
Which type of human factor is responsible for an error that occurs when a preoperative
nurse is trying to attend to several tasks at once? - ANS-C. Situational
Put the following steps in order when opening a wrapped sterile package: - ANS-1.
Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
According to the CDC, which surgical wound classification should be documented for
the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ANS-D. Class IV (Dirty/Infected)
Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ANS-B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
Which of the following statements about counts is correct? Select all that apply. -
ANS-A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
Latex Allergic Response Stages (matching) - ANS-Stage I: Contact uticaria at the site of
exposure. Symptoms could include: swelling, redness, itching and/or burning.
When applying the concept of surgical conscience which of the following statement
should be considered? Select all that apply. - ANS-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: - ANS-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: - ANS-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. - ANS-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? - ANS-Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? -
ANS-Counting silently so it doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? - ANS-Laparotomy
Which of the following statements correctly describes recommendations for
preoperative patient skin antisepsis? - ANS-D. Prep should start at the site of the
incision and move outwards.
The following steps can be used to reduce personnel exposure to specimen fixatives
such as formalin. Select all that apply. - ANS-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? - ANS-A. Administration, excitement,
intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment?
Select all that apply. - ANS-A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - ANS-A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in
case is: - ANS-A. Cleaning
The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - ANS-A. Improve patient satisfaction
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: -
ANS-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? - ANS-D. Instruments may be immediate use steam sterilized
only when there is insufficient time to process by the preferred wrapped or container
method.
What are the perioperative nurses responsibilities for the informed consent process?
Select all that apply. - ANS-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.
, A __________ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments. - ANS-A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: -
ANS-D. Implemeted during surgical procedures to prevent microbial contamination
When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ANS-A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
Which type of human factor is responsible for an error that occurs when a preoperative
nurse is trying to attend to several tasks at once? - ANS-C. Situational
Put the following steps in order when opening a wrapped sterile package: - ANS-1.
Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
According to the CDC, which surgical wound classification should be documented for
the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ANS-D. Class IV (Dirty/Infected)
Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ANS-B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
Which of the following statements about counts is correct? Select all that apply. -
ANS-A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
Latex Allergic Response Stages (matching) - ANS-Stage I: Contact uticaria at the site of
exposure. Symptoms could include: swelling, redness, itching and/or burning.
