AORN PERIOP 101 NEWEST 2024 ACTUAL EXAM 2
LATEST VERSIONS (VERSION A AND B) CONTAINS 350
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
Using mechanical friction when prepping will NOT aid in ____
A. Removal of resident bacteria
B. Removal of dirt and oil
C. The effectiveness of antimicrobials
D. Removal of transient bacteria - ANSWER: A. Removal of resident bacteria
Reduction in resident bacteria is aided by:
A. Use of a degreaser
B. Use of antimicrobials
C. Prepping clean to dirty
D. Mechanical friction - ANSWER: B. Use of antimicrobials
Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause
patient injuries that include:
1. Chemical burns
2. Thermal burns
3.Injuries related to equipment malfunction - ANSWER: A. 1 and 2
Which one of the following statements is TRUE?
A. Povidone-iodine's mechanism of action is to disrupt the cell membrane
B. Povidone-iodine is nonirritating to the skin
C. Povidone-iodine cannot be used on mucous membranes
D. Heating povidone-iodine may decrease its effectiveness - ANSWER: D. Heating
povidone-iodine may decrease its effectiveness
Documentation of the preoperative skin prep includes all of the follow EXCEPT:
A. Hair removal
B. Manufacturer of solutions used
C. Allergies
D. Name of the person who performed the prep - ANSWER: B. Manufacturer of
solutions used
When prepping an extremity, which one of the following is ALWAYS required?
A. Positioning the extremity to prevent prep solution from running toward the
incision site
B. Assistance in holding the limb
C. Scrubbing nails with a brush before the formal prep
D. Prepping so that the entire limb can be draped - ANSWER: A. Positioning the
extremity to prevent prep solution from running toward the incision site
,Surgical wound infections can result in decreased _____.
A. Hospitalization time
B. Intraoperative time
C. Income for hospitals
D. Workload for perioperative nurses - ANSWER: C. Income for hospitals
Preoperative skin preparation is accomplished by _____.
A. Removing soil and transient microbes
B. Reducing resident microbes
C. Using antimicrobial agents that inhibit growth of microbes
D. All of the above - ANSWER: D. All of the above
According to AORN's guidelines for skin preparation of patients, hair at the operative
site is _____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved - ANSWER: A. Allowed to remain unless it
interferes with the surgical procedures
The concept of prepping from clean to dirty means _____.
A. Cleaning all stomas or open wounds first
B. Beginning at the incision site and using circular strokes toward the periphery
C. Prep solution is changed after cleaning contaminated areas
D. Surgical scrub solutions used first and then surgical paint - ANSWER: B. Beginning
at the incision site and using circular strokes toward the periphery
Common resident bacteria include all EXCEPT:
A. Staphylococcus epiermidis
B. Staphylococcus aureus
C. Diphtheroid bacillus
D. Pseudomonas aeruginosa - ANSWER: wrong
Which one of the following statements about the skin prep is FALSE?
A. Povidone-iodine should not be allowed to dry
B. Manufacturers' guidelines should be followed
C. Skin prep is performed after the patient has been positioned
D. The name of the person performing the prep should be documented - ANSWER:
A. Povidone-iodine should not be allowed to dry
Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ANSWER: B. Sterilization
of skin
, The generally recognized length of time required for contact of antimicrobial agents
to be effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ANSWER: D. According to
manufacturers' directions
The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ANSWER: C. Prep stomas first
Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ANSWER: D. Chlorhexidine gluconate
Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
D. Percutaneous absorption does not occur across mucous membranes - ANSWER:
wrong
Which statement is FALSE about eye, extremity, or vaginal preps?
A. A 5% sterile ophtalmic prep solution is commercially available for eye preps
B. The vagina should be prepped first as part of a vaginal prep
C. When prepping an extremity, it should be positioned so that the incision site is
the upper-most portion of the prep
D. If fingers or toes are included in the surgical field (extremity prep), it may be
necessary to scrub the nail with a brush and soap solution - ANSWER: B. The vagina
should be prepped first as part of a vaginal prep
Hand hygiene should be performed after which of the following?
A. Touching the operating room bed controls
B. Adjusting a patient's bed linens
C. Eating
D. Marking the surgical site
E. All of the above - ANSWER: E. All of the above
When should perioperative team members use an alcohol-based rub for hand
hygiene?
A. After hands have been exposed to blood or other bodily fluids
LATEST VERSIONS (VERSION A AND B) CONTAINS 350
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
Using mechanical friction when prepping will NOT aid in ____
A. Removal of resident bacteria
B. Removal of dirt and oil
C. The effectiveness of antimicrobials
D. Removal of transient bacteria - ANSWER: A. Removal of resident bacteria
Reduction in resident bacteria is aided by:
A. Use of a degreaser
B. Use of antimicrobials
C. Prepping clean to dirty
D. Mechanical friction - ANSWER: B. Use of antimicrobials
Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause
patient injuries that include:
1. Chemical burns
2. Thermal burns
3.Injuries related to equipment malfunction - ANSWER: A. 1 and 2
Which one of the following statements is TRUE?
A. Povidone-iodine's mechanism of action is to disrupt the cell membrane
B. Povidone-iodine is nonirritating to the skin
C. Povidone-iodine cannot be used on mucous membranes
D. Heating povidone-iodine may decrease its effectiveness - ANSWER: D. Heating
povidone-iodine may decrease its effectiveness
Documentation of the preoperative skin prep includes all of the follow EXCEPT:
A. Hair removal
B. Manufacturer of solutions used
C. Allergies
D. Name of the person who performed the prep - ANSWER: B. Manufacturer of
solutions used
When prepping an extremity, which one of the following is ALWAYS required?
A. Positioning the extremity to prevent prep solution from running toward the
incision site
B. Assistance in holding the limb
C. Scrubbing nails with a brush before the formal prep
D. Prepping so that the entire limb can be draped - ANSWER: A. Positioning the
extremity to prevent prep solution from running toward the incision site
,Surgical wound infections can result in decreased _____.
A. Hospitalization time
B. Intraoperative time
C. Income for hospitals
D. Workload for perioperative nurses - ANSWER: C. Income for hospitals
Preoperative skin preparation is accomplished by _____.
A. Removing soil and transient microbes
B. Reducing resident microbes
C. Using antimicrobial agents that inhibit growth of microbes
D. All of the above - ANSWER: D. All of the above
According to AORN's guidelines for skin preparation of patients, hair at the operative
site is _____.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved - ANSWER: A. Allowed to remain unless it
interferes with the surgical procedures
The concept of prepping from clean to dirty means _____.
A. Cleaning all stomas or open wounds first
B. Beginning at the incision site and using circular strokes toward the periphery
C. Prep solution is changed after cleaning contaminated areas
D. Surgical scrub solutions used first and then surgical paint - ANSWER: B. Beginning
at the incision site and using circular strokes toward the periphery
Common resident bacteria include all EXCEPT:
A. Staphylococcus epiermidis
B. Staphylococcus aureus
C. Diphtheroid bacillus
D. Pseudomonas aeruginosa - ANSWER: wrong
Which one of the following statements about the skin prep is FALSE?
A. Povidone-iodine should not be allowed to dry
B. Manufacturers' guidelines should be followed
C. Skin prep is performed after the patient has been positioned
D. The name of the person performing the prep should be documented - ANSWER:
A. Povidone-iodine should not be allowed to dry
Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ANSWER: B. Sterilization
of skin
, The generally recognized length of time required for contact of antimicrobial agents
to be effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ANSWER: D. According to
manufacturers' directions
The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ANSWER: C. Prep stomas first
Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ANSWER: D. Chlorhexidine gluconate
Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
D. Percutaneous absorption does not occur across mucous membranes - ANSWER:
wrong
Which statement is FALSE about eye, extremity, or vaginal preps?
A. A 5% sterile ophtalmic prep solution is commercially available for eye preps
B. The vagina should be prepped first as part of a vaginal prep
C. When prepping an extremity, it should be positioned so that the incision site is
the upper-most portion of the prep
D. If fingers or toes are included in the surgical field (extremity prep), it may be
necessary to scrub the nail with a brush and soap solution - ANSWER: B. The vagina
should be prepped first as part of a vaginal prep
Hand hygiene should be performed after which of the following?
A. Touching the operating room bed controls
B. Adjusting a patient's bed linens
C. Eating
D. Marking the surgical site
E. All of the above - ANSWER: E. All of the above
When should perioperative team members use an alcohol-based rub for hand
hygiene?
A. After hands have been exposed to blood or other bodily fluids
