Periop 101 Final Exam verified & already
graded A+ 2024/2025
Which of the following describes capacitive coupling?
a) Pt injury caused by ESU device that occurs away from the dispersive electrode site
b) Radio-frequency coagulation from an ESU generator that is capable of delivering monopolar current through a
flow of ionized argon gas
c) The transfer of electrical current from the active electrode through intact insulation to adjacent conductive
items such as tissue or trocars
d) The contact of an energized inactive electrode tip with another metal instrument or object within the surgical
field
When setting up the insufflator for a laparoscopy, the perioperative RN should verify that the:
a) Carbon dioxide (CO2) pressure and supply arms are functioning
b) Insufflator equipment is lower than the level of the surgical incision
c) Scrub person flushes the insufflator tubing with NS for injection before connecting the tubing
d) Valve on the CO2 tank is closed
Which of the following illustrates safe use of an endoscopic light source?
a) Placing the light cord on the sterile field when not in use
b) Placing the light in standby mode when not in use
c) Turning the light source on before connecting the cable to the telescope
What is the MOST important reason for maintaining endoscopic instruments at an optimal level of function?
a) Insulation defects can cause unseen thermal burns
b) It is easier to maintain the sharpness of their edges
c) They are expensive to repair or replace if damaged
,d) They are not available in disposable or reposable forms
An important difference between minimally invasive and open surgical procedures is that minimally invasive:
a) Can be performed through smaller incisions
b) Increases the patient's pain and hospital stay
c) Is complication and risk-free
d) Requires less surgical time in the OR
Which one is not part of the seven rights of medication administration?
a) Right Indication
b) Right Time
c) Right Response
d) Right Patient
e) Right Route
f) Right Medication
g) Right Documentation
h) Right Dose
Which actions can the scrub person take to help prevent incidental thermal burns?
a) Inspect laparoscopic instrumentation for excessive wear or obvious breaks and replace when necessary
b) Clean all instruments with antibiotic solution
c) Watch the surgery carefully
d) Use instruments that have damaged insulation
Identify one of the characteristic differences between laparoscopic instruments and those used in open
procedures.
a) All laparoscopic scissors are "taken-apart"
,b) Laparoscopic instruments have long, thin shafts to accommodate trocar cannulas
c) One cannot dissect tissue with laparoscopic instruments
d) All laparoscopic instruments are disposable
Which region of the patient's abdomen is traditionally used to establish pneumoperitoneum for laparoscopic
surgery?
a) Periumbilical
b) Supraumbilical
c) Subumbilical
d) Umbilical
Guidelines for safe use of endoscopic light source include:
a) Following surgeon preferences when setting parameters
b) Placing the light on the sterile field when not in use
c) Placing the light in standby mode when not in use
d) Turning the light source on before connecting the cable to the telescope
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?
a) Ask the surgeon to use a less expensive implant
b) Begin cleaning the OR for the next case before the patient leaves the room
c) Open all supplies listed on preference card, including "available" supplies
d) Verify with surgeon before opening suture
An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about
perioperative nursing is demonstrating accountability in his/her:
a) Certification requirements for professional achievement in perioperative nursing
b) Collaboration among team members
c) Professional growth and maintenance of competency
, d) Verification of nursing knowledge
Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice?
a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines
b) The AORN Guidelines legally supersede departmental and institutional policies
c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings
d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied
Which of the following is NOT an example of an ethical dilemma that perioperative nurses may encounter?
a) Do-not-resuscitate (DNR) order for a surgical patient
b) Family disagreement regardings possible organ donation
c) Family disagreement about a below the knee amputation on an 18 year old who has already given consent
d) Human experimentation
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:
a) Abandonment
b) Negligence
c) Unethical behavior
d) Malpractice
All of the following are accurate descriptions of "professional accountability" EXCEPT:
a) Becoming certified in your specialty
b) Collaborating with peers in selecting the right instruments and right equipment for each patient
c) Pursuing a higher academic degree
d) Relying ONLY on peer evaluations
e) Staying current with changes in your specialty
graded A+ 2024/2025
Which of the following describes capacitive coupling?
a) Pt injury caused by ESU device that occurs away from the dispersive electrode site
b) Radio-frequency coagulation from an ESU generator that is capable of delivering monopolar current through a
flow of ionized argon gas
c) The transfer of electrical current from the active electrode through intact insulation to adjacent conductive
items such as tissue or trocars
d) The contact of an energized inactive electrode tip with another metal instrument or object within the surgical
field
When setting up the insufflator for a laparoscopy, the perioperative RN should verify that the:
a) Carbon dioxide (CO2) pressure and supply arms are functioning
b) Insufflator equipment is lower than the level of the surgical incision
c) Scrub person flushes the insufflator tubing with NS for injection before connecting the tubing
d) Valve on the CO2 tank is closed
Which of the following illustrates safe use of an endoscopic light source?
a) Placing the light cord on the sterile field when not in use
b) Placing the light in standby mode when not in use
c) Turning the light source on before connecting the cable to the telescope
What is the MOST important reason for maintaining endoscopic instruments at an optimal level of function?
a) Insulation defects can cause unseen thermal burns
b) It is easier to maintain the sharpness of their edges
c) They are expensive to repair or replace if damaged
,d) They are not available in disposable or reposable forms
An important difference between minimally invasive and open surgical procedures is that minimally invasive:
a) Can be performed through smaller incisions
b) Increases the patient's pain and hospital stay
c) Is complication and risk-free
d) Requires less surgical time in the OR
Which one is not part of the seven rights of medication administration?
a) Right Indication
b) Right Time
c) Right Response
d) Right Patient
e) Right Route
f) Right Medication
g) Right Documentation
h) Right Dose
Which actions can the scrub person take to help prevent incidental thermal burns?
a) Inspect laparoscopic instrumentation for excessive wear or obvious breaks and replace when necessary
b) Clean all instruments with antibiotic solution
c) Watch the surgery carefully
d) Use instruments that have damaged insulation
Identify one of the characteristic differences between laparoscopic instruments and those used in open
procedures.
a) All laparoscopic scissors are "taken-apart"
,b) Laparoscopic instruments have long, thin shafts to accommodate trocar cannulas
c) One cannot dissect tissue with laparoscopic instruments
d) All laparoscopic instruments are disposable
Which region of the patient's abdomen is traditionally used to establish pneumoperitoneum for laparoscopic
surgery?
a) Periumbilical
b) Supraumbilical
c) Subumbilical
d) Umbilical
Guidelines for safe use of endoscopic light source include:
a) Following surgeon preferences when setting parameters
b) Placing the light on the sterile field when not in use
c) Placing the light in standby mode when not in use
d) Turning the light source on before connecting the cable to the telescope
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?
a) Ask the surgeon to use a less expensive implant
b) Begin cleaning the OR for the next case before the patient leaves the room
c) Open all supplies listed on preference card, including "available" supplies
d) Verify with surgeon before opening suture
An RN who attends continuing nursing education and has verified skills, knowledge, and attitudes about
perioperative nursing is demonstrating accountability in his/her:
a) Certification requirements for professional achievement in perioperative nursing
b) Collaboration among team members
c) Professional growth and maintenance of competency
, d) Verification of nursing knowledge
Which of the following statements is TRUE concerning use of the AORN Guidelines for Perioperative Practice?
a) Both medical and nursing licensing boards require health care institutions to comply with the AORN guidelines
b) The AORN Guidelines legally supersede departmental and institutional policies
c) The AORN Guidelines reflect scientific evidence of how nurses actually practice in perioperative settings
d) Work setting and situation variations may determine the extent to which AORN Guidelines can be applied
Which of the following is NOT an example of an ethical dilemma that perioperative nurses may encounter?
a) Do-not-resuscitate (DNR) order for a surgical patient
b) Family disagreement regardings possible organ donation
c) Family disagreement about a below the knee amputation on an 18 year old who has already given consent
d) Human experimentation
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:
a) Abandonment
b) Negligence
c) Unethical behavior
d) Malpractice
All of the following are accurate descriptions of "professional accountability" EXCEPT:
a) Becoming certified in your specialty
b) Collaborating with peers in selecting the right instruments and right equipment for each patient
c) Pursuing a higher academic degree
d) Relying ONLY on peer evaluations
e) Staying current with changes in your specialty
