AORN Periop 101 Exam (80% to pass!)
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1. When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.: 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 tech-
nique.
2. In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are
true:: 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.
3. You are assigned to relieve a surgical technologist for lunch. You will need:-
: A. A sterile gown and gloves opened on a table (other than the main instrument
table) for closed gloving.
4. The Joint Commission Universal Protocol consists of: Select all that apply.-
: A. Preoperative verification
B. Surgical site marking
C. Time Out
5. Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?: D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of natural
absorbable suture?: C. Open the package carefully over a small basin to prevent
splashing of the packaging solution
7. Recommended sponge count procedures include all of the following EX-
CEPT?: B. Counting silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy?: D. A small portion of tissue
is incised and sent for examination.
9. Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply.: A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen
is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
10. Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.: A. Duration of the procedure
B. Exaggerated positions
, AORN Periop 101 Exam (80% to pass!)
Study online at https://quizlet.com/_535tj2
C. Circulatory disorders
D. Malnutrition
11. Which of the following statements reflect the concept of critical thinking?
Select all that apply.: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
12. What is the best drape to use for an umbilical hernia repair?: B. Laparotomy
13. Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis?: D. Prep should start at the site of the
incision and move outwards.
14. What are the 3 main factors to consider when assessing the patient for
allergies?: C. Prior reaction, heredity, type of reaction
15. The following steps can be used to reduce personnel exposure to speci-
men fixatives such as formalin. Select all that apply.: 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.
16. After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient?: A. Administration,
excitement, intrasurgery, respiratory failure
17. What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18. In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?: B.
Provide 100% oxygen, used iced saline to cool patient.
19. An important difference between minimally invasive (MIS) and open surgi-
cal procedures is that MIS:: A. Can be performed through smaller incisions.
20. While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.: B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
, AORN Periop 101 Exam (80% to pass!)
Study online at https://quizlet.com/_535tj2
21. To place a patient safely in TRENDELENBURG position, which of the fol-
lowing practices is indicated?: B. Position knees over the break in the procedure
bed to allow for knee flexion.
22. The first step in the sterilization process of surgical instruments that have
been used in case is:: A. Cleaning
23. By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue.: C. Cut and coagulate
24. The preoperative team implements aseptic technique practices to meet all
of the following primary goals EXCEPT?: A. Improve patient satisfaction
25. Which of the following examples is included on the "Joint Commission"
list of DO-NOT-USE abbreviations, Acronyms and Symbols?: A. MS
26. When a "Time Out" discrepancy occurs, the nurse's priority action should
be to:: 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
27. Which of the following statements about the immediate use steam steriliza-
tion is the recommended practice?: D. Instruments may be immediate use steam
sterilized only when there is insufficient time tot process by the preferred wrapped
or container method.
28. Which of the following practices is recommended when transferring from
gurney to the OR bed? Select all that apply.: A. Ensure that wheels are locked
on both the OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
29. Which of the following statements about regional anesthesia is correct?: B.
Continuous nerve stimulation helps ensure proper needle placement during periph-
eral nerve blocks.
30. What are the perioperative nurses responsibilities for the informed con-
sent process? Select all that apply.: B. Act as a witness attesting to the authentic-
ity 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.
31. Which PNDS outcome is the most important when draping the surgical
patient?: A. The patient is free from signs and symptoms of infection
32. Which of the following components should be included in documentation
of intraoperative patient position? Select all that apply.: A. Identification of
specific positioning devices used
B. Names of personnel assisting with positioning
Study online at https://quizlet.com/_535tj2
1. When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.: 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 tech-
nique.
2. In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are
true:: 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.
3. You are assigned to relieve a surgical technologist for lunch. You will need:-
: A. A sterile gown and gloves opened on a table (other than the main instrument
table) for closed gloving.
4. The Joint Commission Universal Protocol consists of: Select all that apply.-
: A. Preoperative verification
B. Surgical site marking
C. Time Out
5. Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?: D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of natural
absorbable suture?: C. Open the package carefully over a small basin to prevent
splashing of the packaging solution
7. Recommended sponge count procedures include all of the following EX-
CEPT?: B. Counting silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy?: D. A small portion of tissue
is incised and sent for examination.
9. Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply.: A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen
is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments
before use.
10. Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.: A. Duration of the procedure
B. Exaggerated positions
, AORN Periop 101 Exam (80% to pass!)
Study online at https://quizlet.com/_535tj2
C. Circulatory disorders
D. Malnutrition
11. Which of the following statements reflect the concept of critical thinking?
Select all that apply.: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
12. What is the best drape to use for an umbilical hernia repair?: B. Laparotomy
13. Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis?: D. Prep should start at the site of the
incision and move outwards.
14. What are the 3 main factors to consider when assessing the patient for
allergies?: C. Prior reaction, heredity, type of reaction
15. The following steps can be used to reduce personnel exposure to speci-
men fixatives such as formalin. Select all that apply.: 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.
16. After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient?: A. Administration,
excitement, intrasurgery, respiratory failure
17. What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18. In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?: B.
Provide 100% oxygen, used iced saline to cool patient.
19. An important difference between minimally invasive (MIS) and open surgi-
cal procedures is that MIS:: A. Can be performed through smaller incisions.
20. While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.: B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
, AORN Periop 101 Exam (80% to pass!)
Study online at https://quizlet.com/_535tj2
21. To place a patient safely in TRENDELENBURG position, which of the fol-
lowing practices is indicated?: B. Position knees over the break in the procedure
bed to allow for knee flexion.
22. The first step in the sterilization process of surgical instruments that have
been used in case is:: A. Cleaning
23. By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue.: C. Cut and coagulate
24. The preoperative team implements aseptic technique practices to meet all
of the following primary goals EXCEPT?: A. Improve patient satisfaction
25. Which of the following examples is included on the "Joint Commission"
list of DO-NOT-USE abbreviations, Acronyms and Symbols?: A. MS
26. When a "Time Out" discrepancy occurs, the nurse's priority action should
be to:: 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
27. Which of the following statements about the immediate use steam steriliza-
tion is the recommended practice?: D. Instruments may be immediate use steam
sterilized only when there is insufficient time tot process by the preferred wrapped
or container method.
28. Which of the following practices is recommended when transferring from
gurney to the OR bed? Select all that apply.: A. Ensure that wheels are locked
on both the OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
29. Which of the following statements about regional anesthesia is correct?: B.
Continuous nerve stimulation helps ensure proper needle placement during periph-
eral nerve blocks.
30. What are the perioperative nurses responsibilities for the informed con-
sent process? Select all that apply.: B. Act as a witness attesting to the authentic-
ity 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.
31. Which PNDS outcome is the most important when draping the surgical
patient?: A. The patient is free from signs and symptoms of infection
32. Which of the following components should be included in documentation
of intraoperative patient position? Select all that apply.: A. Identification of
specific positioning devices used
B. Names of personnel assisting with positioning
