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AORN PERIOP 101 FINAL EXAM Questions and Answers (Verified Revised Full Exam), Exams of Nursing

AORN PERIOP 101 FINAL EXAM Questions and Answers (Verified Revised Full Exam) AORN PERIOP 101 FINAL EXAM Questions and Answers (Verified Revised Full Exam)

Typology: Exams

2024/2025

Available from 04/03/2025

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AORN PERIOP 101 FINAL EXAM
Questions and Answers (Verified Revised
Full Exam)
1.
Using mechanical friction will not
aid in
Ans>> Removal of Resident
bacteria
2.
Reduction in resident bactiera is
aided by
Ans>> Antimicrobials
3.
Prolonged contact of skin atisepsis agents due to pooling of solutions
can cause
patient injuries that inlude
Ans>> Chemical and thermal burns
4.
Which one of the following statements is TRUE?
Ans>> Heating povidone-iodine may decrease it's
effectiveness
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AORN PERIOP 101 FINAL EXAM

Questions and Answers (Verified Revised

Full Exam)

  1. Using mechanical friction will not aid in Ans>> Removal of Resident bacteria
  2. Reduction in resident bactiera is aided by Ans>> Antimicrobials
  3. Prolonged contact of skin atisepsis agents due to pooling of solutions can cause patient injuries that inlude Ans>> Chemical and thermal burns
  4. Which one of the following statements is TRUE? Ans>> Heating povidone-iodine may decrease it's effectiveness
  1. Documentation of the preoperative skin prep includes all of the following except Ans>> Hair Removal

surgical procedure

  1. The concept of prepping from clean to dirty means Ans>> Beginning at the surgical site and using circular strokes toward the periphery
  1. Common resident bacteria include all except Ans>> Staphylococcus epidermis Staphylococcus aureus Diptheroid bacillus ++Pseudomonas aeruginosa
  2. Which of the following statements about the skin prep is FALSE Ans>> ++Povi- done-iodine should not be allowed to dry Maufacture's guidelines should be followed Skin prep is performed after the pt has been positioned The name of the person performing the prep should be documented
  3. Objectives of the surgical prep include all EXCEPT Ans>> Removal of dirt, skin oil, and microbes from the skin Sterilization of skin Reduction of bacterial count Prevention of regrowth of microbes for several hours
  4. The generally recognized length of time required for contact of
  1. The principle of preoperative skin prep include all of the following except- Ans>> Prep from clean to dirty Use aseptic technique +++Prep stomas first Prevent pooling
  2. Which of the following topical antimicrobial agents is neurotoxic Ans>> CHG
  3. Which statement is TRUE about iodophor with alcohol? Ans>> It provides rapid reduction in microbial counts of skin Persistence or residual activity is excellent Non toxic and nonirritating +++Percutaneous absorption does not occur across mucous membranes
  4. Which statement is FALSE about eye, extremity, or vaginal prep? Ans>> A 5% sterile opthalmic prep solution is commercially available for eye preps +++The vagina should be prepped first as part of the vag prep When prepping an extremity, it should be positioned so that the incision site is the upper- most portion of the prep 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
  5. Hand hygiene should be performed after which of the

following Ans>> Touching the OR bed controls Adjusting a pt bed linens Marking the surgical site All

10 / 10 Using approved moisturizing products Using glove liners All of the Above

  1. Which of the following types of jewelry is acceptable for perioperative team members to wear in pt care areas Ans>> No jewelry is acceptable
  2. Which of the following is a primary line of defense for protecting the patient from transmission of pathogens during surgical procedures Ans>> Sterile gloves Sterile gowns +++Surgical hand antisepsis Surgical masks
  3. Which of the parts of the surgical gown is considered sterile Ans>> Front from the chest to the sterile field
  4. Which method of gloving should be used by team members during the initial gowning and gloving process for surgical procedures Ans>> Assisted gloving with gown cuffs at fingertips
  5. How often should surgical gloves be changed during an invasive surgical procedure Ans>> Every 60 to 90 minutes Every 90 to 150 minutes Surgical gloves only require chnaging if a known or suspected break occurs or tear identified There is no recommended time for changing gloves
  6. Which of the following is the preferred method for assessing hand hygiene in the perioperative setting

11 / 10 Ans>> Direct observation Measurement of product usage

13 / 10 The drape is placed incorrectly There some doubt about the drapes sterility

  1. The perioperative RN should do which of the following when draping a patient for a laparotomy? Ans>> Place the opening of the lap sheet directly over the surgical site
  2. Which of the following is an important consideration when draping pa- tients for procedures on the eye Ans>> It is important to repel water The environment must be free of lint Cataract procedures are often performed without sedation Adequate air exchange for the patient must be maintained
  3. The perioperative RN should follow which of these procedures when drap- ing equipment Ans>> Drape equipment that will be positioned over the sterile field Drape equipment that will be positioned immediately adjacent to the sterile field Drape large pieces of equipment as close to the time of use as possible Follow the manufacturer's instructions for use All of the above
  4. Which of the following is an acceptable position for the hands and arms of a scrubbed person for maintaining the integrity of the sterile field Ans>> Above WAIST level
  5. When should perioperative team members wear surgical attire and

14 / 10 a sur- gical head covering Ans>> Any time they enter an operating room for any reason

  1. Which of the following is the most important practice for minimizing the risk for transmission of infectious organism transmission
  1. Which of the followng practices should be followed when transfering sterile items to the sterile field Ans>> Present heavy or sharp sterile items directly to a scrubbed team member recieving the items onto the sterile field
  2. What is the best practice to follow if a contaminated item is discovered in a set of sterilized instruments Ans>> Consider the entire set to be contaminated
  3. Which of the following statements regarding the use of a unidirectional ultra clean air delivery system is most accurate Ans>> Heater cooler devices should be positioned inside the air curtain Scrubbed team members should stand outside the air curtain The sterile instrument table should be positioned inside the curtain Unscrubbed team members should remain inside the air curtain as much as possible
  4. Which of the following practices should scrubbed team members follow to maintain the integrity of the sterile field Ans>> Avoid folding the arms with hands in the axillary Keep hands and arms above the waist level at all times Maintain distance between themselves and other scrubbed team members when changing positions Remain face to face or back to back with other scubbed team members when changing position ALL OF THE ABOVE
  1. The use of a pneumatic tourniquet during extremity surgery Ans>> It is a noncon- troversial process ++Requires effective communication and collaboration between nurses, anesthesia, and the surgeon

alkalosis +++Elevated PaCO2 with resp acidosis and met. acidosis Decreased PaCO2 with resp alkalosis and met acidosis Decreased PaCO2 with resp alkalosis and met alkalsosis

  1. A type of tissue in the extremites that is highly susceptible to ischemia is Ans>> ++Skeletal muscle Nerves Bone Skin
  2. A perioperative nurse is performing a preoperative assessment of a patient scheduled for total knee arthroplasty. Which of the following is NOT a primary contrindication for pneumatic tourniquet use Ans>> Significant vascualr disease, in- cluding recent bypass, history of deep venous thrombosis, or impaired peripheral circulation Sickle cell anemia and other forms of hemoglobinopathy History of pain or weakness in the bones of muscles of the extermities +++History of ulcerative colitis
  3. Choose the FALSE statement about pneumatic tourniquet safety Ans>> Wider, contoured cuffs are generally safer than narrow cuffs because they require less pressure to achieve a near bloodless field Increased tourniquet time increases the risk of postoperative complications +++Narrow cuffs are generally safer than wide contoured cuffs because they require less pressure to achieve a near bloodless field Increased cuff pressure increases the risk of postoperative complications
  4. Chiose the false stemant regarding intravous regional anesthesia

(Bier's Block) Ans>> +++After a procedure is over, the perioperative nurse should leave the cuff inflated for at least 60 minutes