Download AORN PERIOP 101 FINAL EXAM STUDY GUIDE Questions and Answers (Verified Revised Full Exam) and more Exams Nursing in PDF only on Docsity!
- This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver. Ans>> Blunt needle
- These particular wound closing items are available in a wide variety of instrument sizes. Ans>> disposable stapler
- The surgical wound classification for a total abdominal hysterectomy. Ans>> clean contaminated
- Following an excisional breast biopsy, the circulating nurse would antici- pate the need to have available this type of drain Ans>> jackson pratt
AORN PERIOP 101 FINAL EXAM STUDY GUIDE
Questions and Answers (Verified Revised Full Exam)
- This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen. Ans>> lithotomy
- It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS Ans>> capacitive coupling
- The disadvantage of using this type of wound closure is because they often cause more scarring than other skin closure methods. Ans>> skin clips
- An automatic intraoperative suspension of a do-not-resuscitate decision violates a patient's ethical right to... Ans>> self-determination
- This type of human factor error is responsible when a perioperative nurse is trying to attend to several tasks at once Ans>> situational-based
assistant. Ans>> b. The scrub gown should be fastened in the back before donning gloves
- Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)- Ans>> fuel
- The safest way to pass a cutting instrument to a surgeon is Ans>> neutral zone
- To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion. Ans>> Trendelenberg
d. Defer to surgeons judgment when there is disagreement about the right course
of action. Ans>> c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse
- A precaution that should be taken when using this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver). Ans>> microfibrillar collagen
- A designation of 4 - 0 on a suture package indicates this about the suture material. Ans>> diameter
- A recommended means of promoting the safety of personnel in the surgi- cal suite is What is.... a. Routine screening of patients for HIV and hepatitis C b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment c. Double-glove for every procedure d. Leaving the room when x-rays are being used, even if scrubbed. Ans>> b.Providing
10 / 9 of higher salary and career advancement
11 / 9 c. Most facilities do not offer any incentives for achieving certification. d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse. Ans>> d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse.
- The recommended practice for flash sterilization is the item should be processed with this Ans>> What is a routine process monitoring device (chemical in- dicator, integrator).
- When documenting the placement of surgical drains, it should include Ans>> - Location of the drain
- The action that the perioperative nurse should take if the pt states he/she is allergic to shellfish and breaks out in hives when ingested. Ans>> Alert surgeon for the need for appropriate selection of skin prep solution
- Principles of care for forceps during a procedure should include this WHAT IS... a. Stand them upright along the sides of the instrument tray so that handles
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- This can be performed through smaller incisions Ans>> MIS procedure/La- paroscopy
- After this is procured by the surgeon, the scrub person should keep it moist with saline and in a sterile basin until it can be passed to the circulating nurse. Ans>> specimen
- Skin prep agent contraindicated for use during reconstruction of the ex- ternal ear. Ans>> CHG
- AORN RP states, this should be matched to the type of laser, optical density, and wavelength Ans>> eyewear
- What is recommended for transferring medication from a multi-use vial to the sterile field? Ans>> sterile transfer device
- What are 2 assessment factors when screening pts for potential risk of malignant hyperthermia? Ans>> Family history of problems related to anesthesia; and pts previous experience with anesthesia
- The space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure Ans>> nominal hazard zone for laser use
environment states that a safe, clean environment should be reestab- lished after each surgical procedure.
Ans>> interim cleaning
- Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence. Ans>> bullet
- Which type of cleaning includes the entire floor, moving the OR bed to clean 3 - 4 feet around it Ans>> post-procedure cleaning
- Clinical nurse progression from Novice to Expert requires enhancement of this, and the development and refinement of this is affected by Clinical narratives, simulation, questioning; Partnering with proficient nurses; and the nurse's level of knowledge and experience Ans>> Critical Thinking Skills
- List 4 team members who wear sterile gowns and gloves. Ans>> a. Scrub person
b. Surgical assistant - c. Surgeon d. Medical student/resident/PA/NP
- Name 3 risks to patients and staff members associated with laser use Ans>> a. Eye injury - b. Fire hazards - c. Inhalation of laser plume -
b. Oral verification by the pt of the procedure to be performed- c. Patient allergies to medications and materials d. Patient identification
- List Clinical manifestation of a true allergic response to latex Ans>> a. Contact urticarial- b. Periorbital edema and itching- c. Wheezing-
- List 4 components that should be included in documentation of intraoper- ative patient position. Ans>> a. Names of personnel assisting with positioning- b. Placement of arms- c. Position that pt is placed in for procedure- d. Use of specific positioning devices-
- AORN guidelines for a "time-out" specify that all surgical team members must agree on the following 3 things Ans>> a. Name of pt- b. Procedure to be performed- c. Site of procedure-
- 4 Barriers to effective pt and family education in the perioperative setting.- Ans>> a. Anxiety about an uncertain outcome- b. Discomfort or pain- c. Fear of unknown- d. Short period of time for assessment and teaching-
- The 3 purposes of the surgical hand scrub Ans>> a. Reduce risk of microbial contamination- b. Remove soil and debris- c. Suppress growth of microorganisms-
- List the 5 Recommended Practices for sponge count procedures Ans>> a. Count all sponges at the beginning of the case- b. Separate sponges as they are counted- c. Simultaneous counting by two people, including an RN circulator- d. Count out loud e. Document all counts
- List 2 ways that the Perioperative nurse assists with general anesthesia induction Ans>> a. Apply cricoid pressure if needed during intubation- b. Remain at the pts side to offer reassurance and promote safety-
- List 3 steps that should be followed to remove of the gown and gloves at the end of the procedure
