Download Periop 101(2023-2024) Final Test Quizzes & Answers Correct 100% and more Exams Nursing in PDF only on Docsity!
Periop 101(2023-2024) Final Test Quizzes
& Answers Correct 100%
If a biological indicator shows a positive growth, which of the following steps in necessary? a. The sterilizer should be taken out of service b. Any items processed in the load should be recalled c. The BI should be reported to the manager or charge nurse d. All of the above are true - ANSWERSd. All of the above Which bacteria is used in biological indicators to determine the survival of spores? a. Staphylococcus aureus b. Geobacillus stearothermophilus c. Enterococcus d. Escherichia coli - ANSWERSb. Geobacillus stearotherophilus Which of the following surgical complications is unlikely to be related to improper positioning? a. Joint dislocation b. hypoglycemia c. Peripheral nerve damage d. Hypoventillation - ANSWERSb. Hypoglycemia Before accepting an item to the sterile field, the scrub person is responsible for checking the: a. color of the indicator tape b. chemical indicator of integrator inside the package c. wrapper for stains or wetness
d. expirations date - ANSWERSb. chemical indicator or integrator inside the package In an operating room department, which area is most likely to be unrestricted? a. Scrub sinks b. Instrument processing area c. Patient preoperative area d. Clean storage supply area - ANSWERSc. Patient preoperative What is the unrestricted zone - ANSWERSpersonnel may wear street clothes What is the semi-restricted zone - ANSWERSpersonnel must wear scrub clothes and caps What is the restricted zone - ANSWERSpersonnel must wear scrub clothes, caps and masks An injury to the patient when the skin remains stable which the tissue beneath is lifted is caused by: a. friction b. shearing c. pressure d. none - ANSWERSb. shearing An injury to the patient when the skin moves or rubs across coarse surfaces, such as bed linen is caused by: a. friction b. shearing c. pressure d. none - ANSWERSa. friction An injury to the patient that results from prolonged pressure over bony prominences is caused by:
Where is the optimal place for a bovie pad - ANSWERSPlaced on muscle to ensure good skin contact and near the operative site for current delivery When considering teaching an adolescent about ostomy self care, it is important to realize that they may have concerns relating to their: a. impact on career b. financial issues c. independence d. body image - ANSWERSd. body image Critical components of universal precaution practice standards of the occupational safety and health administration include which of the following? a. use of personal protective barriers b. proper hand washing c. precautions in handling sharps d. all of the above - ANSWERSd. all of the above standard precautions
- hand washing
- protective barriers
- sharp safety Your patient is having a C-section. What would be the minimum number of overall counts you would expect to preform before the patient leaves the operating room? a. 3 b. 4 c. 5 d. 6 - ANSWERSb. 4 Preliminary, uterine closure, abdominal closure, final count The additional extra sponge count is UVA specific and not AORN
What position is associated with complications of increased intraocular pressure, corneal abrasions and retinal artery occlusion? a. Lithotomy b. Prone c. Supine d. Lateral Recumbent - ANSWERSb. Prone Lateral also has an increased risk for intraocular pressure Mrs. H is a 42 year old obese, diabetic, smoker with end-stage renal disease. Which of her comorbidities is not a contributing factor to her risk for developing a surgical site infection? a. diabetes b. smoking c. obesity d. renal disease - ANSWERSd. renal disease The mechanism of lethality with steam sterilization is achieved with this event: a. time, temperature, and steam pressure b. reduced and limited mitosis within the bioburden c. saturated vaporization of the microbial cytoplasm d. denaturation and coagulation of enzyme proteins - ANSWERSd. denaturization and coagulation of enzyme proteins To prevent potential chemical or thermal burns from occurring after skin antisepsis, the circulating nurse would: a. use disposable towels to avoid pooling b. prohibit use of alcohol based skin cleaners c. wipe excess cleaning solution from surgical site
Maintaining normothermia during surgery reduces the patients risk of: (select all that apply) a. pressure ulcers b. infection c. pneumonia d. bleeding - ANSWERSa. pressure ulcers b. infection d. bleeding Your diabetic patient has a score of 10 on the braden scale. Her surgery will require her to be in lithotomy position for several hours. Because of her score, you choose to implement these actions during the procedure except: a. use padding to disperse potential pressure points b. place sequential compression devices on patients lower extremities c. check that heels are properly seated in the lithotomy boots d. ensure patient skin is free from resting on any cords, intravenous lines or tubing - ANSWERSb. placed SCDs on patients lower extremities What is the braden scale used for? - ANSWERSPredicting pressure ulcer risk Scale of 6 - 23 with low being high risk and high being low risk What categories are in the braden scale? - ANSWERSperception moisture activity mobility nutrition friction/shear
When prepping the patient for surgery, you should take the following precautions except? a. make sure prep does not pool under the patient b. make sure to avoid the incision site c. make sure patient has no allergies to solution d. make sure prep in completely dry prior to draping - ANSWERSb. make sure to avoid the incision site All of the pathogenic organisms below are commonly associated with surgical site infections except: a. staphylococcus aureus b. enterococcus spp. c. streptococcus pneumoniae d. staphylococcus epidermis - ANSWERSc. streptococcus pneumoniae Which of the following may be a consequence of high dose or full body radiation? a. contrast media reaction b. perioral numbness and tingling c. nausea, vomiting and diarrhea d. wheezing, dyspnea and tachycardia - ANSWERSc. nausea, vomiting and diarrhea Which of the following stages of wound healing entails the regeneration of epithelial cells and the synthesis of collagen? a. maturation stage b. remodeling stage c. proliferation stage d. inflammatory stage - ANSWERSc. proliferation stage Wound dressings containing silver are especially useful for:
ADPIE diagnosis - ANSWERSstatement from nursing assessment ADPIE planning - ANSWERSsystematic process of identifying expected patient outcomes and determining how to achieve them ADPIE Implementation - ANSWERSdoing the plan ADPIE evaluation - ANSWERSdetermining expected outcomes identified in planning. Looking for an expected measurable change How often should the OR be terminally cleaned, regardless of wether or not it was used a. each day after every 24 hour period b. there is no need to terminally clean an unused OR c. at the end of each 8 hour shift d. first thing - ANSWERSa. each day after every 24 hour period Pathogens can live on environmental surfaces for days, weeks, and even months causing risk of transmission to patients. However if healthcare providers use gloves, this reduces the risk of HAI transmission a. true b. false - ANSWERSb. false When conducting a pause for cause, the following team members must be involved except: a. surgeon b. circulating nurse c. anesthesiologist/CRNA d. scrub nurse/technician - ANSWERSc. anesthesiologist/CRNA circulator verifies implant verbally and visually with surgeon and scrub The following medication is contraindicated for treatment of malignant hyperthermia a. dantrolene sodium
b. regular insulin in 50% glucose solution c. calcium chloride d. calcium channel blocker - ANSWERSd. calcium channel blocker hyperthermia and myocardial depression While hypothermia was historically credited as a therapeutic modality benefitting all surgery because it decreases metabolism and reduces oxygen demand, inadvertent hypothermia is now recognized as impacting many critical physiologic functions and patient outcomes. Which of the following impairments can contribute to surgical site infections? a. altered drug uptake b. impaired wound healing c. increased patient discomfort d. cardiac rhythm disturbances - ANSWERSb. impaired wound healing from vasoconstriction During a perioperative assessment, the OR nurse notices a red rash under the ace bandage on the patient's wrist and around his IV insertion site with NSS. The patient complains the area is itchy and the nurse hears him wheezing. Identify the most likely problem: a. possible latex allergy b. bronchitis c. hypersensitivity to IV solution d. psychological fear of surgery - ANSWERSa. possible latex allergy ace bandages and IV tubing may contain latex Choose the best method for confirming the exact surgical site with the patient during the perioperative assessment: a. ask the patient to point to the surgical site and then mark the area with a sticky note b. ask the patient to show you where the surgery site will be and then check if the surgeon marked it with a permanent marker
you cannot redrape while the patient is open and cannot move drapes around once placed Which of the following conditions normally occurs during phase two of anesthetic induction: a. hypotension b. vasoconstriction c. thrashing movements d. cessation of breathing - ANSWERSc. thrashing movements Which of the following are essential aspects of the patient's preoperative checklist for surgery a. patient identification, operative consent and allergies b. patient address and telephone number, chest xray results and urine output c. patient insurance information, personnel effects and lab results d. A&B - ANSWERSa. patient identification, operative consent and allergies The two solutions approved for use near the eye and ear are povidone iodine and: a. duraprep (alcohol and povidone iodine) b. phisoderm (hexachlorophene) c. techni-care (chlorxylenol) d. hibiclens (chlorhexidine gluconate) - ANSWERSc. techni-care all prep solutions other then povidone iodine and technicare can cause corneal and nerve damage as well as deafness Which of the following substances is a trigger for MH: a. rocuronium b. succinylcholine c. vecuronium
d. propofol - ANSWERSb. succinylcholine When using bipolar delivery of electrical current, the nurse should remember that: a. the dispersive electrode should be placed after positioning of the patient is complete b. the dispersive electrode is not needed because one side of the foreceps returns current to the generator c. the dispersive electrode is needed to return the current to the generator d. the dispersive electrode should be placed as close to the surgical site as possible to reduce tissue damage - ANSWERSb. the dispersive electrode is not needed for bipolar The safest option for drapes during a laser procedure are? a. clear, adhesive drapes b. standard surgical drapes c. moistened woven materials such as towels d. moistened surgical drapes - ANSWERSc. moistened woven materials such as towels moist towels decrease the potential for fire. Standard drapes resist moisture Why do most surgeons prefer to use carbon dioxide to create a pneumoperitoneum for laparoscopic abdominal surgery? a. CO2 supports combustion b. CO2 has no risk for causing gas embolism c. CO2 is a normal metabolic end product d. CO2 contributes to normothermia for the patient - ANSWERSc. CO2 is a normal metabolic end product A patient has been admitted to the post surgical unit after having a gastroduodenostomy. The patient has had a total urine output of 36cc in the last four hours. What is the nurse's next intervention: a. notify the nursing assistant that the patient needs help with sitting up in bed b. consult the chart to determine if the patient had any urine output during the surgical procedure
Proper handling of specimen is crucial for patient safety. What is the most serious negative outcome that could occur as a result of the loss, mishandling or mislabeling? a. the medical facility could be sued for negligence b. the patient might be unsatisfied with the treatment received c. the patient condition could be misdiagnosed d. the medical facility reputation could be damaged - ANSWERSthe patient condition could be misdiagnosed Waste anesthetic gases are small amounts of gases that may leak from either the patient breating circuit or in the air while being administered or from exhalation during recovery. Both create risks for OR personnel. What is an effect of short term exposure - ANSWERSc. lethargy and fatigue A new graduate perioperative nurse was consistently verbally critized and teased by her preceptor. The stress caused her to make mistakes and contributed to time lost from work. She was experiencing: a. unlawful discrimination b. physical violence c. horizontal violence d. psychological demise - ANSWERSc. horizontal violence nurses inflicting injury on eachother Who are the main perpetrators of physical violence? - ANSWERSPatients Who are the main perpetrators of psychological violence? - ANSWERSStaff members While fowlers position offers the best respiratory excursion for the patient, the patient is at higher risk of _____ because of dependent pooling in the hips and legs a. VTE b. compartment syndrome c. sacral syndrome d. restless leg syndrome - ANSWERSa. VTE due to circulatory compromise and risk.
Blood pooling in lower extremities leads to orthostatic hypotension and diminished perfusion to the brain. Venous return also lessens leading to VTE Careful counting, situational awareness and conscientious and meticulous attention to the field are believed to prevent miscounts and lost items. Which practice helps prevent retained foreign objects: a. two circulators conduct the count b. cause for pause when closing count c. keep all used sponges on sterile field for final count d. verbal handoff must include count status at time of relief - ANSWERSd. verbal handoff must include count status at time of relief When applying sterile drapes to create the sterile field on the patient, which of the following principals is the most important? a. the circulating nurse should monitor the scrub person gowned arms when reaching over the sterile parts of the patient b. drape the patient starting at the periphery and proceed towards the incision site c. gently shake and fan out the drapes to open the folds d. drape the patient starting with the incision area and proceeding to the periphery - ANSWERSd. drape the patient starting with the incision area and proceeding to the periphery Positive pressure air handling systems with unidirectional flow of non recirculated air from the ceiling to the floor are designed to: a. create mild air turbulence to prevent dust from settling on surfaces b. redirect and absorb anesthetic gases c. augment the oxygen enriched environment with dust free air d. flow clean air over the patient and prevent corridor air intake - ANSWERSd. flow clean air over the patient and prevent corridor air intake What type of air is in the OR rooms? - ANSWERSPositive pressure What is positive pressure air? - ANSWERSAir in the OR is greater then air in the corridor
d. they are rarely based on research - ANSWERSb. they are written specifically to address responsibilities and circumstances AORN endeavor - ANSWERSpromote guidelines influencing patient safety The constitution of high quality steam would be measured by: a. 70% or greater b. 55% or greater c. <3% of the mixture is liquid water d. <1% of the mixture is liquid water - ANSWERSc. <3% of the mixture is liquid water Wound classification 1 - ANSWERSclean do not enter an area of the body colonized by normal flora Wound classification II - ANSWERSClean contaminated enter into colonized parts of the body Wound classification III - ANSWERScontaminated obvious inflammation but no discharge Wound class IV - ANSWERSdirty obvious inflammation and discharge. of viscera and penetrating wounds Perforation Surgical aseptic techniques are designed to: a. remove all microbes from the skin b. sterilize equipment c. restrict microorganisms from the environment and equipment d. eliminate infectious agents that can be inhaled - ANSWERSc. restrict microorganisms from the environment and equipment
Healing by primary intention - ANSWERSwounds are created aseptically with minimum tissue destruction and post operative tissue reaction Healing by tertiary intention - ANSWERSIntentional delay in closing wounds. Allow infection and inflammation to minimize
