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Post-test part 2

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AORN Periop101 Quiz on Post-test part 2, created by Melissa ALfaro on 28/02/2018.
Melissa ALfaro
Quiz by Melissa ALfaro, updated more than 1 year ago
Melissa ALfaro
Created by Melissa ALfaro almost 7 years ago
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Resource summary

Question 1

Question
When working with electrical equipment, the perioperative nurse must:
Answer
  • ensure that the active electrocautery is switched on
  • ensure that warming therapy devices are used at appropriate settings
  • ensure that users are educated in the safe use of all electrical equipment
  • never place the hose of a patient warmer directly under the patient's blanket
  • ensure that the laser electrodes are discharged after each use

Question 2

Question
Chlorhexadine gluconate (CHG) is an antimicrobial skin agent used
Answer
  • above the neck.
  • for topical skin application only below the neck
  • for vaginal or mucous membrane preps
  • in the brain or meninges.

Question 3

Question
[blank_start]x[blank_end] agents are effective in removing resident microorganisms.
Answer
  • mechanical
  • chemical
  • biochemical
  • hydrostatic

Question 4

Question
Which of the following are desired characteristics of antimicrobial agents?
Answer
  • broad spectrum
  • high log reduction capability
  • effective for long periods of time
  • high toxicity
  • low toxicity

Question 5

Question
Which of the following statements is correct regarding hair removal from a surgical patient?
Answer
  • Hair should be removed from the surgical site before any procedure.
  • Hair should be removed from the surgical site by using clippers or razors
  • Hair should be removed from the surgical site only when the hair is so thick it will interfere with the procedure
  • All of the above

Question 6

Question
What does AORN's Guidelines for Preoperative Patient Skin Antisepsis recommend for prepping areas with high microbial counts ?
Answer
  • Prep them first
  • Prep them last
  • Prep them during the procedure
  • Prep them whenever necessary

Question 7

Question
Which of the following should be avoided during hair removal?
Answer
  • Use of clippers
  • Clipping of hair against the grain of hair growth
  • Nicking or cutting the skin
  • Removal of loose hair from prepped areas

Question 8

Question
Which of the following observations are critical when doing skin antisepsis on pediatric patients?
Answer
  • Take measures to prevent the loss of body heat
  • The relatively small bodies of pediatric patients require smaller amounts of antimicrobial agents
  • children are not sensitive to chemical agents
  • the whole body must be prepped irrespective of the operative site

Question 9

Question
Which actions should be perioperative nurse take in prepping an extremity when a tourniquet is used?
Answer
  • Drape the tourniquet with a cloth towel to keep solution from going under the tourniquet
  • Start prepping at the level of the tourniquet
  • Start the prep at the incision site and extend both distally and proximally to include the entire extremity
  • use an assistive device to support the extremity during the prep
  • use an impervious drape to protect the tourniquet

Question 10

Question
Which of the following statements are true about iodophor paints and iodophor scrubs?
Answer
  • A paint has a detergent additive, a scrub does not
  • a scrub has a detergent additive a paint does not
  • a scrub is followed by a paint in a two-step prep
  • a pain is following by a scrub in a two-step prep

Question 11

Question
Perioperative nursing documentation of the skin prep procedure should include which of the following components?
Answer
  • Antiseptic agent used
  • area prepped
  • hair removal if needed
  • name of person holding the limb if applicable
  • name of the person performing the prep
  • placement of blotting towels
  • preoperative assessment of the skin at operative site.

Question 12

Question
Components of the electrosurgical circuit include:
Answer
  • Active electrode, dispersive electrode, generator
  • dispersive electrode, fiber, generator
  • active electrode, dispersive electrode, generator, scratch pad
  • dispersive electrode, fiber, generator, key.

Question 13

Question
To reduce the possibility of an injury or burn, which of the following most accurately describes where the perioperative RN should place the dispersive electrode?
Answer
  • As far from the operative site as feasible
  • directly on the operative site
  • as close to the operative site as possible
  • anywhere it will be easy to access

Question 14

Question
Which statement best describes the path for bipolar surgical current?
Answer
  • Current leaves the generator, is applied to tissue using a pencil device, is collected in the dispersive pad, and returns to the generator
  • Current leaves the generator, is applied to tissue using a pencil device and returns to the generator
  • Current leaves the generator is applied to tissue using a two-poled instrument and returns to the generator

Question 15

Question
If the surgeon continuously asks for higher power settings, what is the first action that the perioperative RN should take?
Answer
  • Get another ESU unit immediately
  • Check the circuitry for possible disruption
  • Switch to a bipolar generator and electrode
  • Change the active electrode and dispersive electrode

Question 16

Question
Alternate pathway burns can occur because of improper placement of the dispersive electrode. The dispersive electrode should not be applied on which of the following
Answer
  • Hairy skin surfaces
  • Burn tissue
  • Tattoo sites
  • Well-perfused muscle
  • Areas proximal to tourniquet application
  • Bony prominences

Question 17

Question
When using argon-enhanced coagulation (AEC) there is a risk of
Answer
  • electrosurgical injuries
  • carbon dioxide purge
  • gas emboli
  • decreased insufflator pressure

Question 18

Question
The term local exhaust ventilation (LEV) is used to describe the process of evacuation smoke from the surgical site. Which of the following are considered LEV?
Answer
  • Central suction system with 0.1 micrometer in-line filter
  • Central suction system with HEPA in-line filter
  • High filtration surgical masks
  • N95 respirators
  • Smoke evacuator unit

Question 19

Question
Which precautions should be taken for a patient who has an implantable electronic device (IED)?
Answer
  • All team members should be informed about the IED
  • Insist that the surgeon use bipolar current instead of monopolar current
  • There should be continuous EKG monitoring
  • The active and dispersive electrode should be located as close together as possible.

Question 20

Question
According to the AORN Guideline for Safe Use of Energy-Generating Devices, which of the following are recommended components of documentation when using an ESU?
Answer
  • ESU brand name
  • Name of the person applying the dispersive pad
  • patient's skin condition after removing the dispersive pad
  • patient's skin condition before applying the dispersive pad
  • serial number or biomedical number of the ESU
  • use of a safety holster

Question 21

Question
During laparoscopic surgery, perioperative RNs can reduce the chances of capacitive-coupling injuries by:
Answer
  • using a combination of insulated and noninsulated instruments
  • using coagulation waveform and a high setting
  • using metal and plastic cannulas together
  • using the lowest power setting and the low-voltage cutting waveform

Question 22

Question
The purposes of performing a surgical hand scrub include
Answer
  • To accomplish personal hygiene
  • to kill the microorganisms
  • to reduce the resident microbial count to a minimum
  • to inhibit rapid rebound growth of microorganisms
  • to remove soil, debris and transient organisms

Question 23

Question
After the surgical hand scrub, the scrub person should keep the fingers pointed in which direction to allow water to drip off away from the attire?
Answer
  • downwards
  • upwards
  • straight
  • curled towards the palm

Question 24

Question
3. What actions can the RN circulator take to assist the scrub personnel during gowning?
Answer
  • touch only the ties, Velcro, or snaps to secure the back of the gown at the neck and the waist
  • Don the sterile gloves before fastening the gown to prevent contamination from the gown flaps
  • Grasp the tie 4 to 6 inches from the tag and pull
  • Adjust the gown by grasping the bottom edge and pulling down to eliminate any blousing

Question 25

Question
Because skin is a major source of contamination in the surgical environment, which of the following statements is true?
Answer
  • hand hygiene is only necessary before providing care to a patient
  • hand hygiene should be considered effective only if you are using an antimicrobial solution
  • hand lotions with petroleum as an ingredient are acceptable for use with gloves
  • health care personnel who have cuts on their hands should not provide direct patient care.

Question 26

Question
You have just finished a surgical procedure and are removing your gown and gloves. place steps in order: 1. [blank_start]wash hands with soap and water[blank_end] 2. [blank_start]remove and discard the gloves using[blank_end] a glove-to-glove and skin-to-skin technique 3. pull the gown [blank_start]downward[blank_end] from the shoulders and off the arms 4. [blank_start]fold the contaminated side of gown[blank_end] to the inside, roll it up, and discard it.
Answer
  • wash hands with soap and water
  • remove and discard the gloves using
  • downward
  • fold the contaminated side of gown

Question 27

Question
Which of the following statements are correct?
Answer
  • the closed glove method is used for subsequent gloving
  • the open glove method is used for the initial donning of sterile gown and gloves
  • the open method is used for subsequent gloving
  • the open glove method is used while performing sterile procedures when a gown is not worn.

Question 28

Question
The surgical hand scrub controls resident microorganisms by:
Answer
  • the mechanical action of scrubbing
  • the chemical action of microbial agents used
  • the temperature of the water combined with chemical action
  • none of the above

Question 29

Question
Which of the following statements are true in relation to scrubbing for the first procedure of the day:
Answer
  • clean under your fingernails using a brush
  • consider your hands and arms as two dimensional to ensure covering all aspects
  • First, wash your hands under running water with soap
  • Use an approved antimicrobial scrub agent on wet hands and arms

Question 30

Question
Where should the scrub persons sterile gown be opened?
Answer
  • as far away from the instrument tray as possible
  • in the back corner of the instrument table
  • on a separate mayo stand
  • on top of the gloves for the scrub person

Question 31

Question
Correct surgical attire for the restricted areas include:
Answer
  • facility identification on a lanyard
  • head covering that covers all hair
  • long-sleeved jacket with the sleeves pushed up
  • scrub top tucked into scrub pants and a warm up jacket
  • a lab coat when leaving the department

Question 32

Question
To ensure proper handling of surgical specimens, which unique identifiers are most important for the perioperative nurse to use to verify the patient's identity before the patient enters the OR?
Answer
  • Lab test to be performed
  • Patient's MRN
  • Patient's medical diagnosis
  • Spelling of the patient's name
  • Surgeon's name

Question 33

Question
Which of following are recommended guidelines for preserving a bullet collected as forensic evidence
Answer
  • Do not drop bullet into metal basin or bowl
  • Rinse the bullet with saline or water if requested by local authorites
  • Handle as little as possible
  • Remove the specimen with hard steel forceps
  • Wrap the bullet in cotton or tissue paper and mark the specimen

Question 34

Question
What is the rationale for wearing gloves when handling or transporting surgical specimens?
Answer
  • to avoid exposure to biohazardous substances
  • to avoid imprints on the specimen
  • to prevent contamination of the specimen
  • to prevent misdiagnosis

Question 35

Question
Biopsies that require specialized methods of preparation and preservation to preserve the cells include:
Answer
  • bone marrow
  • muscle
  • nerves
  • testicular
  • tendon

Question 36

Question
Proper handling of an explant removed because of an apparent defect or failure includes
Answer
  • copmleting a risk management report
  • decontamination and sterilization before transport to the pathology lab
  • documentation of the serial number in the medical record and on the pathology requisition
  • placing the explant in a container with a formalin for transport to the pathology lab.

Question 37

Question
Which of the following actions should the scrub person perform for most specimens after receiving them from the surgeon?
Answer
  • Hand it off the field to the RN circulator on a radiopaque sponge
  • Keep it in a sterile basin until it can be passed to the RN circulator
  • Keep it moist with saline
  • Use a sponge to remove a very small specimen from a foreceps

Question 38

Question
Surgical tissue banking is:
Answer
  • The retrieval, processing, preserving and storing of selected human tissue for later transplantation back into the patient into another patient
  • The retrieval and storing of selected human tissue for later transplantation into another patient
  • The preserving and storing of selected human tissue for later transplantation back into the patient or into another patient.
  • The retrieval, preserving and storing of human tissue for later transplantation back into the patient

Question 39

Question
Which pathology specimens require fresh preparation and the use of sterile container?
Answer
  • Breast tissue for hormonal assay
  • Bullets
  • cerebral spinal fluid
  • semen for infertility studies
  • undergarments

Question 40

Question
The [blank_start]x[blank_end] communicates identifying characteristics to the scrub person and the circulator. The [blank_start]x[blank_end] is concerned with diagnosis, speed of recovery, psychosocial concerns. The [blank_start]x[blank_end] is sensitive to the scrub person's needs and to actions that facilitate accurate specimen management. The [blank_start]x[blank_end] ensures accurate identification of the specimen by having a sterile marking pen to write location and type of tissue
Answer
  • surgeon
  • patient
  • Circulator
  • scrub person

Question 41

Question
Which of the following forensic specimens should be placed in a paper envelope, labeled and sealed?
Answer
  • gastric contents
  • finger nails
  • pellets
  • carpet remains
  • knives

Question 42

Question
In which surgical wound category should a total abdominal hysterectomy be classified?
Answer
  • clean
  • clean contaminated
  • contaminated
  • dirty

Question 43

Question
[blank_start]X[blank_end] is the use of physical or chemical means to remove, inactivate, or destroy blood-borne or other pathogens on a surface or item. [blank_start]X[blank_end] is the process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms. [blank_start]x[blank_end] is a process that destroys all microorganisms (vegetative forms of bacteria, all fungi, all viruses) with the exception of high numbers of bacterial spores. [blank_start]X[blank_end] is a chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects.
Answer
  • Decontamination
  • sterilization
  • High level disinfection
  • Disinfection

Question 44

Question
Immediate use steam sterilization can be used:
Answer
  • for implants
  • in urgent situations
  • under no circumstances
  • for all items

Question 45

Question
A packaging system for items undergoing sterilization should possess which of the following characteristics?
Answer
  • Compatible with all sterilization processes
  • made of only disposable materials
  • maintains sterility of the items for a specified amount of time
  • permits aseptic delivery of contents to the sterile field.

Question 46

Question
Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and:
Answer
  • proper packaging
  • aeration
  • chamber humidity
  • pressure

Question 47

Question
Which of the following statements about ethylene oxide (EO) sterilization is true?
Answer
  • EO exposure is potentially carcinogenic and mutagenic to personnel and patients.
  • it cannot be used for heat-sensitive items.
  • it is effective against prions.
  • items processed by EO sterilization may be used immediately

Question 48

Question
The use of peracetic acid on surgical items requires the following considerations:
Answer
  • items can be stored for future use
  • items must be aerated
  • items can withstand high temperatures
  • items must be isolated for 7 days
  • items must be immersible

Question 49

Question
An integrator is a multiparameter indicator designed to measure which of the following parameters?
Answer
  • Pressure, steam, temperature
  • Temperature, time, presence of steam
  • Pressure and sterility

Question 50

Question
Low temperature gas plasma hydrogen peroxide sterilization has which of the following properties?
Answer
  • Accommodates lumened instruments
  • Exhaust monitoring is required
  • Items can be used for future use
  • No toxic residue
  • The sterilant is bactericidal, virucidal and fungucidal
  • Useful for items that are heat sensitive

Question 51

Question
Shelf life is related to:
Answer
  • Exposure to external events
  • methods of sterilization
  • material
  • number of personnel who may have handled the package
  • time from initial sterilization

Question 52

Question
When selecting drapes to create a sterile field for the patient, which of the folloiwng drape qualities are most essential to maintaining the sterile field?
Answer
  • barrier protection
  • cost/benefit ratio
  • limitation of environmental impact
  • flexibility and flammability

Question 53

Question
ID the correct draping considerations
Answer
  • Drape from a sterile area to an unsterile area by draping the nearest first
  • Start draping from the periphery to the operating site.
  • Ensure that surgical drapes are applied after prepping solutions have dried.
  • After a drape is placed, it can be moved if necessary.
  • When draping the opposite side, the scrubbed person should walk around the OR bed to drape.

Question 54

Question
What precautions should a scrub person take during the draping procedure?
Answer
  • NEver cuff the drapes over a gloved hand
  • be careful not to contaminate gown when placing drapes
  • never reach across an unsterile area to drape
  • use perforating towel clips.

Question 55

Question
Draping the patient involves:
Answer
  • covering the patient with the sterile barrier
  • Covering the patient and the surrounding areas with a sterile barrier
  • covering the patient and the surrounding areas with sterile materials to create and maintain a barrier between nonsterile and sterile areas
  • covering the patient, the surrounding areas, and the instruments with a sterile barrier.

Question 56

Question
[blank_start]x[blank_end] is used as added protection above or below the surgical areas or when a fenestrated sheet cannot be used. [blank_start]x[blank_end] is used when draping an extremity to permit the extremity to remain a part of the sterile field. [blank_start]x[blank_end] is used to cover surgical site on abdomen and back [blank_start]x[blank_end] is used to outline the surgical site [blank_start]x[blank_end] is used to create a sterile field with the patient in the lithotomy position
Answer
  • medium sheet
  • extremity sheet
  • laparotomy sheet
  • towels
  • lithotomy sheet

Question 57

Question
Choose the correct statements about incise drapes:
Answer
  • are a type of fenestrated sheet
  • are available with or without adhesive backing
  • are made up of plastic and impermeable material
  • may be used in eye or ear procedures
  • may be impregnated with iodophor

Question 58

Question
An [blank_start]x[blank_end] drape is used for carpal tunnel surgery A [blank_start]x[blank_end] drape is used for vaginal hysterectomy An [blank_start]x[blank_end] drape is used for tympanoplasty A [blank_start]x[blank_end] drape is used for umbilical hernia repair
Answer
  • extremity
  • perineal
  • aperture
  • laparotomy

Question 59

Question
AORN recommends that the following factors be considered when selecting drape products:
Answer
  • Amount of irrigation fluid that is anticipated
  • anticipated blood loss
  • duration of procedure
  • potential for linting
  • surgeon preference

Question 60

Question
A designation of "4-0" on a suture package indicates the suture material's
Answer
  • diameter
  • elasticity
  • pliability
  • strength

Question 61

Question
[blank_start]x[blank_end] is the capacity of a suture to regain former shape after being reformed. [blank_start]x[blank_end] is the ability to regain original form and length after being stretched. [blank_start]x[blank_end] is, when knotted, the force in pounds that suture can withstand before it breaks [blank_start]x[blank_end] is the ability to soak up fluid along a strand
Answer
  • memory
  • elasticity
  • knot tensile strength
  • capillarity

Question 62

Question
Which type of staplers are used in the alimentary tract in thoracic procedures?
Answer
  • Linear staplers
  • Intraluminal circular staplers
  • skin staplers
  • ligating and dividing staplers

Question 63

Question
This suture is used for opthalmic procedures.
Answer
  • plain catgut
  • collagen suture
  • surgical silk
  • surgical stainless steel

Question 64

Question
This suture is used in the serosa of the GI tract.
Answer
  • surgical silk
  • surgical stainless steel
  • plain catgut

Question 65

Question
This suture is used in the respiratory tract, orthopedics and neurosurgery.
Answer
  • Surgical Silk
  • Surgical stainless steel
  • Collagen suture
  • Plain Catgut

Question 66

Question
used to ligate small vessels and suture subcutaneous fat
Answer
  • surgical silk
  • collagen suture
  • plain catgut
  • stainless steel

Question 67

Question
[blank_start]Trocar[blank_end] needle points are for penetrating tough tissues.
Answer
  • Trocar

Question 68

Question
The body's reaction to suture material starts [blank_start]x[blank_end].
Answer
  • at the time of insertion.
  • weeks after the suture insertion
  • days after the suture insertion
  • months after suture insertion

Question 69

Question
Which of the following are natural absorbable suture materials?
Answer
  • Chromic catgut
  • Polyglactin 910
  • Collagen
  • Polyglyconate

Question 70

Question
Select the suture material below that is synthetic absorbable suture:
Answer
  • surgical cotton
  • surgical silk
  • polyglycolic acid
  • linen

Question 71

Question
Which of the following skin closure products involve the use of liquid polymers?
Answer
  • skin clips
  • skin closure dressings
  • skin adhesives
  • skin closure strips

Question 72

Question
Select the features and benefits of using a French-eye/split-eye needle.
Answer
  • Can be used with any type of suture material
  • diameter of the needle should match the type of suture used.
  • Easy to thread
  • Eye has a variety of shapes

Question 73

Question
During which phase of wound healing does contraction occur?
Answer
  • Epithelialization
  • Inflammation
  • proliferation
  • Remodeling

Question 74

Question
Identify the proper sequence of events in the body's defense mechanism
Answer
  • cleaning up the pathogens -> repairing deeper tissue damage -> hemostasis -> wound sealing
  • wound sealing -> cleaning up the pathogens -> repairing deeper tissue damage -> hemostasis
  • hemostasis -> cleaning up pathogens -> regeneration of epidermal covering -> repairing deeper tissue damage
  • hemostasis -> cleaning up the pathogens -> wound sealing -> regeneration of epidermal covering

Question 75

Question
At what point in the healing process do most wound disruptions occur?
Answer
  • Beginning of proliferative phase: (Phase 2) 2 to 10 days
  • End of proliferative phase: (Phase 2) 10-22 days
  • Beginning of maturation phase (Phase 3) 21 days to 6 weeks
  • End of maturation phase (Phase 3) 6 weeks to 2 years

Question 76

Question
Colon resection would be classified as a [blank_start]x[blank_end] wound. Open or fresh traumatic wound would be classified as a [blank_start]x[blank_end] wound. Ruptured appendix would be classified as a [blank_start]x[blank_end] wound. Thyroidectomy would be classified as a [blank_start]x[blank_end] wound.
Answer
  • clean contaminated
  • contaminated
  • septic
  • clean

Question 77

Question
Prolonged high dosages of steroids preoperatively delay
Answer
  • hemoglobin formation
  • bile production
  • insulin production
  • collagen formation

Question 78

Question
The CDC's classification of Surgical Wounds system is intended to
Answer
  • categorize surgical wounds based on coexisting diseases and according to origin, diagnosis and treatment
  • elaborate on the CDCs principles of universal precautions by establishing guidelines for treating infections should they occur
  • suggest emergency criteria for dealing with infections inside the procedure room
  • monitor postoperative infections and suggest steps to take to reduce these infections

Question 79

Question
Select the intraoperative factors that negatively affect wound healing.
Answer
  • A surgical complication
  • Failure to eliminate dead space when closing the incision
  • Implantation of orthopedic hardware
  • surgical incisions in an areas of high mobility
  • surgical incisions in highly vascular areas
  • use of xray during the procedure

Question 80

Question
Match the topical hemostatic method with the appropriate method of action. Passive - [blank_start]x[blank_end] Flowables - [blank_start]x[blank_end] Fibrin sealants - [blank_start]x[blank_end] Active - [blank_start]x[blank_end]
Answer
  • provide a barrier
  • enhanced clotting
  • mechanically obstruct flow
  • increase amount of fibrinogen

Question 81

Question
Methods of producing hemostasis include which of the following?
Answer
  • Administering blood
  • Applying pressure
  • Using electrocautery
  • Irrigating with large amounts of sterile saline
  • Using an antiseptic solution containing alcohol
  • Using topical hemostatic agents.

Question 82

Question
The process of digestion of pathogens by neutrophils and macrophages is known as
Answer
  • Epithelialization
  • hemostasis
  • Edema formation
  • phagocytosis
  • proliferation
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