- A nurse who helped found the field of perioperative
nursing during the Crimean War was
a. Clara Barton
b. Florence Nightingale
c. Lillian Wald
d. Mary Breckinridge
e. Mary Ezra Mahoney
B
- In 1920, an organization that developed a standard
curriculum of OR techniques was
a. AMA
b. AORN
c. Bellevue Hospital
d. The National League of Nursing
e. The Nightingale Society
D
- In an environment of care, perioperative RNs should
a. Always follow the instructions of surgeons
b. Maintain the patient as the focus of all team
activities
c. Minimize communication in order to work
efficiently
d. Never deviate from protocol, even if an error
may result
e. Strive for a culture of efficiency rather than
safety
B
- Perioperative RNs primarily use checklists to ensure that
a. Lawsuits from the patient and their family are
avoided
b. New nurses perform their work as expected
c. Surgical supplies are not wasted before or after
surgery
d. Staff begin shifts on schedule and relieve one
another as needed
e. The plan of care is implemented correctly
before, during, and after surgery
E
- The pre-incision TIME OUT should be performed
by which member(s) of the perioperative team?
a. All perioperative team members
b. All perioperative team members except
anesthesia professionals
c. Perioperative RNs
d. Scrub nurses only
e. Surgeons only
A
- This perioperative RN prepares the OR, helps with
anesthesia induction if requested, and works outside the sterile field to ensure the perioperative team has everything it needs.
a. PACU nurse
b. Pre-admission nurse
c. RN circulator
d. Registered nurse first assistant (RNFA)
e. Scrub person
C
- Which of the following best describes the semirestricted
surgical practice area?
a. Has work areas for processing and storing instruments b. Includes the OR c. Permits wearing of street clothes d. Requires that all patients wear masks e. Used for communication of information between the surgical suite and the rest of the health care facility
E
- When updating the patient’s support person during surgery, a nurse should
a. Call the surgeon away from the operation, but
only if the support person demands it.
b. Discuss a projected time frame for completion
of the surgery
c. Discuss the patient’s expected prognosis
d. Provide details of the surgery and describe any
problems
e. Tell the patient that she is not allowed to talk to
the support person
B
- Advanced practice nurses in the perioperative
setting may do all of the following except which
one?
a. Direct patient care
b. Help implement improvements in healthcare
systems
c. Perform surgery in an emergency without a
surgeon being present
d. Serve as first assistant during surgery
e. Teach self-care to patients and their support
team
C
- Wrong-site surgical errors
a. Almost never happen
b. Are the sole responsibility of the surgeon to
prevent
c. Are usually due to incorrect information
provided by the patient
d. Can result from failure to perform the TIME
OUT before surgery
e. Should be concealed from the patient as much
as possible
D
- Approximately what percentage of serious medical errors are thought to associated with
miscommunication during patient hand-offs?
a. < 1%
b. 10%
c. 50%
d. 80%
e. 100%
D
- Which of these activities is NOT performed in the
preoperative area?
a. Information is confirmed from the patient’s
history
b. The circulating RN and scrub nurse count
instruments, sponges, needles, and other sharps
c. The patient’s name, date of birth, procedure,
and procedure site are confirmed
d. The anesthesia plan is confirmed, and consent
for anesthesia is obtained
e. The surgical site is confirmed and marked
B
- The postoperative period is defined as which of the following?
a. Admission to the PACU to transfer to a patient
care unit
b. Admission to the PACU to patient’s death
c. Closure of the incision to admission to the
PACU
d. Discharge from hospital to patient’s return
home
e. Leaving the OR to admission to the PACU
A
- Fast tracking patients from the OR to the PACU
Phase II due to rapid-onset, fast-emergence general
anesthetics may require the increased use of which
drugs?
a. Amphetamines
b. Anticoagulants
c. Anti-emetic and pain control drugs
d. Antihypertensives
e. Sedatives
C
- The body’s most important barrier to infection is
a. Saliva
b. Skin
c. Keratin
d. Tears
e. Vitamin C
B
- Which activity is NOT recommended to reduce the risk of surgical infections?
a. Administer prophylactic antibiotics as directed
b. Keep the OR doors closed during the operative
procedure
c. Minimize movement and talking during the
operative procedure
d. Perform a TIME OUT before beginning the
procedure
e. Perform a thorough skin prep and hand scrub
D
- The primary responsibility of scrub nurses is to
a. Help anesthesia professionals anesthetize
patients
b. Perform the skin prep
c. Perform a thorough hand scrub before surgery
d. Providing needed instruments to the surgeon
and first assistant during the surgical procedure.
e. Scrub dirty/used surgery instruments before
they are sterilized.
E
18. Which of the following is a role of a registered nurse first assistant (RNFA)?
a. Assist with the surgical procedure
b. Clean up the OR after surgery
c. Concurrently perform the duties of a scrub
nurse
d. Perform the skin prep
e. Practice at the direction of a RN Circulator
A
- Which of the following phases of anesthesia
recovery is best described by the following
description? The patient is more alert and functional
and no longer requires intensive nursing care. The
focus is on preparing the patient for self-care, care
by support persons, or care in an extended-care
environment.
a. Phase I
b. Phase II
c. Phase III
d. Phase IV
e. Not possible to state based on this information
B
- An instrument falls below the level of the back table during an operative procedure. Only the circulating RN sees this happen. The nurse should
a. Try to catch the instrument before it touches the
floor
b. Discard and replace the instrument with a sterile
one
c. Pick up the instrument and return it to the table
d. Follow the 5-second rule (OK if not on floor for
more than 5 seconds)
e. Inspect for visible particulate matter and use if clean
B
-
Exam 1 Week 1 (Intro to Periop)46
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Exam 1 Week 2 (Preparing the Pt for Surgery)37
-
Questions (Textbook 6th Edition)49
-
Questions (AORN)20
-
Midterm Week 3 (Preparing the Sterile Field & Pt for Surgery)69
-
Midterm Week 4 (Instrument Processing)85
-
Midterm Week 4 (Effective Management of Surgical Instrumentation)38
-
Midterm Week 5 (Positioning)51
-
Exam 2 Week 646
