AORN Final Study Guide

Fire prevention strategies when using alcohol based prep includes all of the following except:

How do you clean in the perioperative environment? Select all that apply.

The reversal agent for midazolam is:

Scrubbed team members should follow which of the following techniques when at the sterile field:

Fentanyl can be reversed with naloxone.

Which of the following is not an effects of post-operative nausea and vomiting:

When in doubt about an item’s sterility, consider the item to be contaminated.

The FDA category 1 rating for skin antisepsis products includes the following:

When performing abdominoperineal prep, one must start from the dirtiest areas to end at the cleanest.

Potential complications associated with gas insufflation include (select all that apply):

Open and count the sterile field for multiple patients in the same room.

Examples of an unrestricted zone include all of the following except:

Explain the role of the RN when a patient is scheduled to receive local-only anesthesia during surgery.

All of the following are triggering agents of MH EXCEPT:

By respecting the rights of the patient, nurses can serve as the patient’s advocate. Every patient has the right to:

Cleaning and disinfecting any procedural room is the key in spreading potentially pathogenic bacteria.

If an instrument has any type of debris on it, the whole set is contaminated.

Spray bottles are an acceptable product to apply cleaning agents in the perioperative environment.

Time out is a pause in patient care immediately before a procedure begins, to conduct a final assessment of the patient.

Hand hygiene is the single most effective action to prevent the spread of infection.

Cricoid pressure...

LAST is:

The instrument table is sterile at the level of the OR bed.

If intubation/ventilation becomes difficult, the periop nurse should retrieve additional airway equipment and supplies.

Patient risk factors for LAST include:

Gloves should be changed in which of the following conditions. Select all that apply.

The RN should be familiar with the location of emergency anesthesia equipment such as fluid warmers and adjunct airways.

Explain the role of the RN(s) when a patient is scheduled to receive moderate sedation during surgery.

Terminal cleaning occurs at the end of each day and is more extensive, thorough cleaning performed by trained personnel.

Unscrubbed team members should follow which of the following techniques when working around the sterile field:

During the preoperative assessment identify the patient’s risk factors for hypothermia, including:

Instruments should not be covered if they will not be used immediately or during periods of increased activity.

A sterile field is contaminated when unsterile items come in contact with it.

Sterile packaging edges are considered unsterile.

When assessing the patient for medication use, it is important to ask questions about (select all that apply):

Clinical signs of a gas embolism include (select all that apply):

A borescope is an inspection tool placed through an instrument’s lumen and used to inspect the inside of the instrument.

Benefits of robotic surgery include precision, flexibility, efficiency, and safety.

A sterile gown is considered sterile from the chest to the knees and 2 inches above the elbow to the cuff.

It is imperative for all team members to keep conversations to a minimum when functioning within a sterile field.

Clipping hair at the surgical site is unnecessary when using an alcohol-based prep in procedures using a cautery source

Interventions to manage a gas embolism include (select all that apply):

MH is a genetic disorder, causes life-threatening crises for pt's receiving general anesthesia with triggering agents.

The key indicators of an items sterility include the following except:

Sterile fields and instruments are kept separate, not used interchangeably for surgeries with more than one wound class.

Asepsis is the presence of pathogenic microorganisms.

When should NPO status be assessed?

Select all of the following examples of a semi-restricted area:

What are the American Society of Anesthesiologist’s fasting guidelines for a healthy adult scheduled for surgery?

Practices to reduce the risk for patient injures and complications associated with MIS are (select all that apply):

The factors to consider before determining what anesthetic to use for a particular patient are:

When a contaminated item is discovered on the sterile field all of the following need to be done. Select all that apply.

Prepare the sterile field in the location where it will be used.

It is not necessary to wear PPE and follow standard precautions when handling trash, linen, and other contaminated items

Areas of SPD include the decontamination area, assembly area, sterilization of equipment area, and the central core.

Which of the following ways assist in measuring the cleanliness of the perioperative environment:

Sterility is the absence of virtually all microorganisms.

What are some factors that contribute to hypothermia in the operating room?

What is the most specific sign of MH?

A close eye for S/S of withdrawal in pt's with a hx of drug abuse must be observed during and after long procedures.

Herbal preparations may (select all that apply):

Fluid can be used to create a surgical working space either by gravity or pump infusion. Fluid is selected by assessing:

Alcoholism can affect our patients by (select all that apply)

CO2 gas is flammable and dissolves easily into the bloodstream which is why it is the choice gas for insufflation.

Universal key points about environmental cleaning in a perioperative setting include:

The air handler must filter the air in an emptied OR for a designated amount of time on pt's with airborne precautions.

The chain of infection begins with bacteria that resides in a reservoir and includes a susceptible host.

Environmental cleaning strategies in SPD include the following:

Potential benefits of minimally invasive surgery include (select all that apply):

Identify two critical actions that the RN should take when confronted with an MH crisis.

The preoperative patient assessment includes:

Signs and symptoms of LAST include all of the following except:

CO2 insufflation gas creates a pneumoperitoneum, allowing for the direct visualization of abdominal organs.

Energy device safety practices include the following: