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Cohort I & II AORN Review Flashcards | StudBud
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Cohort I & II AORN Review
Cohort I & II AORN Review
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Periop 101
Flashcards
69 cards
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Practice quiz
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Host live
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Questions
69
Answers
1
When using an axillary roll during lateral positioning, assess the ( ) pulse.
Brachial
Carotid
Popliteal
Radial
2
When should terminal cleaning of an OR suite occur?
At the end of a bloody case.
Once a shift.
After a procedure with a Hep C+ patient.
At the end of the day/ at least 1x in a 24hr period.
3
Thrombin is a hemostatic agent that uses thermal methods to form a clot.
True
False
4
The following are potential adverse effects of hemostatic agents,
except
.
Topical thrombin: IV thrombosis
Absorbable gelatin foam: extracellular risk of clotting
Absorbable gelatin foam: increased risk of wound infection
Oxidized cellulose: pressure in confined spaces
5
Which of the following is
incorrect
when draping a patient for surgery?
Reach over the patient to drape the opposite side
Begin at incision site and work out to the periphery
Any incorrectly placed drapes should be discarded
Drapes should be cuffed over a gloved hand
6
Jacob is 12 months old. As his, nurse you speak to him in mid-tones and loudly, to be clear.
False
True
7
The following are considerations when choosing drapes for a procedure,
except
?
Anticipated blood loss
Latex allergy
Irrigation fluid anticipated
Procedure duration
8
When removing soiled surgical attire, the gloves are removed first and then the gown.
False
True
9
Formalin exposures are minimal risk and need no special treatment when handling?
True
False
10
This needle is used for biliary tract, dura, fascia, vessels and GI tract.
Trocar
Reverse cutting
Blunt
Taper
11
During preop assessment, the nurse should take into consideration the following
except
:
Insurance plan
BMI
Braden Scale
Patient's ability to open their mouth.
12
A perioperative nurse must verify the informed consent is complete, up to date, and signed.
True
False
13
Placing forceps along the vertical side of an instrument tray is an approved AORN guideline.
True
False
14
The Surgical Safety checklist was implemented by which of the following entities?
Sentinel Event Advisory Group
WHO
IOM
TJC
15
Perforating towel clamps are the preferred instrument to secure drapes and equipment.
True
False
16
The open glove technique is used when a glove must be changed without assistance during surgery
False
True
17
Drains inserted after surgery
do not
result in faster healing or infection prevention.
False
True
18
Gelfoam, Floseal, and Surgicel are all examples of what type of method to achieve hemostasis?
Thermal
Biological
Mechanical
Chemical
19
During use of Argon-Enhanced ESU, which of the following should be considered?
Deactivate insufflator equipment alarms
Early detection of gas emboli is important
Use a high gas flow setting to allow the unit to work well
Intra-abdominal cavity needs to be flushed with nitrogen
20
How often should a surgical mask be changed?
When it becomes wet/soiled or worn for more than 4 hours
Only when the procedure is over
It does not matter how often it is changed
When it becomes wet/soiled or worn for more than 2 hours
21
Peracetic acid is a chemical sterilization agent that...
oxidizes and causes cellular death.
works by hydrolization.
uses high temperatures.
kills Crutzfeldt Jakob prions.
22
The proper process to open wrapped sterile supplies is the farthest flap, sides and the nearest
True
False
23
The Joint Commission defines patient education as a process of influencing behavior...
False
True
24
The individual responsible to inform a patient of risks, benefits, and surgical intervention is
Holding nurse
Medical Student
Circulating nurse
Attending surgeon
25
Lithotomy can have all the following physiological effects,
except
:
Hypertension
Pressure ulcer on heels
Pooling in the lumbar region
Hip dislocation
26
To prevent the spread of pathogens from one floor to another, linen chutes should maintain...
Positive pressure
Negative pressure
Both A & B
None
27
All need to be labelled on a medication on the sterile field
except
:
Concentration
Date prepared
Medication name
Patient name
28
Maceration occurs when moisture on the skin saturates and weakens the epidermis.
True
False
29
Integrators respond to define combinations of...
temperature, time, pressure, and bacterial count.
temperature, time, and presence of steam.
temperature, pressure, and bacterial count.
temperature, pressure, and time.
30
Which of the following is matched
incorrectly
?
DeBakey forceps: firmly grips tough skin and fascia
Allis: preferred for fascia, cysts, & knee cartilage
Kocher: used on fascia, bones, and uterine broad ligaments
Babcock: grasp delicate bowel tissue
31
What is the single most important factor in minimizing microorganism transfer?
Washing hands with warm water and soap for at least 15 sec.
Terminal cleaning with EPA approved disinfectants.
The proper use of PPE.
Cover facial hair, earrings, and remove jewelry.
32
Upon shift change, a medication vile was discovered without identification, the nurse should...
Call the previous nurse and confirm the medication.
Ask the scrub nurse what is in the vial.
Discard the medication.
Look for a vile nearby and make a label.
33
Elements that support a culture focused on patient safety include all of the following
except
,
Set standards
Collaboration across disciplines
Verbal orders
Incorporating patient safety into training programs
34
It is recommended that surgical gloves be changed every 90 to 150 minutes.
False
True
35
Surgical skin prep goals include all the following,
except
:
Reduce resident microbial count.
Remove visible debris from the skin.
Eliminate all microorganisms.
Inhibit rapid rebound growth of microorganisms.
36
Desired effects produced by GA include all
except
?
Hyperreflexia
Decreased stress response
Amnesia
Analgesia
37
A surgeon states that the rhinoplasty he performed is a wound class III. Is this a usual class?
No. I would discuss the surgeon's reasoning.
Yes. This is expected.
38
The closed glove technique can be used when the scrub person has to change their gloves.
False
True
39
Improper specimen labeling can result in all of the following,
except
:
Patient psychological decline
Interpersonal trust
Misdiagnoses
Additional procedures
40
Breathing and heart rate become erratic in which stage of anesthesia?
Excitement
Surgical Anesthesia
Overdose
Induction
41
Surgeons can refuse an x-ray if needed due to incorrect counts?
False
True
42
The initial step to the sterilization process is?
Sterilization
Packaging
Decontamination
Cleaning
43
The PACU RN scores a pt's mobility, resp. and cardiac status, pO
2
, and consciousness using this
Aldrete
MEWS
Bishop
APGAR
44
What dose of Dantrolene is given during a MH crisis?
5 ml/hr
2.5 mg/kg
5 mg/kg
2.5 ml/kg
45
An informed consent includes all, except:
Indications for the procedure
Procedure being performed with laterality
The date the procedure with take place.
Surgeon perform the procedure
46
Which of these drug classes are matched with the
incorrect
action?
Anti-inflammatory: reduce postop edema
Hemostatics: prevent coagulation of blood
Cardiac: produce vasodilation
Antibiotics: control & prevent infection
47
AORN Guidelines are a nationally recognized legal standard that drive hospital policies.
False
True
48
If a highly contaminated area is part of the procedure, which area is prepped first?
Cleanest
Highest bacterial count
Surgical site every time
Peripheral to distal
49
The Centers for Medicare and Medicaid Services no longer reimburses for SSIs or wrong site?
True
False
50
When damp dusting you should begin with lower surfaces and work up to higher levels.
False
True
51
The sterile area of the gown is...
Shoulders to wrists
Front: chest to the level of the sterile field.
Front: shoulders to elbows
Axillary area
52
To reduce the risk of igniting prep solution vapor is to dab the solution to dry.
False
True
53
Why is CO2 the gas of choice for minimally invasive procedures?
It helps with patient recovery time
It suppresses combustion
It stays in the body for a longer period of time
It doesn't interact with trocars
54
What is the purpose of cricoid pressure?
To reduce aspiration
To visualize the vocal cords
To reduce laryngospasm
To hold the airway open
55
Initial surgical hand scrub should last for how many minutes?
3
8
4
5
56
Which
is not
a common symptom of a penicillin allergy?
Colitis
Tissue damage
Dry mouth
Nausea & Vomiting
57
Documentation for tourniquets should include all of the following
except
?
Cuff color/size
Skin integrity before and after use
Cuff Location
Cuff pressure
58
What action can you take to prevent a fire while using flammable skin antiseptic agents?
Allow prep to dry according to manufacturers recommendations
Pre-clean the surgical site using a non-flammable solution
Test cautery near surgical site prior to time out
Allow the prep to saturate the entire surgical site and pool
59
Lithotomy is a variation of supine.
True
False
60
The most common clamping instrument is?
Hemostat
Kocher
Allis
Edna
61
Frozen specimens can be collected at the duration of the procedure and placed in preservative?
True
False
62
What is a phaco used for?
A power tool designed to enter the skull for a craniotomy.
An ultrasonic tool used during cataract surgery.
To cut through the sternum for cardiac & thoracic surgery.
To cut layers of skin for skin grafts.
63
2-0 Vicryl CT-2 C/R can be used if a surgeon desires a dissolvable suture?
False
True
64
Which of the following is a role of the circulating nurse?
Provide emotional support to the patient prior to induction.
Assist the surgeon by stapling the incision.
Set up and maintain the sterile field.
Initiate the ESU.
65
General anesthesia is?
infiltration of agents to anesthetize a part of the body
an injection near nerve fibers
when an anesthesia provider monitors the patient.
a drug-induced state of reversible unconsciousness
66
Peanuts and cherries are examples of what type of sponges?
Neuro patties
Tonsil
Laparotomy
Dissector
67
"Sevo", with or without nitrous oxide, is the anesthetic of choice for inhalational induction?
False
True
68
An operative wound in which the respiratory, alimentary, or genitourinary tract is entered.
Class III: Contaminated
Class IV: Dirty/Infected
Class II: Clean Contaminated
Class I: Clean
69
The Joint Commission's Universal Protocol includes:
Time-Out prior to procedure start
Staff using surgical masks correctly
Patient education
Using a non-verbal patient's room number to identify them
