AORN Periop 101 Module Questions 2023
- In addition to the surgeon which surgical team members wear
sterile gowns and gloves during the procedure? SATA
a. anesthesia
b. circulating nurse
c. scrub
d. surgical assistant (answer) C & D Scrub and Surgical assistant
2.The pathology laboratory and blood bank are usually situated in which
of the following areas? (answer) Unrestricted area
3.Defining nursing goals and intervention strategies is a part of which
phase in the nursing process? (answer) Outcome Identification
4…………….The goals of perioperative nursing interventions are to
deliver optimal patient care SATA
A. conveniently
B. effectively
C. efficiently
D. safely
E. skillfully (answer) B, C, D, E - Which of the following is considered a critical perioperative nursing
diag- nosis within the PNDS?
A. Impaired tissue integrity
B. Pain
C. Risk for fluid volume deficit
D. Risk for perioperative positioning injury (answer) D - Which items of attire are required when entering the sterile
processing area? SATA
a. scrub suit
b. head cover
c. shoe covers
d. surgical mask (answer) A & B - What phases of the nursing process does the periop nurse practice
during the preop phase of the surgical experience? SATA
a. assessment
b. eval
c. identification of desired outcomes
d. implementation
e. nursing dx
f. planning (answer) A, C, E, F
8.Data collection is part of which phase in the nursing process? (answer)
Assessment - Competency statements (answer)
a. direct a nurse’s activity in the periop arena
b. provide a basic model to eval the quality of nursing practice
c. ascertain a level of skills and abilities necessary to fulfill the
processional role
d. all of the above. (answer) D - True or False (answer)
it is important for perioperative nurses to practice within the context of
professional standards and to maintain current knowledge of nursing
prac- tice? (answer) True
11.Professional nurses seek to support and encourage peers by…
(answer) Through precepting, mentoring, and role modeling, and
providing feedback, the professional nurse is a daily example of
excellence in the perioperative setting
12.Perioperative nurses can enhance their professionalism by… (answer)
A nurse can improve professionally by making use of the various
online and independent study resources developed by AORN and by
participating in continuing the facility’s education activities and
accessing perioperative textbooks - When using the forum for public commenting on clinical guidelines
and offering a suggested change in the comment field, it is very important
that you (answer) SATA
a. suggest alternate phrasing
b. cite evidence to support your change
c. provide rationale for your suggestion
d. call the consult line to clarify the content with the guideline author
(answer) A, B, & C (answer)
suggest alternate phrasing, cite evidence to support your change,
provide rationale for your suggestion
14.based on what you have learned about various sources of information,
identify the ways in which the periop nurse can improve professionally?
(answer) The different ways in which a perioperative nurse can improve
professionally are (answer) AORN continuing education conferences,
attending chapter meetings, reading AORN Journals, and visiting AORN
websites.
15.True or False (answer) AORN guidelines can replace departmental and
institution- al policies? (answer) False
AORN Periop 101 Exam 2023
1.When applying the concept of surgical conscience which of the
following statement should be considered? Select all that apply (answer)
A. It involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of
aseptic technique.
2.In preparing for a regulatory survey, your quality consultant questions
you about the restricted zone in your OR suite. The following statements
are true (answer) A. Air flow in the OR rooms should be cleaned by
HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75
degree F.
3.You are assigned to relieve a surgical technologist for lunch. You
will need (answer) A. A sterile gown and gloves opened on a table
(other than the main instrument table) for closed gloving.
4.The Joint Commission Universal Protocol consists of: Select all that
ap- ply (answer) A. Preoperative verification
B. Surgical site marking
C. Time Out
5.Which of the following procedures reflects best practice for transferring
a medication vial to the sterile field (answer) D. Use a sterile transfer
device
6.Which of the following practices is recommended for handling of natural
absorbable suture (answer) C. Open the package carefully over a small
basin to prevent splashing of the packaging solution
7.Recommended sponge count procedures include all of the following
EX- CEPT (answer) B. Counting silently so it doesn’t distract other
personnel.
8.What is the correct definition of incisional biopsy (answer) D. A small
portion of tissue is incised and sent for examination.
9.Which of the following methods listed below may prevent mishap, event,
or fire from occurring when handling electrosurgical equipment? Select all
that apply (answer) A. Allow enough time for alcohol based skin
preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea
when oxygen is being “blown over” the patient.
D. Visually check the integrity and insulation of all cords and
coagulation instru- ments before use.
10.Intrinsic and extrinsic factors that may lead to development of
preopera- tive pressure ulcer include: Select all that apply (answer) A.
Duration of the procedure
B.Exaggerated positions
C. Circulatory disorders
D.Malnutrition
11.Which of the following statements reflect the concept of critical
thinking? Select all that apply (answer) C. Informed practice
D.Holistic thinking
E. Unbiased thinking
F.Reasoned application of a step by step process
12.What is the best drape to use for an umbilical hernia repair (answer) B.
Laparoto- my
13.Which of the following statements correctly describes
recommendations for preoperative patient skin antisepsis (answer) D.
Prep should start at the site of the incision and move outwards.
14.What are the 3 main factors to consider when assessing the patient
for allergies (answer) C. Prior reaction, heredity, type of reaction
15.The following steps can be used to reduce personnel exposure to
speci- men fixatives such as formalin. Select all that apply (answer) A.
Avoid splashing while pouring
C.When pouring wear gloves and a mask.
D.Use absorbent material and then triple rinse with water any area
or surface where accidental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons
unfamiliar with their use.
16.After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient (answer) A.
Administration, excitement, intrasurgery, respiratory failure
17.What responsibilities do OR staff members have in maintaining a safe
OR environment? Select all that apply (answer) A. Adhering to facility
policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18.In addition to giving Dantrolene, which of the following treatment
options for malignant hyperthermia should the nurse anticipate and
prepare for (answer) B. Provide 100% oxygen, used iced saline to cool
patient.
AORN Periop 101 Final Exam 2023
1.answer> A > Evidence-based practice questions are typically
formatted as PICO ques- tions. What does PICO stand for?
a) Patient, Intervention, Comparison, Outcome
b)Patient, Investigation, Comparison, Outlier
c) Population, Intervention, Counter-Intervention, Outlier
d)Problem, Investigation, Counter-Intervention, Outcome
2.answer> D > Every member of the healthcare team has a role to play
in cost containment. Which of the following is an example of how the
perioperative RN can participate in cost containment in the OR?
a)Ask the surgeon to use a less expensive implant
b)Begin cleaning the OR for the next case before the patient leaves theroom
c) Open all supplies listed on preference card, including “available”
supplies
d)Verify with surgeon before opening suture
3.answer> C > An RN who attends continuing nursing education and
has verified skills, knowledge, and attitudes about perioperative
nursing is demonstrating account- ability in his/her:
a)Certification requirements for professional achievement in
perioperative nursing
b)Collaboration among team members
c) Professional growth and maintenance of competency
d)Verification of nursing knowledge
4.answer> D > Which of the following statements is TRUE
concerning use of the AORN Guidelines for Perioperative Practice?
a)Both medical and nursing licensing boards require health care
institutions to comply with the AORN guidelines
b)The AORN Guidelines legally supersede departmental and
institutional policies
c)The AORN Guidelines reflect scientific evidence of how nurses
actually practice in perioperative settings
d)Work setting and situation variations may determine the extent to
which AORN Guidelines can be applied
5.answer> C > Which of the following is NOT an example of an ethical
dilemma that periop- erative nurses may encounter?
a) Do-not-resuscitate (DNR) order for a surgical patient
b)Family disagreement regardings possible organ donation
c)Family disagreement about a below the knee amputation on an 18
year old who has already given consent
d)Human experimentation
6.answer> B > The phrase “At least one individual failed to do what a
similarly situated, rea- sonable, and prudent professional would have
done under similar circumstances” is the definition of:
a)Abandonment
b)Negligence
c) Unethical behavior
d)Malpractice
7.answer> D > All of the following are accurate descriptions of
“professional accountability” EXCEPT:
a)Becoming certified in your specialty
b)Collaborating with peers in selecting the right instruments and right
equipment for each patient
c) Pursuing a higher academic degree
d)Relying ONLY on peer evaluations
e) Staying current with changes in your specialty
8.answer> B > Part of the AORN standards of Professional Practice
mandate that nurses evaluate the quality of their nursing practice.
Four ways to ensure professional practice related to the AORN practice
include: maintaining competency, the use of evidence-based practice,
certification,
a) Mentoring student nurses
b)Pursuit of lifelong learning
c) Achieving a minimum of an associate’s degree
d)Achievement of an advanced practice nurse degree
9.answer> C > After transferring a male patient into the Phase I PACU,
the perioperative RN could reasonably expect the PACU RN to FIRST:
a)Administer medication to the patient for nausea and vomiting
b)Ask the patient is he has any pain
c) Assess the patient’s airway and respirations
d)Care for this patient and two other patients as assigned
10.answer> B > During a handover report to the PACU RN, the
perioperative RN may use a communication method identified by the
acronym “SBAR.” What does SBAR stand for?
a) Safety, Background, Actions, Recovery expectations
b)Situation, Background, Assessment, Recommendation
c) Safety concerns, Background, Assessment, Responsibility
d)Surgeon, Background, Assessment, Recovery time
11.answer> C > A 40-year-old male patient is awake and alert in the
post anesthesia care unit after right shoulder surgery. What is the
BEST measure to assess the patient’s
AORN Periop 101 Final Exam Study Guide 2022
1.answer>This type of needle point is what you would expect to be
needed for suturing friable tissue such as the liver.: What is a Blunt
needle point?
2.answer>These particular wound closing items are available in a wide
variety of instrument sizes.: What are disposable stapler sets?
3.answer>Give one example from TJC list of Do-Not-Use Abbreviations,
Acronyms, and Symbols.: What is cc? - answer>The surgical wound classification for a total abdominal
hysterectomy.: –
What is Clean contaminated?
5.answer>Following an excisional breast biopsy, the circulating nurse
would antic- ipate the need to have available this type of drain: What is a
Jackson-Pratt?
6.answer>This position can cause physiological effects of circulatory
and res- piratory compromise due to pressure on the abdomen.: What
is Lithotomy Position?
7.answer>To protect sensitive areas of the skin with appropriate padding
is a rec- ommended practice for this:: What is to reduce the patient’s risk
of intraoperative skin injury.
8.answer>An environmental sanitation practice that is required to limit
the trans- mission of microorganisms to personnel when handling body
fluid spills: – What is personal protective equipment?
9.answer>It is recommended to inspect the active electrode for insulation
defects to prevent this from occurring during MIS: What is capacitive
coupling? - 1answer>According to AORN RP for positioning the patient, the
perioperative nurse should:
What is…
a. Use a consistent method of procedure-specific position for each patient
b. Rely on the surgeon’s and anesthesia provider’s assessments to
guide positioning
c. use additional precautions as appropriate based on unique patient
consid- erations
d. Depend on the patient’s natural defense mechanisms to indicate the
need for positioning alterations: c. use additional precautions as
appropriate based on unique patient considerations
11.1answer>The disadvantage of using this type of wound closure is
because they often cause more scarring than other skin closure methods.:
What is skin clips?
12.1answer>An automatic intraoperative suspension of a do-notresuscitate deci- sion violates a patient’s ethical right to…: What is Selfdetermination?
13.1answer>This type of human factor error is responsible when a
perioperative nurse is trying to attend to several tasks at once: What is
situational-based error?
14.1answer>Restricting pathogenic organisms from the patient,
environment, equipment, and supplies is the definition of….: What is
aseptic technique?
15.The most important consideration when selecting these materials is to
prevent risk of contaminating patients with endogenous and exogenous
microorganisms; and risk of exposing healthcare workers to patient’s
blood and body fluids: What are draping materials?
16.1answer>Patient and caregiver education for continuing post-op care at
home is the primary focus of this Phase of post anesthesia care.: What is
Phase II?
17.1answer>According to the Institute of medicine recommendations for
improving patient safety, this organization has the greatest potential
impact to make changes on improving pt safety: What are Healthcare
organizations? - 1answer>This statement about gloving
technique is true What is…
a. When gloving another person, always glove the left hand first.
b.The scrub gown should be fastened in the back before donning gloves
c. Open glove technique is used for initial donning of the sterile gown
and gloves.
d. Closed glove technique is used to glove the surgeon or assistant.: b.
The scrub gown should be fastened in the back before donning gloves
AORN Periop 101 Practice Questions 2022
1.In addition to the surgeon, which surgical team members wear sterile
gowns and gloves during the procedure? (answer) Scrub Person AND
Surgical assis- tant
2.The pathology laboratory and blood bank are usually situated in which
of the following areas? (answer) Unrestricted area
3.What phases of the nursing process does the periopeartive nurse
practice during the preoperative phase of the surgical experience?
(answer) Assessment, Iden- tification of desired outcome, Nursing
diagnosis, Planning - Data collection is part of which phase in the nursing process (answer)
Assessment - Which of the following is considered a critical perioperative nursing
diag- nosis within the PNDS? (answer) Risk for perioperative
positioning injury
6.Competency statements (answer) Direct a nurse’s activity in the
perioperative arena; Provide a basic model to evaluate the quality of
nursing practice; Ascertain a level of skills and abilities necessary to
fulfill the professional role (All of the above)
7.Defining nursing goals and intervention strategies is a part of which
phase in the nursing process (answer) Outcome identification
8.Match each staff member with the appropriate responsibility (answer)
Scrub person- Monitors aseptic technique; RN circulator- Creates and
maintains a safe envi- ronment; Housekeeping- Cleans the furniture at
the end of the OR day; Nurse anesthetist- administers anesthesia to
the patient
9.Creating cultures that supports patient safety through which of the following mechanisms? (answer) Convene and communicate with
members about safety; Incorporate attention to patient safety into
training programs; Collaborate across disciplines.
10.The IOM report describes the importance of setting standards and
expec- tations for patient safety. Setting standards can (answer) Set
expectations for the health professionals; Establish consistency across
individuals and organizations; Help set expectations of consumers and
purchases.
11.Which of the following AORN Position Statement on Correct site of
surgery is true? (answer) The staff member should verbally verify
the correct site with each member of the surgical team
12.Maintaining a safe OR environment, staff members are required to
(answer) – Monitor, identify, and reports safety hazards; Understand
and comply with the emergency power outage plan; Practice sound,
basic and OR specific electrical and fire safety.
13.The elements required to create a cultures of safety include (answer) A
sense of trust among team members; A sincere commitment of
affirming safety as the first priority; Development and support of a
proactive approach rather than a reactive blaming approach;
Dissemination of receipt of information to all levels of staff.
14.Which of the following practices should be used ti implement the Joint
Commission’s Universal Protocol for preventing Wrong Site, Wrong Procedure, Wrong Person Surgery? (answer) Using a time-out procedure
before beginning the procedure
15.The purpose of the National Patient Safety Goals is to (answer)
Promote specific im- provements in patient safety; Highlight
problematic areas in health care; Describe evidence and expert-based
system-wide solutions to the problems
16.AORN’s Guidelines for Perioperative Practice provides (answer)
Information on administrative topics; Information that can be used to
develop institution-specific policies; Scientific evidence for clinical
practices.
17.Which of the following are true about AORN’s Guidelines for
Periopera- tive Practice? (answer) They are based on what nurses do in
ideal situations; They may be fulfilled to varying degrees in different
situations.
18.Why is it important for perioperative nurses to have a basic
understand- ing of business principles? (answer) To enable them to plan
safe and effective care that is also cost-effective; To facilitate
competition for patient volume; To manage and allocate resources
wisely
19.Match the type of budget with its description (answer) Gross
revenue- All monies received by the facility for goods and services;
Fixed expenses- Medical records and administration; Net revenuegross revenue minus expenses; Variable costs- Costs directly related
to patient volume
20.Which of the following definitions are correct? (answer) Liable means
to bind or to be responsible to or to be under obligation to; Negligence
means the failure to exercise care that a prudent person would
perform under the same circumstances.
21.Professionalism in nursing means (answer) Showing personal
accountability in un- derstanding the Nurse Practice Act; Maintaining a
current knowledge base; Partic- ipating in professional organizations.
22.Which of the following social media practices are important for the
pro- fessional nurse to follow? (answer) Acknowledge that anything you
post on the internet is there forever; Do no speak on behalf of your
employer unless you have been authorized to do so; Facebook mixes
your personal and professional lives and requires careful attention.
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