{"id":110420,"date":"2023-07-26T19:20:33","date_gmt":"2023-07-26T19:20:33","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110420"},"modified":"2023-07-26T19:20:36","modified_gmt":"2023-07-26T19:20:36","slug":"aorn-periop-101-final-exam-study-guide-questions-and-answers-2022-2023-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/26\/aorn-periop-101-final-exam-study-guide-questions-and-answers-2022-2023-verified-answers\/","title":{"rendered":"AORN Periop 101 Final Exam Study Guide Questions and Answers (2022\/2023) (Verified Answers)"},"content":{"rendered":"\n<p>1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver.<br>What is a Blunt needle point?<\/p>\n\n\n\n<p>2.These particular wound closing items are available in a wide variety of instrument sizes.<br>What are disposable stapler sets?<\/p>\n\n\n\n<p>3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols.<br>What is cc?<\/p>\n\n\n\n<p>5.The surgical wound classification for a total abdominal hysterectomy.<br>What is Clean contaminated?<\/p>\n\n\n\n<p>4.Following an excisional breast biopsy, the circulating nurse would anticipate the need to have available this type of drain<br>What is a Jackson-Pratt?<\/p>\n\n\n\n<p>6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen.<br>What is Lithotomy Position?<\/p>\n\n\n\n<p>7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this:<br>What is to reduce the patient&#8217;s risk of intraoperative skin injury.<\/p>\n\n\n\n<p>8.An environmental sanitation practice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills<br>What is personal protective equipment?<\/p>\n\n\n\n<p>9.It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS<br>What is capacitive coupling?<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"10\">\n<li>According to AORN RP for positioning the patient, the perioperative nurse should:<br>What is\u2026<br>a. Use a consistent method of procedure-specific position for each patient<br>b. Rely on the surgeon&#8217;s and anesthesia provider&#8217;s assessments to guide positioning<br>c. use additional precautions as appropriate based on unique patient considerations<br>d. Depend on the patient&#8217;s natural defense mechanisms to indicate the need for positioning alterations<br>c. use additional precautions as appropriate based on unique patient considerations<\/li>\n<\/ol>\n\n\n\n<p>11.The disadvantage of using this type of wound closure is because they often cause more scarring than other skin closure methods.<br>What is skin clips?<\/p>\n\n\n\n<p>12.An automatic intraoperative suspension of a do-not-resuscitate decision violates a patient&#8217;s ethical right to\u2026<br>What is Self-determination?<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"13\">\n<li>This type of human factor error is responsible when a perioperative nurse is trying to attend to several tasks at once<br>What is situational-based error?<\/li>\n<\/ol>\n\n\n\n<p>14.Restricting pathogenic organisms from the patient, environment, equipment, and supplies is the definition of\u2026.<br>What is aseptic technique?<\/p>\n\n\n\n<p>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&#8217;s blood and body fluids<br>What are draping materials?<\/p>\n\n\n\n<p>16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care.<br>What is Phase II?<\/p>\n\n\n\n<p>17.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<br>What are Healthcare organizations?<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"18\">\n<li>This statement about gloving technique is true<br>What is\u2026<br>a. When gloving another person, always glove the left hand first.<br>b. The scrub gown should be fastened in the back before donning gloves<br>c. Open glove technique is used for initial donning of the sterile gown and gloves.<br>d. Closed glove technique is used to glove the surgeon or assistant.<br>b. The scrub gown should be fastened in the back before donning gloves<\/li>\n\n\n\n<li>Draping material is this source in the fire triangle? (fuel, ignition, oxidizer)<br>What is fuel source?<\/li>\n\n\n\n<li>The safest way to pass a cutting instrument to a surgeon is:<br>What is place it in a designated neutral zone with a verbal cue<\/li>\n\n\n\n<li>To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion.<br>What is Trendelenberg?<\/li>\n\n\n\n<li>A packaging system for items undergoing sterilization should possess this characteristic:<br>What is\u2026.<\/li>\n\n\n\n<li>Made of only disposable materials<\/li>\n\n\n\n<li>to permit aseptic delivery of contents to the sterile field<\/li>\n\n\n\n<li>Maintain sterility of the items for a specified length of time.<\/li>\n\n\n\n<li>Compatible with all sterilization processes<\/li>\n\n\n\n<li>to permit aseptic delivery of contents to the sterile field<\/li>\n\n\n\n<li>Silicone catheters should be stocked on this particular cart in the surgical suite.<br>What is a Latex-safe cart?<\/li>\n\n\n\n<li>Open this package carefully over a small basin to prevent splashing of the packaging solution.<br>What is handling natural absorbable sutures (plain, chromic)<\/li>\n\n\n\n<li>An example of administrative controls to assure safe use of lasers, is the appointment of a person in this role:<br>What is a laser safety officer?<\/li>\n\n\n\n<li>This statement about the perioperative nurse&#8217;s role in bioethical decision making is most justifiable. The perioperative nurse should\u2026 WHAT IS\u2026<br>a. Try to avoid involvement in ethical dilemmas unless they are personally engaged in a situation.<br>b. Refer all ethical dilemmas to the institution&#8217;s ethics committee to decide the best course of action.<br>c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse<br>d. Defer to surgeons judgment when there is disagreement about the right course of action.<br>c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse<\/li>\n\n\n\n<li>A precaution that should be taken when using this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver).<br>What is microfibrillar collagen<\/li>\n\n\n\n<li>A designation of 4-0 on a suture package indicates this about the suture material.<br>What is the diameter?<\/li>\n\n\n\n<li>A recommended means of promoting the safety of personnel in the surgical suite is:<br>What is\u2026.<br>a. Routine screening of patients for HIV and hepatitis C<br>b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment<br>c. Double-glove for every procedure<br>d. Leaving the room when x-rays are being used, even if scrubbed.<br>b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment<\/li>\n\n\n\n<li>This type of healing the wound remains open<br>What is Granulation?<\/li>\n\n\n\n<li>An abstract concept that has been developing since Socrates.<br>What is Critical thinking?<\/li>\n\n\n\n<li>This item is placed as close to the operative site as possible<br>What is the dispersive electrode?<\/li>\n\n\n\n<li>This is desired patient outcome most closely related to the use of local anesthesia for a procedure: What is\u2026.<br>a. The pt is the recipient of competent and ethical care within legal standards of practice.<br>b. The pt is normothermic at the conclusion of the procedure<br>c. The patient reports adequate pain control throughout the perioperative process<br>d. The pt&#8217;s respiratory function is consistent with preoperative baseline levels.<br>c. The patient reports adequate pain control throughout the perioperative process<\/li>\n\n\n\n<li>Antibiotics are most commonly administered during the intraoperative phase through this route<br>What is Irrigation solution?<\/li>\n\n\n\n<li>Recent research studies on the value of certification found that: WHAT is\u2026.<br>a. Non-certified nurse managers saw little value in certification related to professional growth.<br>b. The most frequent reason for achieving certification is the expectation of higher salary and career advancement<br>c. Most facilities do not offer any incentives for achieving certification.<br>d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse.<br>d. Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse.<\/li>\n\n\n\n<li>The recommended practice for flash sterilization is the item should be processed with this:<br>What is a routine process monitoring device (chemical indicator, integrator).<\/li>\n\n\n\n<li>When documenting the placement of surgical drains, it should include:<br>What is location of drain?<\/li>\n\n\n\n<li>The action that the perioperative nurse should take if the pt states he\/she is allergic to shellfish and breaks out in hives when ingested.<br>What is Alert surgeon for the need for appropriate selection of skin prep solution?<\/li>\n\n\n\n<li>Principles of care for forceps during a procedure should include this: WHAT IS\u2026<br>a. Stand them upright along the sides of the instrument tray so that handles are easily grasped when needed<br>b. Move them from the mayo stand to the back table if the surgeon says that they are not working properly.<br>c. frequently inspect tips and wipe clean of blood or tissue as needed<br>d. Organize them on the may stand or back table by placing one inside another.<br>c. frequently inspect tips and wipe clean of blood or tissue as needed<\/li>\n\n\n\n<li>A critical perioperative nursing diagnosis within the PNDS is:<br>What is risk for perioperative positioning injury?<\/li>\n\n\n\n<li>There are 3 process monitors in the sterilization process; this particular monitor indicates that the intended physical conditions in the sterilizer were met.<br>What is biological monitoring?<\/li>\n\n\n\n<li>This is the most reliable early indication of malignant hyperthermia<br>What is unexplained increase in end-tidal CO2?<\/li>\n\n\n\n<li>This statement concerning the use of AORN Recommended Practices is true:<br>a. RPs supersede departmental and institutional policies<br>b. Work setting and situation variations may determine the extent to which the RPs can be applied<br>c. RPs are based on scientific evidence of how nurses actually practice in perioperative settings<br>d. Licensed and accredited institutions are required to comply with the RPs<br>b. Work setting and situation variations may determine the extent to which the RPs can be applied<\/li>\n\n\n\n<li>Lock the wheels of the stretcher and the OR bed is a recommendation when:<br>What is transferring pt from OR bed to gurney?<\/li>\n\n\n\n<li>Begin this task with higher surfaces and finish with the lowest levels<br>What is recommended for damp dusting in the OR?<\/li>\n\n\n\n<li>Name one step that should be used to follow TJC universal protocol for preventing wrong site, wrong procedure, and wrong person surgery.<br>What is using a time-out before beginning the procedure?<\/li>\n\n\n\n<li>This can be performed through smaller incisions<br>What is the Difference between MIS and open surgical procedures?<\/li>\n\n\n\n<li>After this is procured by the surgeon, the scrub person should keep it moist with saline and in a sterile basin until it can be passed to the circulating nurse.<br>What is a surgical specimen?<\/li>\n\n\n\n<li>Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs.<br>What is proper handling of explants<\/li>\n<\/ol>\n\n\n\n<p>Skin prep agent contraindicated for use during reconstruction of the external ear.<br>What is CHG?<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"51\">\n<li>AORN RP states, this should be matched to the type of laser, optical density, and wavelength<br>What is appropriate eyewear during laser surgery?<\/li>\n\n\n\n<li>Use a sterile transfer device<br>What is recommended for transferring medication from a multi-use vial to the sterile field?<\/li>\n\n\n\n<li>Family history of problems related to anesthesia; and pts previous experience with anesthesia<br>What are assessment factors when screening pts for potential risk of malignant hyperthermia?<\/li>\n\n\n\n<li>The space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure<br>What is the nominal hazard zone for laser use?<\/li>\n\n\n\n<li>First step in the sterilization process of surgical instruments that have been used in a procedure<br>What is decontamination?<\/li>\n\n\n\n<li>This is affected by pt and staff beliefs, staff attitudes, and individual and collective values<br>What is the culture of a clinical setting?<\/li>\n\n\n\n<li>Decreased color and depth perception<br>What are sensory assessment findings common among elderly patients?<\/li>\n\n\n\n<li>Principle of asepsis that is most directly related to the concept of surgical conscience<br>What is consider items of doubtful sterility contaminated?<\/li>\n\n\n\n<li>Most important reason for maintaining endoscopic instruments at optimal level of function<br>What are insulation defects that can cause unseen thermal burns?<\/li>\n\n\n\n<li>What type of thinking is required to deliver safe patient care based on the statement &#8220;safe care requires teamwork and care tailored to the individual patient?&#8221;<br>What is critical thinking?<\/li>\n<\/ol>\n\n\n\n<p>Evaluation of pt outcomes, Nursing plan of care, Occurrence of any unusual events, and Periop nurses legal signature are components that should be included in this<br>perioperative nursing documentation.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"62\">\n<li>According to Dewey and Glaser this statement about critical thinking is incorrect.<br>a. Logical inquiry and thoughtful reasoning<br>b. Active, persistent and careful consideration of the evidence supporting a decision<br>c. Passive acceptance of an unreflective jump to conclusion required in the OR.<br>d. Skill in applying the methods of logical inquiry and reasoning<br>Passive acceptance of an unreflective jump to conclusion required in the OR.<\/li>\n\n\n\n<li>During this phase of wound healing contraction occurs<br>What is proliferation phase?<\/li>\n\n\n\n<li>Placing the light in standby mode when not in use<br>What are guidelines for safe use of an endoscopic light source?<\/li>\n\n\n\n<li>What is a kocher?<br>an example of an occluding clamp<\/li>\n\n\n\n<li>The surgical team member responsible for preparing the surgical specimen to be sent to the lab<br>Who is the circulating nurse?<\/li>\n\n\n\n<li>Exposure to this sterilization method is potentially carcinogenic and mutagenic to personnel and patients.<br>What is EO<\/li>\n\n\n\n<li>The AORN RP that most directly pertains to this phase of cleaning in the Periop environment states that a safe, clean environment should be reestablished after each surgical procedure.<br>What is interim cleaning?<\/li>\n\n\n\n<li>Placing it in a sterile plastic container is the proper handling of this item when removed from a patient for forensic evidence.<br>What is a bullet?<\/li>\n\n\n\n<li>During which phase of Cleaning includes the entire floor, moving the OR bed to clean 3-4 feet around it<br>What is the activity performed during post-procedure cleaning of the OR?<\/li>\n\n\n\n<li>Clinical nurse progression from Novice to Expert requires enhancement of this, and the development and refinement of this is affected by Clinical narratives, simulation, questioning; Partnering with proficient nurses; and the nurse&#8217;s level of knowledge and experience<br>What is critical thinking skills?<\/li>\n\n\n\n<li>When performing a skin prep on a patient scheduled for a bunionectomy what steps should be included?<br>a. Prop the foot to allow ample access to all surfaces during the prep<br>b. use an impervious drape to protect the tourniquet<br>c. start at the incision site, include toes and move up the leg.<\/li>\n\n\n\n<li>Name the perioperative nurse&#8217;s role in pt and family education?<br>a. Explain what the patient will experience &#8211;<br>b. Provide emotional support to enhance coping &#8211;<br>c. Teaching specific skills that the pt will need to perform post-op &#8211;<\/li>\n\n\n\n<li>Why should the perioperative nurse ask about a patient&#8217;s use of herbal preparations, alcohol, tobacco products, and recreational drugs during the perioperative interview.<br>a. Herbal supplements may affect the metabolism of drugs administered &#8211;<br>b. Recreational drug use may affect choice of preoperative sedation &#8211;<br>c. Smoking may affect circulatory and respiratory system assessment results &#8211;<\/li>\n\n\n\n<li>List 4 team members who wear sterile gowns and gloves.<br>a. Scrub person &#8211;<br>b. Surgical assistant &#8211;<br>c. Surgeon<br>d. Medical student\/resident\/PA\/NP<\/li>\n\n\n\n<li>Name 3 risks to patients and staff members associated with laser use:<br>a. Eye injury &#8211;<br>b. Fire hazards &#8211;<br>c. Inhalation of laser plume &#8211;<\/li>\n\n\n\n<li>Name 4 types of powered cutting instruments used in surgery<br>a. Bone reamers &#8211;<br>b. Dissectors &#8211;<br>c. Saws &#8211;<br>d. Tissue shavers &#8211;<\/li>\n\n\n\n<li>Name 2 ways that health care workers are most likely to become sensitized to latex<br>a. Airborne contact &#8211;<br>b. Cutaneous contact &#8211;<\/li>\n\n\n\n<li>During admission of a patient to Phase 1 in PACU, what is the Perianesthesia nurse responsible for?<br>a. Assessing patient&#8217;s level of consciousness &#8211;<br>b. Assessing the patient&#8217;s pain level &#8211;<br>c. Assessing the surgical dressing &#8211;<br>d. Maintaining a patent airway &#8211;<br>e. Monitoring BP, HR, and O2 saturation &#8211;<\/li>\n\n\n\n<li>Name 4 types of biopsies that require specialized methods of preparation and preservation to preserve the cells<br>a. Bone marrow-<br>b. Muscle-<br>c. Nerve-<br>d. Testicular-<\/li>\n\n\n\n<li>List 4 items necessary included in Preoperative documentation<br>a. Administration of ordered preoperative medications-<br>b. Oral verification by the pt of the procedure to be performed-<br>c. Patient allergies to medications and materials used in the surgical suite-<br>d. Patient identification, using oral verification and patient records-<\/li>\n\n\n\n<li>List Clinical manifestation of a true allergic response to latex<br>a. Contact urticarial-<br>b. Periorbital edema and itching-<br>c. Wheezing-<\/li>\n\n\n\n<li>List 4 components that should be included in documentation of intraoperative patient position.<br>a. Names of personnel assisting with positioning-<br>b. Placement of arms-<br>c. Position that pt is placed in for procedure-<br>d. Use of specific positioning devices-<\/li>\n\n\n\n<li>AORN guidelines for a &#8220;time-out&#8221; specify that all surgical team members must agree on the following 3 things<br>a. Name of pt-<br>b. Procedure to be performed-<br>c. Site of procedure-<\/li>\n\n\n\n<li>4 Barriers to effective pt and family education in the perioperative setting.<br>a. Anxiety about an uncertain outcome-<br>b. Discomfort or pain-<br>c. Fear of unknown-<br>d. Short period of time for assessment and teaching-<\/li>\n<\/ol>\n\n\n\n<p>a. Anxiety about an uncertain outcome<br>b. Discomfort or pain<br>c. Fear of unknown<br>d. Short period of time for assessment and teaching<br>a. Diabetes-<br>b. Protein deficiency-<br>c. Smoking-<br>d. Steroid use-<\/p>\n\n\n\n<p>The purposes of the surgical hand scrub<br>a. Reduce risk of microbial contamination-<br>b. Remove soil and debris-<br>c. Suppress growth of microorganisms-<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"88\">\n<li>List Recommended Practices for sponge count procedures<br>a. Count all sponges at the beginning of the case-<br>b. Separate sponges as they are counted-<br>c. Simultaneous counting by two people, including an RN circulator-<br>d. Count out loud<br>e. Document all counts<\/li>\n\n\n\n<li>List 2 ways that the Perioperative nurse assists with general anesthesia induction<br>a. Apply cricoid pressure if needed during intubation-<br>b. Remain at the pts side to offer reassurance and promote safety-<\/li>\n\n\n\n<li>List 3 steps that should be followed to remove of the gown and gloves at the end of the procedure<br>a. Grasp gown at shoulders and pull downward, turning sleeves inside out-<br>b. Remove gown first-<br>c. Use a glove-to-glove and skin-to-skin technique to remove gloves-<\/li>\n\n\n\n<li>List 5 actions that should be included in the perioperative nursing care of a pt with a suspected latex allergy.<br>a. Assess pts cross-sensitivities and previous reactions to latex-<br>b. Indicate latex precaution on door signs for every room pt occupies-<br>c. Use latex-free supplies for IVs, hair covering, dressing materials, etc.-<br>d. Verify surgeon is aware of the allergy-<br>e. Schedule pt as first case of the day if possible<\/li>\n\n\n\n<li>List 5 steps that should be followed in correctly draping the sterile field<br>a. Drape from sterile to unsterile areas-<br>b. Drape from operative site outward-<br>c. Form a cuff with the drape and place gloved hands under the cuff-<br>d. Handle each drape as little as possible-<br>e. If draping without assistance, walk around the OR bed to drape the other side-<\/li>\n\n\n\n<li>State 4 reasons why perioperative pt and family education is important<br>a. Conveying genuine caring for the pts well-being-<br>b. Increasing pt and family adherence to the plan of care-<br>c. Increasing pts and family satisfaction with quality of care-<br>d. Legal, ethical, and regulatory mandates-<\/li>\n<\/ol>\n\n\n\n<p>2 Characteristics included in the elements of a culture of safety within a healthcare organization:<br>a. Commitment to safety as the first priority in providing care*<br>b. Trust among healthcare team members*<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"95\">\n<li>4 things the perioperative nurse should do when setting up the insufflation equipment for an abdominal endoscopic procedure<br>a. Have a back up tank available-<br>b. Verify that CO2 pressure and supply alarms are on and functioning-<br>c. Position the insufflator at pts heart level or above<br>d. Verify that the tank valve is open<\/li>\n\n\n\n<li>Name 2 methods or items that accomplish hemostasis by occluding a severed blood vessel, and causing platelets to clump together<br>a. Ligatures-<br>b. Pledget-<\/li>\n\n\n\n<li>Name 4 ways to prevent or minimize ESU injuries to the pt<br>a. Assure that prep solutions have dried and vapors evaporated before the device is used-<br>b. Confirm each requested power setting change orally with the surgeon-<br>c. Inspect each circuit component if the surgeon repeatedly requests higher power settings-<br>d. Inspect the ESU unit before use to verify electrical integrity<\/li>\n\n\n\n<li>List 3 things the perioperative nurse should do when a Bier Block is used during a procedure<br>a. Check the calibration of the tourniquet before applying it-<br>b. Monitor the length of time the tourniquet is inflated-<br>c. Deflate the tourniquet slowly<br>d. Inflate the proximal cuff first<\/li>\n\n\n\n<li>Name 2 unique identifiers to ensure proper handling of surgical specimens verified by the perioperative nurse before the pt enters the OR.<br>a. Pts medical record number-<br>b. Spelling of pts name-<\/li>\n\n\n\n<li>A psychosocial assessment of your pt should include:<br>a. Cultural beliefs and practices-<br>b. Expectations of perioperative care-<br>c. Spiritual or religious beliefs-<br>d. Understanding of the surgical procedure-<\/li>\n\n\n\n<li>The Perioperative nurse&#8217;s documents of the skin prep procedure should include<br>a. Body area prepped-<br>b. Name of person performing prep-<br>c. Preoperative assessment of skin at the operative site-<br>d. Skin prep agent-<br>e. Type and extent of hair removal if ordered-<\/li>\n\n\n\n<li>What special care procedures are required for microsurgical instruments<br>a. Keep stainless steel and titanium instruments separated-<br>b. Use a non-fibrous sponge wipe to clean the instrument tip if recommended-<br>c. Use tip covers or protective sleeves when instruments are not being used-<\/li>\n\n\n\n<li>Name factors regarding the proper attire of surgical team member<br>a. Sterile gowns should resist fluid strike-through-<br>b. Head covering should be donned before pulling on the scrub top-<br>c. Scrub top must be secured at the waist or tucked into the pants-<br>d. Shoe covers are optional<br>e. Masks are changed after each patient<\/li>\n\n\n\n<li>What phases of the nursing process that the perioperative nurse practices during the preoperative phase of the surgical experience?<br>a. Assessment-<br>b. Identification of desired outcome-<br>c. Nursing diagnosis-<br>d. Planning-<\/li>\n\n\n\n<li>Name 4 practices you should follow during the surgical scrub procedure<br>a. Fingernails should be cleaned under running water-<br>b. Stand slightly back from the sink and lean over to prevent splashing scrub suit-<br>c. Forearms scrubbed 2&#8243; above the elbow<br>d. Hands held higher than the elbows to scrub and rinse<\/li>\n\n\n\n<li>What are practices from AORN RP V that states &#8220;a sterile field should be maintained and monitored constantly.&#8221;<br>a. The sterile field should be constantly monitored-<br>b. The sterile field should be prepared as close as possible to the time of use-<br>c. The sterile field may be covered with a sterile drape-<\/li>\n\n\n\n<li>What are 3 Safety precautions when handling and caring for powered instrument<br>a. Hand the powered instrument to the surgeon with the safety mechanism on-<br>b. Have irrigation ready to use with the drill or saw-<br>c. Use the instrument with the blade or drill guard in place-<\/li>\n\n\n\n<li>A patient is unable to transfer independently to the procedure bed. To achieve the PNDS outcomes related to safe patient transfer, which measures may be used to prevent shearing injury?<br>a. Request additional personnel to assist with pt transfer-<br>b. Use a friction-reducing transfer sheet-<br>c. Use a slider or roller board-<br>d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal structure-<\/li>\n\n\n\n<li>What Practices are recommended during decontamination of used instruments<br>a. Open box locks and disassemble instrument with multiple parts-<br>b. Use enzymatic detergent on heavily soiled instruments-<br>c. Wear PPE-<\/li>\n\n\n\n<li>What is the Perioperative nurses role in preparing and administering meds<br>a. Assess pts medication allergies and use of herbal or dietary supplements-<br>b. Verify the administration of the correct med, dose, and route-<br>c. Writing down and reading back the surgeons oral orders before preparing medication-<br>d. Verify expiration date<\/li>\n\n\n\n<li>The OR management team has responsibility for safety in the surgical suite which includes:<br>a. Establishing policies related to electrical, fire, radiation, pt management safety-<br>b. Monitoring adherence to safety policies and practices-<br>c. Providing education to staff members regarding safety policies and procedures-<br>d. Reporting safety hazards and violations to appropriate authorities-<\/li>\n\n\n\n<li>The OR staff members are responsible for maintaining a safe OR environment which include:<br>a. Adhering to facility policies related to safety-<br>b. Consistently applying OR-specific safety practices-<br>c. Reporting safety hazards and violations to appropriate authorities-<\/li>\n\n\n\n<li>The EPA registered germicides labeled as hospital disinfectants must demonstrate effectiveness against these 3 microorganisms:<br>a. Pseudomonas aeruginosa-<br>b. Salmonella cholera suis-<br>c. 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