Quiz
Post-test part 2
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Questions in this quiz (82)
1When working with electrical equipment, the perioperative nurse must:
- Aensure that the active electrocautery is switched on
- Bensure that warming therapy devices are used at appropriate settings
- Censure that users are educated in the safe use of all electrical equipment
- Dnever place the hose of a patient warmer directly under the patient's blanket
- Eensure that the laser electrodes are discharged after each use
2Chlorhexadine gluconate (CHG) is an antimicrobial skin agent used
- Aabove the neck.
- Bfor topical skin application only below the neck
- Cfor vaginal or mucous membrane preps
- Din the brain or meninges.
3[blank_start]x[blank_end] agents are effective in removing resident microorganisms.
- Amechanical
- Bchemical
- Cbiochemical
- Dhydrostatic
4Which of the following are desired characteristics of antimicrobial agents?
- Abroad spectrum
- Bhigh log reduction capability
- Ceffective for long periods of time
- Dhigh toxicity
- Elow toxicity
5Which of the following statements is correct regarding hair removal from a surgical patient?
- AHair should be removed from the surgical site before any procedure.
- BHair should be removed from the surgical site by using clippers or razors
- CHair should be removed from the surgical site only when the hair is so thick it will interfere with the procedure
- DAll of the above
6What does AORN's Guidelines for Preoperative Patient Skin Antisepsis recommend for prepping areas with high microbial counts ?
- APrep them first
- BPrep them last
- CPrep them during the procedure
- DPrep them whenever necessary
7Which of the following should be avoided during hair removal?
- AUse of clippers
- BClipping of hair against the grain of hair growth
- CNicking or cutting the skin
- DRemoval of loose hair from prepped areas
8Which of the following observations are critical when doing skin antisepsis on pediatric patients?
- ATake measures to prevent the loss of body heat
- BThe relatively small bodies of pediatric patients require smaller amounts of antimicrobial agents
- Cchildren are not sensitive to chemical agents
- Dthe whole body must be prepped irrespective of the operative site
9Which actions should be perioperative nurse take in prepping an extremity when a tourniquet is used?
- ADrape the tourniquet with a cloth towel to keep solution from going under the tourniquet
- BStart prepping at the level of the tourniquet
- CStart the prep at the incision site and extend both distally and proximally to include the entire extremity
- Duse an assistive device to support the extremity during the prep
- Euse an impervious drape to protect the tourniquet
10Which of the following statements are true about iodophor paints and iodophor scrubs?
- AA paint has a detergent additive, a scrub does not
- Ba scrub has a detergent additive a paint does not
- Ca scrub is followed by a paint in a two-step prep
- Da pain is following by a scrub in a two-step prep
11Perioperative nursing documentation of the skin prep procedure should include which of the following components?
- AAntiseptic agent used
- Barea prepped
- Chair removal if needed
- Dname of person holding the limb if applicable
- Ename of the person performing the prep
- Fplacement of blotting towels
- Gpreoperative assessment of the skin at operative site.
12Components of the electrosurgical circuit include:
- AActive electrode, dispersive electrode, generator
- Bdispersive electrode, fiber, generator
- Cactive electrode, dispersive electrode, generator, scratch pad
- Ddispersive electrode, fiber, generator, key.
13To reduce the possibility of an injury or burn, which of the following most accurately describes where the perioperative RN should place the dispersive electrode?
- AAs far from the operative site as feasible
- Bdirectly on the operative site
- Cas close to the operative site as possible
- Danywhere it will be easy to access
14Which statement best describes the path for bipolar surgical current?
- ACurrent leaves the generator, is applied to tissue using a pencil device, is collected in the dispersive pad, and returns to the generator
- BCurrent leaves the generator, is applied to tissue using a pencil device and returns to the generator
- CCurrent leaves the generator is applied to tissue using a two-poled instrument and returns to the generator
15If the surgeon continuously asks for higher power settings, what is the first action that the perioperative RN should take?
- AGet another ESU unit immediately
- BCheck the circuitry for possible disruption
- CSwitch to a bipolar generator and electrode
- DChange the active electrode and dispersive electrode
16Alternate pathway burns can occur because of improper placement of the dispersive electrode. The dispersive electrode should not be applied on which of the following
- AHairy skin surfaces
- BBurn tissue
- CTattoo sites
- DWell-perfused muscle
- EAreas proximal to tourniquet application
- FBony prominences
17When using argon-enhanced coagulation (AEC) there is a risk of
- Aelectrosurgical injuries
- Bcarbon dioxide purge
- Cgas emboli
- Ddecreased insufflator pressure
18The term local exhaust ventilation (LEV) is used to describe the process of evacuation smoke from the surgical site. Which of the following are considered LEV?
- ACentral suction system with 0.1 micrometer in-line filter
- BCentral suction system with HEPA in-line filter
- CHigh filtration surgical masks
- DN95 respirators
- ESmoke evacuator unit
19Which precautions should be taken for a patient who has an implantable electronic device (IED)?
- AAll team members should be informed about the IED
- BInsist that the surgeon use bipolar current instead of monopolar current
- CThere should be continuous EKG monitoring
- DThe active and dispersive electrode should be located as close together as possible.
20According to the AORN Guideline for Safe Use of Energy-Generating Devices, which of the following are recommended components of documentation when using an ESU?
- AESU brand name
- BName of the person applying the dispersive pad
- Cpatient's skin condition after removing the dispersive pad
- Dpatient's skin condition before applying the dispersive pad
- Eserial number or biomedical number of the ESU
- Fuse of a safety holster
21During laparoscopic surgery, perioperative RNs can reduce the chances of capacitive-coupling injuries by:
- Ausing a combination of insulated and noninsulated instruments
- Busing coagulation waveform and a high setting
- Cusing metal and plastic cannulas together
- Dusing the lowest power setting and the low-voltage cutting waveform
22The purposes of performing a surgical hand scrub include
- ATo accomplish personal hygiene
- Bto kill the microorganisms
- Cto reduce the resident microbial count to a minimum
- Dto inhibit rapid rebound growth of microorganisms
- Eto remove soil, debris and transient organisms
23After the surgical hand scrub, the scrub person should keep the fingers pointed in which direction to allow water to drip off away from the attire?
- Adownwards
- Bupwards
- Cstraight
- Dcurled towards the palm
243. What actions can the RN circulator take to assist the scrub personnel during gowning?
- Atouch only the ties, Velcro, or snaps to secure the back of the gown at the neck and the waist
- BDon the sterile gloves before fastening the gown to prevent contamination from the gown flaps
- CGrasp the tie 4 to 6 inches from the tag and pull
- DAdjust the gown by grasping the bottom edge and pulling down to eliminate any blousing
25Because skin is a major source of contamination in the surgical environment, which of the following statements is true?
- Ahand hygiene is only necessary before providing care to a patient
- Bhand hygiene should be considered effective only if you are using an antimicrobial solution
- Chand lotions with petroleum as an ingredient are acceptable for use with gloves
- Dhealth care personnel who have cuts on their hands should not provide direct patient care.
26 You have just finished a surgical procedure and are removing your gown and gloves. place steps in order:
1. [blank_start]wash hands with soap and water[blank_end]
2. [blank_start]remove and discard the gloves using[blank_end] a glove-to-glove and skin-to-skin technique
3. pull the gown [blank_start]downward[blank_end] from the shoulders and off the arms
4. [blank_start]fold the contaminated side of gown[blank_end] to the inside, roll it up, and discard it.- Awash hands with soap and water
- Bremove and discard the gloves using
- Cdownward
- Dfold the contaminated side of gown
27 Which of the following statements are correct?
- Athe closed glove method is used for subsequent gloving
- Bthe open glove method is used for the initial donning of sterile gown and gloves
- Cthe open method is used for subsequent gloving
- Dthe open glove method is used while performing sterile procedures when a gown is not worn.
28The surgical hand scrub controls resident microorganisms by:
- Athe mechanical action of scrubbing
- Bthe chemical action of microbial agents used
- Cthe temperature of the water combined with chemical action
- Dnone of the above
29Which of the following statements are true in relation to scrubbing for the first procedure of the day:
- Aclean under your fingernails using a brush
- Bconsider your hands and arms as two dimensional to ensure covering all aspects
- CFirst, wash your hands under running water with soap
- DUse an approved antimicrobial scrub agent on wet hands and arms
30Where should the scrub persons sterile gown be opened?
- Aas far away from the instrument tray as possible
- Bin the back corner of the instrument table
- Con a separate mayo stand
- Don top of the gloves for the scrub person
31Correct surgical attire for the restricted areas include:
- Afacility identification on a lanyard
- Bhead covering that covers all hair
- Clong-sleeved jacket with the sleeves pushed up
- Dscrub top tucked into scrub pants and a warm up jacket
- Ea lab coat when leaving the department
32To ensure proper handling of surgical specimens, which unique identifiers are most important for the perioperative nurse to use to verify the patient's identity before the patient enters the OR?
- ALab test to be performed
- BPatient's MRN
- CPatient's medical diagnosis
- DSpelling of the patient's name
- ESurgeon's name
33Which of following are recommended guidelines for preserving a bullet collected as forensic evidence
- ADo not drop bullet into metal basin or bowl
- BRinse the bullet with saline or water if requested by local authorites
- CHandle as little as possible
- DRemove the specimen with hard steel forceps
- EWrap the bullet in cotton or tissue paper and mark the specimen
34What is the rationale for wearing gloves when handling or transporting surgical specimens?
- Ato avoid exposure to biohazardous substances
- Bto avoid imprints on the specimen
- Cto prevent contamination of the specimen
- Dto prevent misdiagnosis
35Biopsies that require specialized methods of preparation and preservation to preserve the cells include:
- Abone marrow
- Bmuscle
- Cnerves
- Dtesticular
- Etendon
36Proper handling of an explant removed because of an apparent defect or failure includes
- Acopmleting a risk management report
- Bdecontamination and sterilization before transport to the pathology lab
- Cdocumentation of the serial number in the medical record and on the pathology requisition
- Dplacing the explant in a container with a formalin for transport to the pathology lab.
37Which of the following actions should the scrub person perform for most specimens after receiving them from the surgeon?
- AHand it off the field to the RN circulator on a radiopaque sponge
- BKeep it in a sterile basin until it can be passed to the RN circulator
- CKeep it moist with saline
- DUse a sponge to remove a very small specimen from a foreceps
38Surgical tissue banking is:
- AThe retrieval, processing, preserving and storing of selected human tissue for later transplantation back into the patient into another patient
- BThe retrieval and storing of selected human tissue for later transplantation into another patient
- CThe preserving and storing of selected human tissue for later transplantation back into the patient or into another patient.
- DThe retrieval, preserving and storing of human tissue for later transplantation back into the patient
39Which pathology specimens require fresh preparation and the use of sterile container?
- ABreast tissue for hormonal assay
- BBullets
- Ccerebral spinal fluid
- Dsemen for infertility studies
- Eundergarments
40The [blank_start]x[blank_end] communicates identifying characteristics to the scrub person and the circulator.
The [blank_start]x[blank_end] is concerned with diagnosis, speed of recovery, psychosocial concerns.
The [blank_start]x[blank_end] is sensitive to the scrub person's needs and to actions that facilitate accurate specimen management.
The [blank_start]x[blank_end] ensures accurate identification of the specimen by having a sterile marking pen to write location and type of tissue- Asurgeon
- Bpatient
- CCirculator
- Dscrub person
41Which of the following forensic specimens should be placed in a paper envelope, labeled and sealed?
- Agastric contents
- Bfinger nails
- Cpellets
- Dcarpet remains
- Eknives
42In which surgical wound category should a total abdominal hysterectomy be classified?
- Aclean
- Bclean contaminated
- Ccontaminated
- Ddirty
43[blank_start]X[blank_end] is the use of physical or chemical means to remove, inactivate, or destroy blood-borne or other pathogens on a surface or item.
[blank_start]X[blank_end] is the process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms.
[blank_start]x[blank_end] is a process that destroys all microorganisms (vegetative forms of bacteria, all fungi, all viruses) with the exception of high numbers of bacterial spores.
[blank_start]X[blank_end] is a chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects.- ADecontamination
- Bsterilization
- CHigh level disinfection
- DDisinfection
44Immediate use steam sterilization can be used:
- Afor implants
- Bin urgent situations
- Cunder no circumstances
- Dfor all items
45A packaging system for items undergoing sterilization should possess which of the following characteristics?
- ACompatible with all sterilization processes
- Bmade of only disposable materials
- Cmaintains sterility of the items for a specified amount of time
- Dpermits aseptic delivery of contents to the sterile field.
46Complete sterilization in ethylene oxide is dependent upon four primary variables: proper time, gas concentration, temperature, and:
- Aproper packaging
- Baeration
- Cchamber humidity
- Dpressure
47Which of the following statements about ethylene oxide (EO) sterilization is true?
- AEO exposure is potentially carcinogenic and mutagenic to personnel and patients.
- Bit cannot be used for heat-sensitive items.
- Cit is effective against prions.
- Ditems processed by EO sterilization may be used immediately
48The use of peracetic acid on surgical items requires the following considerations:
- Aitems can be stored for future use
- Bitems must be aerated
- Citems can withstand high temperatures
- Ditems must be isolated for 7 days
- Eitems must be immersible
49An integrator is a multiparameter indicator designed to measure which of the following parameters?
- APressure, steam, temperature
- BTemperature, time, presence of steam
- CPressure and sterility
50Low temperature gas plasma hydrogen peroxide sterilization has which of the following properties?
- AAccommodates lumened instruments
- BExhaust monitoring is required
- CItems can be used for future use
- DNo toxic residue
- EThe sterilant is bactericidal, virucidal and fungucidal
- FUseful for items that are heat sensitive
51Shelf life is related to:
- AExposure to external events
- Bmethods of sterilization
- Cmaterial
- Dnumber of personnel who may have handled the package
- Etime from initial sterilization
52When selecting drapes to create a sterile field for the patient, which of the folloiwng drape qualities are most essential to maintaining the sterile field?
- Abarrier protection
- Bcost/benefit ratio
- Climitation of environmental impact
- Dflexibility and flammability
53ID the correct draping considerations
- ADrape from a sterile area to an unsterile area by draping the nearest first
- BStart draping from the periphery to the operating site.
- CEnsure that surgical drapes are applied after prepping solutions have dried.
- DAfter a drape is placed, it can be moved if necessary.
- EWhen draping the opposite side, the scrubbed person should walk around the OR bed to drape.
54What precautions should a scrub person take during the draping procedure?
- ANEver cuff the drapes over a gloved hand
- Bbe careful not to contaminate gown when placing drapes
- Cnever reach across an unsterile area to drape
- Duse perforating towel clips.
55Draping the patient involves:
- Acovering the patient with the sterile barrier
- BCovering the patient and the surrounding areas with a sterile barrier
- Ccovering the patient and the surrounding areas with sterile materials to create and maintain a barrier between nonsterile and sterile areas
- Dcovering the patient, the surrounding areas, and the instruments with a sterile barrier.
56[blank_start]x[blank_end] is used as added protection above or below the surgical areas or when a fenestrated sheet cannot be used.
[blank_start]x[blank_end] is used when draping an extremity to permit the extremity to remain a part of the sterile field.
[blank_start]x[blank_end] is used to cover surgical site on abdomen and back
[blank_start]x[blank_end] is used to outline the surgical site
[blank_start]x[blank_end] is used to create a sterile field with the patient in the lithotomy position- Amedium sheet
- Bextremity sheet
- Claparotomy sheet
- Dtowels
- Elithotomy sheet
57Choose the correct statements about incise drapes:
- Aare a type of fenestrated sheet
- Bare available with or without adhesive backing
- Care made up of plastic and impermeable material
- Dmay be used in eye or ear procedures
- Emay be impregnated with iodophor
58An [blank_start]x[blank_end] drape is used for carpal tunnel surgery
A [blank_start]x[blank_end] drape is used for vaginal hysterectomy
An [blank_start]x[blank_end] drape is used for tympanoplasty
A [blank_start]x[blank_end] drape is used for umbilical hernia repair- Aextremity
- Bperineal
- Caperture
- Dlaparotomy
59AORN recommends that the following factors be considered when selecting drape products:
- AAmount of irrigation fluid that is anticipated
- Banticipated blood loss
- Cduration of procedure
- Dpotential for linting
- Esurgeon preference
60A designation of "4-0" on a suture package indicates the suture material's
- Adiameter
- Belasticity
- Cpliability
- Dstrength
61[blank_start]x[blank_end] is the capacity of a suture to regain former shape after being reformed.
[blank_start]x[blank_end] is the ability to regain original form and length after being stretched.
[blank_start]x[blank_end] is, when knotted, the force in pounds that suture can withstand before it breaks
[blank_start]x[blank_end] is the ability to soak up fluid along a strand- Amemory
- Belasticity
- Cknot tensile strength
- Dcapillarity
62Which type of staplers are used in the alimentary tract in thoracic procedures?
- ALinear staplers
- BIntraluminal circular staplers
- Cskin staplers
- Dligating and dividing staplers
63This suture is used for opthalmic procedures.
- Aplain catgut
- Bcollagen suture
- Csurgical silk
- Dsurgical stainless steel
64This suture is used in the serosa of the GI tract.
- Asurgical silk
- Bsurgical stainless steel
- Cplain catgut
65This suture is used in the respiratory tract, orthopedics and neurosurgery.
- ASurgical Silk
- BSurgical stainless steel
- CCollagen suture
- DPlain Catgut
66used to ligate small vessels and suture subcutaneous fat
- Asurgical silk
- Bcollagen suture
- Cplain catgut
- Dstainless steel
67[blank_start]Trocar[blank_end] needle points are for penetrating tough tissues.
- ATrocar
68The body's reaction to suture material starts [blank_start]x[blank_end].
- Aat the time of insertion.
- Bweeks after the suture insertion
- Cdays after the suture insertion
- Dmonths after suture insertion
69Which of the following are natural absorbable suture materials?
- AChromic catgut
- BPolyglactin 910
- CCollagen
- DPolyglyconate
70Select the suture material below that is synthetic absorbable suture:
- Asurgical cotton
- Bsurgical silk
- Cpolyglycolic acid
- Dlinen
71Which of the following skin closure products involve the use of liquid polymers?
- Askin clips
- Bskin closure dressings
- Cskin adhesives
- Dskin closure strips
72Select the features and benefits of using a French-eye/split-eye needle.
- ACan be used with any type of suture material
- Bdiameter of the needle should match the type of suture used.
- CEasy to thread
- DEye has a variety of shapes
73During which phase of wound healing does contraction occur?
- AEpithelialization
- BInflammation
- Cproliferation
- DRemodeling
74Identify the proper sequence of events in the body's defense mechanism
- Acleaning up the pathogens -> repairing deeper tissue damage -> hemostasis -> wound sealing
- Bwound sealing -> cleaning up the pathogens -> repairing deeper tissue damage -> hemostasis
- Chemostasis -> cleaning up pathogens -> regeneration of epidermal covering -> repairing deeper tissue damage
- Dhemostasis -> cleaning up the pathogens -> wound sealing -> regeneration of epidermal covering
75At what point in the healing process do most wound disruptions occur?
- ABeginning of proliferative phase: (Phase 2) 2 to 10 days
- BEnd of proliferative phase: (Phase 2) 10-22 days
- CBeginning of maturation phase (Phase 3) 21 days to 6 weeks
- DEnd of maturation phase (Phase 3) 6 weeks to 2 years
76Colon resection would be classified as a [blank_start]x[blank_end] wound.
Open or fresh traumatic wound would be classified as a [blank_start]x[blank_end] wound.
Ruptured appendix would be classified as a [blank_start]x[blank_end] wound.
Thyroidectomy would be classified as a [blank_start]x[blank_end] wound.- Aclean contaminated
- Bcontaminated
- Cseptic
- Dclean
77Prolonged high dosages of steroids preoperatively delay
- Ahemoglobin formation
- Bbile production
- Cinsulin production
- Dcollagen formation
78The CDC's classification of Surgical Wounds system is intended to
- Acategorize surgical wounds based on coexisting diseases and according to origin, diagnosis and treatment
- Belaborate on the CDCs principles of universal precautions by establishing guidelines for treating infections should they occur
- Csuggest emergency criteria for dealing with infections inside the procedure room
- Dmonitor postoperative infections and suggest steps to take to reduce these infections
79Select the intraoperative factors that negatively affect wound healing.
- AA surgical complication
- BFailure to eliminate dead space when closing the incision
- CImplantation of orthopedic hardware
- Dsurgical incisions in an areas of high mobility
- Esurgical incisions in highly vascular areas
- Fuse of xray during the procedure
80Match the topical hemostatic method with the appropriate method of action.
Passive - [blank_start]x[blank_end]
Flowables - [blank_start]x[blank_end]
Fibrin sealants - [blank_start]x[blank_end]
Active - [blank_start]x[blank_end]- Aprovide a barrier
- Benhanced clotting
- Cmechanically obstruct flow
- Dincrease amount of fibrinogen
81Methods of producing hemostasis include which of the following?
- AAdministering blood
- BApplying pressure
- CUsing electrocautery
- DIrrigating with large amounts of sterile saline
- EUsing an antiseptic solution containing alcohol
- FUsing topical hemostatic agents.
82The process of digestion of pathogens by neutrophils and macrophages is known as
- AEpithelialization
- Bhemostasis
- CEdema formation
- Dphagocytosis
- Eproliferation
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- AORN Periop101 Quiz on Post-test part 2, created by Melissa ALfaro on 28/02/2018.
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- Melissa ALfaro
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