Safety
The best way to conduct a time out is:
A. in the pre-op area if all team members are present
B. when the pt. first enters the room so they may participate
C. the RN leads and documents on white board for all to agree
D. after the pt. is prepped and draped and involves the entire team.
What is:
D. after the pt. is prepped and draped and involves the entire team.
This standardized language developed specifically for perioperative nursing practice permits consistent and accurate documentation
What is PNDS (perioperative nursing data set)
First step in the sterilization process of surgical instruments that have been used in a procedure
A. Cleaning
B. Decontamination
C. Disinfection
D. Transport to the sterilizer
What is
B. Decontamination.
A designation of 4-0 on a suture package indicates this about the suture material.
What is the diameter?
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.
What is Alert surgeon for the need for appropriate selection of skin prep solution?
Using a neutral zone for passing sharp instruments and devices and not recapping needles, are examples of what type of sharps hazard control method
A. Administrative controls
B. Elimination of the hazard
C. Engineering controls
D. Work practice controls
What is:
D. Work practice controls
During a lap appy, the surgeon encounters purulent inflammation of the appendix and asks for a culture. The following wound class should be documented
A. clean
B. clean contaminated
C. contaminated
D. Dirty
D. Dirty
The safest way to pass a cutting instrument to a surgeon is:
What is place it in a designated neutral zone with a verbal cue
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?
This is the most reliable early indication of malignant hyperthermia
What is unexplained increase in end-tidal CO2?
This physiological effect is most likely to result from positioning a patient in the lithotomy position:
A. Hip dislocation
B. Venous pooling in the legs
C. Damage to the brachial nerve
D. Severe hypertension
What is:
D. Severe hypertension
When documenting the placement of surgical drains, it should include:
A. Color
B. Length
C. Location
What is location of drain?
Principles of care for forceps during a procedure should include this:
a. Stand them upright along the sides of the instrument tray so that handles are easily grasped when needed
b. Move them from the mayo stand to the back table if the surgeon says that they are not working properly.
c. frequently inspect tips and wipe clean of blood or tissue as needed
d. Organize them on the may stand or back table by placing one inside another.
WHAT IS...
c. frequently inspect tips and wipe clean of blood or tissue as needed
Open this package carefully over a small basin to prevent splashing of the packaging solution
What is handling natural absorbable sutures (plain, chromic
This statement concerning the use of AORN Recommended Practices is true:
a. RPs supersede departmental and institutional policies
b. Work setting and situation variations may determine the extent to which the RPs can be applied
c. RPs are based on scientific evidence of how nurses actually practice in perioperative settings
d. Licensed and accredited institutions are required to comply with the RPs
What is:
b. Work setting and situation variations may determine the extent to which the RPs can be applied
According to AORN Recommended Practices: When positioning the patient, the perioperative nurse should:
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 considerations
d. Depend on the patient's natural defense mechanisms to indicate the need for positioning alterations
What is:
c. use additional precautions as appropriate based on unique patient considerations
Evidence based practice questions are typically formatted as PICO questions. Which of the following does PICO stand for?
A. Patient, intervention, comparison, outcome
B. Patient, investigation, counter-intervention, outlier
C. Population, intervention, counter-intervention, outlier
D. Problem, investigation, counter-intervention, outcome
What is:
A. Patient, intervention, comparison, outcome
There are 3 process monitors in the sterilization process; this particular monitor indicates that the intended physical conditions in the sterilizer were met.
What is biological monitoring?
This type of suture is non absorbable
A. Vicryl
B. Monocryl
C. Chromic
D. Silk
What is:
D. Silk
During this phase of wound healing contraction occurs
What is proliferation?
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?
Documentation of the serial number in the medical record and on the pathology requisition when an apparent defect or failure occurs.
What is proper handling of explants
According to Spaulding Classification System, high-level disinfection is required for:
A. Blood Pressure Cuffs
B. Critical items that come in contact with the blood stream
C. Semi-critical items that come in contact with the mucus membranes
D. Surgical instruments exposed to prions
What is:
C. Semi-critical items that come in contact with the mucus membranes
When performing a plastic surgery skin closure, the choice of suture size that would be most appropriate?
a. 15-0
b. 2-0
c. 5-0
d. 0
What is 5-0.
The minimum number of air exchanges per hour in the restricted area of the OR.
What is 20?