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Drape/Prep
Positioning
Asepsis
Instruments
Evironment Sanitation
100

Which of the following statement (s) are true when prepping a contaminated area such as a colostomy? A. Cover the stoma with sterile gauze/sponge dipped in prep solution B. The contaminated area is prepped first C. Prep the abdomen before the stoma D. Never prep the stoma, just the skin

A. Cover the stoma with sterile gauze/sponge dipped in prep solution C. Prep the abdomen before the stoma

100

Potential adverse effects of the supine position Include all the following except: A. Skin breakdown at heels and elbows B. Venous pooling in the legs C. Decreased mean arterial pressure D. Retinal detachment or cerebral edema

What is (D)Retinal detachment or cerebral edema

100
Practices that restrict pathogenic organisms from the patient, environment, equipment, and supplies.
What is aseptic technique?
100
Which instruments are occluding clamps: A. oschners B. kellys C. babcocks D. criles
What are (A)oschners, (B) kellys & (D)criles
100
Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: A. be completed before each new case. B. be done with a disposable cloth moistened with isopropyl alcohol C. be performed by environmental services personnel. D. begin with higher surfaces and finish with the lowest levels.
What is (A) be completed before each new case. & (D) begin with higher surfaces and finish with the lowest levels.
200

Which prep is contraindicatd to use around the ears and neck? A. Alcohol B. Chlorohexidine gluconate C. Povodine iodine

What is (B) Chlorohexidine gluconate

200

If you are working the 07-1730 shift, what is the expected time to clock out of UKG?

What is 1730 +/- 7 mins?

200
The process of eliminating many or all pathogenic organisms except bacterial spores from inanimate objects in called ______________ .
What is decontamination?
200
What is the safest way to pass a cutting instrument?
What is the neutral zone?
200
Any germicide that is labeled as a hospital disinfectant has passed the potency test against: A. Pseudomonas aeruginosa B. Escheria coli C. Salmonella cholerae suis D. Staphylococcus aureus E. Mycobacterium tuberculii
What is (A)Pseudomonas aeruginosa, (C) Salmonella cholerae suis & (D)Staphylococcus aureus
300

What step (s) should be followed in correctly draping the sterile field? 1. Drape from sterile to unsterile areas. 2. Drape from the operative site outward. 3. Form a cuff with the drape and place gloved hands under the cuff. 4. Handle each drape as little as possible. 5. If draping without assistance, walk around the OR bed to drape the other side.

What is all of the above

300

Intraoperative factors to consider when positioning the patient include: A. Position required for surgery B. Type of anesthesia C. Age D. Length of surgery

What is (A) Position required, (B) Type of anesthesia & (D)Length of surgery

300
The Shelf Life of a packaged sterile item depends on the quality of the wrapper material, the storage conditions, the conditions during transport and the amount of handling refers to. a. Event Related Sterility b. Proper storage procedures c. How to handle sterile supplies
What is: a. Event Related Sterility
300
Based on your knowledge of how to handle powered instruments, choose the three safety guidelines to be followed: A. Hand to surgeon with safety mechanism turned on B. Always have irrigation on stand by when using drill or saw C. Have blade or drill guard always in place D. Always soak the instruments before cleaning
What is (A) Hand to surgeon with safety mechanism turned on (B)Always have irrigation on stand by when using drill or saw & (C) Have blade or drill guard always in place
300
Which AORN Recommended Practice most directly pertains to interim cleaning in the perioperative environment? A. A safe, clean environment should be reestablished after each surgical procedure. B. All areas and equipment in the surgical practice setting should be cleaned according to an established schedule. C. A containment, cleaning and disinfection, and surveillance process should be in place during construction, renovation, remediation, repair, or demolition. D. Procedures for environmental cleaning and disinfection and PPE use should be established for circumstances that may require contact or airborne precautions.
What is (A) A safe, clean environment should be reestablished after each surgical procedure.
400

The perioperative nurse’s documentation of the skin prep procedure should include: A. body area prepped B. name of the person performing the prep C. preoperative assessment of the skin at the operative site D. skin prep agent used E. type of hair removal, if ordered

What is all of the above

400

Which of the following physiological effects is most likely to result from positioning a patient in the lithotomy position? A. Circulatory and respiratory compromise due to pressure on the abdomen B. Circulatory pooling in the lower legs C. Decreased brainstem perfusion D. Pressure on the brachial nerves E. Injury to malleolus and olecranon

What is (A) Circulatory and respiratory compromise due to pressure on the abdomen

400
Refers to the area of the fingernails that contains the largest number of microorganisms on the hands. a. Taos Plana Region b. Subungual Area c. Cuticular Web Space
What is: b. Subungual Area
400
Types of powered cutting instruments include: A. Tissue/bone reamers B. Powered dissectors C. Phacoemulsification D. Rongeurs E. Dermatomes F. Drills
What is (A) Tissue reamers (B) Powered dissectors (C) Phacoemulsification (E)Dermatomes & (F) Drills
400
Based on AORN Standards and Practices complete the sentence: Environmental cleaning and disinfection is a.. a. the responsibility of night housekeeping only b. PCA duty only c. Team effort involving surgical personnel and environmental services personnel
What is: C) Team effort involving surgical personnel and environmental services personnel
500

Drapes are selected depending upon: A. Type of surgery B. Size of the incision C. Amount of area around the incision to be included D. Furniture and equipment to be draped

What is (A) Type of surgery, (C) Amount of area around the incision to be included, (D) Furniture and equipment to be draped

500

To place a patient safely in Trendelenberg position, which of the following practices is indicated? A. Position the knees over the break in the procedure bed to allow for knee flexion. B. Rapidly return the patient to the supine position at the end of the procedure. C. Use shoulder braces to prevent the patient’s sliding toward the head of the bed. D. A padded footboard should be used to prevent slippage to the foot of the table.

What is (A)Position the knees over the break in the procedure bed to allow for knee flexion.

500
Strike-Through refers to. a. 3 of these and you are out b. Contamination of a sterile surface by penetrating moisture that has originated from a non-sterile surface c. Making an incision through a steri-drape
What is: b. Contamination of a sterile surface by penetrating moisture that has originated from a non-sterile surface
500
Give an example of an atraumatic clamp possibly used during intestinal surgery? a. Kocker Clamp b. Babcock Clamp c. Osteotome d. Rongeur Clamp
What is: b) Babcock Clamp
500
A process that kills most forms of microorganisms on inanimate surfaces. a. Iatrogenic Cleaning b. High Level Molecular Washing c. Disinfection d. Cellular Licking
What is: C) Disinfection