Periop 101 Review # 1

Drape/Prep

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

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

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

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

500

Drapes are selected depending upon (multiple): 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

Positioning

100

At minimum, how many teammates should assist in lowering or raising the legs into lithotomy position?

What is 2 people. 

200

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

What is 1730?

300

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

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

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

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.

Asepsis

100

Practices that restrict pathogenic organisms from the patient, environment, equipment, and supplies.

What is aseptic technique?

200

___ is the removal of pathogenic and other microorganisms from surfaces by using chemical or physical means. 

What is decontamination?

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

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

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

Instruments

100

Which instruments are occluding clamps: A. oschners B. kellys C. babcocks D. criles

What are (A)oschners, (B) kellys & (D)criles

200

What is the safest way to pass a cutting instrument?

What is the neutral zone?

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

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

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

Environment Sanitation

100

Which of the following practices is recommended for damp dusting in the OR? Damp dusting should: A. be completed before the first case of the day. 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 the first case of each day & (D) begin with higher surfaces and finish with the lowest levels.

200

In the perioperative setting, this surface is always considered contaminated?

What is the floor?

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

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

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