AORN Periop 101 Final Real Exam Q&A
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evidence based practice questions are typically formatted as PICO questions. What does PICO stand for?
- Patient Intervention comparison outcome
- patient investigation comparison outlier
- population intervention counter intervention outlier
- problem investigation counter intervention outcome -correct answer- a. patient intervention
comparison outcome
Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the preoperative RN can participate in cost containment in the OR?
- ask the surgeon to use a less expensive implant
- Begin cleaning the OR for the next case before the patient leaves the room
- openly supplies listed on preference card, including "available" supplies
- verify with surgeon before opening suture -correct answer- d. verify with surgeon before opening
suture
An RN who attend continuing nursing education and has verified skills, knowledge, and attitudes about preoperative nursing is demonstrating accountability in his/her
- verification requirements for professional achievement in perioperative nursing
- collaboration among team members
- professional growth and maintenance of competency
- verification of nursing knowledge -correct answer- c 1 / 4
which of the following statements is TRUE concerting use of the AORN guidelines for Perioperative practice?
- both medical and nursing licensing boards require health care institutions to comply with AORN
- the AORN guidelines legally supersede departmental and institutional policies
- The AORN guidelines reflect scientific evidence of how nurses actually practice in the perioperative
- work setting and situation variations may determine the extent to which AORN guidelines can be
guidelines
settings
applied -correct answer- d. work setting and situation variations may determine the extent to which AORN guidelines can be applied
after transferring a meal patient into the Phase I PACU the perioperative RN could reasonable expect the PACU RN to FIRST
- administer medication to the patient for nausea and vomiting
- ask the patient if has has any pain
- assess the patient's airway and respirations
- care for this patient and two other patients as assigned -correct answer- c. assess the patient's airway
and respirations
during a handover report to the PACU RN, the perioperative RN may use a communication method identified by the acronym "SBAR", what does it stand for?
- safety background actions recovery expectations
- situation, background assessment recommendation cl safety concerns
- surgeon background assessment recovery time -correct answer- b. situation background assessment
- / 4
background assessment responsibility
recommendation
a 40 year old male patient is awake and alert in the post anesthesia care unit after a right shoulder surgery. what is the best measure to assess the patient's pain?
- discuss that patients pain with a close family member
- observe facial expressions and behaviors
- ask patient to describe his pain or use a standardized pain scale
- monitor vital sign changes -correct answer- c. ask patient to describe his pain or use a standard pain
scale
what should be included as part of the psychosocial nursing assessment
- anxiety, temperature and religious beliefs
- anxiety temperature and cultural practices
- cultural beliefs perception of surgery, and religious beliefs
- cuter practice, religious beliefs and age -correct answer- c. cultural beliefs, perception of surgery, and
religious beliefs
during a preop interview, a patient reports that a surgical prep solution made him break out in hives after a perilous surgical procedure. What action should the perioperative RN take/
- alter the surgeon and discuss the selection of the preoperative skin antiseptic.
- as the surgeon for an antihistamine to be administered preop
- monitor the patient more closely after administration preop sedation
- notify the anesthesia professional of a potential interaction wit the anesthetic agents -correct answer-
- alert the surgeon and discuss the selection of the preop skin antiseptic
during the preop interview, the periop nurse should as patient's about their use of
- alcohol
- herbal preparation
- recreational drugs 3 / 4
- tobacco products
- all of the above -correct answer- e. all of the above
the PRIMARY purpose of conducting a preop assessment is to
- define the patient's risk factors and develop a plan of care
- determine the length of procedure and needed supplies
- introduce the patient to the surgical team
- provide information necessary for discharge -correct answer- a define the patient's risk factors and
develop
which of the following sensory assessment findings is common among elderly patients?
- decrease in vision including color and depth perception
- decreased ability to understand explanations
- increase perception of pain
- memory impairment -correct answer- a
a directive interview is:
- open ended and unstructured
- structured with predetermined quesitons
- use to determine personality traits
- an observation of the patient's nonverbal behavior -correct answer- b
factors that may affect post pain are: select all that apply
- the surgical site
- the nature and intended purpose of the surgery
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