AORN Periop 101 Final Exam Test Bank
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1. When an incorrect surgical count occurs, the search for the missing
item begins with the:
a. kick bucket
b. trash
c. incision site
d. floor
Answer
incision site
2. When placing the dispersive electrode on the patient, the
perioperative nurse should not place it:
a. over scar tissue
b. near the incision site
c. over muscle mass
d. near an active electrode
Answer
over scar tissue
3. When considering teaching an adolescent about ostomy self care,
it is important to realize that they may have concerns relating to their:
a. impact on career
b. financial issues
c. independence
d. body image
Answer
body image
4. Critical components of universal precaution practice standards of the
occupational safety and health administration include which of the
following?
a. use of personal protective barriers
b. proper hand washing
c. precautions in handling sharps
d. all of the above
all of the above standard precautions
- hand washing
- protective barriers
- sharp safety
5. Your patient is having a C-section. What would be the minimum number
of overall counts you would expect to preform before the patient leaves
the operating room?
a. 3
b. 4
c. 5
d. 6
Answer
4
Preliminary, uterine closure, abdominal closure, final count
The additional extra sponge count is UVA specific and not AORN
6. What position is associated with complications of increased
intraocular pressure, corneal abrasions and retinal artery occlusion?
a. Lithotomy
b. Prone
c. Supine
d. Lateral Recumbent
Answer
Prone
Lateral also has an increased risk for intraocular pressure
7. Mrs. H is a 42 year old obese, diabetic, smoker with end-stage renal
disease. Which of her comorbidities is not a contributing factor to her risk
for developing a surgical site infection?
a. diabetes
b. smoking
c. obesity
d. renal disease
Answer
renal disease
8. The mechanism of lethality with steam sterilization is achieved with this
event:
a. time, temperature, and steam pressure
b. reduced and limited mitosis within the bioburden
c. saturated vaporization of the microbial cytoplasm
d. denaturation and coagulation of enzyme proteins
Answer
denaturization and co-agulation of enzyme proteins
9. If a biological indicator shows a positive growth, which of the following
steps in necessary?
a. The sterilizer should be taken out of service
b. Any items processed in the load should be recalled
c. The BI should be reported to the manager or charge nurse
d. All of the above are true
Answer
All of the above
10. Which bacteria is used in biological indicators to determine the survival
of spores?
a. Staphylococcus aureus
b. Geobacillus stearothermophilus
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c. Enterococcus
d. Escherichia coli
Answer
Geobacillus stearotherophilus
11. Which of the following surgical complications is unlikely to be related
to improper positioning?
a. Joint dislocation
b. hypoglycemia
c. Peripheral nerve damage
d. Hypoventillation
Answer
Hypoglycemia
12. Before accepting an item to the sterile field, the scrub person is
responsible for checking the:
a. color of the indicator tape
b. chemical indicator of integrator inside the package
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c. wrapper for stains or wetness
d. expirations date
Answer
chemical indicator or integrator inside the package
13. In an operating room department, which area is most likely to be
unrestrict- ed?
a. Scrub sinks
b. Instrument processing area
c. Patient preoperative area
d. Clean storage supply area
Answer
Patient preoperative
14. What is the unrestricted zone: personnel may wear street clothes
15. What is the semi-restricted zone: personnel must wear scrub clothes and
caps
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16. What is the restricted zone: personnel must wear scrub clothes, caps
and masks
17. An injury to the patient when the skin remains stable which the
tissue beneath is lifted is caused by:
a. friction
b. shearing
c. pressure
d. none
Answer
shearing
18. An injury to the patient when the skin moves or rubs across coarse
surfaces, such as bed linen is caused by:
a. friction
b. shearing
c. pressure
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d. none
Answer
friction
19. An injury to the patient that results from prolonged pressure over bony
prominences is caused by:
a. friction
b. shearing
c. pressure
d. none
Answer
pressure
20. Before the first procedure of the day, the perioperative nurse should do
which of the following?
a. Damp dust furniture, equipment, and lights with hospital-grade, high-level
disinfectant registered with the EPA
b. Damp dust furniture, equipment, and lights with EPA registered, hospital
grade disinfectant
10 /