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Periop 101 > Exa > Flashcards

Exa Flashcards

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1
Q

Using mechanical friction when prepping will NOT aid in:
A. Removal of resident bacteria
B. Removal of dirt and oil
C. The effectiveness of antimicrobials
D. Removal of transient bacteria

A

A. Removal of resident bacteria

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2
Q

Reduction in resident bacteria is aided by:
A. Use of a degreaser
B. Use of antimicrobials
C. Prepping clean to dirty
D. Mechanical friction

A

B. Use of antimicrobials

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3
Q

Prolonged contact of skin antisepsis agents due to pooling of the solutions can cause patient injuries that include:
1. Chemical burns
2. Thermal burns
3. Injuries related to equipment malfunction

A
  1. and 2.
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4
Q

Which one of the following statements is TRUE?
A. Povidone-iodine’s mechanism of action is to disrupt the cell membrane
B. Povidone-iodine is nonirritating to the skin
C. Povidone-iodine cannot be used on mucous membranes
D. Heating Povidone-iodine may decrease its effectiveness

A

D. Heating Povidone-iodine may decrease its effectiveness

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5
Q

Documentation of the preoperative skin prep includes all of the following EXCEPT:
A. Hair removal
B. Manufacturer of solutions used
C. Allergies
D. Name of person who performed the prep

A

B. Manufacturer of solutions used

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6
Q

When prepping an extremity, which one of the following is ALWAYS required?
A. Positioning the extremity to prevent prep solution from running toward the incision site
B. Assistance in holding the limb
C. Scrubbing nails with a brush before formal prep
D. Prepping so that the entire limb can be draped

A

A. Positioning the extremity to prevent prep solution from running toward the incision site

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7
Q

Surgical wound infections can result in decreased:
A. Hospitalization time
B. Intraoperative time
C. Income for hospitals
D. Workload for perioperative nurses

A

C. Income for hospitals

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8
Q

Preoperative skin preparation is accomplished by:
A. Removing soil and transient microbes
B. Reducing resident microbes
C. Using antimicrobial agents that inhibit growth of microbes
D. All of the above

A

D. All of the above

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9
Q

According to the AORN’s guidelines for skin preparation of patients, hair at the operative site is _______.
A. Allowed to remain unless it interferes with the surgical procedures
B. Always removed with a depilatory
C. Removed at least two hours before surgery
D. Dry shaved as opposed to wet shaved

A

A. Allowed to remain unless it interferes with the surgical procedures

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10
Q

The concept of prepping from clean to dirty means:
A. Cleaning all stomas or open wounds first
B. Beginning at the incision site and suing circular strokes toward the periphery
C. Prep solution is changed after cleaning contaminated areas
D. Surgical scrub solutions used first and then surgical paint

A

B. Beginning at the incision site and suing circular strokes toward the periphery

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11
Q

Common resident bacteria include all EXCEPT:
A. Staphylococcus epidermis
B. Staphylococcus aureus
C. Diphtheroid bacillus
D. Pseudomonas aeruginosa

A

B. Staphylococcus aureus

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12
Q

Which one of the following statement about the skin prep is FALSE?
A. Povidone-iodine should not be allowed to dry
B. Manufacturer’s guidelines should be followed
C. Skin prep is performed after the patient has been positioned
D. The name of the person performing the prep should be documented

A

A. Povidone-iodine should not be allowed to dry

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13
Q

Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin, oil, and microbes from the skin
B. Sterilization of the skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours

A

B. Sterilization of the skin

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14
Q

The generally recognized length of time required for contact of antimicrobial agents to be effective is:
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers’ directions

A

D. According to manufacturers’ directions

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15
Q

The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling

A

C. Prep stomas first

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16
Q

Which one of the following topical antimicrobial agent is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate

A

D. Chlorhexidine gluconate

17
Q

Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been show to be nontoxic and nonirritating
D. Percutaneous absorption does not occur across mucous membranes

A

A. It provides rapid reduction in microbial counts of skin

18
Q

Which statement is FALSE about eye, extremity, or vaginal preps?
A. A 5% sterile ophtalmic prep solution is commercially available for eye preps
B. The vagina should be prepped first as part of vaginal prep
C. When prepping an extremity, it should be positioned so that the incision site is the upper-most portion of the prep
D. If fingers or toes are included in the surgical field (extremity prep), it may be necessary to scrub the nail with a brush and soap solution

A

B. The vagina should be prepped first as part of vaginal prep

19
Q

Hand hygiene should be performed after which of the following?
A. Touching the operating room bed controls
B. Adjusting a patient’s bed linens
C. Eating
D. Marking the surgical site
E. All of the above

A

E. All of the above

20
Q

When should perioperative team members use an alcohol-based rub for hand hygiene?
A. After hands have been exposed to blood or other bodily fluids
B. After using the restroom
C. When the hands are not visibly soiled
D. When caring for patients with spore-forming organisms

A

C. When the hands are not visibly soiled

21
Q

What is the minimum length of time perioperative team members should spend performing hand hygiene by washing with soap and water?
A. 7 seconds
B. 15 seconds
C. 20 seconds
D. 30 seconds

A

B. 15 seconds

22
Q

How much of an alcohol-based hand rub should be used when performing hand hygiene?
A. A dime-sized amount
B. A quarter-sized amount
C. 10 drops
D. The amount recommended by the manufacturer

A

D. The amount recommended by the manufacturer

23
Q

Perioperative team members should maintain fingernails at a maximum of what length?
A. 2mm (0.8 inch)
B. 6mm (0.24 inch)
C. 10mm (0.4 inch)
D. 12mm (0.5 inch)

A

A. 2mm (0.8 inch)

24
Q

Which of the following measures is helpful for maintaining healthy skin and minimizing the risk of hand dermatitis?
A. Completely drying hands before putting on gloves
B. Avoiding water hotter than 80F (27C)
C. Using approved moisturizing products
D. Using glove liners
E. All of the above

A

E. All of the above

25
Q

Which of the following types of jewelry is acceptable for perioperative members to wear in patient care areas?
A. One ring per hand
B. Watch
C. Loose bracelet
D. Fitness monitor
E. No jewelry is acceptable

A

E. No jewelry is acceptable

26
Q

Which of the following is a primary line of defense for protecting the patient from the transmission of pathogens during surgical procedures?
A. Sterile gloves
B. Sterile gowns
C. Surgical hand asepsis
D. Surgical masks

A

C. Surgical hand asepsis

27
Q

Which of the following parts of the surgical gown is considered sterile?
A. The axillary region
B. The back
C. The cuff of the gown sleeve
D. The front from the chest to the level of the sterile field
E. The shoulders

A

D. The front from the chest to the level of the sterile field

28
Q

Which method of gloving should be used by team members during the initial gowning and gloving process for surgical procedures?
A. Assisted gloving with gown cuffs at fingertips
B. Assisted gloving with gown cuffs at wrists
C. Open gloving
D. Open assisted gloving
E. Any of the above

A

A. Assisted gloving with gown cuffs at fingertips

29
Q

How often should surgical gloves be changed during an invasive surgical procedure?
A. Every 60 to 90 minutes
B. Every 90 to 150 minutes
C. Surgical gloves only require changing if a known or suspected break in technique occurs or a tear is identified in the glove
D. There is no recommended time for changing gloves

A

B. Every 90 to 150 minutes

30
Q

Which of the following is the preferred method for assessing hand hygiene in the perioperative setting?
A. Direct observation
B. Measurement of product usage
C. Automated monitoring
D. Self-reporting

A

A. Direct observation

31
Q

Approximately what percentage of surgical patients develop a surgical site infection during hospitalization?
A. 1%
B. 5%
C. 10%
D. 15%
E. 20%

A

B. 5%

32
Q

Which of the following terms is used to refer to seepage of fluid through a sterile material with subsequent bacterial penetration?
A. Breakthrough
B. Pierce through
C. Punch through
D. Strikethrough

A

D. Strikethrough

33
Q

Which of the following type of drape is designed to be tubular?
A. Fenestrated drape
B. Flat sheet
C. Stockinette
D. Towel

A

C. Stockinette

34
Q

Which of the following is recommended when opening a sterile field in the perioperative setting?
A. All sterile fields for all patients should be opened in a designated central sterile area and transported to the OR for use
B. Cables and tubing should be secured with non-perforating devices
C. Drapes should be shaken after opening and before placement to remove dust
D. When draping a patient, the RN should drape the peripheral areas first and move inward toward the surgical site

A

B. Cables and tubing should be secured with non-perforating devices

35
Q

Which surfaces of the sterile drape are considered sterile?
A. Top only
B. Top and bottom but not sides
C. Top and sides but not bottom
D. Top, bottom, and sides
E. Bottom and sides

A

A. Top only

36
Q

Drapes are considered contaminated under which of the following conditions?
A. A hole is discovered
B. The drape drops below waist level
C. The drape is placed incorrectly
D. There is some doubt about the drape’s sterility
E. All of the above

A

E. All of the above

37
Q

The perioperative RN should do which of the following when draping a patient for a laparotomy?
A. Stand on the opposite side of the OR bed when handling sterile towels to the surgeon
B. Secure the sterile towels with pointed, penetrating clips
C. Place the opening of the laparotomy sheet directly over the surgical site
D. Unfold the drapes toward the bottom and top of the patient before unfolding to the side
E. All of the above

A

C. Place the opening of the laparotomy sheet directly over the surgical site

38
Q

Which of the following is an important consideration when draping patients for procedures on the eye?
A. It is important to repel water
B. The environment must be free of lint
C. Cataract procedures are often performed without sedation
D. Adequate air exchange for the patient must be maintained
E. All of the above

A

E. All of the above

39
Q

The perioperative RN should follow which of these procedures when draping equipment?
A. Drape equipment that will be positioned over the sterile field
B. Drape equipment that will be positioned immediately adjacent to the sterile field
C. Drape large pieces of equipment as close to the time of use as possible
D. Follow the MIFU
E. All of the above

A

E. All of the above

Periop 101 (1 decks)

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