AORN EXAM l

1. Which of the following is NOT an appropriate action for specimen handling on the sterile field?
   Ensuring that the specimen stays dry until transfer off of the sterile field 

2. The surgical site marking must

Be consistent throughout the organization

3. An example of a superficial incisional surgical site infection is an infection that occurs

Within 30 days after surgery and is located in the epidermal layer

4. Which option is not a radiation exposure safety measure?
   Exposure
   
   

5. Skin antisepsis products can be flammable. Which of the following measures is not a recommended action?
   Warming the product before use

6. Which of the following is not one of the three key steps of the universal protocol? clipping the surgical site

7. An accountable care organization
   Is a voluntary coordinated effort across healthcare specialties 

8. Of the following which is not a type of closed drainage system:
   T-tube

9. A brachial plexus injury is most likely to occur when shoulder braces are used

When the patient is positioned in the lateral position with an axillary roll

10. Instrument names helps with
    The count process 

11. Which of the following statements regarding hand hygiene is incorrect?
    Personal hand lotion should be used to help maintain skin integrity
    
    

12. Of the following which is not a characteristic of patient and family centered care?
    Healthcare decisions provided to the patient and family
     

13. An area of painful skin that is abraded blistered or has shallow craters would be classified as which stage of pressure injury?
    stage 2 

14. When a count discrepancy occurs:
    A recount of that item is conducted after the missing item is found
     

15. Which option describes a critical patient safety step that the scrub person takes prior to laparoscopic surgery?
    Checks the surface of insulated instruments for tears and cracks
    
    

16.  Considerations for the patient and the prone position include:
    All of the above
    
    

17.  Which example describes the situational based error the RN:

 Is juggling several patient care activities

18.  Which perioperative assessment option is not correct?
    Instruct the patient not to remove jewelry prior to surgery
    
    

19.  Which of the following legal terms describes the actions of a reasonable and prudent professional in the same or similar circumstance?
    Standard of care

20. When is it appropriate for the perioperative nurse to release cricoid pressure?
    When the end of the endotracheal (ET) tube cuff is inflated on the anesthesia provider states it is safe to do so

21. Which of the following methods of estimating blood loss is the responsibility of the RN circulator?
    Weighing surgical sponges
    
    

22. A monopolar Electrosurgery intervention for the patient with an implanted electronic device (IED) is:
    An activation of the IED when possible
    
    

23. Which of the following options concerning minimally invasive surgery that is performed via a robot is not correct?
    The robotic arms are part of the surgeon's console
    
    

24. Which element of the Chain of Infection describes a microorganisms route after exiting an infectious reservoir?
    Mode of transmission
    
    

25. Which of the following describes the administration of sedatives by an anesthesia provider with additional medications and Medical Services as needed?
    monitored anesthesia care 

26. Which of the following is not a complication of surgical bleeding?
    Decreased infection risk
    
    

27. Why is water temperature an important consideration when cleaning instruments? Cool water prevents blood coagulation
    
    

28. Care Professionals have an ethical and legal obligation to maintain and protect their patients confidentiality and privacy. Which of the following statements is false?
    Using personal devices to capture images of patients or their personal information is appropriate for documentation purposes.
    
    

29. Step of the preoperative skin antisepsis is documentation. Which element is recorded after surgery?
    Hypersensitivity
    
    

30. Which of the following is the correct product for or cleaning after a procedure?
    An EPA registered product
    
    

31. Choose the correct statement about general preoperative skin antisepsis application measures.
    Apply the antiseptic to an area larger than the intended incisional site
    
    

32. Most postoperative complications occur within:
    48 hours
    
    

33. Choose the option that accurately depicts concepts of immediate use steam sterilization (IUSS):
    An instrument for IUSS should be cleaned in the scrub sink
    
    

34. Specimen transport container should:
    Protect the Integrity of the specimen
    
    

35. There are five domains of social determinants of Health. Which domain is concerned with employment, food and housing insecurity, and poverty?
    Economic stability
    
    

36. The use of verbal order should be reversed only for clinical necessity. Which of the following should be done regarding a verbal order?
    Document the order as close as possible to the time the order was communicated.
    
    

37.  Which of the following is a benefit of robotic surgery?
    Instruments may have more flexibility than the human wrist 

38. Which statement on draping the sterile field is incorrect?
    The unscrubbed team members apply the sterile drapes to create a sterile field
    
    

39. Which of the following is a traffic rule that the scrub person should observe? Change positions with another scrubbed person either face to face or back to back 

40. Event around site, wrong side, or wrong patient event, who is responsible for marking the surgical site?
    Licensed practitioner performing this procedure
    
    

41. The preoperative to intra operative hand over documentation would not include:
    Specimen documentation
    
    

42. Which of the following is true of the Count process?
    All counted items are kept in the surgical/procedure room until all counts have been completed

43. Which statement regarding delegation of nursing activities is false?
    The delegating RN provides a basic description of the task, referring questions or instructions to the charge nurse
    
    

44. Which of the following is safety practice for use of energy devices?
    Having only the person controlling the energy device activate the foot pedal
    
    

45. Which of the following is associated with increased risk for perioperative hypothermia? 

Elderly patients

46. These are still here the endotracheal tube or laryngeal mask airway is removed:

After when the patient is able to maintain the airway

47. Retrieval of bullets and other metal objects for forensic studies requires:
    Using metal instrument tip protective devices
    
    

48.  LAST is a patient medical emergency that occurs when:
    The local anesthetic blood threshold is exceeded

49. Which of the following is a particular consideration for postoperative care of a patient who is a regular user of cannabis products?
    Unknown tolerance to analgesics
    
    

50. During the preoperative interview, the RN should ask the patient about use of any herbal preparations and/or botanical products. Why is this a critical component of that assessment?
    All of the above

51. Medical abbreviations can be easily misunderstood, leading to a dangerous patient safety issue. Which of the following is the appropriate way to document 2 mg of morphine sulfate in both paper and electronic healthcare records?
    Morphine Sulfate 2 mg
    
    

52. The patient's health record is a legal document. Which of the following is a strategy to reduce the risk of involvement in a malpractice lawsuit?
    Document all patient care provided
    
    

53. Fast tracking:
    Bypasses phase I level of care so the patient goes directly to phase II
    
    

54. Which of the following statements is incorrect about hazardous chemical agents in the perioperative setting?
    Eye wash stations must be easily accessible within 20 seconds of use in storage locations
    
    

55. Which of the following results from medical errors?
    Increased healthcare costs
    
    

56. An example of an open drain is:
    The Penrose drain
    
    

57. Which of the following is applicable to the RN working in the post anesthesia care unit?
    Typically holds certification in advanced cardiac life support
    
    

58. Choose the term that describes the amount of virus found in an individual's blood.
    Viral load
    
    

59. The most specific early indicator of a malignant hyperthermia crisis is:
    An increase in an end-tidal carbon dioxide (CO2)
    
    

60. A consideration that would not be taken into account for an instrument assembly is:
    Scheduling conflicts
    
    

61. Which of the following interventions can help manage a gas embolism:
    Place the patient in Trendelenburg or in left lateral position
    
    

62. Which of the following sterile towels is considered a drape?
    Impervious towel
    
    

63. An example of a procedure that creates a clean contaminated wound is:
    A total abdominal hysterectomy
    
    

64. The 1999 report To Err is Human: building a safer Health System, started a cultural shift within healthcare. Which of the following is not an element of systems error study?
    Individual blame
    
    

65. Which of the following is not a sign or symptom of an allergic reaction?
    Hypertension

66.  Patient and family education:
    Improves patient outcomes
    
    

67. Before a central venous catheter insertion, the provider should:
    Don a sterile gown and gloves
    
    

68. Action should be taken when transferring a specimen off the sterile field?
    Confirming the type of test that is being requisitioned with the surgeon
    
    

69.  When opening a blue-wrapped item, the nurse should:
    Inspect the wrap Integrity for holes and tears
    
    

70.  Which gowning and gloving action would a scrub nurse perform?
    Changing gloves every 90-150 minutes after contact with bone cement
    
    

71. One action to promote safe gas insufflation is:
    Check that the alarms are on and audible
    
    

72. Preoperative assessment is a critical nursing element on considering surgical positioning. Which of the following may increase a patient's risk for injury?
    All of the above
    
    

73. ERAS (Enhanced Recovery After Surgery) protocols typically begin:
    Before surgery

74. Phases of post-operative care are:
    Levels of patient care

75. Which statement is included in the occupational safety and health administration's bloodborne pathogens standard?
    Personnel should wash their hands with soap after direct contact with blood, body fluids, or other potentially infectious materials

76.  For sterile field medications:
    The medication  is verified by both the RN circulator and scrub person
    
    

77.  A mechanical method of achieving surgical hemostasis includes the use of:

 Sutures, staples, or clips

78. The definition of a health disparity is:
    A higher burden of disease for some populations
    
    

79. Which of the following is not a laser or safety precaution?
    The laser is kept in active mode throughout the procedure
    
    

80. One of the physiological effects of the Trendelenburg position is:
    Increased intraocular pressure
    
    

81. A potential complication of gas inflation is:
    Increased cardiac output
    
    

82. Areas of the sterile gown that are considered sterile are: 

The chest to the level of the sterile field

83. A principal of covering or uncovering a sterile field includes:
    Covering a portion of the sterile field until needed
    
    

84. Damp dusting of horizontal surfaces in the surgical or procedural suite should be performed:
    Beginning with the highest surfaces and moving to the lowest
    
    

85. Risk factors for the surgical patient who uses/abuses alcohol include:
    The exaggerated physiological stress response
    
    

86. Which of the following is not correct regarding the handling and use of cleaning products? 

Using a spray bottle to dispense solutions

87. A factor that was negatively affect the sterility of an instrument is:
    Exposure to moisture
    
    

88. The purpose of surgical drape is to:
    
    Reduce the risk of healthcare associated infections 

89. Which barrier level gown would you choose for an anticipated high risk of exposure?
    Level 4

90. Which statement is an accurate description of negative pressure wound therapy? Promotes wound contracture
    
    

91. Which statement related to biological indicator (BI) testing is true?
    An unprocessed BI vial should produce a positive test result after incubation
    
    

92. Which option describes an interrupted suture?
    A single stitch that is tied independently
    
    

93. Specimen management errors can result in:
    Potential litigation
    
    

94. Failure to follow instructions for use of a healthcare product or device:
    May result in the hospital's accrediting body issuing citations
    
    

95.  A culture safety focuses on:
    Organizational care delivery
    
    

96. When is terminal cleaning performed?
    At the end of the day
    
    

97. Paper documentation correction should:
    Follow the facilities policy and procedure
    
    

98. Personnel establishing the chain of custody for forensic evidence must do all of the following except?
    Store evidence in a person of locker until it can be handed over to a law officer
    
    

99. Choose the option that describes the personal protective equipment (PPE) necessary for Health Care personals and supporting a patient who requires contact precautions:
    PPE is required for a designated team member when patient contact is necessary
    
    

100. Which of the following social determinants of Health relates to high lead levels and water affecting pediatric health?
     An environment free of life threatening toxins
      

101. Which of the following is a consideration for the abdominoperineal preoperative skin antisepsis?
     The bladder is drained after the vaginal 

102. From the options below, which provides a portal of entry for an infectious agent?
     Mucus membranes 

103. Instruments are inspected at multiple points of use and during the sterilization process. Which step is a preventative measure?
     Scheduled inspection of instrument sets
     
     

104. Instrument sets must not weigh more than: 
     25 lbs
     
     

105. Fall prevention measures in the OR include:
     Never leaving a patient unattended
     
     

106.  Extravasation can lead to:
     Intraabdominal compartment syndrome
     
     

107. Which of the following is the best option for a nurse to take when preparing for medication administration? 

Prepare medications for one patient at a time

108. Which statement about surgery for a patient who requires airborne precautions is true?
     Surgery that cannot be postponed to scheduled with the minimum number of staff at the end of the day
     
     

109. Option is not an effective method for correct instrument handling and care?
     Wipe debris from instruments with sterile saline
     
     

110. Which of the following statements regarding surgical attire is correct? Personnel remove all hand and wrist jewelry before performing hand hygiene
     
     

111.  Which of the following statements describes the term revenue?
     An organizations earnings made by services rendered
     
     

112.  Surgical fires can occur on or in the patient. In which element of the fire triangle does the does a laser or electrosurgical device belong?
     Ignition source
     
     

113. Which is not a key component of ERAS (Enhanced Recovery After Surgery)?
     Patient fasting 12 hours prior to surgery
     
     

114. Disposable dispersive pads are:
      Stamped with an expiration date that should be verified before use
     
     

115.  Which is an accurate statement regarding shelf life?
     Shelf life is event related 

Multiple Choice Study Set

1. What is NOT an appropriate action for specimen handling on the sterile field?a. Ensuring that the specimen stays dry until transfer off of the sterile fieldb. The surgical site marking must be consistent throughout the organizationc. Warming the specimen before transportd. Inspecting the specimen container for integrity

2. Which option is not a radiation exposure safety measure?a. Exposureb. Distancec. Shieldingd. Time

3. Which of the following is not one of the three key steps of the universal protocol?a. Preoperative verificationb. Marking the surgical sitec. Clipping the surgical sited. Time out

4. What is a critical patient safety step before laparoscopic surgery?a. Checks the surface of insulated instruments for tears and cracksb. Verifying patient identityc. Confirming the surgical sited. Ensuring anesthesia readiness

5. Which statement regarding hand hygiene is incorrect?a. Personal hand lotion should be used to help maintain skin integrityb. Handwashing should be done before and after patient contactc. Alcohol-based sanitizers are effective when hands are not visibly soiledd. Hand hygiene compliance improves patient outcomes

6. What describes the administration of sedatives by an anesthesia provider?a. Monitored anesthesia careb. General anesthesiac. Local anesthesiad. Regional anesthesia