Chapter 02: Foundations of Perioperative Patient Care Standards
Phillips: Berry & Kohn’s Operating Room Technique, 14th Edition
MULTIPLE CHOICE
1. Who is responsible for documenting the final counts at the end of the case as correct or
incorrect?
a. Scrub person
b. Surgeon
c. Anesthesiolog...
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Chapter 02: Foundations of Perioperative Patient Care Standards
Phillips: Berry & Kohn’s Operating Room Technique, 14th Edition
MULTIPLE CHOICE
1. Who is responsible for documenting the final counts at the end of the case as correct or
incorrect?
a. Scrub person
b. Surgeon
c. Anesthesiologist
d. Circulating nurse
ANS: D
The circulating nurse is responsible for final documentation.
REF: p. 22 | p. 23
2. Optimal patient care requires which element?
a. Deterring an admission of fault in sterile technique
b. Anatomic separation
c. Dynamic tension of surgical team members
d. Application of asepsis and sterile technique principles
ANS: D
Asepsis and sterile technique are expected and necessary practices in the OR setting for
favorable patient outcomes.
REF: p. 22
3. The circulating nurse should assess a patient for which type of injury before entering the OR?
a. Medication error
b. Wrong IV site
c. Skin injury
d. Sharp object
ANS: C
Skin injuries can be caused by many things in the OR. The nurse should assess the skin before
and after the procedure to make sure no damage has been done.
REF: p. 23
4. Caregivers should always know why they are doing a particular action. Actions should be
based on ___________.
a. self-taught methods
b. preceptor actions
c. nursing process
d. evidence-based practice
ANS: D
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Evidence-based practice is a systematic process that is based on research. The research is the
base for best practices. Practices are constantly evaluated for the best methods for performing
patient care.
REF: p. 25 | p. 26
5. When does the intraoperative phase begin?
a. Placement of the patient on the OR bed
b. When the patient enters the OR
c. When waiting in the holding area
d. When taken to the recovery area or PACU
ANS: A
The intraoperative phase begins with the patient on the OR bed and continues until the patient
is transported to the PACU.
REF: p. 28
6. What documentation goes into the patient’s chart and becomes part of the permanent record?
a. Specimen results
b. Intraoperative notes only
c. All routine and individualized care
d. Physical changes
ANS: C
All patient care interventions and observations are documented. Standardized language
provides legal evidence for the plans of care and revisions of those plans.
REF: p. 31
7. Which identifies one aspect of safe patient movement from the OR table to the stretcher?
a. The circulating nurse counts to synchronize the patient’s movement.
b. The person guiding the head counts to synchronize the movement.
c. The person at the left side of the patient also guides the head and counts to start the
movement.
d. Two people are needed to move an anesthetized patient from the table to the
stretcher.
ANS: B
There should be at least one person on either side of the patient, one at the foot, and one at the
head to monitor the airway. The person guiding the patient’s head should be the one who
counts “one, two, three” to pace the synchronized movement from one surface to another.
REF: p. 22
8. Which is one of the “seven rights” of medication administration for each patient?
a. Right pharmacy
b. Right color
c. Right route
d. Right answer
ANS: C
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Edition Phillips
The seven rights of medication administration include right patient, right drug, right dose,
right reason, right time, right route, and right documentation.
REF: p. 24
9. All are included in the definition of professionalism except
a. self-centered for profit group.
b. requires special skills and knowledge.
c. has its own standards and code of ethics.
d. acts responsibly to gain public trust.
ANS: A
Professionalism is the combination of knowledge, skills, ethics, and ideas that regulate a
profession. It also uses critical thinking and judgement.
REF: p. 25
10. Which event is included on Medicare’s “No Pay List” and will not be reimbursed?
a. Myocardial infarction
b. Wrong site surgery
c. Documented Alzheimer’s
d. Incision and drainage of a chronic hip abscess
ANS: B
Wrong site surgery is an easily preventable occurrence and is not reimbursed for by Medicare.
REF: p. 18
TRUE/FALSE
1. Surgical conscience is considered the Golden Rule: Do unto the patient as you would have
others do unto you.
ANS: T
Surgical conscience develops over time. The caregiver should consider each patient as himself
or herself or as a loved one. It is just one element for optimal patient care.
REF: p. 16
2. A patient advocate is the person who accompanies the patient to the facility.
ANS: F
A patient advocate is a caregiver, who recognizes the patient and family’s need for
information and assistance. They act as the patient’s representative to help make informed
decisions. They identify specific care needs and assist in coping.
REF: p. 16
3. Access to health care is a privilege of every human being.
ANS: F
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