AORN Periop 101 Study Guide 2024/2025
|Practice Exam Questions| Correctly
Solved Booklet
______ is often used for microsurgical instruments: It has a blue, anodized finish, is inert, nonmagnetic,
lighter, stronger & harder than stainless steel. *Ans*Titanium
_______ refers to the proport...
AORN Periop 101 Study Guide 2024/2025
|Practice Exam Questions| Correctly
Solved Booklet
______ is often used for microsurgical instruments: It has a blue, anodized finish, is inert, nonmagnetic,
lighter, stronger & harder than stainless steel. *Ans*✨Titanium
_______ refers to the proportion of clinically apparent causes that are severe or fatal:
*Ans*✨Virulence
_______ refers to the proportion of the infected individual who develop clinically apparent disease:
*Ans*✨Pathogenicity
__________ is the absence of pathogenic microorganisms. *Ans*✨Asepsis
__________ is the absence of virtually all microorganisms. *Ans*✨Sterility
A _______ _______ is used to monitor the sterilizer's efficiency & effectiveness of killing the non-
pathogenic spores. *Ans*✨Biological Indicators
A _______ BI indicates the sterilization conditions were met: *Ans*✨Negative
,A culture of safety is promoted by: *Ans*✨• The health care organization's commitment to patient
safety above all goals
• A commitment to safety at all levels of the organization
• A focus on systems, process improvement, and individual accountability
• Sufficient resources
• The ability of providers to discuss near miss events and errors without reprisal
A customized distribution of resources and opportunities across a population to ensure no subset of
groups is at a particular disadvantage over others in achieving their maximum potential is an example of:
*Ans*✨Health equity
A Medication Assessment Should Include: *Ans*✨• Prescription medications
• Herbal preparations:
o may accentuate the toxicity of anesthetics.
o interfere with drug metabolism or clearance.
o might affect bleeding times.
• Recreational/street drugs
*It is also important to ask if the patient is using any recreational/street drugs. Close observation must
be maintained for symptoms of withdrawal, especially during and after long procedures.
• Drugs, alcohol, and smoking can alter lab values or system assessment. A chemically dependent
patient who is recovering may have concerns about medication he or she is given.
• Patient risk factors due to alcoholism include:
- Lowered immunity
- Prolonged bleeding times
- Increased stress response
- Cardiac complications
A patient's risk factors for hypothermia include: *Ans*✨• Extremes in the patient's age (eg, pediatric,
elderly)
• History of diabetes
• Low body weight
,• Peripheral vascular disorders
• Thyroid disorders
- An example of a procedural risk for hypothermia is open-cavity surgery (eg, laparotomy, open
thoracotomy).
A Semi-restricted Zone is an area not open to the public and requires proper attire. These areas are
secured via: *Ans*✨- signage
- doors with electronic access/badge requirements to enter
A sterile field is contaminated when _______ items come in contact with it. *Ans*✨unsterile
A sterile gown is considered sterile from the chest to the sterile field and _______ _______ above the
elbow to the cuff. *Ans*✨2 inches
Abdominoperineal prep, positioning and equipment for Vaginal surgery include: *Ans*✨- Prep kits
- Foley
~ straight cath to ensure empty bladder after vaginal prep
- Lithotomy with possible Trendelenburg
- Stirrups/holders
Abdominoperineal surgical site prep area(s) include: *Ans*✨- Abdomen
- Pubis
- Vagina
- Perineum
- Anus
- Thighs
Actions to decrease and prevent medication errors when transferring onto the sterile field include:
*Ans*✨• Label all medications, medication containers, and other solutions
• Write down & read back verbal orders
, • Verify medications - RN circulator reads aloud the medication name, strength, dosage, and expiration
date when transferring medications to the back table
• Label medications—the scrubbed team member labels each medication container immediately
• Avoid use of abbreviations that could cause medication errors
• Do Not use trailing zeroes when documenting medication doses
• Retrieve one medication at a time for one patient at a time
Actions to Take Before Transporting Instruments from the OR after use: *Ans*✨• Discard sharps into
a sharps container.
• Discard liquids per federal, state, and local regulations or transport them in a leak-proof container.
• Separate sharp instruments from delicate and heavy instruments.
• When applicable, follow the manufacturer's instructions for use (IFU) for instrument disassembly prior
to transport to the decontamination area.
• Moisten instruments with an enzymatic pre-treatment product or cover with a water-soaked towel.
Adson forceps *Ans*✨used to move and hold tissue in place during delicate surgical procedures
Airborne Precautions - Considerations and PPE *Ans*✨• Follow standard precautions + airborne
precautions.
Single-Patient Room
• AIIR: Airborne infection isolation room
o Doors must remain closed.
o Traffic is limited.
• Wear a National Institute for Occupational Safety and Health-approved fit-tested N95 respirator or
powered air-purifying respirator (PAPR) o PAPRs are NOT recommended for use in the operating or
procedure room.
Allis Clamp *Ans*✨-jaws have small interlocking teeth
-used to grasp tissue
-teeth are atraumatic and do not cause tissue damage
-used to grasp biopsy tissue, (breast tissue)
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