Question 1

When delegating a task,such as removing an intravenous (IV)catheter,to an unlicensed individual,the perioperative nurse:

Accepted Answer

Delegation transfers to a competent person the authority to perform a selected nursing task in a selected situation according to the "five rights" of delegation.When delegating care activities,perioperative nurses retain accountability for analyzing and evaluating the outcomes of delegated tasks.

Question 2

Which of the following actions best describes an element of the perioperative nursing assessment?

Accepted Answer

Assessment is the collection and analysis of relevant health data about the patient.Sources of data may be a preoperative interview with the patient and the patient's family; review of the planned surgical or invasive procedure; review of the patient's medical record; examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia provider,unit nurses,or other personnel.

Question 3

Which order best describes the process used to implement evidence-based professional nursing?

Accepted Answer

Evidence-based practice is a systematic,thorough process by which to identify an issue,to collect and evaluate the best evidence to design and implement a practice change,and to evaluate the process.

Question 4

The Association of PeriOperative Registered Nurses' (AORN)Standards of Perioperative Nursing describes nursing interactions,interventions,and activities with patients.This is based on which standards category?

Accepted Answer

Process standards relate to nursing activities,interventions,and interactions.They are used to explicate clinical,professional,and quality objectives in perioperative nursing.

Question 5

A frail 76-year-old diabetic woman is scheduled for major surgery.She is vulnerable and at high risk for harm because of several factors related to her preexisting conditions and overall health status.As part of developing a plan to guide her care,the nurse uses standardized descriptive terms.This step of the nursing process is called:

Accepted Answer

Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way that provides a focus to plan nursing care.Nursing diagnosis components include a definition of the diagnostic term,defining characteristics and risk factors.

Question 6

A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative cholangiogram.She was then interviewed by her perioperative nurse in the preoperative intake lounge.The patient's weight on admission was 245 lb.After the assessment,the nurse returned to the operating room (OR)and modified the standard plan of care by instituting risk reduction strategies that were derived from information from the preoperative assessment.A good example of this action would best be described by:

Accepted Answer

Planning is preparing in advance for what will or may happen and determining the priorities for care.Planning based on patient assessment results in knowing the patient and the patient's unique needs so that alterations in events,such as positioning the patient on a bariatric-specific OR bed as opposed to a regular OR bed,can be readily accommodated.Replacing the OR bed with a larger OR bed is a nurse-sensitive preventive intervention that provides equipment based on patient need.

Question 7

Perioperative nursing diagnoses and interventions are directed toward,and guided by,the tremendous risks for harm to the patient inherent in surgery and interventional procedures; therefore,nursing actions can generally be categorized as:

Accepted Answer

In contrast to some nursing specialties in which nursing diagnoses are derived from signs and symptoms of a condition,much of perioperative nursing care is preventive in nature,based on knowledge of inherent risks to patients undergoing surgical and invasive procedures.Perioperative nurses identify these risks and potential problems in advance and direct nursing interventions toward prevention of undesirable outcomes,such as injury and infection.Much of the work of perioperative nursing involves patient safety,protecting patients from risks related to the procedure,positioning,equipment,and the environment.

Question 8

The perioperative nurse implements protective measures to prevent skin or tissue injury caused by thermal sources.Successful accomplishment of this intervention would meet which of the following desired nursing outcomes?

Accepted Answer

Chemical and thermal sources used in surgery can cause skin and tissue burns (e.g.,electrosurgery,povidine-iodine,radiation,lasers).The patient being free from signs and symptoms of chemical injury,radiation injury,and electrical injury are approved NANDA International nursing diagnoses.

Question 9

A hospital nursing excellence center for education developed standards for nursing advancement that would reflect high-level achievement of professional performance.They developed a clinical advancement ladder based on the leading skill and knowledge acquisition model and established worthy criteria for each level.Select the response that might best describe the highest level of achievement for a perioperative staff nurse.

Accepted Answer

Achieving certification (CNOR),pursuing lifelong learning,and maintaining competency and current knowledge in perioperative nursing are the hallmarks of the professional.

Question 10

Adoption of an electronic medical record requires the use of consistent terminology.Empirically validated,standardized perioperative nursing language may be found in the:

Accepted Answer

After 6 years of research and validation,the Perioperative Nursing Data Set (PNDS)was recognized as a specialty nursing language,providing a uniform and systematic method to document the basic elements of perioperative nursing care.

Question 11

While conducting the preoperative interview with a patient scheduled for a septoplasty,the perioperative nurse learned that the patient was latex sensitive.Based on this knowledge,the nurse reviewed the pick/preference list and reassembled the surgical case cart setup to reflect this new information and change in care delivery.Which two phases of the nursing process are represented in the nurse's actions?

Accepted Answer

Planning is preparing in advance for what will or may happen and determining the priorities for care.Planning is based on patient assessment results in knowing the patient and the patient's unique needs.Implementation is performing the nursing care activities and interventions that were planned and responding with critical thinking and orderly action.Implementation is the "work" of nursing.

Question 12

The Perioperative Patient Focused Model presents key components of nursing influence that guide patient care.Select the statement that best describes the dynamic relationship within the model.

Accepted Answer

The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing diagnoses,nursing interventions,and patient outcomes.These domains are in continuous interaction with the health system that encircles the focus of perioperative nursing practice-the patient.

Question 13

The nursing diagnosis is derived from:

Accepted Answer

Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way that provides a focus to plan nursing care.

Question 14

During the admission interview,the nurse initiated the discharge teaching and demonstrated crutch-walking activities.The teaching activities are what stage of the nursing process?

Accepted Answer

Implementation is performing the nursing care activities and interventions that were planned and responding with critical thinking and orderly action to changes in the surgical procedure,patient condition,or emergencies.Implementation is the "work" of nursing.

Question 15

A registered nurse first assistant (RNFA)is considered an advanced practice nurse (APN)when he/she has achieved:

Accepted Answer

APNs must have graduate nursing education (at least a master's degree).

Question 16

The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their unit.The best process to gather scientific information is to:

Accepted Answer

Perioperative nurses have an ethical responsibility to review practices and to modify them based on the best available scientific evidence.Using research to guide practice is called evidence-based practice (EBP).

Question 17

Performance improvement activities in the perioperative practice setting are designed to promote:

Accepted Answer

Performance improvement efforts encompass improvements in quality and effectiveness,based on ethical and economic perspectives.A performance measurement and improvement approach facilitates the delivery of safe,high-quality perioperative patient care.

Question 18

The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient research evidence for their project.Where might they look for information on best practices?

Accepted Answer

When there is not enough evidence to guide practice,perioperative nurses should consider gathering information from varied trusted sources that reflect best practices.

Question 19

Emerging perioperative nursing roles are defined by the tremendous growth in science and technology combined with the increasing complexity of surgery and the interventional disciplines.An example of an emerging nursing role is:

Accepted Answer

Informatics is another specialty in which some perioperative nurses are focusing.Pressures for more efficient management of fiscal,material,and human resources have stimulated the development of electronic information systems for diverse functions in perioperative patient care settings.

Question 20

How do institutional standards of care,such as policies and procedures,differ from national standards,such as AORN's Standards of Perioperative Nursing?

Accepted Answer

Institutional standards apply to the system or facility that develops them and can be directive about specific actions in specific circumstances; national standards provide generalized authoritative statements that can be implemented in all settings.

Quiz 1: Concepts Basic to Perioperative Nursing

When delegating a task,such as removing an intravenous (IV) catheter,to an unlicensed individual,the perioperative nurse: