AORN Documentation 2

Question 1

When documenting a surgical count discrepancy that is resolved before wound closure, what must the perioperative nurse record?

Accepted Answer

The discrepancy, corrective actions taken, and final reconciled count

Answer

AORN guidelines require documentation of the initial discrepancy, all corrective actions taken, and the final reconciled count to ensure a complete record.

Question 2

Which element is MOST critical to include when documenting the application of a pneumatic tourniquet?

Accepted Answer

Inflation pressure, cuff location, and inflation/deflation times

Answer

AORN standards require documentation of inflation pressure, cuff location, and the times of inflation and deflation to monitor for ischemic injury.

Question 3

A patient arrives to the OR without a signed informed consent. What is the perioperative nurse's FIRST documentation action?

Accepted Answer

Document the missing consent and notify the surgeon and charge nurse before proceeding

Answer

The nurse must document the absence of consent and escalate to the surgeon and charge nurse; surgery should not proceed until proper consent is obtained.

Question 4

When documenting implant information in the intraoperative record, which data element is required by AORN and The Joint Commission?

Accepted Answer

The implant lot number and manufacturer name

Answer

Lot number and manufacturer are required for implant traceability so patients can be notified in the event of a recall.

Question 5

Which statement about late entries in the perioperative nursing record is CORRECT?

Accepted Answer

A late entry should be labeled as such with the current date, time, and reason for the delay

Answer

A late entry must be clearly identified with the actual date and time of documentation and the reason for the delay to maintain record integrity.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN Documentation 2