AORN Documentation 5

Question 1

Which statement about documenting use of an electrosurgical unit (ESU) is consistent with AORN guidelines?

Accepted Answer

Document the type of ESU, settings used, dispersive electrode placement site, and skin condition under the electrode

Answer

AORN requires documentation of ESU type, power settings, dispersive electrode location, and skin condition at the electrode site before and after use.

Question 2

When the perioperative nurse performs the hand-off report to the PACU nurse, which documentation action is required per AORN standards?

Accepted Answer

Completion of a structured written or electronic hand-off that includes procedure performed, pertinent intraoperative events, medications given, and patient status

Answer

AORN standards require a structured, documented hand-off that transfers essential intraoperative information to ensure continuity and patient safety in PACU.

Question 3

A perioperative nurse notes a discrepancy between the surgeon's verbal order for irrigation solution concentration and the written order. How should this be documented?

Accepted Answer

Clarify the order with the surgeon, document the clarification, and proceed with the verified order

Answer

Order discrepancies must be clarified at the source, and the clarification and resulting verified order must be documented before the medication is administered.

Question 4

When documenting patient positioning for a procedure performed in the lithotomy position, the MOST important time-based element to record is:

Accepted Answer

The time the patient was placed into and taken out of lithotomy position

Answer

Recording the time the patient was placed into and removed from lithotomy position is critical to monitor cumulative time and reduce the risk of compartment syndrome.

Question 5

Which of the following statements about documenting a 'near miss' in the perioperative setting is CORRECT per AORN standards?

Accepted Answer

Near misses should be documented in the incident reporting system to identify system weaknesses and prevent future events

Answer

AORN supports a culture of safety in which near misses are reported and documented to analyze system vulnerabilities and prevent future patient harm.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN Documentation 5