AORN Patient Safety 2

Question 1

During a surgical timeout, a discrepancy is noted between the consent form and the surgeon's stated procedure. What is the correct action?

Accepted Answer

Stop the procedure until the discrepancy is resolved

Answer

Any discrepancy identified during the surgical timeout requires halting the procedure until all team members reach consensus and the issue is fully resolved.

Question 2

Which electrosurgical unit (ESU) practice best prevents a dispersive electrode burns?

Accepted Answer

Positioning the dispersive electrode on a large, well-vascularized muscle mass close to the operative site

Answer

The dispersive electrode should be placed over a large muscle mass with good vascularity, close to the surgical site, to ensure low-resistance current distribution and prevent burns.

Question 3

A circulating nurse notices a surgical sponge count discrepancy after wound closure. What is the priority action?

Accepted Answer

Recount with a second nurse; if still discrepant, notify the surgeon before the patient is transferred

Answer

AORN guidelines require an immediate recount verified by a second nurse, and if still discrepant, the surgeon must be notified before the patient leaves the OR so intraoperative imaging or exploration can occur.

Question 4

What is the primary rationale for maintaining OR ambient temperature between 68°F and 75°F (20°C–24°C)?

Accepted Answer

To balance infection control needs with patient normothermia requirements

Answer

OR temperature ranges are set to limit microbial growth risk (lower temps) while also considering the patient's thermoregulatory needs and preventing hypothermia.

Question 5

Which action best reduces the risk of venous thromboembolism (VTE) in a patient undergoing a prolonged orthopedic procedure?

Accepted Answer

Using sequential compression devices (SCDs) intraoperatively on the lower extremities

Answer

Intraoperative application of sequential compression devices maintains lower-extremity venous flow during prolonged immobility, significantly reducing VTE risk.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN Patient Safety 2