AORN Perioperative Patient Care 2

Question 1

During the intraoperative phase, which position is most commonly associated with brachial plexus injury?

Accepted Answer

Trendelenburg with arm abduction beyond 90 degrees

Answer

Arm abduction greater than 90 degrees in Trendelenburg stretches the brachial plexus, causing nerve injury.

Question 2

A patient is scheduled for a bowel resection. Which type of anesthesia monitoring is MOST important to assess intraoperatively for fluid balance?

Accepted Answer

Urine output via Foley catheter

Answer

Urine output via Foley catheter provides real-time assessment of renal perfusion and fluid balance during major abdominal surgery.

Question 3

According to AORN guidelines, which action best prevents retained surgical items (RSIs)?

Accepted Answer

Performing standardized counts at designated time points

Answer

AORN recommends standardized surgical counts at opening, before closure, and at closure to prevent RSIs.

Question 4

Which electrosurgical unit (ESU) complication is specifically related to improper dispersive electrode pad placement?

Accepted Answer

Alternate site burns

Answer

An improperly placed dispersive electrode concentrates current at an alternate contact site, causing burns away from the surgical field.

Question 5

A patient receiving spinal anesthesia suddenly develops hypotension and bradycardia. What is the priority nursing intervention?

Accepted Answer

Elevate the patient's legs and notify anesthesia

Answer

Leg elevation increases venous return, and notifying anesthesia allows for vasopressor and fluid administration to treat spinal-induced hypotension.

(AORN) Association of PeriOperative Registered Nurses Practice Test