AORN Wound Management 2

Question 1

When performing intraoperative wound irrigation, which solution is recommended by AORN guidelines as the primary agent for reducing surgical site infection (SSI)?

Accepted Answer

Normal saline (0.9%)

Answer

AORN recommends normal saline (0.9%) as the primary irrigation solution because it is isotonic and does not damage tissue or impair healing.

Question 2

Which wound classification is assigned to a colorectal surgery case where the bowel is entered under controlled conditions with no spillage?

Accepted Answer

Class II – Clean-Contaminated

Answer

Controlled entry into the GI tract without spillage is classified Class II (Clean-Contaminated), indicating a low but elevated SSI risk.

Question 3

A scrub person notices a significant increase in blood saturating wound dressings in the immediate postoperative period. What is the FIRST action the perioperative nurse should take?

Accepted Answer

Notify the surgeon immediately

Answer

Sudden hemorrhage may indicate a surgical complication requiring immediate surgeon assessment and possible return to the OR.

Question 4

Which type of wound closure technique uses suture placed in the subcuticular tissue to approximate skin edges without exposed suture material on the surface?

Accepted Answer

Running subcuticular suture

Answer

A running subcuticular (intradermal) suture is placed just below the epidermis, providing excellent cosmetic results with no surface puncture marks.

Question 5

According to AORN guidelines, at what minimum temperature should the operating room environment be maintained to support optimal wound healing and reduce SSI risk?

Accepted Answer

68°F (20°C)

Answer

AORN recommends the OR temperature be maintained at a minimum of 68°F (20°C) to support patient normothermia and reduce SSI risk.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN Wound Management 2