Free CFPN General Questions and Answers — Questions and Answers
Question 1: The best ways to recognize the preoperative patient at the initial visit before starting the exam are to?
- call his name and if he responds, compare his chart and wristband.
- check his chart, ask the patient to spell his name, and ask the Holding Area nurse to identify him.
- confirm the patient’s identity with his relatives, check his wristband, and ask the Holding Area nurse to identify him.
- compare his wristband and chart, and ask him to spell his name. (Correct answer)
Correct answer: compare his wristband and chart, and ask him to spell his name.
Ask the holding area nurse to identify the patient, verify his identity with his family, and look at his wristband. The wristband should be examined, the name and unique number on the chart should match, and the patient (or parent/guardian) should be asked to spell the name. This is the best way to verify a patient's identity. The perioperative nurse must still verify the chart, the wristband, and ask the patient to say his name. The holding area nurse may help with patient identification.
Question 2: Which of the following is NOT the main reason for a "time out" just before a surgical procedure starts?
- confirm the availability of surgical implants, if applicable.
- ensure the entire surgical team is on the same page and prepared for surgery.
- give the staff a break before beginning the surgery. (Correct answer)
- verify the correct patient, procedure and site.
Correct answer: give the staff a break before beginning the surgery.
Use the "time out" before the surgery to confirm the patient's identity, make sure the right procedure is verbally understood and recorded, mark the right place, and make sure all surgical implants are on hand (if applicable). Additionally, it guarantees that the surgical team is organized and ready for the procedure. The "time out" during surgery is a normal safety procedure that is unrelated to staff breaks. Only when they are relieved by other trained staff members can surgical workers take breaks.
Question 3: The OR nurse MUST USE ALL OF THE FOLLOWING MEASURES, EXCEPT?, to guarantee the patient stays clear of infection.
- proper draping methods.
- proper anesthesia. (Correct answer)
- excellent aseptic technique.
- proper preparation for the incision site.
Correct answer: proper anesthesia.
The absence of infection is a highly desirable outcome. Excellent aseptic technique, which includes adequate incision site preparation and draping techniques, helps achieve the desired result of infection freedom. The incidence of infection is not significantly influenced by the anesthetic drug itself.
Question 4: All of the following are exogenous sources of infection, aside from?
- the patient’s skin flora. (Correct answer)
- contaminated surgical instruments or supplies.
- cracks in nail polish, artificial nails, and jewelry.
- talking, coughing, and breathing.
Correct answer: the patient’s skin flora.
Exogenous causes of infection include those that originate outside the body, such as the environment or hospital staff, and include things like jewelry, artificial nails with cracks, talking, coughing, and breathing, as well as the use of infected surgical equipment and supplies. The skin flora of the patient serves as an endogenous source of infection since it originates from within the body and is constantly present.
Question 5: In relation to artificial nails worn by perioperative staff, the Joint Commission, the Association of PeriOperative Registered Nurses (AORN), the Centers for Disease Control and Prevention (CDC), and the World Health Organization (WHO) hold the following positions:
- artificial nails must not be worn in the OR (Correct answer)
- artificial nails are safe when worn under double gloves.
- artificial nails present no registered concerns.
- properly maintained artificial nails harbor fewer microorganisms than natural nails.
Correct answer: artificial nails must not be worn in the OR
Artificial nail use is discouraged by the AORN, CDC, and WHO because it promotes bacterial and fungal colonization of the hands. Even after properly performing a preoperative surgical scrub, perioperative workers with artificial nails still carry Gram-negative bacteria and yeast.
Question 6: Most surgical site infections (SSI) are brought on by:
- improperly cleaned lights in the operating theater.
- poor aseptic technique.
- the patient’s own flora. (Correct answer)
- respiratory contaminants from perioperative personnel.
Correct answer: the patient’s own flora.
Microorganisms that are either symbiotic or commensal to the patient's skin, mucous membranes, and hollow viscera make up the normal flora. Infections may be caused by improper aseptic procedures, dirty equipment (such as the overhead lights), and employees coughing, talking, and breathing. The majority of surgical site infections, however, are caused by the patient's own normal flora turning pathogenic.
Question 7: The main channels by which bacteria in the OR are spread are as follows:
- sneezing, coughing, and talking.
- blood and dirty equipment.
- droplet, airborne, and contact. (Correct answer)
- body fluids, purulent material, and blood.
Correct answer: droplet, airborne, and contact.
Droplet, airborne, and touch are the three methods of transmission for bacteria in the OR. The three mechanisms of transmission—sneezing, coughing, talking, and unclean equipment—include body fluids, purulent material, blood, as well as other potential sources of contamination.
Free CFPN General Questions and Answers
The best ways to recognize the preoperative patient at the initial visit before starting the exam are to?