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AORN PERIOP 101 EXAM / ACTUAL 2026
AORN PERIOP 101 FINAL EXAM ACCURATE
QUESTIONS AND CORRECT DETAILED
SOLUTIONS (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION
2026 EDITION |GUARANTEED PASS.
(BRAND NEW!)
1. A 72-year-old patient with a history of hypertension and
diabetes is scheduled for a total knee arthroplasty. Which
preoperative laboratory value is most critical to review before
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proceeding?
a) Hemoglobin A1C
b) Serum creatinine ✓
c) White blood cell count
d) Prothrombin time
Rationale: Serum creatinine is critical to assess renal function,
especially in older diabetic patients, because many
perioperative medications (NSAIDs, antibiotics, contrast dye)
are nephrotoxic. Elevated creatinine may require dose
adjustments or alternative drugs.
2. Which statement by a patient scheduled for a
cholecystectomy indicates a need for further preoperative
teaching?
a) “I will remove my jewelry and leave it at home.”
b) “I can have a light breakfast 2 hours before surgery.” ✓
c) “I will tell the anesthesiologist about my herbal
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supplements.”
d) “I should stop smoking at least 12 hours before surgery.”
Rationale: NPO guidelines generally require no solid food for
6–8 hours and clear liquids up to 2 hours before surgery. A
light breakfast is not permitted.
3. A patient reports taking aspirin 81 mg daily for cardiac
prevention. Surgery is scheduled for tomorrow. What should
the perioperative nurse do?
a) Tell the patient to take it as usual.
b) Notify the surgeon and anesthesia provider. ✓
c) Instruct the patient to double the dose.
d) Cancel the surgery immediately.
Rationale: Low-dose aspirin may increase bleeding risk
depending on surgery type. The surgeon and anesthesia
provider must decide whether to continue or hold it.
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4. Which laboratory finding in a preoperative patient requires
immediate notification of the surgical team?
a) Hemoglobin 12.5 g/dL
b) Potassium 2.8 mEq/L ✓
c) Sodium 138 mEq/L
d) Platelets 250,000/mm³
Rationale: Severe hypokalemia (K < 3.0 mEq/L) increases risk
of cardiac arrhythmias during anesthesia and requires
correction before surgery.
5. A patient with a latex allergy is scheduled for surgery.
Which action is most appropriate?
a) Schedule the patient as first case of the day. ✓
b) Use latex gloves for better barrier protection.
c) Avoid only latex gloves but use latex urinary catheters.
d) No special precautions are needed.
AORN PERIOP 101 EXAM / ACTUAL 2026
AORN PERIOP 101 FINAL EXAM ACCURATE
QUESTIONS AND CORRECT DETAILED
SOLUTIONS (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION
2026 EDITION |GUARANTEED PASS.
(BRAND NEW!)
1. A 72-year-old patient with a history of hypertension and
diabetes is scheduled for a total knee arthroplasty. Which
preoperative laboratory value is most critical to review before
,Page 2 of 177
proceeding?
a) Hemoglobin A1C
b) Serum creatinine ✓
c) White blood cell count
d) Prothrombin time
Rationale: Serum creatinine is critical to assess renal function,
especially in older diabetic patients, because many
perioperative medications (NSAIDs, antibiotics, contrast dye)
are nephrotoxic. Elevated creatinine may require dose
adjustments or alternative drugs.
2. Which statement by a patient scheduled for a
cholecystectomy indicates a need for further preoperative
teaching?
a) “I will remove my jewelry and leave it at home.”
b) “I can have a light breakfast 2 hours before surgery.” ✓
c) “I will tell the anesthesiologist about my herbal
,Page 3 of 177
supplements.”
d) “I should stop smoking at least 12 hours before surgery.”
Rationale: NPO guidelines generally require no solid food for
6–8 hours and clear liquids up to 2 hours before surgery. A
light breakfast is not permitted.
3. A patient reports taking aspirin 81 mg daily for cardiac
prevention. Surgery is scheduled for tomorrow. What should
the perioperative nurse do?
a) Tell the patient to take it as usual.
b) Notify the surgeon and anesthesia provider. ✓
c) Instruct the patient to double the dose.
d) Cancel the surgery immediately.
Rationale: Low-dose aspirin may increase bleeding risk
depending on surgery type. The surgeon and anesthesia
provider must decide whether to continue or hold it.
, Page 4 of 177
4. Which laboratory finding in a preoperative patient requires
immediate notification of the surgical team?
a) Hemoglobin 12.5 g/dL
b) Potassium 2.8 mEq/L ✓
c) Sodium 138 mEq/L
d) Platelets 250,000/mm³
Rationale: Severe hypokalemia (K < 3.0 mEq/L) increases risk
of cardiac arrhythmias during anesthesia and requires
correction before surgery.
5. A patient with a latex allergy is scheduled for surgery.
Which action is most appropriate?
a) Schedule the patient as first case of the day. ✓
b) Use latex gloves for better barrier protection.
c) Avoid only latex gloves but use latex urinary catheters.
d) No special precautions are needed.
