AORN PERIOP 101 FINAL EXAM PERIOPERATIVE NURSING COMPREHENSIVE FINAL EXAM
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
1. When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.: A. It involves mental discipline &
the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
2. In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are
true:: A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
3. You are assigned to relieve a surgical technologist for lunch. You will need:: A.
A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving.
4. The Joint Commission Universal Protocol consists of: Select all that apply.: A.
Preoperative verification
B. Surgical site marking
C. Time Out
5. Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?: D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of natural
absorbable suture?: C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
7. Recommended sponge count procedures include all of the following EX-
CEPT?: B. Counting silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy?: D. A small portion of tissue is incised
and sent for examination.
9. Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply.: A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments before use.
, AORN PERIOP 101 FINAL EXAM PERIOPERATIVE NURSING COMPREHENSIVE FINAL EXAM
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
10. Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.: A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
11. Which of the following statements reflect the concept of critical thinking?
Select all that apply.: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
12. What is the best drape to use for an umbilical hernia repair?: B. Laparotomy
13. Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis?: D. Prep should start at the site of the incision and move
outwards.
14. What are the 3 main factors to consider when assessing the patient for
allergies?: C. Prior reaction, heredity, type of reaction
15. The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply.: A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage
occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
16. After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient?: A. Administration, excitement,
intrasurgery, respiratory failure
17. What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18. In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?: B.
Provide 100% oxygen, used iced saline to cool patient.
, AORN PERIOP 101 FINAL EXAM PERIOPERATIVE NURSING COMPREHENSIVE FINAL EXAM
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
19. An important difference between minimally invasive (MIS) and open surgi-
cal procedures is that MIS:: A. Can be performed through smaller incisions.
20. While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.: B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
21. To place a patient safely in TRENDELENBURG position, which of the follow-
ing practices is indicated?: B. Position knees over the break in the procedure bed to allow for knee
flexion.
22. The first step in the sterilization process of surgical instruments that have
been used in case is:: A. Cleaning
23. By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to the tissue.: C. Cut and coagulate
24. The preoperative team implements aseptic technique practices to meet all
of the following primary goals EXCEPT?: A. Improve patient satisfaction
25. Which of the following examples is included on the "Joint Commission" list
of DO-NOT-USE abbreviations, Acronyms and Symbols?: A. MS
26. When a "Time Out" discrepancy occurs, the nurse's priority action should
be to:: A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
27. Which of the following statements about the immediate use steam steril-
ization is the recommended practice?: D. Instruments may be immediate use steam sterilized only
when there is insuflcient time tot process by the preferred wrapped or container method.
28. Which of the following practices is recommended when transferring from
gurney to the OR bed? Select all that apply.: A. Ensure that wheels are locked on both the OR
bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
1. When applying the concept of surgical conscience which of the following
statement should be considered? Select all that apply.: A. It involves mental discipline &
the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
2. In preparing for a regulatory survey, your quality consultant questions you
about the restricted zone in your OR suite. The following statements are
true:: A. Air flow in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
3. You are assigned to relieve a surgical technologist for lunch. You will need:: A.
A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving.
4. The Joint Commission Universal Protocol consists of: Select all that apply.: A.
Preoperative verification
B. Surgical site marking
C. Time Out
5. Which of the following procedures reflects best practice for transferring a
medication vial to the sterile field?: D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of natural
absorbable suture?: C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
7. Recommended sponge count procedures include all of the following EX-
CEPT?: B. Counting silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy?: D. A small portion of tissue is incised
and sent for examination.
9. Which of the following methods listed below may prevent mishap, event, or
fire from occurring when handling electrosurgical equipment? Select all that
apply.: A. Allow enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being "blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments before use.
, AORN PERIOP 101 FINAL EXAM PERIOPERATIVE NURSING COMPREHENSIVE FINAL EXAM
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
10. Intrinsic and extrinsic factors that may lead to development of preoperative
pressure ulcer include: Select all that apply.: A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
11. Which of the following statements reflect the concept of critical thinking?
Select all that apply.: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
12. What is the best drape to use for an umbilical hernia repair?: B. Laparotomy
13. Which of the following statements correctly describes recommendations
for preoperative patient skin antisepsis?: D. Prep should start at the site of the incision and move
outwards.
14. What are the 3 main factors to consider when assessing the patient for
allergies?: C. Prior reaction, heredity, type of reaction
15. The following steps can be used to reduce personnel exposure to specimen
fixatives such as formalin. Select all that apply.: A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where accidental formalin spillage
occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
16. After initial administration, which statement below the proper order of
the 4 stages of general anesthesia affecting the patient?: A. Administration, excitement,
intrasurgery, respiratory failure
17. What responsibilities do OR staff members have in maintaining a safe OR
environment? Select all that apply.: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18. In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?: B.
Provide 100% oxygen, used iced saline to cool patient.
, AORN PERIOP 101 FINAL EXAM PERIOPERATIVE NURSING COMPREHENSIVE FINAL EXAM
STUDY GUIDE AND PRACTICE QUESTIONS A+ ALREADY GRADED (2026-2027)
19. An important difference between minimally invasive (MIS) and open surgi-
cal procedures is that MIS:: A. Can be performed through smaller incisions.
20. While monitoring a patient undergoing local anesthesia, the nurse should
be suspicious of systemic toxicity related to which of the following patient
complaints? Select all that apply.: B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
21. To place a patient safely in TRENDELENBURG position, which of the follow-
ing practices is indicated?: B. Position knees over the break in the procedure bed to allow for knee
flexion.
22. The first step in the sterilization process of surgical instruments that have
been used in case is:: A. Cleaning
23. By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to the tissue.: C. Cut and coagulate
24. The preoperative team implements aseptic technique practices to meet all
of the following primary goals EXCEPT?: A. Improve patient satisfaction
25. Which of the following examples is included on the "Joint Commission" list
of DO-NOT-USE abbreviations, Acronyms and Symbols?: A. MS
26. When a "Time Out" discrepancy occurs, the nurse's priority action should
be to:: A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
27. Which of the following statements about the immediate use steam steril-
ization is the recommended practice?: D. Instruments may be immediate use steam sterilized only
when there is insuflcient time tot process by the preferred wrapped or container method.
28. Which of the following practices is recommended when transferring from
gurney to the OR bed? Select all that apply.: A. Ensure that wheels are locked on both the OR
bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
