AORN Periop 101 Exam (80% To Pass!)
Questions And Answers
When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. Correct Answers: 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.
In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in
your OR suite. The following statements are true: Correct Answers: 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.
You are assigned to relieve a surgical technologist for lunch. You will need: Correct Answers: A. A
sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. Correct Answers: A.
Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial to the sterile
field? Correct Answers: D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable suture? Correct
Answers: C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
Recommended sponge count procedures include all of the following EXCEPT? Correct Answers: B.
Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? Correct Answers: D. A small portion of tissue is
incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from occurring when
handling electrosurgical equipment? Select all that apply. Correct Answers: 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.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include:
Select all that apply. Correct Answers: A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
,D. Malnutrition
Which of the following statements reflect the concept of critical thinking? Select all that apply. Correct
Answers: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? Correct Answers: B. Laparotomy
Which of the following statements correctly describes recommendations for preoperative patient skin
antisepsis? Correct Answers: D. Prep should start at the site of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? Correct Answers:
C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. Correct Answers: 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.
After initial administration, which statement below the proper order of the 4 stages of general
anesthesia affecting the patient? Correct Answers: A. Administration, excitement, intrasurgery,
respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply. Correct Answers: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia
should the nurse anticipate and prepare for? Correct Answers: B. Provide 100% oxygen, used iced
saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is that MIS:
Correct Answers: A. Can be performed through smaller incisions.
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. Correct Answers: B.
Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is
indicated? Correct Answers: B. Position knees over the break in the procedure bed to allow for knee
flexion.
, The first step in the sterilization process of surgical instruments that have been used in case is:
Correct Answers: A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. Correct Answers: C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? Correct Answers: A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? Correct Answers: A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: Correct Answers: 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
Which of the following statements about the immediate use steam sterilization is the recommended
practice? Correct Answers: D. Instruments may be immediate use steam sterilized only when there is
insufficient time tot process by the preferred wrapped or container method.
Which of the following practices is recommended when transferring from gurney to the OR bed?
Select all that apply. Correct Answers: 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.
Which of the following statements about regional anesthesia is correct? Correct Answers: B.
Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks.
What are the perioperative nurses responsibilities for the informed consent process? Select all that
apply. Correct Answers: B. Act as a witness attesting to the authenticity of the patient's signature; the
voluntary nature of the patient's consent, and that the patient is competent to give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the
patient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient? Correct Answers: A.
The patient is free from signs and symptoms of infection
Which of the following components should be included in documentation of intraoperative patient
position? Select all that apply. Correct Answers: A. Identification of specific positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should include: Select all that
apply. Correct Answers: A. The body area prepped
B. Name of the person performing the prep
C. Preoperative assessment of the skin at the operative site.
D. Skin prep agent used.
Questions And Answers
When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. Correct Answers: 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.
In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in
your OR suite. The following statements are true: Correct Answers: 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.
You are assigned to relieve a surgical technologist for lunch. You will need: Correct Answers: A. A
sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. Correct Answers: A.
Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial to the sterile
field? Correct Answers: D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable suture? Correct
Answers: C. Open the package carefully over a small basin to prevent splashing of the packaging
solution
Recommended sponge count procedures include all of the following EXCEPT? Correct Answers: B.
Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? Correct Answers: D. A small portion of tissue is
incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from occurring when
handling electrosurgical equipment? Select all that apply. Correct Answers: 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.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include:
Select all that apply. Correct Answers: A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
,D. Malnutrition
Which of the following statements reflect the concept of critical thinking? Select all that apply. Correct
Answers: C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? Correct Answers: B. Laparotomy
Which of the following statements correctly describes recommendations for preoperative patient skin
antisepsis? Correct Answers: D. Prep should start at the site of the incision and move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? Correct Answers:
C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. Correct Answers: 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.
After initial administration, which statement below the proper order of the 4 stages of general
anesthesia affecting the patient? Correct Answers: A. Administration, excitement, intrasurgery,
respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply. Correct Answers: A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia
should the nurse anticipate and prepare for? Correct Answers: B. Provide 100% oxygen, used iced
saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is that MIS:
Correct Answers: A. Can be performed through smaller incisions.
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. Correct Answers: B.
Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is
indicated? Correct Answers: B. Position knees over the break in the procedure bed to allow for knee
flexion.
, The first step in the sterilization process of surgical instruments that have been used in case is:
Correct Answers: A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. Correct Answers: C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? Correct Answers: A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? Correct Answers: A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: Correct Answers: 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
Which of the following statements about the immediate use steam sterilization is the recommended
practice? Correct Answers: D. Instruments may be immediate use steam sterilized only when there is
insufficient time tot process by the preferred wrapped or container method.
Which of the following practices is recommended when transferring from gurney to the OR bed?
Select all that apply. Correct Answers: 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.
Which of the following statements about regional anesthesia is correct? Correct Answers: B.
Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve blocks.
What are the perioperative nurses responsibilities for the informed consent process? Select all that
apply. Correct Answers: B. Act as a witness attesting to the authenticity of the patient's signature; the
voluntary nature of the patient's consent, and that the patient is competent to give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the
patient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient? Correct Answers: A.
The patient is free from signs and symptoms of infection
Which of the following components should be included in documentation of intraoperative patient
position? Select all that apply. Correct Answers: A. Identification of specific positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should include: Select all that
apply. Correct Answers: A. The body area prepped
B. Name of the person performing the prep
C. Preoperative assessment of the skin at the operative site.
D. Skin prep agent used.
