Periop 101 AORN Final Exam 2025 / Verified Comprehensive Questions &
Answers Based on Study Guides | Walden University
when should you assess the patient’s NPO status -CORRECT ANSWER ✔✔before the patient enters the OR
why must patients be NPO before surgery?-CORRECT ANSWER ✔✔minimize risk for aspiration
why may cricoid pressure need to be applied and what is the perioperative RNs role in this application?-
CORRECT ANSWER ✔✔- Prevent Aspirations
- helps with visualization of the vocal cords
- helps with placement of the ET
what are the two critical actions that the RN should take when confronted with a Malignant hyperthermia
crisis?-CORRECT ANSWER ✔✔Administer dantrolene sodium immediately
Hyperventilate with 100% oxygen to flush volatile anesthetics and lower ETCO2
most specific sign of malignant hyperthermia-CORRECT ANSWER ✔✔increased end tidal CO2
how is hypothermia defined? What are some factors that contribute to hypothermia in the OR?-CORRECT
ANSWER ✔✔Hypothermia is defined as a body temperature below 95°F (35°C). Factors contributing to
hypothermia in the OR include exposure to cold environments, anesthetic agents that impair thermoregulation,
and prolonged surgical procedures.
Explain the role of the RN(s) when a patient is scheduled to receive moderate sedation during surgery.-
CORRECT ANSWER ✔✔RN may administer depending on state law and institutional policy, monitor the
patient's vital signs, and provide support throughout the procedure.
RN role with local anesthesia -CORRECT ANSWER ✔✔patient monitoring and supportive care
Which of the following would be an appropriate action for the perioperative nurse when assisting with
anesthesia?
,-Documenting anesthetic agents used, dose, route, and time
-Extubate the patient
- Apply cricoid pressure if needed during intubation
- Administer the muscle relaxant reversal agent if needed-CORRECT ANSWER ✔✔-Apply cricoid pressure if
needed during intubation
Which of the following is NOT included in basic monitoring of the patient for anesthesia?
- ECG
- Blood pressure
- A-line
- Pulse Ox-CORRECT ANSWER ✔✔A-line
Which drug is used to reverse valium and midazolam?
- Succinylcholine
- Pancuronium
- Neostigmine
- Flumazenil
-CORRECT ANSWER ✔✔flumazenil
, Which method is used to prevent aspiration during endotracheal intubation?
- Inserting a nasal/oral airway
- Laryngoscopy
- Applying cricoid pressure
- Invasive techniques-CORRECT ANSWER ✔✔applying cricoid pressure
How can the perioperative nurse assist the anesthesia provider with placement of a spinal or epidural block?
- Inject local anesthetic
- Calm the patient
- Identify landmarks for insertion of the needle
- Thread the catheter-CORRECT ANSWER ✔✔calm the patient
What complication can arise with tourniquet deflation at the end of a Bier Block procedure?
- Bacteria
- Lymphatic Fluids
- Thrombus
- Bolus of anesthetic-CORRECT ANSWER ✔✔bolus of anesthetic
What is the most consistent indicator of malignant hyperthermia during a surgical intervention?
- Sustained muscle contractions
- Tachycardia
Answers Based on Study Guides | Walden University
when should you assess the patient’s NPO status -CORRECT ANSWER ✔✔before the patient enters the OR
why must patients be NPO before surgery?-CORRECT ANSWER ✔✔minimize risk for aspiration
why may cricoid pressure need to be applied and what is the perioperative RNs role in this application?-
CORRECT ANSWER ✔✔- Prevent Aspirations
- helps with visualization of the vocal cords
- helps with placement of the ET
what are the two critical actions that the RN should take when confronted with a Malignant hyperthermia
crisis?-CORRECT ANSWER ✔✔Administer dantrolene sodium immediately
Hyperventilate with 100% oxygen to flush volatile anesthetics and lower ETCO2
most specific sign of malignant hyperthermia-CORRECT ANSWER ✔✔increased end tidal CO2
how is hypothermia defined? What are some factors that contribute to hypothermia in the OR?-CORRECT
ANSWER ✔✔Hypothermia is defined as a body temperature below 95°F (35°C). Factors contributing to
hypothermia in the OR include exposure to cold environments, anesthetic agents that impair thermoregulation,
and prolonged surgical procedures.
Explain the role of the RN(s) when a patient is scheduled to receive moderate sedation during surgery.-
CORRECT ANSWER ✔✔RN may administer depending on state law and institutional policy, monitor the
patient's vital signs, and provide support throughout the procedure.
RN role with local anesthesia -CORRECT ANSWER ✔✔patient monitoring and supportive care
Which of the following would be an appropriate action for the perioperative nurse when assisting with
anesthesia?
,-Documenting anesthetic agents used, dose, route, and time
-Extubate the patient
- Apply cricoid pressure if needed during intubation
- Administer the muscle relaxant reversal agent if needed-CORRECT ANSWER ✔✔-Apply cricoid pressure if
needed during intubation
Which of the following is NOT included in basic monitoring of the patient for anesthesia?
- ECG
- Blood pressure
- A-line
- Pulse Ox-CORRECT ANSWER ✔✔A-line
Which drug is used to reverse valium and midazolam?
- Succinylcholine
- Pancuronium
- Neostigmine
- Flumazenil
-CORRECT ANSWER ✔✔flumazenil
, Which method is used to prevent aspiration during endotracheal intubation?
- Inserting a nasal/oral airway
- Laryngoscopy
- Applying cricoid pressure
- Invasive techniques-CORRECT ANSWER ✔✔applying cricoid pressure
How can the perioperative nurse assist the anesthesia provider with placement of a spinal or epidural block?
- Inject local anesthetic
- Calm the patient
- Identify landmarks for insertion of the needle
- Thread the catheter-CORRECT ANSWER ✔✔calm the patient
What complication can arise with tourniquet deflation at the end of a Bier Block procedure?
- Bacteria
- Lymphatic Fluids
- Thrombus
- Bolus of anesthetic-CORRECT ANSWER ✔✔bolus of anesthetic
What is the most consistent indicator of malignant hyperthermia during a surgical intervention?
- Sustained muscle contractions
- Tachycardia
