NEWEST AORN PERIOP 101 VERSION 2 2025 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
Which of the following meet the criteria for a hybrid
OR?
A. An OR equipped with dedicated imaging equipment
B. An OR with portable imaging equipment
C. A radiology suite with an anesthesia machine
D. All of the above - ANSWER-A. An OR equipped with
dedicated imaging equipment
Which of the following categories of patients should be
assigned an RN circulator for procedures in a hybrid
OR?
A. Patients with American Society of Anesthesiologists
physical status 3 or higher
B. Patients receiving sedation or anesthesia
C. Patients undergoing procedures lasting more than 1
hour
D. Every patient undergoing an operative or other
invasive procedure - ANSWER-D. Every patient undergoing
an operative or other invasive procedure
Which of the following maneuvers should be implemented
to treat gas embolism?
A. Administration of inotropes
B. Decreasing ventilation
C. Increasing the anesthetic gas
D. Positioning the patient in reverse Trendelenburg
position
E. Restricting fluids - ANSWER-A. Administration of
inotropes
,Which of the following is a complication of fluid
extravasation?
A. Hypervolemia
B. Hyponatremia
C. Intraabdominal compartment syndrome
D. Intravascular fluid overload
E. Pulmonary edema - ANSWER-C. Intraabdominal
compartment syndrome
Which of the following fluids is isotonic?
A. Glycine 1.5%
B. Mannitol 5%
C. Normal saline 0.9%
D. Sorbitol 3% - ANSWER-C. Normal saline 0.9%
The perioperative RN should report fluid deficits to
the anesthesia professional and surgeon _____.
A. at regular intervals throughout the procedure
B. at the end of the procedure
C. when the patient is repositioned
D. every 30 minutes - ANSWER-A. at regular intervals
throughout the procedure
Which of the following precautions should be taken when
lasers are used for endoscopic procedures?
A. The laser catheter sheath and laser fibers should
be inspected for damage before use
B. The lengths of the catheter sheath and laser fiber
should be confirmed before the procedure
, C. The laser catheter sheath and laser fibers should
be inspected for damage after use
D. The laser catheter sheath and laser fibers should
be inspected every time they are removed from the
patient
E. All of the above - ANSWER-E. All of the above
How many perioperative team members are needed to
properly dock the patient cart during computer assisted
surgery?
A. 1
B. 2
C. 3
D. 4 - ANSWER-B. 2
Which of the following zones around an MRI machine
contains the scanner room itself?
A. Zone 1
B. Zone 2
C. Zone 3
D. Zone 4 - ANSWER-D. Zone 4
In what order should these actions by the perioperative
team occur if a patient experiences a cardiac arrest
during a procedure in a hybrid OR with an
intraoperative MRI in use?1. Resuscitation equipment
should be brought into the room.2. The MRI scanner
should be moved back into the garage storage area.3.
The team should begin cardiopulmonary resuscitation.
A. 1, 2, 3
B. 3, 2, 1
C. 1, 3, 2
, D. 2, 3, 1 - ANSWER-B. 3, 2, 1
Which of the following is a potential oxidizer for
fires in the operating room?
A. Electrosurgical units
B. Gauze
C. Nasal cannulae
D. Nitrous oxide
E. Solutions containing alcohol - ANSWER-D. Nitrous
oxide
All of the following are safety precautions common to
all energy-generating devices EXCEPT:
A. Alcohol-soaked pads should not be allowed on the
surgical field when energy-generating devices are used
B. Foot pedals should be enclosed in a fluid resistant
cover whenever there is potential for a fluid spill
C. Oxygen delivery to the patient should be stopped or
reduced to the lowest possible level when energy-
generating devices are used around the head, face, or
neck
D. The RN circulator should activate the foot pedal at
the direction of the surgeon using the hand piece
E. The lowest power settings that will accomplish the
desired task should be used - ANSWER-D. The RN
circulator should activate the foot pedal at the
direction of the surgeon using the hand piece
When is it acceptable to disable the alarms on energy-
generating devices?
A. Alarms should never be disabled
B. During the time out before the procedure
QUESTIONS AND CORRECT DETAILED ANSWERS
Which of the following meet the criteria for a hybrid
OR?
A. An OR equipped with dedicated imaging equipment
B. An OR with portable imaging equipment
C. A radiology suite with an anesthesia machine
D. All of the above - ANSWER-A. An OR equipped with
dedicated imaging equipment
Which of the following categories of patients should be
assigned an RN circulator for procedures in a hybrid
OR?
A. Patients with American Society of Anesthesiologists
physical status 3 or higher
B. Patients receiving sedation or anesthesia
C. Patients undergoing procedures lasting more than 1
hour
D. Every patient undergoing an operative or other
invasive procedure - ANSWER-D. Every patient undergoing
an operative or other invasive procedure
Which of the following maneuvers should be implemented
to treat gas embolism?
A. Administration of inotropes
B. Decreasing ventilation
C. Increasing the anesthetic gas
D. Positioning the patient in reverse Trendelenburg
position
E. Restricting fluids - ANSWER-A. Administration of
inotropes
,Which of the following is a complication of fluid
extravasation?
A. Hypervolemia
B. Hyponatremia
C. Intraabdominal compartment syndrome
D. Intravascular fluid overload
E. Pulmonary edema - ANSWER-C. Intraabdominal
compartment syndrome
Which of the following fluids is isotonic?
A. Glycine 1.5%
B. Mannitol 5%
C. Normal saline 0.9%
D. Sorbitol 3% - ANSWER-C. Normal saline 0.9%
The perioperative RN should report fluid deficits to
the anesthesia professional and surgeon _____.
A. at regular intervals throughout the procedure
B. at the end of the procedure
C. when the patient is repositioned
D. every 30 minutes - ANSWER-A. at regular intervals
throughout the procedure
Which of the following precautions should be taken when
lasers are used for endoscopic procedures?
A. The laser catheter sheath and laser fibers should
be inspected for damage before use
B. The lengths of the catheter sheath and laser fiber
should be confirmed before the procedure
, C. The laser catheter sheath and laser fibers should
be inspected for damage after use
D. The laser catheter sheath and laser fibers should
be inspected every time they are removed from the
patient
E. All of the above - ANSWER-E. All of the above
How many perioperative team members are needed to
properly dock the patient cart during computer assisted
surgery?
A. 1
B. 2
C. 3
D. 4 - ANSWER-B. 2
Which of the following zones around an MRI machine
contains the scanner room itself?
A. Zone 1
B. Zone 2
C. Zone 3
D. Zone 4 - ANSWER-D. Zone 4
In what order should these actions by the perioperative
team occur if a patient experiences a cardiac arrest
during a procedure in a hybrid OR with an
intraoperative MRI in use?1. Resuscitation equipment
should be brought into the room.2. The MRI scanner
should be moved back into the garage storage area.3.
The team should begin cardiopulmonary resuscitation.
A. 1, 2, 3
B. 3, 2, 1
C. 1, 3, 2
, D. 2, 3, 1 - ANSWER-B. 3, 2, 1
Which of the following is a potential oxidizer for
fires in the operating room?
A. Electrosurgical units
B. Gauze
C. Nasal cannulae
D. Nitrous oxide
E. Solutions containing alcohol - ANSWER-D. Nitrous
oxide
All of the following are safety precautions common to
all energy-generating devices EXCEPT:
A. Alcohol-soaked pads should not be allowed on the
surgical field when energy-generating devices are used
B. Foot pedals should be enclosed in a fluid resistant
cover whenever there is potential for a fluid spill
C. Oxygen delivery to the patient should be stopped or
reduced to the lowest possible level when energy-
generating devices are used around the head, face, or
neck
D. The RN circulator should activate the foot pedal at
the direction of the surgeon using the hand piece
E. The lowest power settings that will accomplish the
desired task should be used - ANSWER-D. The RN
circulator should activate the foot pedal at the
direction of the surgeon using the hand piece
When is it acceptable to disable the alarms on energy-
generating devices?
A. Alarms should never be disabled
B. During the time out before the procedure
