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AORN Periop 101 EXAM 2025–2026 Accurate Real
Exam Questions and Verified Correct Answers
Which AORN guideline most directly pertains to interim cleaning in the perioperative environment? -answer>>A. A safe, clean environment should be reestablished after each surgical procedure.
What special care procedures are required for microsurgical instruments? Select all that apply -answer>>B. Keep stainless and titanium instruments separated C.D. Use a non-birous sponge wipes to clean the instruments recommendedUse tip covers or protective sleeves when instruments are not used.
To minimize the potential for injury to patients related to the use of the ESU, the perioperative nurseshould employ which of the following safety measure? Select all that apply - answer>>A. Ensure that the audible alarm can be heard if it is activated B.C. If expecting fluids, encase the footswitch in an impervious coverNever pour fluids on the generator or foot switch
The Joint Commission Universal Protocol consists of: Select all that apply - answer>>A. Preoperativeverification B.C. Surgical site markingTime Out
Preoperative documentation should include: Select all that apply - answer>>A. Administration ofordered medications
C.person surgery Performance of the universal protocol for preventing wrong site, wrong procedure, wrong
D. Skin assessment
The preoperative nurse's role in preparing and administering medications includes: - answer>>B. Assessing the patient's medication allergies and use of herbal or dietary supplementsC. Documenting and reading back the surgeon's oral orders before preparing medications D. Verifying the administration of the correct medication, dose and route You are preparing your OR for a laparoscopic splenectomy. Which of the following would you need toaddress after inspecting the surgical environment prior to starting your case? Select all that apply - answer>>A. One of the surgical lights are dimD. There are no specimen containers available
To follow the AORN Guidelines for positioning the patient , the perioperative nurse should: - answer>>D.Use additional precautions as appropriate based on unique considerations
WHICH OF THE FOLLOWING STATEMENTS ABOUT DRAINS ARE CORRECT? SELECT ALL THAT APPLY. -answer>>B. Drains expedite healing by removing blood, serosanguinous fluid and purulent material C.D. Drains function by passive (gravity) or active means (suction)Hand-off report to the PACU nurse should include; the type location and patency of the drain
Types of powered cutting instruments include: Select all that apply. - answer>>A. Bone Reamers B.C. Ultrasonic dissectorsSaws D. Tissue shavers Based on your understanding of chemical safety issues, identify the best strategy to reduce the riskassociated with ignition of prep solution vapor. - answer>>A. Allow the prep to dry before draping to allow vapors to dissipate The goals of the surgical skin prep are to: Select all that apply. - answer>>A. Inhibit rapid reboundgrowth of microorganisms B.C. Reduce the risk of postoperative site infectionRemove soil and transient microorganisms and to reduce the number of resident microorganisms
Which of the following sensory assessment findings is common among elderly patients? - answer>>A.Decreased color and depth perception
Which of the following practices should be used to implement the Joint Commissions Universal Protocolfor Preventing wrong site, wrong procedure, wrong person surgery? - answer>>C. Using the time-out procedure before beginning the procedure Which of the following is a strategy to reduce medication errors? - answer>>D. Using only computerizedphysician order entry for medication management
Documentation of intraoperative surgical specimens includes which of the following? Select all thatapply. - answer>>A. Identification of the specimen in the intraoperative record and the pathology requisition B.C. No AbbreviationsNotation of markers or tags such as clips or sutures, with a statement of what they represent
What steps should be followed in correctly draping the sterile field? Select all that apply. - answer>>A.Drape from sterile to unsterile B. Drape from operative site outward C.D. Form a cuff with the drape and place gloved hands under the cuffHandle each drape as little as possible
Which of the following best describes capacitive coupling? - answer>>C. The transfer of electricalcurrent form the active electrode though intact insulation to adjacent conductive items such as tissue to trocars Which of the following questions would you expect to hear in a preoperative interview? Select all thatapply. - answer>>A. Could you tell me about any past surgeries B. Has your surgeon reviewed the surgical procedure with you? Do you have any questions? C. Whatmedications do you take on a regular basis
Which of the following statement about regional anesthesia is correct? - answer>>B. Continuous neverstimulation help insure proper needle placement during peripheral nerve blocks
What are the perioperative nurses responsibilities for the informed consent process? Select all thatapply. - answer>>B. Act as a witness attesting to the authenticity of the patients signature, the voluntary nature of the patient's consent, and answers patient questions about the plan for surgery D. Ensure that the surgeon has discussed the proposed intervention and the risk involved with surgerywith the patient and the patient has signed the consent.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer include:Select all that apply. - answer>>A. Duration of the procedure B. Exaggerated positions C.D. Circulatory disordersMalnutrition
The choice of anesthesia is influenced by all of the following EXCEPT: - answer>>A. Length of surgery C.D. Past experience with anesthesiaSurgical procedure
Indirect expenses include which of the following: Select all that apply. - answer>>B. Utilities C. Support servicesE. Administrative personnel
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all thatapply. - answer>>A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practices D. Monitor, identify and report safety hazards. Which PNDS outcome is the most important when draping the surgical patient? - answer>>A. Thepatient is free from signs and symptoms of infection
What is the most appropriate needle point for performing a vascular anastomosis? - answer>>C. TaperPoint
According to the CDC, which wound classification should be documented for the patient who underwenta laparoscopic appendectomy with the diagnosis of perforated appendicitis? - answer>>D. Dirty (Class IV) Your are the circulating RN for a patient having an operative hysteroscopy. Actions you should take toachieve correct fluid management for the patient includes all of the following EXCEPT: - answer>>A. Assessing the patients NPO status NPO status, weight, medication, and allergies. When making the preoperative assessment the nurse should take the factors into consideration? Selectall that apply. - answer>>A. Mobility C. Planned duration of the procedure D.E. Preexisting health conditionsType of anesthesia
When selecting surgical drapes the following are desirable characteristics. Select all that apply. -answer>>A. Antistatic and allergenic B. Barrier to restrict passage of microorganisms C.D. Resistance to tearing, punctures, or abrasionsDull or non-glaring material
Which of the following are preoperative systemic factors that negatively affect wound healing? Select all that apply. - answer>>A. DiabetesC. Protein deficiency D.E. SmokingSteroid use
Documentations of intraoperative surgical specimens include which of the following? Select all thatapply. - answer>>A. Indication of the specimen in the intraoperative record and the pathology requisition B.C. NO abbreviationsNotation of markers or tags such as slices or sutures with a statement of what they represent.
All of the following are important examples of activities that are mad possible with preoperative nursingdocumentation EXCEPT? - answer>>D. Ability to freely distribute information regarding surgical procedure and diagnosis to patient's family and employer Which of these practices is recommended during decontamination of used instruments? Select all thatapply. - answer>>B. Open box locks and disassemble instruments with multiple parts D. Use an enzymatic detergent on heavily soiled instruments E. Wear PPE To prevent or minimize electrosurgical injuries to patients the preoperative nurse should Select all thatapply. - answer>>A. Assure that the prep solutions have dried and vapors evaporated before the device is usedB. Confirm each requested power setting orally with the surgeon C.D. Inspect each circuit component if the surgeon repeatedly requests high power settingsInspect the electrosurgical unit before each use to verify the electrical integrity.
Which of the following are examples of the Guidelines - A sterile field should be maintained andmonitored constantly. Select all that apply. - answer>>B. If a delay occurs after a sterile field is set up, it may be covered with sterile drapes until the delay is resolved. C. If a delay occurs after a sterile field is set up, personnel my leave the room as long as someoneremains in the room to maintain continuous visual observation of the sterile field D. The sterile field should be prepared as close as possible to the time of use. Safety precautions when handling and caring for powered instruments include. Select all that apply. -answer>>A. Handling the powered instrument to the surgeon with the safety mechanism on B. Having irrigation ready to use with the drill or sawD. Using the instrument with the blade guard in place
Which of the following is the best way to conduct a Time Out? - answer>>D. The Time Out takes placeonce the patient is prepped and draped and involves the entire team
What precautions should be taken when microbibrillar collagen is used as a hemostatic agentintrapoperatively? - answer>>C. Avoid using it with an autologous blood salvage unit
Only facility approved EPA registered disinfectants should be used to clean your facility. For whichorganisms must an approved disinfectant pass potency test against? - answer>>B. Pseudomonas aeruginosa C.D. Salmonella choleraesuisStaphylococcus aureus
Which of the following activities should be performed during post procedure cleaning of an OR? -answer>>A. Clean the floor, moving the OR bed to clean underneath
Which of the following is a finding of recent research studies on the value of certification? - answer>>C.Nurse Managers would prefer to hire a certified nurse over an otherwise equally qualified non-certified nurse. Which of the following are examples of regional anesthesia methods? Select all that apply. - answer>>B.Epidural blocks C. Eye (Retrobulbar) blocks D.E. Spinal blocksUpper extremity blocks
The culture of a clinical setting if affected by which of the following skills. Select all that apply. -answer>>A. Collaborations B. Conflict resolution C. Decision making Critical thinking considerations when positioning a surgical patient include all of the following EXCEPT: -answer>>A. Assessing patient position once at the beginning of the procedure.
Potential sources of fuel for surgical fires include: - answer>>A. Draping materials During the physiologic portion of the perioperative assessment, which systems should be assessed morecarefully in elderly and pediatric patients? Select all that apply. - answer>>A. Cardiovascular C. Renal D. Respiratory Which of the following statements is generally true about the coping styles of pediatric patientsbetween the ages of 3 and 6 years? - answer>>A. This age group interprets term literally
The perioperative team implements aseptic technique practices to meet all of the following primarygoals except: - answer>>A. Improve patient satisfaction
Which of the following strategies are recommended to reduce the occurrence of retained surgicalitems? Select all that apply - answer>>- Avoid distractions during the counting process.
- instruments. Count items including radiopaque soft goods, sharps and other miscellaneous items and
- Use a standardized approach each time a count is conducted. Based on your knowledge of the Universal Protocol, Which of the following are acceptable ways toidentify your patient? SELECT ALL THAT APPLY. - answer>>- Ask the patient to state his or her date of birth.- Ask the patient to state his or her full name
Which nerves are most frequently injured as a result of improper positioning of the patients arms?Select all that apply. - answer>>- brachial plexus
- ulnar The surgeon's preference for the preoperative skin prep includes the application of an alcohol andchlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to draping is because: - answer>>Fumes trapped underneath the drapes could ignite
cleaning? Select all that apply. - answer>>- A safe, clean environment should be reestablished after eachsurgical procedure.
- regulations Contaminated disposable items should be handled safely accordingly to state and federal
- performing environmental cleaning and disinfection activities. Personnel should take precautionary measures to limit transmission of microorganisms when
When a preoperative nurse is assigned to monitor the patient receiving moderate sedation the followingare recommendations for this role. Select all that apply. - answer>>- ACLS certification
- Access to and ability to administer appropriate reversal medications Competency in the use of monitoring and emergency resuscitative equipment and drugs -
Terminal cleaning is performed on a daily basis after scheduled cases are completed. This processincludes cleaning of the following: Select all that apply. - answer>>- Anesthesia carts and equipment
- Ceilings and walls
- Mopping or wet vacuuming floorsOR beds, and positioning devices
According to AORN Guideline on Environmental Cleaning a safe clean environment should bereestablished after each surgical procedure. Facility approved EPA registered disinfectants are used to accomplish which of the following activities? Select all that apply. - answer>>- All mattress and padsurfaces on the OR bed are to be cleaned
- Kick buckets haps are inspected and cleaned if soiled
- The area of the floor cleaned should include all areas that are visible soiled Preliminary room preparation is performed before the first case of the day. All of the following areactivities included in the preparation EXCEPT: - answer>>Damp dust with a lint-free cloth moistened with 70% isopropyl alcohol Which of the following attributes of the nursing process reflect the use of critical thinking skills?Select all that apply. - answer>>- Requires evaluation and reflection
- Requires seeking additional informationResults in a decision
When assessing your patients tolerance for the planned surgical position which factors are important toconsider? Select all that apply. - answer>>- BMI
- Nutritional statusPhysical limitations
- Pre-exisiting conditions According to the AORN Guideline on Environmental Cleaning, which of the following are strategies foreffective between procedure cleaning in the surgical environment? Select all that apply. - answer>>- Evidence based literature support cleaning the entire floor after each surgical procedure- Extend the perimeter of the floor area being mopped to include all areas that are visibly soiled
You are second scrubbing today with another nurse. As you are both changing in the locker room, younotice the following aspects of her surgical attire. Which aspects of her surgical attire are acceptable? Select all that apply. - answer>>- Hair is contained in a facility approved bouffant head covering
- Scrub top is secured by tucking it into her pantsPutting on a long sleeved warm-up jacket to prepare for her circulating role
A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a history ofsmoking and diabetes, and is currently taking prednisone for his rheumatoid arthritis. Based on this history, your would be concerned about which of the following. - answer>>Delayed wound healing Two types of regional anesthesia include spinal and epidural blocks. Which of the following reflectcomplications of an epidural block? - answer>>hypotension, high spinal paralysis, spinal headache
What are the 3 main factors to consider when assessing the patient for allergies? - answer>>Priorreaction, hereditary, type of reaction
To follow AORN Guidelines for positioning the patient, the preoperative nurse should - answer>>useadditional precautions as appropriate based on unique patient considerations
B. Surgical site marking C. Time Out Which of the following procedures reflects best practice for transferring a medication vial to the sterilefield? - answer>>D. Use a sterile transfer device
Which of the following practices is recommended for handling of natural absorbable suture? -answer>>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? - answer>>B. Countingsilently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - answer>>D. A small portion of tissue is incised andsent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from occurring whenhandling electrosurgical equipment? Select all that apply. - answer>>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. - answer>>A. Duration of the procedure B.C. Exaggerated positionsCirculatory disorders D. Malnutrition Which of the following statements reflect the concept of critical thinking? Select all that apply. -answer>>C. Informed practice D.E. Holistic thinkingUnbiased thinking F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - answer>>B. Laparotomy Which of the following statements correctly describes recommendations for preoperative patient skinantisepsis? - answer>>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? - answer>>C. Priorreaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives such as formalin.Select all that apply. - answer>>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 generalanesthesia affecting the patient? - answer>>A. Administration, excitement, intrasurgery, respiratory failure What responsibilities do OR staff members have in maintaining a safe OR environment? Select all thatapply. - answer>>A. Adhering to facility policies related to safety B. Consistently applying OR specific safety practicesD. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermiashould the nurse anticipate and prepare for? - answer>>B. Provide 100% oxygen, used iced saline to cool patient. An important difference between minimally invasive (MIS) and open surgical procedures is that MIS: -answer>>A. Can be performed through smaller incisions.
Which of the following practices is recommended when transferring from gurney to the OR bed? Selectall that apply. - answer>>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? - answer>>B. Continuous nervestimulation helps ensure proper needle placement during peripheral nerve blocks.
What are the perioperative nurses responsibilities for the informed consent process? Select all thatapply. - answer>>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 thepatient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient? - answer>>A. Thepatient is free from signs and symptoms of infection
Which of the following components should be included in documentation of intraoperative patientposition? Select all that apply. - answer>>A. Identification of specific positioning devices used B.C. Names of personnel assisting with positioningPlacement 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.- answer>>A. The body area prepped B.C. Name of the person performing the prepPreoperative assessment of the skin at the operative site. D. Skin prep agent used. Which of the following statements about proper attire of surgical team members are true?Select all that apply. - answer>>C. Sterile gowns should resist fluid strike-through D. The scrub top must be secured at the waist or tucked into the pants
Preoperative safety concerns that should be considered when caring fro a patient with an implantedelectrical device (IED) include which of the following? Select all that apply. - answer>>A. Bipolar surgery should be used whenever possibleB. The active electrode and dispersive electrode are close together but as far away from the IED as possible.D. The patient should be monitored closely for signs of complications and IED malfunction
A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which of thefollowing skin prep agents is contraindicated for use in this case? - answer>>C. Chlorhexidine gluconate
A __________ is a designated area on the sterile field where the scrub person and the surgeon place allsharp instruments. - answer>>A. Neutral zone
Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with generalanesthesia may include which of the following? Select all that apply - answer>>A. Applying cricoid pressure during intubation if necessary B. Double checking blood if administeredD. Obtaining warming blankets and emergency equipment as necessary E. Assessing the patient throughout the operative procedure Which of the following nursing tools does not reflect critical thinking and clinical reasoning? -answer>>A. A single procedure list used for all patients scheduled for that procedure.
Your manager has asked you to provide an in-service to team members regarding hand hygiene.Important information for you to include is: - answer>>D. Skin is a major source of contamination in the surgical environment Identify the conditions listed below that are important considerations in maintaining the sterility of anitem. Select all that apply. - answer>>A. The condition of the storage area, that is, cleanliness, temperature, humidity, air exchanges C.D. Traffic should be controlled to limit access to those trained in handling of sterile suppliesSterile supplies are able to bet stored in a manner that allows adequate air circulation.
