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Periop 101 Final Exam Study Guide (2026) | 500+ Practice Questions & Verified Answers | AORN Guidelines, Sterile Technique, Surgical Safety, Anesthesia & Perioperative Nursing

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Prepare for the Periop 101 Final Exam with this comprehensive 2026 study guide, featuring 500+ exam-style practice questions with verified answers and detailed rationales covering the core principles of perioperative nursing, surgical patient safety, sterile processing, infection prevention, anesthesia, patient positioning, and evidence-based operating room (OR) practice. Designed for Periop 101 learners, perioperative nurses, operating room (OR) nurses, and surgical services professionals, this resource strengthens clinical reasoning, perioperative decision-making, patient safety competencies, and adherence to current evidence-based perioperative standards. The practice questions closely mirror the format and complexity of Periop 101 certification and hospital orientation examinations, making this guide an essential review tool for perioperative nursing success. This study guide provides comprehensive coverage of AORN Guidelines for Perioperative Practice, including professional accountability, perioperative nursing standards, evidence-based practice (EBP), nursing ethics, legal responsibilities, informed consent, HIPAA, patient rights, SBAR communication, preoperative nursing assessment, cultural and spiritual considerations, allergy assessment, medication reconciliation, herbal supplement assessment, preadmission testing (PAT), perioperative patient education, surgical conscience, cost containment, quality improvement, documentation standards, Universal Protocol, surgical site marking, time-out procedures, handoff communication, PACU transfer, ASPAN standards, and multidisciplinary collaboration. Every verified answer reinforces nationally recognized perioperative nursing standards and patient safety principles required for operating room practice. The guide also delivers extensive review of infection prevention, sterile processing, and environmental safety, including aseptic technique, sterile field maintenance, surgical attire, restricted, semi-restricted, and unrestricted areas, operating room ventilation requirements, air exchanges, humidity standards, Spaulding Classification System, cleaning, decontamination, disinfection, sterilization, immediate-use steam sterilization (IUSS), biological indicators, chemical indicators, sterilization documentation, surgical instrument reprocessing, biofilm prevention, bloodborne pathogens, standard precautions, transmission-based precautions, airborne, droplet, and contact isolation, surgical wound classifications, surgical counts, retained surgical item prevention, sharps safety, personal protective equipment (PPE), hand hygiene, skin antisepsis, chlorhexidine gluconate (CHG), iodophors, hair removal guidelines, pressure injury prevention, patient positioning, shearing injuries, pressure ulcers, positioning devices, transfer safety, and operating room environmental controls. Comprehensive coverage of anesthesia and perioperative pharmacology includes general anesthesia, regional anesthesia, monitored anesthesia care (MAC), moderate sedation, local anesthesia, rapid sequence induction, cricoid pressure, endotracheal intubation, laryngeal mask airway (LMA), malignant hyperthermia (MH), dantrolene therapy, end-tidal carbon dioxide monitoring, sugammadex, naloxone, fentanyl, lidocaine, bupivacaine, tetracaine, anesthesia emergencies, postoperative pain assessment, airway management, PACU nursing, anesthesia complications, implantable electronic devices, electromagnetic interference (EMI), tourniquet safety, documentation requirements, and perioperative emergency management. This study guide integrates current perioperative nursing standards with NCLEX-style critical thinking, clinical prioritization, and patient safety scenarios to prepare learners for certification, competency validation, and clinical practice. This study guide is ideal for Periop 101 students, Perioperative Nurse Residency participants, Operating Room (OR) Nurses, Registered Nurses (RN), Bachelor of Science in Nursing (BSN) students, Associate Degree Nursing (ADN) students, Surgical Services Nurses, Ambulatory Surgery Center nurses, Certified Nurse Operating Room (CNOR) candidates, Surgical Technologists, Perianesthesia (PACU) nurses, and healthcare professionals preparing for perioperative nursing examinations and competency assessments. The content aligns with leading perioperative nursing references and evidence-based clinical guidelines, including: Association of periOperative Registered Nurses (AORN). Guidelines for Perioperative Practice. Rothrock, J. C. Alexander's Care of the Patient in Surgery. Elsevier. Phillips, N. Berry & Kohn's Operating Room Technique. Elsevier. American Society of PeriAnesthesia Nurses (ASPAN). Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements. Association for the Advancement of Medical Instrumentation (AAMI). Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. Centers for Disease Control and Prevention (CDC). Guideline for the Prevention of Surgical Site Infection and Isolation Precautions Guidelines. The Joint Commission (TJC). Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery. American Society of Anesthesiologists (ASA). Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents. National Council of State Boards of Nursing (NCSBN). NCLEX-RN Test Plan. Relevant students: Periop 101 Students, Perioperative Nurse Residency Participants, Operating Room (OR) Nurses, Registered Nurses (RN), Bachelor of Science in Nursing (BSN) Students, Associate Degree Nursing (ADN) Students, Surgical Services Nurses, Ambulatory Surgery Center Nurses, Certified Nurse Operating Room (CNOR) Candidates, Surgical Technologists, Perianesthesia (PACU) Nurses, Nurse Residents, Healthcare Professionals. Keywords Periop 101, Periop 101 Final Exam, Perioperative Nursing, Operating Room Nursing, OR Nursing, AORN Guidelines, CNOR, Surgical Nursing, Sterile Technique, Surgical Asepsis, Sterile Processing, Infection Prevention, Surgical Site Infection, SSI Prevention, Universal Protocol, Time Out, Surgical Site Marking, Informed Consent, HIPAA, SBAR, PACU, ASPAN, Patient Positioning, Pressure Injury Prevention, Surgical Counts, Retained Surgical Items, Instrument Reprocessing, Spaulding Classification, Steam Sterilization, Immediate Use Steam Sterilization, IUSS, Biological Indicators, Chemical Indicators, CHG Prep, Skin Antisepsis, PPE, Hand Hygiene, Airborne Precautions, Droplet Precautions, Contact Precautions, General Anesthesia, Regional Anesthesia, MAC, Moderate Sedation, Malignant Hyperthermia, Dantrolene, Airway Management, Endotracheal Intubation, Laryngeal Mask Airway, Cricoid Pressure, Electromagnetic Interference, EMI, Tourniquet Safety, Surgical Safety, NCLEX Review, Nursing Exam Questions, Verified Answers, Study Guide

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Institution
Periop 101
Course
Periop 101

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Periop 101 Final Exam 2026
Exam Questions and Answers |
Already Graded A+



Every member of the healthcare team has a role to play in cost

containment. Which of the following is an example of how the

perioperative RN can participate in cost containment in the OR?

a) Ask the surgeon to use a less expensive implant

b) Begin cleaning the OR for the next case before the patient leaves the

room

c) Open all supplies listed on preference card, including "available"

supplies

,d) Verify with surgeon before opening suture - ANSWER ✔✔d


An RN who attends continuing nursing education and has verified skills,

knowledge, and attitudes about perioperative nursing is demonstrating

accountability in his/her:

a) Certification requirements for professional achievement in

perioperative nursing

b) Collaboration among team members

c) Professional growth and maintenance of competency


d) Verification of nursing knowledge - ANSWER ✔✔c


Which of the following statements is TRUE concerning use of the AORN

Guidelines for Perioperative Practice?

a) Both medical and nursing licensing boards require health care

institutions to comply with the AORN guidelines

b) The AORN Guidelines legally supersede departmental and

institutional policies

c) The AORN Guidelines reflect scientific evidence of how nurses

actually practice in perioperative settings

d) Work setting and situation variations may determine the extent to

which AORN Guidelines can be applied - ANSWER ✔✔d

,What legal standard does the professional nurse need to meet when

providing care?

a) Reasonably prudent care

b) certification standard

c) Reasonably responsible standard


d) There is no legal standard - ANSWER ✔✔a


a professional practice model includes personal accountability and

ethical decision making. Which of the following is not part of personal

accountability?

a) Responsibility to self, patients, and peers

b) Make decisions and accept consequences when necessary

c) Accept performance input from direct and upper level management

only


d) Maintain professional engagement - ANSWER ✔✔c


What would be the MOST important information for a nurse in

Preadmission Testing (PAT) to collect on an insulin dependent diabetic

patient?

a. How long the patient has been diabetic

3
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, b. If there is someone to deive them home

c. The last time the patient ate or drank


d. The type of insulin that patient takes - ANSWER ✔✔d


After transferring a male pt into the Phase I PACU, the perioperative RN

could reasonably expect the PACU RN to FIRST

a. Administere med to the pt for nausea and vomiting

b. Ask the pt if he has any pain

c. Assess the pt's airway and respirations


d. Care for this pt and 2 other pts as assigned - ANSWER ✔✔c


During a handover report to the PACU RN, the perioperative RN may

use a communication method identified by the acronym "SBAR". What

does SBAR stand for?

a. Safety, Background, Actions, Recovery expectations


b. Situation, Background, Assessment, Recommendation - ANSWER

✔✔b


A 40 yr old male pt is awake and alert in the PACU after a right shoulder

surgery. What is the best measure to assess the pt's pain?

a. Disucss the pt's pain with the anesthesiologist

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