AORN PERIOP 101 WOUND & HEMOSTASIS REVIEW
2026-2027 – SUTURES, WOUND CLASSIFICATION,
SURGICAL COUNTS LATEST REVIEWED QUESTIONS
& CORRECT ANSWERS GRADED A+
Which of the following features is common to delayed primary
closure? Scar formation and contracture may require scar revision.
The wound is cleaned, debrided, and packed for eventual skin
approximation. There is no wound edge separation and minimal
postoperative swelling.
Delayed healing may result in weak tissue approximation and herniation. - Correct Ans: The
wound is cleaned, debrided and packed for eventual skin approximation
Wound healing is influenced by numerous intrinsic and extrinsic
factors. Which of the following could place stress on a fresh
postoperative wound? Age and pre-existing conditions
Immune system response, respiratory, and circulatory status
Malnutrition and obesity
Vomiting, coughing, edema - Correct Ans: Vomiting, coughing, edema
Which is an example of a class Ill wound?
A cesarean delivery with meconium in the
uterus A cesarean delivery prior to labor
A cesarean delivery following labor
A crash cesarean delivery where no prep was used - Correct Ans: A cesarean delivery with
meconium in the uterus
What is the main reason for the use of negative-pressure
therapy? To increase oxygenation to the tissues
To dilute the bacterial load with water
To reduce edematous bacterial load and initiate wound contracture and healing
To accelerate granulation tissue formation - Correct Ans: To reduce edematous bacterial load
and initiate wound contracture and healing
,What is a disadvantage of a
drain? It removes air from the
surgical ite.
It affords an escape for serum and blood.
It allows intestinal secretion and bile escape.
It provides an entry for pathogenic microorganisms. - Correct Ans: It provides an entry for
pathogenic microorganisms.
Which of the following options describes a Class Il surgical wound?
The respiratory, gastrointestinal tract, or genitourinary tract is entered under controlled
circumstances. There is visible gastrointestinal spillage or inflammation is present.
The wound is infected or there is a perforated organ space.
It is the result of a non-penetrating trauma. - Correct Ans: The respiratory, gastrointestinal
tract, or genitourinary tract is entered under controlled circumstances.
Which of the following materials are used in the composition of non-absorbable
sutures? Cotton
Metal
Linen
All of the above - Correct Ans: All of the above
A stitch that is separate and tied independently of other stitches is called
a(an) running stitch.
interrupted
stitch. retention
stitch.
purse-string stitch. - Correct Ans: Interrupted stitch.
In addition to sutures, the skin can be closed by using.
staples.
adhesive.
wound
strips.
all of the above. - Correct Ans: All of the above
,Coefficient of friction is an element of which suture material
characteristic? Tissue-retraction
Handling
Needle configuration
Physical - Correct Ans: Handling
What statement is TRUE related to topical thrombin?
Topical thrombin should never be injected
intravascularly. Topical thrombin is a medication.
Topical thrombin does not biologically participate in the coagulation cascade.
Topical thrombin is only manufactured using animal sources. - Correct Ans: Topical thrombin
should never be injected intravascularly.
What is the principal enzyme in hemostasis and a catalyst to convert fibrinogen to fibrin in
the coagulation cascade?
Thrombi
n Lipase
Protease
Amylase - Correct Ans: Thrombin
Traditional methods of surgical hemostasis include mechanical methods, thermal-based energy
sources, and
pressure dressings.
chemical agents (ie,
pharmaceuticals). asers.
monopolar electrosurgery. - Correct Ans: Chemical agents
Using suture to close a wound is a method to achieve surgical
hemostasis. mechanical
, chemical
thermal-based energy
pharmaceutical - Correct Ans: Mechanical
The RN circulator and scrub person are in the middle of counting sharps when they get
interrupted. What should be the RN circulator and scrub person's next step?
Perform the entire surgical count from the beginning, starting with sponges.
Remove and isolate the sharps from the sterile field.
Recount the sharps.
Continue counting from where they left off. - Correct Ans: Recount the sharps
Which type of drain allows for a free flow of fluids from the wound using gravity
only? Chest drainage system
Negative pressure therapy unit
Penrose drain
Closed drainage system - Correct Ans: Penrose drain
Which medication reverses
heparin? Vitamin K
Warfarin
Protamine
Epinephrine - Correct Ans: Protamine
Who should conduct a surgical count with an unlicensed scrub
person? Anesthesia professional
RN
circulator
Surgeon
Another unlicensed scrub person - Correct Ans: RN circulator
2026-2027 – SUTURES, WOUND CLASSIFICATION,
SURGICAL COUNTS LATEST REVIEWED QUESTIONS
& CORRECT ANSWERS GRADED A+
Which of the following features is common to delayed primary
closure? Scar formation and contracture may require scar revision.
The wound is cleaned, debrided, and packed for eventual skin
approximation. There is no wound edge separation and minimal
postoperative swelling.
Delayed healing may result in weak tissue approximation and herniation. - Correct Ans: The
wound is cleaned, debrided and packed for eventual skin approximation
Wound healing is influenced by numerous intrinsic and extrinsic
factors. Which of the following could place stress on a fresh
postoperative wound? Age and pre-existing conditions
Immune system response, respiratory, and circulatory status
Malnutrition and obesity
Vomiting, coughing, edema - Correct Ans: Vomiting, coughing, edema
Which is an example of a class Ill wound?
A cesarean delivery with meconium in the
uterus A cesarean delivery prior to labor
A cesarean delivery following labor
A crash cesarean delivery where no prep was used - Correct Ans: A cesarean delivery with
meconium in the uterus
What is the main reason for the use of negative-pressure
therapy? To increase oxygenation to the tissues
To dilute the bacterial load with water
To reduce edematous bacterial load and initiate wound contracture and healing
To accelerate granulation tissue formation - Correct Ans: To reduce edematous bacterial load
and initiate wound contracture and healing
,What is a disadvantage of a
drain? It removes air from the
surgical ite.
It affords an escape for serum and blood.
It allows intestinal secretion and bile escape.
It provides an entry for pathogenic microorganisms. - Correct Ans: It provides an entry for
pathogenic microorganisms.
Which of the following options describes a Class Il surgical wound?
The respiratory, gastrointestinal tract, or genitourinary tract is entered under controlled
circumstances. There is visible gastrointestinal spillage or inflammation is present.
The wound is infected or there is a perforated organ space.
It is the result of a non-penetrating trauma. - Correct Ans: The respiratory, gastrointestinal
tract, or genitourinary tract is entered under controlled circumstances.
Which of the following materials are used in the composition of non-absorbable
sutures? Cotton
Metal
Linen
All of the above - Correct Ans: All of the above
A stitch that is separate and tied independently of other stitches is called
a(an) running stitch.
interrupted
stitch. retention
stitch.
purse-string stitch. - Correct Ans: Interrupted stitch.
In addition to sutures, the skin can be closed by using.
staples.
adhesive.
wound
strips.
all of the above. - Correct Ans: All of the above
,Coefficient of friction is an element of which suture material
characteristic? Tissue-retraction
Handling
Needle configuration
Physical - Correct Ans: Handling
What statement is TRUE related to topical thrombin?
Topical thrombin should never be injected
intravascularly. Topical thrombin is a medication.
Topical thrombin does not biologically participate in the coagulation cascade.
Topical thrombin is only manufactured using animal sources. - Correct Ans: Topical thrombin
should never be injected intravascularly.
What is the principal enzyme in hemostasis and a catalyst to convert fibrinogen to fibrin in
the coagulation cascade?
Thrombi
n Lipase
Protease
Amylase - Correct Ans: Thrombin
Traditional methods of surgical hemostasis include mechanical methods, thermal-based energy
sources, and
pressure dressings.
chemical agents (ie,
pharmaceuticals). asers.
monopolar electrosurgery. - Correct Ans: Chemical agents
Using suture to close a wound is a method to achieve surgical
hemostasis. mechanical
, chemical
thermal-based energy
pharmaceutical - Correct Ans: Mechanical
The RN circulator and scrub person are in the middle of counting sharps when they get
interrupted. What should be the RN circulator and scrub person's next step?
Perform the entire surgical count from the beginning, starting with sponges.
Remove and isolate the sharps from the sterile field.
Recount the sharps.
Continue counting from where they left off. - Correct Ans: Recount the sharps
Which type of drain allows for a free flow of fluids from the wound using gravity
only? Chest drainage system
Negative pressure therapy unit
Penrose drain
Closed drainage system - Correct Ans: Penrose drain
Which medication reverses
heparin? Vitamin K
Warfarin
Protamine
Epinephrine - Correct Ans: Protamine
Who should conduct a surgical count with an unlicensed scrub
person? Anesthesia professional
RN
circulator
Surgeon
Another unlicensed scrub person - Correct Ans: RN circulator
