AORN PERIOP 101 FINAL EXAM UPDATED ACTUAL
QUESTIONS WITH CORRECT ANSWERS
Question 1.
Indemnity Payment
ANSWER
Payment made on behalf of the policy holder
Question 2.
Liability
ANSWER
A legal responsibility
Question 3.
Negligence
ANSWER
An act or failure to act that deviates from the standard of care
Question 4.
Nursing Malpractice
ANSWER
A nurse's negligence or any intentional act that causes physical, financial, emotional, psychosocial,
and/or cognitive damage to the person in the nurse's care
Question 5.
Respondeat Superior
ANSWER
An employer is legally responsible for the nurse employee only when:
o The nurse acts within the scope of practice o Any allegations brought against the nurse occurred
during the nurse's employment o The nurse's actions were within the employer's best interests.
Question 6.
Tort
ANSWER
A breach of duty to another person as outlined by law
1
,Question 7.
What are the four elements of malpractice?
ANSWER
• Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Question 8.
Elements of Informed Consent Delegation
ANSWER
• Must be obtained by the licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding of all
implications
• Must include
o Diagnosis o Proposed treatment o Treatment alternatives o Consequences of accepting or declining
the proposed treatment Right circumstance Right person Right communication and direction Right
supervision and evaluation
Question 9.
Four types of patient privacy health care providers and personnel have an ethical and legal
responsibility to always maintain
ANSWER
• Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
Question 10.
Eight factors to consider before determining what anesthetic to use for a particular patient
ANSWER
• Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
2
,Question 11.
The American Society of Anesthesiologist's NPO Guidelines
ANSWER
• Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
Question 12.
Circulator RN duties during Inthesia and assisting anesthesia professional with Cricoid Pressure
ANSWER
• Cricoid pressure application is not released until the endotracheal (ET) tube
cuff is inflated, tube placement is confirmed, and anesthesia provider has given a
• If intubation or ventilation of the patient becomes difficult, the perioperative
nurse should retrieve additional airway equipment and supplies.
Question 13.
General anesthesia
ANSWER
• A drug-induced reversible state of unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased stress
response, and loss of skeletal muscle reflexes to a varying degree
Question 14.
Regional anesthesia
ANSWER
• An injection of local anesthetics near nerve fibers that causes reversible loss of
sensation over an area of the body
• Examples include spinal, epidural, and peripheral nerve blocks.
Question 15.
Monitored anesthesia care (MAC)
ANSWER
An anesthesia provider monitors the patient, administers sedatives and other agents as needed, and
provides medical services as required.
3
, Question 16.
Moderate sedation
ANSWER
• The administration of sedative, analgesic, and/or anxiolytic agents by a physician
or by a nurse under physician supervision
• Depending on state laws and hospital policies, an RN may administer moderate
sedation.
Question 17.
Local anesthesia
ANSWER
• The infiltration or topical administration of agents to anesthetize a part of the
body
• The perioperative nurse provides patient monitoring and supportive care.
Question 18.
Phases of general anesthesia
ANSWER
• Phase I: Induction
o IV medications and inhalational agents are administered by the anesthesia provider.
• Phase II: Maintenance
o Medications and inhalational agents are administered to keep the patient
• Phase III: Emergence o At the end of the procedure, the anesthetic agents are
discontinued or reversed to allow the patient to wake up.
Question 19.
Anesthesia Reversal agents: Muscle relaxants:
ANSWER
1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Question 20.
Anesthesia Reversal agents: Sugammadex:
ANSWER
reversal agent for rocuronium, vecuronium, and pancuronium
4
QUESTIONS WITH CORRECT ANSWERS
Question 1.
Indemnity Payment
ANSWER
Payment made on behalf of the policy holder
Question 2.
Liability
ANSWER
A legal responsibility
Question 3.
Negligence
ANSWER
An act or failure to act that deviates from the standard of care
Question 4.
Nursing Malpractice
ANSWER
A nurse's negligence or any intentional act that causes physical, financial, emotional, psychosocial,
and/or cognitive damage to the person in the nurse's care
Question 5.
Respondeat Superior
ANSWER
An employer is legally responsible for the nurse employee only when:
o The nurse acts within the scope of practice o Any allegations brought against the nurse occurred
during the nurse's employment o The nurse's actions were within the employer's best interests.
Question 6.
Tort
ANSWER
A breach of duty to another person as outlined by law
1
,Question 7.
What are the four elements of malpractice?
ANSWER
• Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Question 8.
Elements of Informed Consent Delegation
ANSWER
• Must be obtained by the licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding of all
implications
• Must include
o Diagnosis o Proposed treatment o Treatment alternatives o Consequences of accepting or declining
the proposed treatment Right circumstance Right person Right communication and direction Right
supervision and evaluation
Question 9.
Four types of patient privacy health care providers and personnel have an ethical and legal
responsibility to always maintain
ANSWER
• Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
Question 10.
Eight factors to consider before determining what anesthetic to use for a particular patient
ANSWER
• Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
2
,Question 11.
The American Society of Anesthesiologist's NPO Guidelines
ANSWER
• Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
Question 12.
Circulator RN duties during Inthesia and assisting anesthesia professional with Cricoid Pressure
ANSWER
• Cricoid pressure application is not released until the endotracheal (ET) tube
cuff is inflated, tube placement is confirmed, and anesthesia provider has given a
• If intubation or ventilation of the patient becomes difficult, the perioperative
nurse should retrieve additional airway equipment and supplies.
Question 13.
General anesthesia
ANSWER
• A drug-induced reversible state of unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased stress
response, and loss of skeletal muscle reflexes to a varying degree
Question 14.
Regional anesthesia
ANSWER
• An injection of local anesthetics near nerve fibers that causes reversible loss of
sensation over an area of the body
• Examples include spinal, epidural, and peripheral nerve blocks.
Question 15.
Monitored anesthesia care (MAC)
ANSWER
An anesthesia provider monitors the patient, administers sedatives and other agents as needed, and
provides medical services as required.
3
, Question 16.
Moderate sedation
ANSWER
• The administration of sedative, analgesic, and/or anxiolytic agents by a physician
or by a nurse under physician supervision
• Depending on state laws and hospital policies, an RN may administer moderate
sedation.
Question 17.
Local anesthesia
ANSWER
• The infiltration or topical administration of agents to anesthetize a part of the
body
• The perioperative nurse provides patient monitoring and supportive care.
Question 18.
Phases of general anesthesia
ANSWER
• Phase I: Induction
o IV medications and inhalational agents are administered by the anesthesia provider.
• Phase II: Maintenance
o Medications and inhalational agents are administered to keep the patient
• Phase III: Emergence o At the end of the procedure, the anesthetic agents are
discontinued or reversed to allow the patient to wake up.
Question 19.
Anesthesia Reversal agents: Muscle relaxants:
ANSWER
1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Question 20.
Anesthesia Reversal agents: Sugammadex:
ANSWER
reversal agent for rocuronium, vecuronium, and pancuronium
4
