AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
Indemnity Payment - correct answer Payment made on behalf of the policy holder
Liability - correct answer A legal responsibility
Negligence - correct answer An act or failure to act that deviates from the standard of care
Nursing Malpractice - correct 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
Respondeat Superior - correct 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.
Tort - correct answer A breach of duty to another person as outlined by law
What are the four elements of malpractice? - correct answer • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Elements of Informed Consent - correct 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
Five Rights of Delegation - correct answer Right task
Right circumstance
Right person
Right communication and direction
,AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
Right supervision and evaluation
Four types of patient privacy health care providers and personnel have an ethical and legal
responsibility to always maintain - correct answer • Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
Eight factors to consider before determining what anesthetic to use for a particular patient -
correct 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
The American Society of Anesthesiologist's NPO Guidelines - correct 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
Circulator RN duties during Induction of anesthesia and assisting anesthesia professional with
Cricoid Pressure - correct 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 verbal confirmation to the nurse that the cricoid pressure can be released.
• If intubation or ventilation of the patient becomes difficult, the perioperative nurse should
retrieve additional airway equipment and supplies.
General anesthesia - correct 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
,AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
Regional anesthesia - correct 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.
Monitored anesthesia care (MAC) - correct answer An anesthesia provider monitors the
patient, administers sedatives and other agents as needed, and provides medical services as
required.
Moderate sedation - correct 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.
Local anesthesia - correct answer • The infiltration or topical administration of agents to
anesthetize a part of the body
• The perioperative nurse provides patient monitoring and supportive care.
Phases of general anesthesia - correct 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 anesthetized.
• Phase III: Emergence o At the end of the procedure, the anesthetic agents are discontinued or
reversed to allow the patient to wake up.
Anesthesia Reversal agents: Muscle relaxants: - correct answer 1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal agents: Sugammadex: - correct answer reversal agent for rocuronium,
vecuronium, and pancuronium
Anesthesia Reversal agents: Benzodiazepines: Midazolam - correct answer Flumazenil
Anesthesia Reversal agents: Narcotics: Fentanyl: - correct answer Naloxone
Patients at Increased Risk for Hypothermia - correct answer • Older adults
• Infants and children
, AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
• Women
• Patients with lower-than-normal body weight
Medical Conditions Associated with Increased Risk for Hypothermia - correct answer •
Hypothyroidism
• Hypoglycemia
• Burns
• Trauma
• Hypotension
• Congestive heart failure
• Cardiac vessel disease
Signs of Malignant Hyperthermia (MH) - correct answer • ΜΗ is triggered by inhalation
anesthetic gases and succinylcholine
• Increased end-tidal carbon dioxide is the most specific sign of MH.
• Other signs include skeletal muscle rigidity, ventricular dysrhythmia, skin mottling, and
hyperthermia.
Medical professionals who can provide anesthesia services are: - correct answer •
Anesthesiologists
• Certified registered nurse anesthetists (CRNAs)
• Anesthesiologist assistants (AAs)
Surgical Safety Checklist Includes: - correct answer • Μοbility
• Preexisting health conditions
• Planned duration of the procedure.
• Type of anesthesia
The Preoperative Nurse Visit Should Include: - correct answer • Introduce yourself and ask your
patient how they would like to be addressed.
• Confirm your patient's identity with two patient identifier
• If your patient discusses suicidal thoughts during the preoperative visit, report this
immediately by following your facility's policy and procedure.
• Use the same scale for pain assessment throughout all patient care areas.
(VERIFIED ANSWERS)/AGRADE
Indemnity Payment - correct answer Payment made on behalf of the policy holder
Liability - correct answer A legal responsibility
Negligence - correct answer An act or failure to act that deviates from the standard of care
Nursing Malpractice - correct 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
Respondeat Superior - correct 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.
Tort - correct answer A breach of duty to another person as outlined by law
What are the four elements of malpractice? - correct answer • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Elements of Informed Consent - correct 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
Five Rights of Delegation - correct answer Right task
Right circumstance
Right person
Right communication and direction
,AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
Right supervision and evaluation
Four types of patient privacy health care providers and personnel have an ethical and legal
responsibility to always maintain - correct answer • Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
Eight factors to consider before determining what anesthetic to use for a particular patient -
correct 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
The American Society of Anesthesiologist's NPO Guidelines - correct 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
Circulator RN duties during Induction of anesthesia and assisting anesthesia professional with
Cricoid Pressure - correct 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 verbal confirmation to the nurse that the cricoid pressure can be released.
• If intubation or ventilation of the patient becomes difficult, the perioperative nurse should
retrieve additional airway equipment and supplies.
General anesthesia - correct 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
,AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
Regional anesthesia - correct 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.
Monitored anesthesia care (MAC) - correct answer An anesthesia provider monitors the
patient, administers sedatives and other agents as needed, and provides medical services as
required.
Moderate sedation - correct 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.
Local anesthesia - correct answer • The infiltration or topical administration of agents to
anesthetize a part of the body
• The perioperative nurse provides patient monitoring and supportive care.
Phases of general anesthesia - correct 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 anesthetized.
• Phase III: Emergence o At the end of the procedure, the anesthetic agents are discontinued or
reversed to allow the patient to wake up.
Anesthesia Reversal agents: Muscle relaxants: - correct answer 1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal agents: Sugammadex: - correct answer reversal agent for rocuronium,
vecuronium, and pancuronium
Anesthesia Reversal agents: Benzodiazepines: Midazolam - correct answer Flumazenil
Anesthesia Reversal agents: Narcotics: Fentanyl: - correct answer Naloxone
Patients at Increased Risk for Hypothermia - correct answer • Older adults
• Infants and children
, AORN PERIOP 101 FINAL EXAM LATEST SOLUTION ALL 250+ QUESTIONS AND CORRECT ANSWER S
(VERIFIED ANSWERS)/AGRADE
• Women
• Patients with lower-than-normal body weight
Medical Conditions Associated with Increased Risk for Hypothermia - correct answer •
Hypothyroidism
• Hypoglycemia
• Burns
• Trauma
• Hypotension
• Congestive heart failure
• Cardiac vessel disease
Signs of Malignant Hyperthermia (MH) - correct answer • ΜΗ is triggered by inhalation
anesthetic gases and succinylcholine
• Increased end-tidal carbon dioxide is the most specific sign of MH.
• Other signs include skeletal muscle rigidity, ventricular dysrhythmia, skin mottling, and
hyperthermia.
Medical professionals who can provide anesthesia services are: - correct answer •
Anesthesiologists
• Certified registered nurse anesthetists (CRNAs)
• Anesthesiologist assistants (AAs)
Surgical Safety Checklist Includes: - correct answer • Μοbility
• Preexisting health conditions
• Planned duration of the procedure.
• Type of anesthesia
The Preoperative Nurse Visit Should Include: - correct answer • Introduce yourself and ask your
patient how they would like to be addressed.
• Confirm your patient's identity with two patient identifier
• If your patient discusses suicidal thoughts during the preoperative visit, report this
immediately by following your facility's policy and procedure.
• Use the same scale for pain assessment throughout all patient care areas.
