AORN Periop 101 Exam (Latest Update 2025-2026)
,1. When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply.: A. It involves mental discipline & the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic tech- nique.
2. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in
your OR suite. The following statements are trueANSANS A. Air flow in the OR rooms should be
cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree F.
3. You are assigned to relieve a surgical technologist for lunch.You will needANS-
ANS A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed
gloving.
4. The Joint Commission Universal Protocol consists ofANS Select all that apply.-
ANS A. Preoperative verification
B. Surgical site marking
C. Time Out
5. Which of the following procedures reflects best practice for transferring a medication vial to the
sterile field?ANS D. Use a sterile transfer device
6. Which of the following practices is recommended for handling of natural absorbable suture?ANS C.
Open the package carefully over a small basin to prevent splashing of the packaging solution
7. Recommended sponge count procedures include all of the following EX- CEPT?ANS B. Counting
silently so it doesn't distract other personnel.
8. What is the correct definition of incisional biopsy?ANS D. A small portion of tissue is incised and sent
for examination.
9. Which of the following methods listed below may prevent mishap, event, or fire from occurring
when handling electrosurgical equipment? Select all that apply.ANS 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.
10. Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer
includeANS Select all that apply.ANS A. Duration of the procedure
B. Exaggerated positions
, C. Circulatory disorders
D. Malnutrition
11.Which of the following statements reflect the concept of critical thinking? Select all that apply.ANS
C. Informed practice
D. Holistic thinking
E. Unbiased thinking
F. Reasoned application of a step by step process
12.What is the best drape to use for an umbilical hernia repair?ANS B. Laparotomy
13.Which of the following statements correctly describes recommendations for preoperative
patient skin antisepsis?ANS D. Prep should start at the site of the incision and move outwards.
14.What are the 3 main factors to consider when assessing the patient for allergies?ANS C.
Prior reaction, heredity, type of reaction
15.The following steps can be used to reduce personnel exposure to speci- men fixatives such as
formalin. Select all that apply.ANS 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.
16.After initial administration, which statement below the proper order of the 4 stages of general
anesthesia affecting the patient?ANS A. Administration, excitement, intrasurgery, respiratory
failure
17.What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply.ANS A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
18.In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for?ANS B. Provide 100% oxygen, used iced
saline to cool patient.
19.An important difference between minimally invasive (MIS) and open surgi- cal procedures is that
MISANSANS A. Can be performed through smaller incisions.
20.While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of systemic
toxicity related to which of the following patient complaints? Select all that apply.ANS B. Metallic taste
C. Numbness of the
lips D.Tinnitus
E. Visual Disturbances