AORN PERIOP 101 2026/2027 EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔The RN caring for the patient receiving moderate sedation/analgesia should:
a) turn up the monitor alarms when prepping the patient
b) be competent in the use of emergency resuscitation procedures
c) call an anesthesia provider to administer reversal medications
d) all of the above - ✔✔b) be competent in the use of emergency resuscitation
procedures
✔✔laparoscopy - ✔✔examination of the abdominal cavity or performance of a minor
abdominal surgery using a laparoscope
✔✔endoscopy - ✔✔examination by means of an endoscope
✔✔endoscope - ✔✔a tube inserted into a natural body orifice or through a small incision
to access internal organ structures, can be flexible, rigid, or semirigid
✔✔flexible endoscope - ✔✔includes cystoscope, laparoscope, sinuscope, arthroscope,
and hysteroscope
✔✔semi-rigid endoscope - ✔✔includes a deflectable-tip video laparoscope that will
allow movement through the tip to allow a complete view from a variety of different
angles
✔✔operative endoscope - ✔✔channeled scopes that provide the ability to irrigate,
suction, insert, and connect a variety of accessories
✔✔capacitive coupling - ✔✔transfer of electrical current from the active electrode
through intact insulation to adjacent conductive items (tissue, trocars)
✔✔Based on your knowledge of laparoscopic surgery, identify the potential
complications related to it:
a) pneumonia
b) hypoxemia
c) hypercarbia
d) cardiac dysrhythmia
e) hypocarbia
f) CO2 embolism - ✔✔b) hypoxemia
c) hypercarbia
d) cardiac dysrhythmia
f) CO2 embolism
✔✔Which are the major components of medical video imaging?
,a) electrosurgical unit
b) fiber-optic light cable
c) verres needle
d) camera control unit - ✔✔b) fiber-optic light cable
d) camera control unit
✔✔Based on your knowledge of cameras in endoscopic surgery, identify the tasks that
should be completed while setting up the camera before surgery
a) inspect the camera head for smudges or debris
b) clean the camera head using sterile water
c) plug the camera into the CCU and turn on the unit
d) complete white balancing of the camera - ✔✔a) inspect the camera head for
smudges and debris
c) plug the camera into the CCU and turn on the unit
d) complete white balancing of the camera
✔✔Metal Halide Light Source - ✔✔emits continuous blue light, cheaper but less bright
than xenon light source
✔✔Xenon light source - ✔✔emit pulsing high intensity white light, expensive but brigher
✔✔Pneumoperitoneum - ✔✔air or gas introduced into the body cavity as a distention
medium (ex. carbon dioxide, nitrous oxide, helium)
✔✔Verres needle (blunt tipped trocar) - ✔✔used to deliver CO2 into the peritoneal
cavity, creates working space
✔✔Laparoscopic instruments with small, blunt tips are used for:
a) cutting tissue
b) dissecting tissue
c) grasping tissue
d) moving tissue from one place to other - ✔✔b) dissecting tissue
✔✔Identify the instruments that can be used in laparoscopic surgery
a) babcocks forceps
b) mosquitoes forceps
c) needle holder forceps
d) dissector forceps - ✔✔a) babcocks forceps
c) needle holder forceps
d) dissector forceps
✔✔Identify the additional assessments that should be made by the perioperative nurse
before an endoscopic surgery:
a) history of thermal burns
b) history of DVT
, c) consent for open surgery
d) history of anaphylactic reaction
e) history of previous incisions
f) types of instruments used in surgery - ✔✔b) history of DVT
c) consent for open surgery
e) history of previous incision
✔✔What are complications associated with laparoscopic surgery?
a) umbilical hernia
b) post surgical pneumonia
c) wound infection
d) CO2 embolism - ✔✔c) wound infection
d) CO2 embolism
✔✔Identify some methods to maintain a sterile camera head
a) put the camera head in a sterile pouch
b) gas-sterilize the camera head
c) cold soak the camera head for 20 min in glutamate
d) wipe the camera head and cord with alcohol and arrange on sterile field - ✔✔a) put
the camera head in a sterile pouch
b) gas-sterilize the camera head
✔✔Which pieces of equipment are used during laparoscopic surgery?
a) CO2 insufflator
b) ESU
c) smoke evacuator
d) fiberoptic headlight
e) traction apparatus - ✔✔a) CO2 insufflator
b) ESU
c) smoke evacuator
✔✔What actions can the scrub person take to help prevent incidental thermal burns
a) inspect laparoscopic instrumentation for excessive wear or obvious breaks and
replace when necessary
b) clean all instruments with sterile water
c) watch the surgery carefullt
d) replace instruments that have damaged insulation - ✔✔a) inspect laparoscopic
instrumentation for excessive wear or obvious breaks and replace when necessary
d) replace instruments that have damaged insulation
✔✔Identify one characteristic difference between laparoscopic instruments and those
used in open procedures:
a) all laparoscopic scissors are "take apart"
b) laparoscopic instruments have long, thin shafts to accommodate trocar cannulas
c) one cannot dissect tissue with laparoscopic instruments
ANSWERS GRADED A+
✔✔The RN caring for the patient receiving moderate sedation/analgesia should:
a) turn up the monitor alarms when prepping the patient
b) be competent in the use of emergency resuscitation procedures
c) call an anesthesia provider to administer reversal medications
d) all of the above - ✔✔b) be competent in the use of emergency resuscitation
procedures
✔✔laparoscopy - ✔✔examination of the abdominal cavity or performance of a minor
abdominal surgery using a laparoscope
✔✔endoscopy - ✔✔examination by means of an endoscope
✔✔endoscope - ✔✔a tube inserted into a natural body orifice or through a small incision
to access internal organ structures, can be flexible, rigid, or semirigid
✔✔flexible endoscope - ✔✔includes cystoscope, laparoscope, sinuscope, arthroscope,
and hysteroscope
✔✔semi-rigid endoscope - ✔✔includes a deflectable-tip video laparoscope that will
allow movement through the tip to allow a complete view from a variety of different
angles
✔✔operative endoscope - ✔✔channeled scopes that provide the ability to irrigate,
suction, insert, and connect a variety of accessories
✔✔capacitive coupling - ✔✔transfer of electrical current from the active electrode
through intact insulation to adjacent conductive items (tissue, trocars)
✔✔Based on your knowledge of laparoscopic surgery, identify the potential
complications related to it:
a) pneumonia
b) hypoxemia
c) hypercarbia
d) cardiac dysrhythmia
e) hypocarbia
f) CO2 embolism - ✔✔b) hypoxemia
c) hypercarbia
d) cardiac dysrhythmia
f) CO2 embolism
✔✔Which are the major components of medical video imaging?
,a) electrosurgical unit
b) fiber-optic light cable
c) verres needle
d) camera control unit - ✔✔b) fiber-optic light cable
d) camera control unit
✔✔Based on your knowledge of cameras in endoscopic surgery, identify the tasks that
should be completed while setting up the camera before surgery
a) inspect the camera head for smudges or debris
b) clean the camera head using sterile water
c) plug the camera into the CCU and turn on the unit
d) complete white balancing of the camera - ✔✔a) inspect the camera head for
smudges and debris
c) plug the camera into the CCU and turn on the unit
d) complete white balancing of the camera
✔✔Metal Halide Light Source - ✔✔emits continuous blue light, cheaper but less bright
than xenon light source
✔✔Xenon light source - ✔✔emit pulsing high intensity white light, expensive but brigher
✔✔Pneumoperitoneum - ✔✔air or gas introduced into the body cavity as a distention
medium (ex. carbon dioxide, nitrous oxide, helium)
✔✔Verres needle (blunt tipped trocar) - ✔✔used to deliver CO2 into the peritoneal
cavity, creates working space
✔✔Laparoscopic instruments with small, blunt tips are used for:
a) cutting tissue
b) dissecting tissue
c) grasping tissue
d) moving tissue from one place to other - ✔✔b) dissecting tissue
✔✔Identify the instruments that can be used in laparoscopic surgery
a) babcocks forceps
b) mosquitoes forceps
c) needle holder forceps
d) dissector forceps - ✔✔a) babcocks forceps
c) needle holder forceps
d) dissector forceps
✔✔Identify the additional assessments that should be made by the perioperative nurse
before an endoscopic surgery:
a) history of thermal burns
b) history of DVT
, c) consent for open surgery
d) history of anaphylactic reaction
e) history of previous incisions
f) types of instruments used in surgery - ✔✔b) history of DVT
c) consent for open surgery
e) history of previous incision
✔✔What are complications associated with laparoscopic surgery?
a) umbilical hernia
b) post surgical pneumonia
c) wound infection
d) CO2 embolism - ✔✔c) wound infection
d) CO2 embolism
✔✔Identify some methods to maintain a sterile camera head
a) put the camera head in a sterile pouch
b) gas-sterilize the camera head
c) cold soak the camera head for 20 min in glutamate
d) wipe the camera head and cord with alcohol and arrange on sterile field - ✔✔a) put
the camera head in a sterile pouch
b) gas-sterilize the camera head
✔✔Which pieces of equipment are used during laparoscopic surgery?
a) CO2 insufflator
b) ESU
c) smoke evacuator
d) fiberoptic headlight
e) traction apparatus - ✔✔a) CO2 insufflator
b) ESU
c) smoke evacuator
✔✔What actions can the scrub person take to help prevent incidental thermal burns
a) inspect laparoscopic instrumentation for excessive wear or obvious breaks and
replace when necessary
b) clean all instruments with sterile water
c) watch the surgery carefullt
d) replace instruments that have damaged insulation - ✔✔a) inspect laparoscopic
instrumentation for excessive wear or obvious breaks and replace when necessary
d) replace instruments that have damaged insulation
✔✔Identify one characteristic difference between laparoscopic instruments and those
used in open procedures:
a) all laparoscopic scissors are "take apart"
b) laparoscopic instruments have long, thin shafts to accommodate trocar cannulas
c) one cannot dissect tissue with laparoscopic instruments
