PERIOP 101 FINAL EXAM PRACTICE
QUESTIONS WITH DETAILED SOLUTIONS
2026
▶ After transferring a male pt into the Phase I PACU, the perioperative RN
could reasonably expect the PACU RN to FIRST
a. Administere med to the pt for nausea and vomiting
b. Ask the pt if he has any pain
c. Assess the pt's airway and respirations
d. Care for this pt and 2 other pts as assigned. Answer: c
▶ During a handover report to the PACU RN, the perioperative RN may
use a communication method identified by the acronym "SBAR". What
does SBAR stand for?
a. Safety, Background, Actions, Recovery expectations
b. Situation, Background, Assessment, Recommendation. Answer: b
▶ A 40 yr old male pt is awake and alert in the PACU after a right shoulder
surgery. What is the best measure to assess the pt's pain?
a. Disucss the pt's pain with the anesthesiologist
b. Observe facial expressions
c. Ask the pt to rate pain from 1-10
d. Monitor vital sign changes. Answer: c
▶ A 47 yr old male is admitted to the Pre-op area for an inguinal hernia
repair. What does the nurse include in the intake assessment?
a. Pain
b. Cognitive ability of the pt
c. Cultural considerations
d. All of the above. Answer: d
▶ During the preoperative interview, the perioperative nurse should ask
pt's about their use of
a. alcohol
,b. herbal preparations
c. recreational drugs
d. tobacco products
e. all of the above. Answer: e
▶ The preoperative interview is the final assessment of the pt. This nurse-
pt interaction enables the nurse to
a. identify any additional pt care needs prior to surgery
b. determine the length of the procedure and needed supplies
c. introduce the pt to the surgical team
d. provide info necessary for d/c. Answer: a
▶ Which assessment finding is common among elderly pts?
a. An increase in oxygen saturation
b. Decrease in vision including color and depth perception
c. Increased perception of pain
d. An easy adjustment to a change in their environment. Answer: b
▶ During the preoperative interview, the RN should ask the pt about use of
any herbal preparations and/or botanicals. Why is this a critical component
of the assessment?
a. These products can affect bleeding times
b. An alteration of medication metabolism can ensue
c. Anesthetic toxicity can occur
d. All of the above. Answer: d
▶ It is important to discuss the pt's spiritual needs during the pre-op
assessment. What elements of different faiths should the periop nurse be
aware of in the event of a pt's intraoperative death?
a. Islamic beliefs include that one designated person should wash the body
of the deceased
b. The team should prepare for an organ donation for the deceased of any
religious belief
c. The RN circulator should immediately contact a local mortuary
d. Cremation is preferred by memebers of the Jewish faith. Answer: a
▶ factors that may affect postoperative pain are: select all that apply
a. The surgical site
b. The nature and intended purpose of the surgery
c. The pt's fears regarding anesthesia or surgery
, d. The level of anxiety of the pt's family members. Answer: a, b, c
▶ Which of the following best illustrates the purpose of perioperative pt and
family education?
a. To reduce the pt's anxiety
b. To increase pt and family adherence to the plan of care
c. To increase the pt's and fam's satisfaction with the quality of care
d. To support legal, ethical, and regulatory mandates. Answer: c
▶ Which of the following practices violates a pt's ethical right to self-
determination or removes his or her ability to make informed choices?
a. Automatically suspending an intraoperative DNR decision
b. Including family in the education process
c. Performing emergency surgery without informed consent
d. Providing info about the scientific evidence for planned care. Answer: a
▶ A 43 yr old female scheduled for a lap choly, the periop RN should
provide preop education to her and her family, incuding
a. Detailed info about the surgical procedure, including risks and benefits
b. Obtaining informed consent from her and suspending any DNR orders
c. Verification of financial records
d. Wound care and pain management. Answer: d
▶ Periop teaching encompasses the 3 elements of info, psychological
support, and skills training. What most accurately describes the level of
skills training?
a. Information describing elements of postoperative recovery
b. Coping mechanisms provided for fear and anxiety
c. The explanation of the periop process
d. Description of intraoperative pt care activities. Answer: a
▶ A surgical mask should cover both mouth, nose and should be
a. Allowed to hang around the neck between procedures
b. Changed after 2 hours of use
c. Removed and discarded after every case
d. Tied snugly with strings crossed. Answer: c
▶ The ventilation system in the restricted area of the OR should have an
air exchange rate of at least _________ air exchanges per hour
a. 5
QUESTIONS WITH DETAILED SOLUTIONS
2026
▶ After transferring a male pt into the Phase I PACU, the perioperative RN
could reasonably expect the PACU RN to FIRST
a. Administere med to the pt for nausea and vomiting
b. Ask the pt if he has any pain
c. Assess the pt's airway and respirations
d. Care for this pt and 2 other pts as assigned. Answer: c
▶ During a handover report to the PACU RN, the perioperative RN may
use a communication method identified by the acronym "SBAR". What
does SBAR stand for?
a. Safety, Background, Actions, Recovery expectations
b. Situation, Background, Assessment, Recommendation. Answer: b
▶ A 40 yr old male pt is awake and alert in the PACU after a right shoulder
surgery. What is the best measure to assess the pt's pain?
a. Disucss the pt's pain with the anesthesiologist
b. Observe facial expressions
c. Ask the pt to rate pain from 1-10
d. Monitor vital sign changes. Answer: c
▶ A 47 yr old male is admitted to the Pre-op area for an inguinal hernia
repair. What does the nurse include in the intake assessment?
a. Pain
b. Cognitive ability of the pt
c. Cultural considerations
d. All of the above. Answer: d
▶ During the preoperative interview, the perioperative nurse should ask
pt's about their use of
a. alcohol
,b. herbal preparations
c. recreational drugs
d. tobacco products
e. all of the above. Answer: e
▶ The preoperative interview is the final assessment of the pt. This nurse-
pt interaction enables the nurse to
a. identify any additional pt care needs prior to surgery
b. determine the length of the procedure and needed supplies
c. introduce the pt to the surgical team
d. provide info necessary for d/c. Answer: a
▶ Which assessment finding is common among elderly pts?
a. An increase in oxygen saturation
b. Decrease in vision including color and depth perception
c. Increased perception of pain
d. An easy adjustment to a change in their environment. Answer: b
▶ During the preoperative interview, the RN should ask the pt about use of
any herbal preparations and/or botanicals. Why is this a critical component
of the assessment?
a. These products can affect bleeding times
b. An alteration of medication metabolism can ensue
c. Anesthetic toxicity can occur
d. All of the above. Answer: d
▶ It is important to discuss the pt's spiritual needs during the pre-op
assessment. What elements of different faiths should the periop nurse be
aware of in the event of a pt's intraoperative death?
a. Islamic beliefs include that one designated person should wash the body
of the deceased
b. The team should prepare for an organ donation for the deceased of any
religious belief
c. The RN circulator should immediately contact a local mortuary
d. Cremation is preferred by memebers of the Jewish faith. Answer: a
▶ factors that may affect postoperative pain are: select all that apply
a. The surgical site
b. The nature and intended purpose of the surgery
c. The pt's fears regarding anesthesia or surgery
, d. The level of anxiety of the pt's family members. Answer: a, b, c
▶ Which of the following best illustrates the purpose of perioperative pt and
family education?
a. To reduce the pt's anxiety
b. To increase pt and family adherence to the plan of care
c. To increase the pt's and fam's satisfaction with the quality of care
d. To support legal, ethical, and regulatory mandates. Answer: c
▶ Which of the following practices violates a pt's ethical right to self-
determination or removes his or her ability to make informed choices?
a. Automatically suspending an intraoperative DNR decision
b. Including family in the education process
c. Performing emergency surgery without informed consent
d. Providing info about the scientific evidence for planned care. Answer: a
▶ A 43 yr old female scheduled for a lap choly, the periop RN should
provide preop education to her and her family, incuding
a. Detailed info about the surgical procedure, including risks and benefits
b. Obtaining informed consent from her and suspending any DNR orders
c. Verification of financial records
d. Wound care and pain management. Answer: d
▶ Periop teaching encompasses the 3 elements of info, psychological
support, and skills training. What most accurately describes the level of
skills training?
a. Information describing elements of postoperative recovery
b. Coping mechanisms provided for fear and anxiety
c. The explanation of the periop process
d. Description of intraoperative pt care activities. Answer: a
▶ A surgical mask should cover both mouth, nose and should be
a. Allowed to hang around the neck between procedures
b. Changed after 2 hours of use
c. Removed and discarded after every case
d. Tied snugly with strings crossed. Answer: c
▶ The ventilation system in the restricted area of the OR should have an
air exchange rate of at least _________ air exchanges per hour
a. 5
