AORN PERIOP 101 FINAL EXAM ACTUAL QUESTIONS
AND ANSWERS SURE A+
✔✔Which of the following is the best definition of sterile technique? Sterile technique is:
- ✔✔D. Implemeted during surgical procedures to prevent microbial contamination
✔✔Which of the following is NOT a characteristic that promotes a culture of safety
within a healthcare organization? - ✔✔C. Prompt disciplinary action when errors occur.
✔✔When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ✔✔A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
✔✔When faced with an electrical power outage in the OR it is most important for the
preoperative RN to remember that: - ✔✔C. The nurse is responsible for knowing,
understanding and complying with the facilities emergency electrical outage pace
✔✔What interventions can the preoperative nurse preform to protect elderly patients?
Select all that apply - ✔✔A. Employ deep vein thrombosis prophylactic devices
B. Position the patient for effective air exchange
D. Use warming devices to maintain normothermia
✔✔Which type of human factor is responsible for an error that occurs when a
preoperative nurse is trying to attend to several tasks at once? - ✔✔C. Situational
✔✔A surgical hand scrub includes the following steps: Select all that apply: - ✔✔A.
Clean the sublingual areas of both hands using a disposable nail cleaner
B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms
D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side
E. Wash your hands and forearms with soap and running water
✔✔Put the following steps in order when opening a wrapped sterile package: - ✔✔1.
Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
✔✔Preoperative documentation should include: Select all that apply: - ✔✔A.
Administration of ordered preoperative medication
C. Performance of the Universal Protocol for preventing wrong site, wrong procedure,
wrong person surgery
D. Skin assessment
,✔✔The following information is important in the management of forensic specimens.
Select all that apply. - ✔✔A. Forensic specimens include but are not limited to hair,
fibers, debris, body fluids and foreign bodies
B. Forensic specimens require special handling when the surgeon is using metal
instruments
C. Hospitals need to have policies to give guidance to the preoperative nurse about the
management of forensic specimens
✔✔According to the CDC, which surgical wound classification should be documented
for the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ✔✔D. Class IV (Dirty/Infected)
✔✔The preoperative nurse should avoid placing the dispersive electrode on the
following areas. Match the area with the rational listed below: - ✔✔A. Scar tissue: May
act as insulation
B. Tattoo sites: contain metallic elements that could attract current
C. Implanted prosthesis: Contain metal which could attract current and impede return
current flow
D. Hairy sites: Inhibits the flow of electrical current
✔✔Which of the following strategies should be considered for implementing successful
infection control? - ✔✔B. Washing your hands prior to greeting the patient in the pre-
operative room
✔✔Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ✔✔B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
✔✔Which of the following statements about counts is correct? Select all that apply. -
✔✔A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
✔✔An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ✔✔C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
, ✔✔The surgeon's preference for the preoperative skin pre includes the application of an
alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing
this prep to dry prior to draping is because: - ✔✔B. Fumes trapped underneath the
drapes and could ignite
✔✔Which of the following is a method for preventing blood-borne pathogen exposure? -
✔✔A. Changing gloves during regular intervals during a procedure
✔✔Which elements are required to create an environment where the culture of safety is
embraced? Select all that apply. - ✔✔A. A sense of trust among all team members
B. Development of a proactive approach instead of a reactive approach
D. Sincere commitment to affirming safety as the first priority
E. Verification of receipt of all information at all levels of the organization
✔✔Which of the following are qualities of skin adhesive products? Select all that apply. -
✔✔B. They can be used in place of sutures.
D. They are primarily used on facial, extremity, and torso wounds.
✔✔Which of the following practices violates a patient's ethical right to self-
determination? - ✔✔A. Automatic intrapoperative suspension of a don-not-resusucitate
decision
✔✔Which of the following is NOT an example of an ethical dilemma that preoperative
nurses may encounter? - ✔✔C. Family disagreement about a below knee amputation of
an 19 year old who has already given consent
✔✔Identify the general guidelines for identifying and labeling specimens. Select all that
apply - ✔✔A. Ask the surgeon to identify the specimen
B. Complete the laboratory or pathology requisition
C. Label the outside of the specimen container with the patients name, identification
number, description and source of the specimen and surgeon
✔✔Which of the following statements about the gowning procedure are correct? - ✔✔D.
Step back from the table into an unobstructed area to let the gown unfold
✔✔A psychosocial assessment may include the patient's: Select all that apply - ✔✔A.
Cultural beliefs and practices
B. Expressed level of anxiety or stress
C. Spiritual or religious beliefs
D. Understanding of the surgical procedure
✔✔Proper OR attire for restricted areas includes: Select all that apply - ✔✔C. Two-
piece scrub suit with top tucked into the pants and secured at the waist
D. Warm-up jacket snapped, with cuffs down to wrists
AND ANSWERS SURE A+
✔✔Which of the following is the best definition of sterile technique? Sterile technique is:
- ✔✔D. Implemeted during surgical procedures to prevent microbial contamination
✔✔Which of the following is NOT a characteristic that promotes a culture of safety
within a healthcare organization? - ✔✔C. Prompt disciplinary action when errors occur.
✔✔When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ✔✔A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
✔✔When faced with an electrical power outage in the OR it is most important for the
preoperative RN to remember that: - ✔✔C. The nurse is responsible for knowing,
understanding and complying with the facilities emergency electrical outage pace
✔✔What interventions can the preoperative nurse preform to protect elderly patients?
Select all that apply - ✔✔A. Employ deep vein thrombosis prophylactic devices
B. Position the patient for effective air exchange
D. Use warming devices to maintain normothermia
✔✔Which type of human factor is responsible for an error that occurs when a
preoperative nurse is trying to attend to several tasks at once? - ✔✔C. Situational
✔✔A surgical hand scrub includes the following steps: Select all that apply: - ✔✔A.
Clean the sublingual areas of both hands using a disposable nail cleaner
B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms
D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side
E. Wash your hands and forearms with soap and running water
✔✔Put the following steps in order when opening a wrapped sterile package: - ✔✔1.
Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
✔✔Preoperative documentation should include: Select all that apply: - ✔✔A.
Administration of ordered preoperative medication
C. Performance of the Universal Protocol for preventing wrong site, wrong procedure,
wrong person surgery
D. Skin assessment
,✔✔The following information is important in the management of forensic specimens.
Select all that apply. - ✔✔A. Forensic specimens include but are not limited to hair,
fibers, debris, body fluids and foreign bodies
B. Forensic specimens require special handling when the surgeon is using metal
instruments
C. Hospitals need to have policies to give guidance to the preoperative nurse about the
management of forensic specimens
✔✔According to the CDC, which surgical wound classification should be documented
for the patient who underwent a laparoscopic appendectomy with the diagnosis of
perforated appendicitis? - ✔✔D. Class IV (Dirty/Infected)
✔✔The preoperative nurse should avoid placing the dispersive electrode on the
following areas. Match the area with the rational listed below: - ✔✔A. Scar tissue: May
act as insulation
B. Tattoo sites: contain metallic elements that could attract current
C. Implanted prosthesis: Contain metal which could attract current and impede return
current flow
D. Hairy sites: Inhibits the flow of electrical current
✔✔Which of the following strategies should be considered for implementing successful
infection control? - ✔✔B. Washing your hands prior to greeting the patient in the pre-
operative room
✔✔Which of the following practices help to prevent contamination in the surgical suite?
Select all that apply - ✔✔B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or
microfiber cloth moistened with detergent for disinfectant and water.
✔✔Which of the following statements about counts is correct? Select all that apply. -
✔✔A. All preoperative personnel involved in a surgical procedure are responsible for
the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain
aware of the location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
✔✔An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ✔✔C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
, ✔✔The surgeon's preference for the preoperative skin pre includes the application of an
alcohol and chlorhexidine gluconate (CHG) solution. The primary reason for allowing
this prep to dry prior to draping is because: - ✔✔B. Fumes trapped underneath the
drapes and could ignite
✔✔Which of the following is a method for preventing blood-borne pathogen exposure? -
✔✔A. Changing gloves during regular intervals during a procedure
✔✔Which elements are required to create an environment where the culture of safety is
embraced? Select all that apply. - ✔✔A. A sense of trust among all team members
B. Development of a proactive approach instead of a reactive approach
D. Sincere commitment to affirming safety as the first priority
E. Verification of receipt of all information at all levels of the organization
✔✔Which of the following are qualities of skin adhesive products? Select all that apply. -
✔✔B. They can be used in place of sutures.
D. They are primarily used on facial, extremity, and torso wounds.
✔✔Which of the following practices violates a patient's ethical right to self-
determination? - ✔✔A. Automatic intrapoperative suspension of a don-not-resusucitate
decision
✔✔Which of the following is NOT an example of an ethical dilemma that preoperative
nurses may encounter? - ✔✔C. Family disagreement about a below knee amputation of
an 19 year old who has already given consent
✔✔Identify the general guidelines for identifying and labeling specimens. Select all that
apply - ✔✔A. Ask the surgeon to identify the specimen
B. Complete the laboratory or pathology requisition
C. Label the outside of the specimen container with the patients name, identification
number, description and source of the specimen and surgeon
✔✔Which of the following statements about the gowning procedure are correct? - ✔✔D.
Step back from the table into an unobstructed area to let the gown unfold
✔✔A psychosocial assessment may include the patient's: Select all that apply - ✔✔A.
Cultural beliefs and practices
B. Expressed level of anxiety or stress
C. Spiritual or religious beliefs
D. Understanding of the surgical procedure
✔✔Proper OR attire for restricted areas includes: Select all that apply - ✔✔C. Two-
piece scrub suit with top tucked into the pants and secured at the waist
D. Warm-up jacket snapped, with cuffs down to wrists
