AORN CERTIFICATION EVALUATION
2026 PRACTICE SOLUTION TESTED.
⫸ Elements of Informed Consent. Ans- • 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. Ans- Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
⫸ Four types of patient privacy health care providers and personnel
have an ethical and legal responsibility to always maintain. Ans- •
Medical information
• Physical exposure
,• Personal privacy
• Electronic privacy
⫸ Eight factors to consider before determining what anesthetic to use
for a particular patient. Ans- • 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. Ans- •
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. Ans- • 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. Ans- • 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
⫸ Regional anesthesia. Ans- • 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). Ans- An anesthesia provider
monitors the patient, administers sedatives and other agents as needed,
and provides medical services as required.
⫸ Moderate sedation. Ans- • 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. Ans- • 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. Ans- • 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:. Ans- 1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
2026 PRACTICE SOLUTION TESTED.
⫸ Elements of Informed Consent. Ans- • 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. Ans- Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
⫸ Four types of patient privacy health care providers and personnel
have an ethical and legal responsibility to always maintain. Ans- •
Medical information
• Physical exposure
,• Personal privacy
• Electronic privacy
⫸ Eight factors to consider before determining what anesthetic to use
for a particular patient. Ans- • 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. Ans- •
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. Ans- • 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. Ans- • 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
⫸ Regional anesthesia. Ans- • 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). Ans- An anesthesia provider
monitors the patient, administers sedatives and other agents as needed,
and provides medical services as required.
⫸ Moderate sedation. Ans- • 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. Ans- • 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. Ans- • 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:. Ans- 1. neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
