PERIOPERATIVE NURSING CERTIFICATION
AORN Periop 101 Final Exam TEST BANK (2026/2027) Expected 250+
Questions and Revised Correct Answers. with 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage | All Core Modules | Verified Rationales
A+ 6 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Aseptic Practice, Sterile Technique, Scrubbing, Gowning, Gloving, and Draping
Patient Safety, Assessment, Positioning, and Skin Antisepsis
Anesthesia, Medications and Solutions, Hemostasis, and Surgical Counts
Sterilization, Disinfection, Instruments, Environmental Cleaning, and Infection Prevention
Safe Use of Equipment, Surgical Energy, Specimens, and Wound Closure
Professionalism, Documentation, Patient/Family Education, and Organizational Influences
STUVIAACTUALEXAM
,ASEPTIC PRACTICE, STERILE TECHNIQUE, SCRUBBING, GOWNING, GLOVING, AND DRAPING
A circulating nurse observes a scrub person adjusting their mask with a gloved hand after the sterile field has been
Q1 established. The circulating nurse must intervene immediately.
A. Instruct the scrub person to continue because the mask is outside the sterile field.
B. Have the scrub person change gloves and, if necessary, re-gown before returning to the sterile field.
C. Ignore the action if no instruments were touched.
D. Ask the surgeon whether the gloves need to be changed.
Correct Answer: B
Rationale:
Once sterile gloves contact a non-sterile item such as a mask, they are contaminated. Changing gloves (and gown if indicated) restores the
sterile barrier. Continuing or seeking surgeon permission does not correct the break in asepsis.
During the surgical skin prep, the circulating nurse notices that the antiseptic solution has pooled under the patient.
Q2 The team is about to drape.
A. Proceed with draping because the prep is complete.
B. Remove the pooled solution, dry the area thoroughly, and reassess for skin integrity before draping.
C. Allow the pool to evaporate while the team waits.
D. Apply additional antiseptic over the pooled area.
Correct Answer: B
Rationale:
Pooled antiseptic can cause chemical burns and is a fire hazard with electrosurgery. The area must be dried and reassessed. Proceeding or
adding more solution increases risk.
A scrub person is opening a sterile instrument tray. The first flap of the outer wrap is opened toward the scrub
Q3 person instead of away from the body.
A. Accept the tray because the contents remain sterile.
B. Consider the tray contaminated and request a new one or have it reprocessed according to facility policy.
C. Open the remaining flaps carefully and use the instruments.
D. Have the circulating nurse open the remaining flaps.
Correct Answer: B
Rationale:
Opening the first flap toward the body contaminates the sterile contents because the non-sterile hands cross over the sterile field. The tray
must be discarded or reprocessed.
A sterile field has been set up for 90 minutes while the patient is still in the preoperative area. The circulating nurse
Q4 is concerned about the delay.
A. The field remains sterile indefinitely if left undisturbed.
B. AORN guidelines recommend limiting the time a sterile field is open and covered; the field should be monitored and may need to
be replaced if the delay is excessive.
C. Cover the field with an additional drape and proceed without concern.
D. Only replace the field if visible dust is present.
Correct Answer: B
Rationale:
Prolonged open time increases contamination risk. Fields should be monitored continuously and replaced when indicated by time or events.
Indefinite sterility is incorrect.
, During gowning, a scrub person realizes the gown cuff has slipped over the wrist after gloves are on.
Q5
A. Leave it because the glove covers the cuff.
B. Regown and reglove because the cuff is considered contaminated once it slides down.
C. Pull the cuff back up with a sterile towel.
D. Ask the circulating nurse to adjust the cuff.
Correct Answer: B
Rationale:
A gown cuff that slides below the glove cuff is contaminated. The proper action is to regown and reglove. Pulling it up or leaving it
compromises the barrier.
A scrub nurse is performing a surgical hand scrub. The brush is used on the nails and then discarded before
Q6 continuing with the antiseptic scrub of the hands and arms.
A. This technique is incorrect; the brush should be used on the entire hand and arm.
B. This technique is correct; mechanical cleaning of nails is performed first, then the antiseptic is applied without further brushing of
the skin if using a brushless or limited-brush method as approved.
C. The entire scrub must be repeated with a new brush.
D. Brushes are never used in modern surgical hand antisepsis.
Correct Answer: B
Rationale:
Current practice often uses a sponge or brush only for nails, followed by antiseptic application. Full-arm brushing is no longer universally
required. The described sequence can be correct depending on product instructions.
A circulating nurse is assisting with gowning. After the scrub person has donned the gown, the circulating nurse is
Q7 tying the neck and waist ties.
A. The circulating nurse should tie the ties while standing behind the scrub person, avoiding contact with the sterile front of the
gown.
B. The circulating nurse may touch the front of the gown because it is still considered non-sterile until the scrub person is gloved.
C. The scrub person should tie their own ties after gloving.
D. Ties may be left untied until the end of the case.
Correct Answer: A
Rationale:
The circulating nurse ties from behind, never contacting the sterile front. Touching the front contaminates the gown. Self-tying after gloving is
possible for some gown styles but standard assistance is from the circulating nurse.
A sterile instrument is dropped on the floor during a case. The circulating nurse is asked to retrieve a replacement.
Q8
A. Pick up the dropped instrument with a sterile towel and return it to the field.
B. Obtain a new sterile instrument from the sterile supply and do not return the dropped item to the field.
C. Wipe the dropped instrument with alcohol and return it.
D. Ask the surgeon if the instrument is still usable.
Correct Answer: B
Rationale:
Any item that falls below the sterile field is contaminated and must be replaced with a new sterile item. Wiping or towel retrieval does not
restore sterility.
STUVIAACTUALEXAM AORN Periop 101 Final Exam 2026/2027
, A scrub person is gloving using the closed-glove technique. The first glove is applied, but the fingers are not fully
Q9 seated.
A. Pull the fingers into place by grasping the glove from the outside with the already gloved hand.
B. Adjust the fingers from the inside before the second glove is applied, or restart the closed-glove process if contamination risk is
high.
C. Remove both gloves and start over with open gloving.
D. Leave the fingers as is because they will settle during the case.
Correct Answer: B
Rationale:
Closed gloving requires careful seating of the fingers without contaminating the outer glove surface. Adjusting from the outside after the
second glove is on is preferred; restarting is safer if doubt exists.
A circulating nurse notices that a sterile drape has a small hole near the edge of the field.
Q10
A. Cover the hole with another sterile drape or towel and continue.
B. Consider the entire field contaminated, remove the drapes, and re-establish a sterile field with new drapes.
C. Ignore the hole if it is more than 1 inch from the incision site.
D. Tape the hole with sterile tape.
Correct Answer: B
Rationale:
Any break in the integrity of a sterile drape contaminates the field. The field must be broken down and re-established. Covering or ignoring is
not acceptable.
A new perioperative nurse is learning the 1-inch border rule for sterile packaging. The circulating nurse asks the
Q11 learner to demonstrate correct handling of a sterile peel pack.
A. Touch only the outer 1-inch border of the package when opening and present the contents without the hands crossing the sterile
field.
B. Open the package completely and place the contents directly onto the sterile field with both hands.
C. Shake the contents onto the field from a height of 12 inches.
D. Allow the scrub person to reach into the package to retrieve the item.
Correct Answer: A
Rationale:
The outer 1-inch border of sterile packaging is considered non-sterile. Hands must not cross the sterile field when presenting items. Shaking
or reaching into the package risks contamination.
During a long procedure, the scrub person needs to change a contaminated glove. The circulating nurse is
Q12 preparing to assist with open-glove technique.
A. The scrub person should remove the contaminated glove, perform a surgical hand scrub again, and then reglove.
B. The circulating nurse opens a new glove package and the scrub person dons the new glove using open-glove technique without
re-scrubbing if the hand remains clean.
C. The scrub person may continue with one contaminated glove until the end of the case.
D. Both gloves and gown must always be changed when one glove is contaminated.
Correct Answer: B
Rationale:
When only a glove is contaminated and the hand remains clean, open gloving with assistance is appropriate. Full re-scrub is not always
required. Continuing with contamination or automatic full change is not the standard response.
STUVIAACTUALEXAM AORN Periop 101 Final Exam 2026/2027
AORN Periop 101 Final Exam TEST BANK (2026/2027) Expected 250+
Questions and Revised Correct Answers. with 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage | All Core Modules | Verified Rationales
A+ 6 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Aseptic Practice, Sterile Technique, Scrubbing, Gowning, Gloving, and Draping
Patient Safety, Assessment, Positioning, and Skin Antisepsis
Anesthesia, Medications and Solutions, Hemostasis, and Surgical Counts
Sterilization, Disinfection, Instruments, Environmental Cleaning, and Infection Prevention
Safe Use of Equipment, Surgical Energy, Specimens, and Wound Closure
Professionalism, Documentation, Patient/Family Education, and Organizational Influences
STUVIAACTUALEXAM
,ASEPTIC PRACTICE, STERILE TECHNIQUE, SCRUBBING, GOWNING, GLOVING, AND DRAPING
A circulating nurse observes a scrub person adjusting their mask with a gloved hand after the sterile field has been
Q1 established. The circulating nurse must intervene immediately.
A. Instruct the scrub person to continue because the mask is outside the sterile field.
B. Have the scrub person change gloves and, if necessary, re-gown before returning to the sterile field.
C. Ignore the action if no instruments were touched.
D. Ask the surgeon whether the gloves need to be changed.
Correct Answer: B
Rationale:
Once sterile gloves contact a non-sterile item such as a mask, they are contaminated. Changing gloves (and gown if indicated) restores the
sterile barrier. Continuing or seeking surgeon permission does not correct the break in asepsis.
During the surgical skin prep, the circulating nurse notices that the antiseptic solution has pooled under the patient.
Q2 The team is about to drape.
A. Proceed with draping because the prep is complete.
B. Remove the pooled solution, dry the area thoroughly, and reassess for skin integrity before draping.
C. Allow the pool to evaporate while the team waits.
D. Apply additional antiseptic over the pooled area.
Correct Answer: B
Rationale:
Pooled antiseptic can cause chemical burns and is a fire hazard with electrosurgery. The area must be dried and reassessed. Proceeding or
adding more solution increases risk.
A scrub person is opening a sterile instrument tray. The first flap of the outer wrap is opened toward the scrub
Q3 person instead of away from the body.
A. Accept the tray because the contents remain sterile.
B. Consider the tray contaminated and request a new one or have it reprocessed according to facility policy.
C. Open the remaining flaps carefully and use the instruments.
D. Have the circulating nurse open the remaining flaps.
Correct Answer: B
Rationale:
Opening the first flap toward the body contaminates the sterile contents because the non-sterile hands cross over the sterile field. The tray
must be discarded or reprocessed.
A sterile field has been set up for 90 minutes while the patient is still in the preoperative area. The circulating nurse
Q4 is concerned about the delay.
A. The field remains sterile indefinitely if left undisturbed.
B. AORN guidelines recommend limiting the time a sterile field is open and covered; the field should be monitored and may need to
be replaced if the delay is excessive.
C. Cover the field with an additional drape and proceed without concern.
D. Only replace the field if visible dust is present.
Correct Answer: B
Rationale:
Prolonged open time increases contamination risk. Fields should be monitored continuously and replaced when indicated by time or events.
Indefinite sterility is incorrect.
, During gowning, a scrub person realizes the gown cuff has slipped over the wrist after gloves are on.
Q5
A. Leave it because the glove covers the cuff.
B. Regown and reglove because the cuff is considered contaminated once it slides down.
C. Pull the cuff back up with a sterile towel.
D. Ask the circulating nurse to adjust the cuff.
Correct Answer: B
Rationale:
A gown cuff that slides below the glove cuff is contaminated. The proper action is to regown and reglove. Pulling it up or leaving it
compromises the barrier.
A scrub nurse is performing a surgical hand scrub. The brush is used on the nails and then discarded before
Q6 continuing with the antiseptic scrub of the hands and arms.
A. This technique is incorrect; the brush should be used on the entire hand and arm.
B. This technique is correct; mechanical cleaning of nails is performed first, then the antiseptic is applied without further brushing of
the skin if using a brushless or limited-brush method as approved.
C. The entire scrub must be repeated with a new brush.
D. Brushes are never used in modern surgical hand antisepsis.
Correct Answer: B
Rationale:
Current practice often uses a sponge or brush only for nails, followed by antiseptic application. Full-arm brushing is no longer universally
required. The described sequence can be correct depending on product instructions.
A circulating nurse is assisting with gowning. After the scrub person has donned the gown, the circulating nurse is
Q7 tying the neck and waist ties.
A. The circulating nurse should tie the ties while standing behind the scrub person, avoiding contact with the sterile front of the
gown.
B. The circulating nurse may touch the front of the gown because it is still considered non-sterile until the scrub person is gloved.
C. The scrub person should tie their own ties after gloving.
D. Ties may be left untied until the end of the case.
Correct Answer: A
Rationale:
The circulating nurse ties from behind, never contacting the sterile front. Touching the front contaminates the gown. Self-tying after gloving is
possible for some gown styles but standard assistance is from the circulating nurse.
A sterile instrument is dropped on the floor during a case. The circulating nurse is asked to retrieve a replacement.
Q8
A. Pick up the dropped instrument with a sterile towel and return it to the field.
B. Obtain a new sterile instrument from the sterile supply and do not return the dropped item to the field.
C. Wipe the dropped instrument with alcohol and return it.
D. Ask the surgeon if the instrument is still usable.
Correct Answer: B
Rationale:
Any item that falls below the sterile field is contaminated and must be replaced with a new sterile item. Wiping or towel retrieval does not
restore sterility.
STUVIAACTUALEXAM AORN Periop 101 Final Exam 2026/2027
, A scrub person is gloving using the closed-glove technique. The first glove is applied, but the fingers are not fully
Q9 seated.
A. Pull the fingers into place by grasping the glove from the outside with the already gloved hand.
B. Adjust the fingers from the inside before the second glove is applied, or restart the closed-glove process if contamination risk is
high.
C. Remove both gloves and start over with open gloving.
D. Leave the fingers as is because they will settle during the case.
Correct Answer: B
Rationale:
Closed gloving requires careful seating of the fingers without contaminating the outer glove surface. Adjusting from the outside after the
second glove is on is preferred; restarting is safer if doubt exists.
A circulating nurse notices that a sterile drape has a small hole near the edge of the field.
Q10
A. Cover the hole with another sterile drape or towel and continue.
B. Consider the entire field contaminated, remove the drapes, and re-establish a sterile field with new drapes.
C. Ignore the hole if it is more than 1 inch from the incision site.
D. Tape the hole with sterile tape.
Correct Answer: B
Rationale:
Any break in the integrity of a sterile drape contaminates the field. The field must be broken down and re-established. Covering or ignoring is
not acceptable.
A new perioperative nurse is learning the 1-inch border rule for sterile packaging. The circulating nurse asks the
Q11 learner to demonstrate correct handling of a sterile peel pack.
A. Touch only the outer 1-inch border of the package when opening and present the contents without the hands crossing the sterile
field.
B. Open the package completely and place the contents directly onto the sterile field with both hands.
C. Shake the contents onto the field from a height of 12 inches.
D. Allow the scrub person to reach into the package to retrieve the item.
Correct Answer: A
Rationale:
The outer 1-inch border of sterile packaging is considered non-sterile. Hands must not cross the sterile field when presenting items. Shaking
or reaching into the package risks contamination.
During a long procedure, the scrub person needs to change a contaminated glove. The circulating nurse is
Q12 preparing to assist with open-glove technique.
A. The scrub person should remove the contaminated glove, perform a surgical hand scrub again, and then reglove.
B. The circulating nurse opens a new glove package and the scrub person dons the new glove using open-glove technique without
re-scrubbing if the hand remains clean.
C. The scrub person may continue with one contaminated glove until the end of the case.
D. Both gloves and gown must always be changed when one glove is contaminated.
Correct Answer: B
Rationale:
When only a glove is contaminated and the hand remains clean, open gloving with assistance is appropriate. Full re-scrub is not always
required. Continuing with contamination or automatic full change is not the standard response.
STUVIAACTUALEXAM AORN Periop 101 Final Exam 2026/2027
