PERIOPERATIVE NURSING
AORN Periop 101 Final Exam Questions and Revised
Correct Answers (2026/2027) 100% Guarantee Pass
2026/2027
A+
Complete Domain Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Patient Safety Surgical Environment and Team Communication
2. Aseptic Technique Sterilization and Infection Prevention
3. Preoperative Assessment and Intraoperative Nursing Care
4. Positioning Anesthesia Monitoring and Equipment Safety
5. Postoperative Care Complications Documentation and Professional Practice
STUVIAACTUALEXAM
, SECTION 1: PATIENT SAFETY SURGICAL ENVIRONMENT AND TEAM COMMUNICATION
Q1
A circulating nurse is preparing the operating room for a scheduled procedure. The primary purpose of the surgical safety
checklist recommended by AORN and WHO is to:
A. Improve communication and reduce preventable patient harm at critical points in care
B. Replace the need for informed consent
C. Eliminate the requirement for instrument counts
D. Shorten operative time exclusively
Correct Answer: A
Rationale:
The surgical safety checklist standardizes critical safety steps (identity, site, procedure, allergies, equipment) to reduce communication
failures and adverse events. It does not replace consent or counts.
Q2
During a time-out, a team member notices the consent form lists a different procedure than the one on the schedule. The
correct immediate action is to:
A. Proceed because the surgeon knows the correct procedure
B. Ask the patient after induction of anesthesia
C. Document the difference and continue
D. Stop and resolve the discrepancy before incision
Correct Answer: D
Rationale:
Any discrepancy in consent, site, or procedure must be resolved before the incision. Proceeding risks wrong-procedure events and violates
safety standards.
Q3
A perioperative nurse is teaching a new staff member about fire safety in the OR. The three elements of the fire triangle
that must be controlled are:
A. Ignition, smoke, and heat detectors
B. Oxygen, nitrogen, and carbon dioxide
C. Fuel, ignition source, and oxidizer (oxygen-enriched atmosphere)
D. Fuel, water, and electricity only
Correct Answer: C
Rationale:
Surgical fires require a fuel (drapes, alcohol prep), an ignition source (electrosurgery, laser), and an oxidizer (oxygen or nitrous oxide).
Controlling these prevents fires.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100% Gua... Page 2
, Q4
When verifying the surgical site, the nurse confirms that the surgeon has marked the site with:
A. No mark if the patient is under general anesthesia
B. A mark that is visible after the patient is prepped and draped, using a method consistent with policy
C. A sticky note on the chart only
D. An X on the opposite side
Correct Answer: B
Rationale:
Site marking must be unambiguous, made by the person performing the procedure (or designee per policy), and remain visible after prep and
drape.
Q5
A nurse is counting sponges with the scrub person. A discrepancy is found after the wound is closed. The immediate
priority is to:
A. Notify the surgeon, remain sterile if possible, and initiate radiographic or other search procedures per policy
B. Leave the room to look for the missing sponge
C. Assume the count will correct itself
D. Document and send the patient to PACU without action
Correct Answer: A
Rationale:
Count discrepancies require immediate notification of the surgeon and systematic search, including imaging when indicated, before the
patient leaves the OR.
Q6
The circulating nurse observes that a vendor representative has entered the restricted area without proper attire. The
nurse should:
A. Allow entry because the representative is familiar with the procedure
B. Ignore the attire if the case has already started
C. Ask the surgeon to decide later
D. Require the representative to don appropriate OR attire or leave the restricted area
Correct Answer: D
Rationale:
All personnel in restricted areas must follow attire requirements to maintain the sterile field and reduce contamination risk.
Q7
During hand-off communication to the PACU nurse, the circulating nurse uses a structured tool. The main benefit of
structured hand-off is to:
A. Eliminate the need for written documentation
B. Transfer legal responsibility fully to PACU
C. Reduce information loss and improve continuity of safe care
D. Shorten the hand-off to under one minute
Correct Answer: C
Rationale:
Structured hand-offs (e.g., SBAR or facility tool) decrease omitted critical information and support safe transitions.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100% Gua... Page 3
AORN Periop 101 Final Exam Questions and Revised
Correct Answers (2026/2027) 100% Guarantee Pass
2026/2027
A+
Complete Domain Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Patient Safety Surgical Environment and Team Communication
2. Aseptic Technique Sterilization and Infection Prevention
3. Preoperative Assessment and Intraoperative Nursing Care
4. Positioning Anesthesia Monitoring and Equipment Safety
5. Postoperative Care Complications Documentation and Professional Practice
STUVIAACTUALEXAM
, SECTION 1: PATIENT SAFETY SURGICAL ENVIRONMENT AND TEAM COMMUNICATION
Q1
A circulating nurse is preparing the operating room for a scheduled procedure. The primary purpose of the surgical safety
checklist recommended by AORN and WHO is to:
A. Improve communication and reduce preventable patient harm at critical points in care
B. Replace the need for informed consent
C. Eliminate the requirement for instrument counts
D. Shorten operative time exclusively
Correct Answer: A
Rationale:
The surgical safety checklist standardizes critical safety steps (identity, site, procedure, allergies, equipment) to reduce communication
failures and adverse events. It does not replace consent or counts.
Q2
During a time-out, a team member notices the consent form lists a different procedure than the one on the schedule. The
correct immediate action is to:
A. Proceed because the surgeon knows the correct procedure
B. Ask the patient after induction of anesthesia
C. Document the difference and continue
D. Stop and resolve the discrepancy before incision
Correct Answer: D
Rationale:
Any discrepancy in consent, site, or procedure must be resolved before the incision. Proceeding risks wrong-procedure events and violates
safety standards.
Q3
A perioperative nurse is teaching a new staff member about fire safety in the OR. The three elements of the fire triangle
that must be controlled are:
A. Ignition, smoke, and heat detectors
B. Oxygen, nitrogen, and carbon dioxide
C. Fuel, ignition source, and oxidizer (oxygen-enriched atmosphere)
D. Fuel, water, and electricity only
Correct Answer: C
Rationale:
Surgical fires require a fuel (drapes, alcohol prep), an ignition source (electrosurgery, laser), and an oxidizer (oxygen or nitrous oxide).
Controlling these prevents fires.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100% Gua... Page 2
, Q4
When verifying the surgical site, the nurse confirms that the surgeon has marked the site with:
A. No mark if the patient is under general anesthesia
B. A mark that is visible after the patient is prepped and draped, using a method consistent with policy
C. A sticky note on the chart only
D. An X on the opposite side
Correct Answer: B
Rationale:
Site marking must be unambiguous, made by the person performing the procedure (or designee per policy), and remain visible after prep and
drape.
Q5
A nurse is counting sponges with the scrub person. A discrepancy is found after the wound is closed. The immediate
priority is to:
A. Notify the surgeon, remain sterile if possible, and initiate radiographic or other search procedures per policy
B. Leave the room to look for the missing sponge
C. Assume the count will correct itself
D. Document and send the patient to PACU without action
Correct Answer: A
Rationale:
Count discrepancies require immediate notification of the surgeon and systematic search, including imaging when indicated, before the
patient leaves the OR.
Q6
The circulating nurse observes that a vendor representative has entered the restricted area without proper attire. The
nurse should:
A. Allow entry because the representative is familiar with the procedure
B. Ignore the attire if the case has already started
C. Ask the surgeon to decide later
D. Require the representative to don appropriate OR attire or leave the restricted area
Correct Answer: D
Rationale:
All personnel in restricted areas must follow attire requirements to maintain the sterile field and reduce contamination risk.
Q7
During hand-off communication to the PACU nurse, the circulating nurse uses a structured tool. The main benefit of
structured hand-off is to:
A. Eliminate the need for written documentation
B. Transfer legal responsibility fully to PACU
C. Reduce information loss and improve continuity of safe care
D. Shorten the hand-off to under one minute
Correct Answer: C
Rationale:
Structured hand-offs (e.g., SBAR or facility tool) decrease omitted critical information and support safe transitions.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100% Gua... Page 3
