AORN Periop 101 Final Exam TEST BANK (2026/2027)
Expected 250+ Questions and Revised Correct Answers. with
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QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Asepsis, Sterile Technique, and Infection Prevention
2. Anesthesia, Monitoring, and Airway Management
3. Surgical Positioning, Safety, and Patient Protection
4. Instrumentation, Equipment, and Operating Room Environment
5. Preoperative, Intraoperative, and Postoperative Patient Care
6. Professional Practice, Teamwork, Ethics, and Documentation
STUVIAACTUALEXAM
, 1. Asepsis, Sterile Technique, and Infection Prevention
Q1
A circulating nurse observes a scrubbed team member rest a gloved hand on a nonsterile Mayo stand edge. What is the
correct immediate action?
A. Instruct the team member to continue and change gloves later
B. Request that the team member change gloves or re-gown and glove before continuing
C. Ignore the contact because the cover is considered sterile
D. Remove the Mayo stand without addressing the team member
Correct Answer: B
Rationale: Contact of a sterile glove with a nonsterile surface contaminates the glove. The team member must change gloves before continuing
to protect the patient.
Q2
A sterile package of instruments shows a small tear in the outer packaging before opening. How should this be handled?
A. Proceed if the inner wrap appears intact
B. Consider the package contaminated, remove it from use, and obtain a replacement
C. Wipe the package with antiseptic and use the contents
D. Use only the instruments farthest from the tear
Correct Answer: B
Rationale: Any breach in packaging integrity renders the contents potentially contaminated. The package must be discarded.
Q3
During surgical skin prep of the abdomen with a draining wound near the incision, what is the preferred sequence?
A. Prep the draining wound first then clean areas
B. Prep from the clean incision site outward, treating the draining wound last or with separate supplies
C. Prep only the draining wound
D. Use the same sponge for all areas
Correct Answer: B
Rationale: Surgical skin prep proceeds from clean to dirty to avoid spreading microorganisms.
Q4
A sterile drape develops a small hole after placement. What is the appropriate response?
A. Cover the hole with another drape and continue
B. Consider the field contaminated, remove the drape, and replace it with an intact sterile drape
C. Place a nonsterile towel over the hole
D. Continue because the hole is small
Correct Answer: B
Rationale: A hole in a sterile drape compromises the barrier and requires replacement.
AORN Periop 101 Final Exam TEST BANK 2026/2027 Page 2
, Q5
A scrubbed person needs to adjust a sterile light handle. What principle applies?
A. The light handle is always nonsterile
B. Only sterile hands or instruments may touch sterile light handles
C. Anyone in the room may touch the light handle
D. Light handles do not require sterile technique
Correct Answer: B
Rationale: Sterile light handles are part of the sterile field and may be adjusted only by scrubbed personnel.
Q6
Sterile supplies are flipped onto the field from several feet away. What is the concern?
A. No concern; distance improves sterility
B. Items should be presented close to the field without excessive air travel to reduce contamination risk
C. Peel packs should never be used
D. Flipping items is the preferred method
Correct Answer: B
Rationale: Excessive tossing increases contamination risk from air currents or nonsterile contact.
Q7
A circulating nurse reaches over the sterile field to adjust a monitor. What is the assessment?
A. Acceptable if nothing is touched
B. Reaching over the sterile field risks contamination and should be avoided
C. Required for all monitor adjustments
D. Only a problem without a mask
Correct Answer: B
Rationale: Reaching over a sterile field can allow contaminants to fall onto the field.
Q8
The circulating nurse assists with gown ties. Where may the nurse touch the gown?
A. Anywhere on the gown
B. Only the ties at the back or designated nonsterile areas after the scrub person secures sterile portions
C. The front of the gown
D. The sleeves only
Correct Answer: B
Rationale: The circulating nurse may touch only nonsterile portions of the gown.
Q9
During the surgical scrub, water runs from elbows back over the hands. What is the error?
A. No error
B. Water should flow from clean to dirty (hands to elbows) without running back over the hands
C. Rinsing is optional
D. Elbows should be scrubbed last
Correct Answer: B
Rationale: Water must flow from fingertips toward elbows so contaminated water does not recontaminate the hands.
AORN Periop 101 Final Exam TEST BANK 2026/2027 Page 3
, Q10
A sterile sponge package was compressed under a heavy tray. What should be done?
A. Use the sponges if the outer wrap looks dry
B. Inspect for integrity; if compromised or sterility is in doubt, do not use the item
C. Always use compressed packages
D. Sterilize again in the OR
Correct Answer: B
Rationale: Compression can compromise the sterile barrier; when in doubt, do not use.
Q11
When pouring sterile saline into a sterile basin, what technique maintains sterility?
A. Touch the bottle lip to the basin edge
B. Hold the bottle so the lip is above and away from the basin rim, pouring without contact
C. Place the bottle on the sterile field
D. Allow the circulating nurse to reach into the basin
Correct Answer: B
Rationale: The bottle must not touch the sterile basin; residual fluid is handled per policy.
Q12
A sterile instrument is dropped on the floor. What is the correct action?
A. Pick it up with a sterile glove and return it to the field
B. Consider it contaminated; remove it and obtain a replacement
C. Wipe it with alcohol and reuse
D. Use it only for noncritical steps
Correct Answer: B
Rationale: Any sterile item contacting a nonsterile surface is contaminated and must be replaced.
Q13
OR humidity is 30% at 72 F. What is the primary asepsis-related concern?
A. Temperature is too high for staff only
B. Low humidity can increase static electricity and affect packaging; maintain recommended ranges
C. Humidity has no effect on sterility
D. Temperature should always exceed 80 F
Correct Answer: B
Rationale: Recommended humidity ranges help control static and support infection prevention.
Q14
A team member wears artificial nails while scrubbing. What is the infection prevention concern?
A. Artificial nails improve scrub effectiveness
B. Artificial nails are associated with higher microbial counts and are generally restricted for scrubbed personnel
C. Only natural nails longer than 1/4 inch are a problem
D. Nails have no impact on SSI risk
Correct Answer: B
Rationale: Artificial nails are linked to increased colonization and are typically prohibited for scrubbed staff.
AORN Periop 101 Final Exam TEST BANK 2026/2027 Page 4