NURSING CERTIFICATION
AORN Periop 101 Final Exam Questions and Revised Correct
Answers (2026/2027) 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Preoperative Assessment and Patient Preparation
Aseptic Practice, Sterile Technique, and Infection Prevention
Intraoperative Patient Safety, Positioning, and Surgical Counts
Anesthesia, Medications, Surgical Energy, and Equipment Safety
Postoperative Care, Wound Management, and Professional Practice
STUVIAACTUALEXAM
, SECTION 1: Preoperative Assessment and Patient Preparation
Q1.
A 68-year-old patient scheduled for elective total knee arthroplasty arrives in the preoperative holding area. During the
focused assessment, the nurse notes the patient has been taking herbal supplements including ginkgo biloba and garlic
capsules daily. The patient states these help with circulation and memory. Which action should the perioperative nurse
prioritize before proceeding with the surgical checklist?
A. Document the supplements and proceed because they are natural products
B. Notify the anesthesia provider and surgeon of potential bleeding risk and delayed coagulation
C. Instruct the patient to discontinue the supplements immediately after surgery
D. Administer vitamin K preoperatively to counteract any anticoagulant effects
Correct Answer: B
Rationale:
Ginkgo biloba and garlic can prolong bleeding time and increase surgical bleeding risk. The nurse must communicate this finding
promptly to the anesthesia provider and surgeon so that the plan of care can be adjusted if needed. Simply documenting or waiting
until after surgery does not address the immediate intraoperative risk.
Q2.
A patient with a BMI of 42 is scheduled for laparoscopic cholecystectomy. During preoperative teaching, the nurse
reviews the plan for sequential compression devices and early ambulation. The patient asks why these measures are
necessary when the procedure is minimally invasive. What is the most accurate response?
A. Laparoscopic procedures eliminate all risk of venous thromboembolism
B. Obesity combined with pneumoperitoneum and reverse Trendelenburg positioning increases venous stasis risk
C. Compression devices are used only for open abdominal procedures lasting more than three hours
D. Early ambulation is recommended solely to reduce postoperative nausea
Correct Answer: B
Rationale:
Obesity, reverse Trendelenburg positioning, and increased intra-abdominal pressure from pneumoperitoneum all contribute to
venous stasis and elevated VTE risk even in minimally invasive cases. Mechanical prophylaxis and early mobilization remain
essential components of the prevention bundle.
Q3.
While reviewing the preoperative checklist for a patient undergoing carotid endarterectomy, the nurse discovers that the
most recent serum potassium result from two days earlier was 3.1 mEq/L. The patient has been NPO since midnight.
Which action is most appropriate?
A. Proceed with surgery because the value is only mildly low
B. Notify the surgeon and anesthesia provider and obtain a current electrolyte panel
C. Administer oral potassium supplements in the holding area
D. Document the finding and recheck the value postoperatively
Correct Answer: B
Rationale:
Hypokalemia can predispose the patient to cardiac dysrhythmias under anesthesia. A current laboratory value is required before
elective major vascular surgery. Oral supplementation in the holding area is not appropriate without provider orders and current
confirmation of the deficit.
, Q4.
A 54-year-old patient scheduled for hysterectomy reports a history of malignant hyperthermia in a sibling. The patient
has never undergone general anesthesia. Which preoperative action is essential?
A. Reassure the patient that MH is not hereditary and proceed with standard anesthesia
B. Ensure the anesthesia machine has been prepared with a clean circuit and MH-safe agents available
C. Schedule the case as the last of the day so that the OR can be thoroughly cleaned afterward
D. Obtain a muscle biopsy on the day of surgery before induction
Correct Answer: B
Rationale:
Malignant hyperthermia has a genetic component; a first-degree relative history places the patient at elevated risk. The anesthesia
machine must be prepared according to MH-safe protocols and dantrolene must be immediately available. Muscle biopsy is not
performed on the day of elective surgery.
Q5.
During the preoperative interview, a patient reveals that she has been using medical cannabis daily for chronic pain.
Surgery is scheduled under general anesthesia in four hours. What is the nurse's priority concern related to this
disclosure?
A. Increased risk of postoperative nausea and vomiting only
B. Potential for altered anesthetic requirements and airway reactivity
C. Immediate cancellation of the procedure is mandatory
D. Cannabis use has no impact on perioperative care planning
Correct Answer: B
Rationale:
Cannabis use can affect anesthetic dosing, increase airway reactivity, and alter hemodynamic responses. The anesthesia provider
must be informed so that induction and maintenance plans can be adjusted. Cancellation is not automatically required but risk
stratification is essential.
Q6.
A patient arriving for outpatient inguinal hernia repair has not followed the NPO instructions and drank a protein shake
two hours earlier. The procedure is scheduled under monitored anesthesia care. Which nursing action is correct?
A. Allow the case to proceed because MAC does not require strict NPO status
B. Notify the anesthesia provider of the violation and anticipate possible delay or cancellation
C. Administer metoclopramide and proceed after 30 minutes
D. Document the intake and obtain a signed waiver from the patient
Correct Answer: B
Rationale:
Aspiration risk exists with any anesthetic that may depress protective airway reflexes. The anesthesia provider must evaluate the
timing and volume of intake against current fasting guidelines. Proceeding without notification or attempting to override guidelines
with medication is unsafe.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100... STUVIAACTUALEXAM
AORN Periop 101 Final Exam Questions and Revised Correct
Answers (2026/2027) 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Preoperative Assessment and Patient Preparation
Aseptic Practice, Sterile Technique, and Infection Prevention
Intraoperative Patient Safety, Positioning, and Surgical Counts
Anesthesia, Medications, Surgical Energy, and Equipment Safety
Postoperative Care, Wound Management, and Professional Practice
STUVIAACTUALEXAM
, SECTION 1: Preoperative Assessment and Patient Preparation
Q1.
A 68-year-old patient scheduled for elective total knee arthroplasty arrives in the preoperative holding area. During the
focused assessment, the nurse notes the patient has been taking herbal supplements including ginkgo biloba and garlic
capsules daily. The patient states these help with circulation and memory. Which action should the perioperative nurse
prioritize before proceeding with the surgical checklist?
A. Document the supplements and proceed because they are natural products
B. Notify the anesthesia provider and surgeon of potential bleeding risk and delayed coagulation
C. Instruct the patient to discontinue the supplements immediately after surgery
D. Administer vitamin K preoperatively to counteract any anticoagulant effects
Correct Answer: B
Rationale:
Ginkgo biloba and garlic can prolong bleeding time and increase surgical bleeding risk. The nurse must communicate this finding
promptly to the anesthesia provider and surgeon so that the plan of care can be adjusted if needed. Simply documenting or waiting
until after surgery does not address the immediate intraoperative risk.
Q2.
A patient with a BMI of 42 is scheduled for laparoscopic cholecystectomy. During preoperative teaching, the nurse
reviews the plan for sequential compression devices and early ambulation. The patient asks why these measures are
necessary when the procedure is minimally invasive. What is the most accurate response?
A. Laparoscopic procedures eliminate all risk of venous thromboembolism
B. Obesity combined with pneumoperitoneum and reverse Trendelenburg positioning increases venous stasis risk
C. Compression devices are used only for open abdominal procedures lasting more than three hours
D. Early ambulation is recommended solely to reduce postoperative nausea
Correct Answer: B
Rationale:
Obesity, reverse Trendelenburg positioning, and increased intra-abdominal pressure from pneumoperitoneum all contribute to
venous stasis and elevated VTE risk even in minimally invasive cases. Mechanical prophylaxis and early mobilization remain
essential components of the prevention bundle.
Q3.
While reviewing the preoperative checklist for a patient undergoing carotid endarterectomy, the nurse discovers that the
most recent serum potassium result from two days earlier was 3.1 mEq/L. The patient has been NPO since midnight.
Which action is most appropriate?
A. Proceed with surgery because the value is only mildly low
B. Notify the surgeon and anesthesia provider and obtain a current electrolyte panel
C. Administer oral potassium supplements in the holding area
D. Document the finding and recheck the value postoperatively
Correct Answer: B
Rationale:
Hypokalemia can predispose the patient to cardiac dysrhythmias under anesthesia. A current laboratory value is required before
elective major vascular surgery. Oral supplementation in the holding area is not appropriate without provider orders and current
confirmation of the deficit.
, Q4.
A 54-year-old patient scheduled for hysterectomy reports a history of malignant hyperthermia in a sibling. The patient
has never undergone general anesthesia. Which preoperative action is essential?
A. Reassure the patient that MH is not hereditary and proceed with standard anesthesia
B. Ensure the anesthesia machine has been prepared with a clean circuit and MH-safe agents available
C. Schedule the case as the last of the day so that the OR can be thoroughly cleaned afterward
D. Obtain a muscle biopsy on the day of surgery before induction
Correct Answer: B
Rationale:
Malignant hyperthermia has a genetic component; a first-degree relative history places the patient at elevated risk. The anesthesia
machine must be prepared according to MH-safe protocols and dantrolene must be immediately available. Muscle biopsy is not
performed on the day of elective surgery.
Q5.
During the preoperative interview, a patient reveals that she has been using medical cannabis daily for chronic pain.
Surgery is scheduled under general anesthesia in four hours. What is the nurse's priority concern related to this
disclosure?
A. Increased risk of postoperative nausea and vomiting only
B. Potential for altered anesthetic requirements and airway reactivity
C. Immediate cancellation of the procedure is mandatory
D. Cannabis use has no impact on perioperative care planning
Correct Answer: B
Rationale:
Cannabis use can affect anesthetic dosing, increase airway reactivity, and alter hemodynamic responses. The anesthesia provider
must be informed so that induction and maintenance plans can be adjusted. Cancellation is not automatically required but risk
stratification is essential.
Q6.
A patient arriving for outpatient inguinal hernia repair has not followed the NPO instructions and drank a protein shake
two hours earlier. The procedure is scheduled under monitored anesthesia care. Which nursing action is correct?
A. Allow the case to proceed because MAC does not require strict NPO status
B. Notify the anesthesia provider of the violation and anticipate possible delay or cancellation
C. Administer metoclopramide and proceed after 30 minutes
D. Document the intake and obtain a signed waiver from the patient
Correct Answer: B
Rationale:
Aspiration risk exists with any anesthetic that may depress protective airway reflexes. The anesthesia provider must evaluate the
timing and volume of intake against current fasting guidelines. Proceeding without notification or attempting to override guidelines
with medication is unsafe.
AORN Periop 101 Final Exam Questions and Revised Correct Answers (2026/2027) 100... STUVIAACTUALEXAM
