PERIOP 101 FINAL EXAM STUDY GUIDE
2026 COMPLETE PERIOPERATIVE
NURSING REVIEW PRACTICE QUESTIONS
AND RATIONALES
A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results
show several critical values. Which of the following actions should the
circulating nurse complete first?
a. ask the lab to draw confirmatory lab tests
b. inform the anesthesia provider of the lab values
c. notify the charge nurse of your findings
d. proceed with the schedule case - CORRECT ANSWER-b
Witnessing a signature to an informed consent assures that:
a. the pt understands the reason for the surgical procedure
b. the surgeon has explained the risks, benefits, and alternatives to the
planned procedure
c. signature is authentic, pt is competent and consent was done voluntarily
d. the surgical procedure lists all steps on the consent correctly -
CORRECT ANSWER-c
What are the preoperative nurse's responsibilities for the informed consent
process?
a. acts as a surgeon's agent to educate the pt about risks and benefits of
surgery
b. confirming that the pt is fully informed during the pre op interview
,c. discusses what the surgeon has told the pt and answers pt questions
about the plan for surgery
d. discuss the proposed intervention and the risks involved with the pt and
the pt has signed the consent - CORRECT ANSWER-b
The ultimate responsibility for obtaining informed consent resides with the
a. surgeon
b. risk manager
c. pt's guardian
d. preoperative nurse - CORRECT ANSWER-a
truth telling and the process of reaching informed consent underlie the
principle of:
a. respect
b. empathy
c. self determination
d. communication - CORRECT ANSWER-c
Per the Pt Care Partnership, the AHA believes the pt has the right to the
following:
a. info, unless the surgeon deems it unnecessary or detrimental to the pt
b. to give informed consent for their treatment
c. to have a loved one in the OR during the surgery
d. a video showing and explaining the upcoming surgery - CORRECT
ANSWER-b
,A preoperative nursing assessment should be conducted by a preoperative
RN at what point?
a. prior to d/c
b. before the surgery
c. in the surgeon's office
d. before the surgical consent is signed - CORRECT ANSWER-b
In relation to transcultural needs of the pt, it is important to include
__________ needs in the nursing assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual - CORRECT ANSWER-d
What are the 3 main factors to consider when assessing the pt for allergies?
a. heredity, age, prior reaction
b. prior reaction, diet, age
c. prior reaction, heredity, type of reaction
d. type of reaction, weight, heredity - CORRECT ANSWER-c
Based on the knowledge gained about the special assessment needs,
identify the needs of the surgeries listed below:
1. ostomy placement
2. positioning requirements
3. platelet counts
4. metabolism imbalance
, a. gastro surgery
b. thyroid/parathyroid surgery
c. hepatobiliary surgery
d. gyn surgery - CORRECT ANSWER-1. a, 2. d, 3. c, 4. b
Why is it important to assess the use of herbal supplements or recreational
drugs before surgery? (select all that apply)
a. herbal preparations can decrease the toxicity of other drugs administered
during anesthesia
b. herbal preparations can affect bleeding times
c. herbal preparations can interfere with drug metabolism
d. recreational drug use can result in withdrawal symptoms
e. recreational drug users may require higher doses of anesthetic
medications - CORRECT ANSWER-b, c, d, e
The Perianesthesia nurse has ASPAN to guide their practice. What does
ASPAN stand for?
a. American Sterilization of PeriAnesthesia Nurses
b. Association of Specialized PeriAnesthesia Nursing
c. American Society of PeriAnesthesia Nurses
d. Association of Surgical Post Anesthesia Nursing - CORRECT
ANSWER-c
An example of a standardized format for hand off communications is the
SBAR. This acronym represents:
a. Situation, background, application, responsiveness
b. Site marking, background, application, readiness
2026 COMPLETE PERIOPERATIVE
NURSING REVIEW PRACTICE QUESTIONS
AND RATIONALES
A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results
show several critical values. Which of the following actions should the
circulating nurse complete first?
a. ask the lab to draw confirmatory lab tests
b. inform the anesthesia provider of the lab values
c. notify the charge nurse of your findings
d. proceed with the schedule case - CORRECT ANSWER-b
Witnessing a signature to an informed consent assures that:
a. the pt understands the reason for the surgical procedure
b. the surgeon has explained the risks, benefits, and alternatives to the
planned procedure
c. signature is authentic, pt is competent and consent was done voluntarily
d. the surgical procedure lists all steps on the consent correctly -
CORRECT ANSWER-c
What are the preoperative nurse's responsibilities for the informed consent
process?
a. acts as a surgeon's agent to educate the pt about risks and benefits of
surgery
b. confirming that the pt is fully informed during the pre op interview
,c. discusses what the surgeon has told the pt and answers pt questions
about the plan for surgery
d. discuss the proposed intervention and the risks involved with the pt and
the pt has signed the consent - CORRECT ANSWER-b
The ultimate responsibility for obtaining informed consent resides with the
a. surgeon
b. risk manager
c. pt's guardian
d. preoperative nurse - CORRECT ANSWER-a
truth telling and the process of reaching informed consent underlie the
principle of:
a. respect
b. empathy
c. self determination
d. communication - CORRECT ANSWER-c
Per the Pt Care Partnership, the AHA believes the pt has the right to the
following:
a. info, unless the surgeon deems it unnecessary or detrimental to the pt
b. to give informed consent for their treatment
c. to have a loved one in the OR during the surgery
d. a video showing and explaining the upcoming surgery - CORRECT
ANSWER-b
,A preoperative nursing assessment should be conducted by a preoperative
RN at what point?
a. prior to d/c
b. before the surgery
c. in the surgeon's office
d. before the surgical consent is signed - CORRECT ANSWER-b
In relation to transcultural needs of the pt, it is important to include
__________ needs in the nursing assessment.
a. medical
b. ADLs
c. pharmacological
d. spiritual - CORRECT ANSWER-d
What are the 3 main factors to consider when assessing the pt for allergies?
a. heredity, age, prior reaction
b. prior reaction, diet, age
c. prior reaction, heredity, type of reaction
d. type of reaction, weight, heredity - CORRECT ANSWER-c
Based on the knowledge gained about the special assessment needs,
identify the needs of the surgeries listed below:
1. ostomy placement
2. positioning requirements
3. platelet counts
4. metabolism imbalance
, a. gastro surgery
b. thyroid/parathyroid surgery
c. hepatobiliary surgery
d. gyn surgery - CORRECT ANSWER-1. a, 2. d, 3. c, 4. b
Why is it important to assess the use of herbal supplements or recreational
drugs before surgery? (select all that apply)
a. herbal preparations can decrease the toxicity of other drugs administered
during anesthesia
b. herbal preparations can affect bleeding times
c. herbal preparations can interfere with drug metabolism
d. recreational drug use can result in withdrawal symptoms
e. recreational drug users may require higher doses of anesthetic
medications - CORRECT ANSWER-b, c, d, e
The Perianesthesia nurse has ASPAN to guide their practice. What does
ASPAN stand for?
a. American Sterilization of PeriAnesthesia Nurses
b. Association of Specialized PeriAnesthesia Nursing
c. American Society of PeriAnesthesia Nurses
d. Association of Surgical Post Anesthesia Nursing - CORRECT
ANSWER-c
An example of a standardized format for hand off communications is the
SBAR. This acronym represents:
a. Situation, background, application, responsiveness
b. Site marking, background, application, readiness
