AORN Periop 101 Exam (80% to pass!)
1. A __________ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments. - ANS-A. Neutral zone
2. A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes, and is currently taking prednisone for his rheumatoid
arthritis. Based on this history, your would be concerned about which of the following. -
ANS-Delayed wound healing
3. A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes, and is currently taking prednisone for his rheumatoid
arthritis. You are concerned about his wound healing post-operatively based on the
following factors: Select all that apply - ANS-B. Corticosteroids may potentially delay
wound healing
4. C. People with diabetes have a higher risk for infection due to the increase in glucose
levels
5. D. Smoking as been documented to increase the probability of nonunion at a fracture
site
6. A patient is scheduled for reconstruction of her external ear following a dog bite injury.
Which of the following skin prep agents is contraindicated for use in this case? - ANS-C.
Chlorhexidine gluconate
7. A patient is unable to transfer independently to the procedure bed, to achieve the
outcomes related to safe patient transfer, which measures may be used to prevent
shearing injury? Select all that apply. - ANS-B. Request additional personnel to assist
with patient transfer
8. C. Use a friction-reducing transfer sheet.
9. D. Use a slider or roller board
10. E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the
skeletal structures
11. A psychosocial assessment may include the patient's: Select all that apply - ANS-A.
Cultural beliefs and practices
12. B. Expressed level of anxiety or stress
13. C. Spiritual or religious beliefs
14. D. Understanding of the surgical procedure
15. A surgical hand scrub includes the following steps: Select all that apply: - ANS-A. Clean
the sublingual areas of both hands using a disposable nail cleaner
16. B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms
17. D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side
18. E. Wash your hands and forearms with soap and running water
19. According to AORN Guideline on Environmental Cleaning a safe clean environment
should be reestablished after each surgical procedure. Facility approved EPA registered
, disinfectants are used to accomplish which of the following activities? Select all that
apply. - ANS-- All mattress and pad surfaces on the OR bed are to be cleaned
20. - Kick buckets haps are inspected and cleaned if soiled
21. - The area of the floor cleaned should include all areas that are visible soiled
22. According to the AORN Guideline on Environmental Cleaning, which of the following are
strategies for effective between procedure cleaning in the surgical environment? Select
all that apply. - ANS-- Evidence based literature support cleaning the entire floor after
each surgical procedure
23. - Extend the perimeter of the floor area being mopped to include all areas that are visibly
soiled
24. According to the CDC, which surgical wound classification should be documented for the
patient who underwent a laparoscopic appendectomy with the diagnosis of perforated
appendicitis? - ANS-D. Class IV (Dirty/Infected)
25. According to the CDC, which wound classification should be documented for the patient
who underwent a laparoscopic appendectomy with the diagnosis of perforated
appendicitis? - ANS-D. Dirty (Class IV)
26. After initial administration, which statement below the proper order of the 4 stages of
general anesthesia affecting the patient? - ANS-A. Administration, excitement,
intrasurgery, respiratory failure
27. After setting up for a total joint procedure, a dirty instrument is discovered on the sterile
back table while waiting for the patient to enter the OR. What actions should be taken to
correct the contamination? Select all that apply - ANS-B. Change the gown and gloves of
the contaminated team members
28. C. Break down the entire back table and re-establish a sterile field
29. All of the following are important examples of activities that are mad possible with
preoperative nursing documentation EXCEPT? - ANS-D. Ability to freely distribute
information regarding surgical procedure and diagnosis to patient's family and employer
30. All of the following are important examples of activities that re made possible with
preoperative nursing EXCEPT: - ANS-B. Ability to freely distribute information regarding
surgical procedure and iqsgnosis to patient's family and employer postoperatively
31. All of the following organization provide guidance related to tissue banking EXCEPT: -
ANS-D. American National Standards Institute (ANSI)
32. All of the following statements indicate an understanding of the recommended attire for
the circulating nurse during and invasive procedure EXCEPT: - ANS-C. Jewelry should
on the outside of surgical attire to be constantly monitored
33. An area of painful skin that is abraded, blistered, or had shallow craters would be
classified as which stage of ulcer? - ANS-B. Stage II
34. An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ANS-C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
35. An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - ANS-A. Can be performed through smaller incisions.
, 36. At the end of an orthopedic case, all of the following instrument care guidelines should
be followed EXCEPT? - ANS-B. Place heavy instruments in top of smaller instruments to
promote cleaning
37. Barriers to effective patient and family education in perioperative settings include: select
all that apply - ANS-A. Anxiety about an uncertain outcome
38. B. Discomfort or pain
39. C. Fear of the unknown
40. D. Limited time for assessment and teaching
41. Based on your knowledge of the Universal Protocol, Which of the following are
acceptable ways to identify your patient? SELECT ALL THAT APPLY. - ANS-- Ask the
patient to state his or her date of birth.
42. - Ask the patient to state his or her full name
43. Based on your understanding of chemical safety issues, identify the best strategy to
reduce the risk associated with ignition of prep solution vapor. - ANS-A. Allow the prep to
dry before draping to allow vapors to dissipate
44. Bases on your knowledge of universal protocol, which of the following are acceptable
methods to correctly identify your patient. Select all that apply. - ANS-B. Aks the patient
to state his or her date of birth
45. C. Ask the patient to state his or her full name
46. By using a high radio frequency electrical current, surgeons routinely use electrosurgery
to _________ the tissue. - ANS-C. Cut and coagulate
47. Critical thinking considerations when positioning a surgical patient include all of the
following EXCEPT: - ANS-A. Assessing patient position once at the beginning of the
procedure.
48. Documentation of intraoperative surgical specimens includes which of the following:
Select all that apply - ANS-- Identification of the specimens in the intra-operative record
and the pathology requisition
49. - No abbreviations
50. - Notation of markers or tags such as clips or sutures, with a statement of what they
represent
51. Documentation of intraoperative surgical specimens includes which of the following?
Select all that apply. - ANS-A. Identification of the specimen in the intraoperative record
and the pathology requisition
52. B. No Abbreviations
53. C. Notation of markers or tags such as clips or sutures, with a statement of what they
represent
54. Documentations of intraoperative surgical specimens include which of the following?
Select all that apply. - ANS-A. Indication of the specimen in the intraoperative record and
the pathology requisition
55. B. NO abbreviations
56. C. Notation of markers or tags such as slices or sutures with a statement of what they
represent.
1. A __________ is a designated area on the sterile field where the scrub person and the
surgeon place all sharp instruments. - ANS-A. Neutral zone
2. A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes, and is currently taking prednisone for his rheumatoid
arthritis. Based on this history, your would be concerned about which of the following. -
ANS-Delayed wound healing
3. A 72 year old man is scheduled for a procedure to repair his right hip fracture. He has a
history of smoking and diabetes, and is currently taking prednisone for his rheumatoid
arthritis. You are concerned about his wound healing post-operatively based on the
following factors: Select all that apply - ANS-B. Corticosteroids may potentially delay
wound healing
4. C. People with diabetes have a higher risk for infection due to the increase in glucose
levels
5. D. Smoking as been documented to increase the probability of nonunion at a fracture
site
6. A patient is scheduled for reconstruction of her external ear following a dog bite injury.
Which of the following skin prep agents is contraindicated for use in this case? - ANS-C.
Chlorhexidine gluconate
7. A patient is unable to transfer independently to the procedure bed, to achieve the
outcomes related to safe patient transfer, which measures may be used to prevent
shearing injury? Select all that apply. - ANS-B. Request additional personnel to assist
with patient transfer
8. C. Use a friction-reducing transfer sheet.
9. D. Use a slider or roller board
10. E. Use the draw sheet to lift the patient slightly to allow the skin to realign with the
skeletal structures
11. A psychosocial assessment may include the patient's: Select all that apply - ANS-A.
Cultural beliefs and practices
12. B. Expressed level of anxiety or stress
13. C. Spiritual or religious beliefs
14. D. Understanding of the surgical procedure
15. A surgical hand scrub includes the following steps: Select all that apply: - ANS-A. Clean
the sublingual areas of both hands using a disposable nail cleaner
16. B. Dispense an approved antimicrobial scrub agent onto wet arms and forearms
17. D. Wash all four sides of each finger, hand, and arm and repeat on the opposite side
18. E. Wash your hands and forearms with soap and running water
19. According to AORN Guideline on Environmental Cleaning a safe clean environment
should be reestablished after each surgical procedure. Facility approved EPA registered
, disinfectants are used to accomplish which of the following activities? Select all that
apply. - ANS-- All mattress and pad surfaces on the OR bed are to be cleaned
20. - Kick buckets haps are inspected and cleaned if soiled
21. - The area of the floor cleaned should include all areas that are visible soiled
22. According to the AORN Guideline on Environmental Cleaning, which of the following are
strategies for effective between procedure cleaning in the surgical environment? Select
all that apply. - ANS-- Evidence based literature support cleaning the entire floor after
each surgical procedure
23. - Extend the perimeter of the floor area being mopped to include all areas that are visibly
soiled
24. According to the CDC, which surgical wound classification should be documented for the
patient who underwent a laparoscopic appendectomy with the diagnosis of perforated
appendicitis? - ANS-D. Class IV (Dirty/Infected)
25. According to the CDC, which wound classification should be documented for the patient
who underwent a laparoscopic appendectomy with the diagnosis of perforated
appendicitis? - ANS-D. Dirty (Class IV)
26. After initial administration, which statement below the proper order of the 4 stages of
general anesthesia affecting the patient? - ANS-A. Administration, excitement,
intrasurgery, respiratory failure
27. After setting up for a total joint procedure, a dirty instrument is discovered on the sterile
back table while waiting for the patient to enter the OR. What actions should be taken to
correct the contamination? Select all that apply - ANS-B. Change the gown and gloves of
the contaminated team members
28. C. Break down the entire back table and re-establish a sterile field
29. All of the following are important examples of activities that are mad possible with
preoperative nursing documentation EXCEPT? - ANS-D. Ability to freely distribute
information regarding surgical procedure and diagnosis to patient's family and employer
30. All of the following are important examples of activities that re made possible with
preoperative nursing EXCEPT: - ANS-B. Ability to freely distribute information regarding
surgical procedure and iqsgnosis to patient's family and employer postoperatively
31. All of the following organization provide guidance related to tissue banking EXCEPT: -
ANS-D. American National Standards Institute (ANSI)
32. All of the following statements indicate an understanding of the recommended attire for
the circulating nurse during and invasive procedure EXCEPT: - ANS-C. Jewelry should
on the outside of surgical attire to be constantly monitored
33. An area of painful skin that is abraded, blistered, or had shallow craters would be
classified as which stage of ulcer? - ANS-B. Stage II
34. An immediate latex allergic response has 3 stages. Which of the following states is
matched with the appropriate symptoms? - ANS-C. Can progress to a sudden drop in
blood pressure, increased heart rate and potential circulatory collapse
35. An important difference between minimally invasive (MIS) and open surgical procedures
is that MIS: - ANS-A. Can be performed through smaller incisions.
, 36. At the end of an orthopedic case, all of the following instrument care guidelines should
be followed EXCEPT? - ANS-B. Place heavy instruments in top of smaller instruments to
promote cleaning
37. Barriers to effective patient and family education in perioperative settings include: select
all that apply - ANS-A. Anxiety about an uncertain outcome
38. B. Discomfort or pain
39. C. Fear of the unknown
40. D. Limited time for assessment and teaching
41. Based on your knowledge of the Universal Protocol, Which of the following are
acceptable ways to identify your patient? SELECT ALL THAT APPLY. - ANS-- Ask the
patient to state his or her date of birth.
42. - Ask the patient to state his or her full name
43. Based on your understanding of chemical safety issues, identify the best strategy to
reduce the risk associated with ignition of prep solution vapor. - ANS-A. Allow the prep to
dry before draping to allow vapors to dissipate
44. Bases on your knowledge of universal protocol, which of the following are acceptable
methods to correctly identify your patient. Select all that apply. - ANS-B. Aks the patient
to state his or her date of birth
45. C. Ask the patient to state his or her full name
46. By using a high radio frequency electrical current, surgeons routinely use electrosurgery
to _________ the tissue. - ANS-C. Cut and coagulate
47. Critical thinking considerations when positioning a surgical patient include all of the
following EXCEPT: - ANS-A. Assessing patient position once at the beginning of the
procedure.
48. Documentation of intraoperative surgical specimens includes which of the following:
Select all that apply - ANS-- Identification of the specimens in the intra-operative record
and the pathology requisition
49. - No abbreviations
50. - Notation of markers or tags such as clips or sutures, with a statement of what they
represent
51. Documentation of intraoperative surgical specimens includes which of the following?
Select all that apply. - ANS-A. Identification of the specimen in the intraoperative record
and the pathology requisition
52. B. No Abbreviations
53. C. Notation of markers or tags such as clips or sutures, with a statement of what they
represent
54. Documentations of intraoperative surgical specimens include which of the following?
Select all that apply. - ANS-A. Indication of the specimen in the intraoperative record and
the pathology requisition
55. B. NO abbreviations
56. C. Notation of markers or tags such as slices or sutures with a statement of what they
represent.
