AORN Periop 101 Final Exam 2025 AORN
Periop 101 Actual Exam 2025 Questions and
Correct Answers Rated A+
What are the four elements of malpractice? - ANSWER-• Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Elements of Informed Consent - ANSWER-• Must be obtained by the
licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding
of all implications
• Must include
o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
Five Rights of Delegation - ANSWER-Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
Four types of patient privacy health care providers and personnel have
an ethical and legal responsibility to always maintain - ANSWER-•
Medical information
• Physical exposure
,• Personal privacy
• Electronic privacy
Eight factors to consider before determining what anesthetic to use for a
particular patient - ANSWER-• Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
The American Society of Anesthesiologist's NPO Guidelines -
ANSWER-• Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
Circulator RN duties during Induction of anesthesia and assisting
anesthesia professional with Cricoid Pressure - ANSWER-• Cricoid
pressure application is not released until the endotracheal (ET) tube cuff
is inflated, tube placement is confirmed, and anesthesia provider has
given a verbal confirmation to the nurse that the cricoid pressure can be
released.
• If intubation or ventilation of the patient becomes difficult, the
perioperative nurse should retrieve additional airway equipment and
supplies.
,General anesthesia - ANSWER-• A drug-induced reversible state of
unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased
stress response, and loss of skeletal muscle reflexes to a varying degree
Regional anesthesia - ANSWER-• An injection of local anesthetics near
nerve fibers that causes reversible loss of sensation over an area of the
body
• Examples include spinal, epidural, and peripheral nerve blocks.
Monitored anesthesia care (MAC) - ANSWER-An anesthesia provider
monitors the patient, administers sedatives and other agents as needed,
and provides medical services as required.
Moderate sedation - ANSWER-• The administration of sedative,
analgesic, and/or anxiolytic agents by a physician or by a nurse under
physician supervision
• Depending on state laws and hospital policies, an RN may administer
moderate sedation.
Local anesthesia - ANSWER-• The infiltration or topical administration
of agents to anesthetize a part of the body
• The perioperative nurse provides patient monitoring and supportive
care.
Phases of general anesthesia - ANSWER-• Phase I: Induction
o IV medications and inhalational agents are administered by the
anesthesia provider.
• Phase II: Maintenance
, o Medications and inhalational agents are administered to keep the
patient anesthetized.
• Phase III: Emergence o At the end of the procedure, the anesthetic
agents are discontinued or reversed to allow the patient to wake up.
Anesthesia Reversal agents: Muscle relaxants: - ANSWER-1.
neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal agents: Sugammadex: - ANSWER-reversal agent
for rocuronium, vecuronium, and pancuronium
Anesthesia Reversal agents: Benzodiazepines: Midazolam - ANSWER-
Flumazenil
Anesthesia Reversal agents: Narcotics: Fentanyl: - ANSWER-Naloxone
Patients at Increased Risk for Hypothermia - ANSWER-• Older adults
• Infants and children
• Women
• Patients with lower-than-normal body weight
Medical Conditions Associated with Increased Risk for Hypothermia -
ANSWER-• Hypothyroidism
• Hypoglycemia
• Burns
• Trauma
• Hypotension
Periop 101 Actual Exam 2025 Questions and
Correct Answers Rated A+
What are the four elements of malpractice? - ANSWER-• Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Elements of Informed Consent - ANSWER-• Must be obtained by the
licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding
of all implications
• Must include
o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
Five Rights of Delegation - ANSWER-Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
Four types of patient privacy health care providers and personnel have
an ethical and legal responsibility to always maintain - ANSWER-•
Medical information
• Physical exposure
,• Personal privacy
• Electronic privacy
Eight factors to consider before determining what anesthetic to use for a
particular patient - ANSWER-• Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
The American Society of Anesthesiologist's NPO Guidelines -
ANSWER-• Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
Circulator RN duties during Induction of anesthesia and assisting
anesthesia professional with Cricoid Pressure - ANSWER-• Cricoid
pressure application is not released until the endotracheal (ET) tube cuff
is inflated, tube placement is confirmed, and anesthesia provider has
given a verbal confirmation to the nurse that the cricoid pressure can be
released.
• If intubation or ventilation of the patient becomes difficult, the
perioperative nurse should retrieve additional airway equipment and
supplies.
,General anesthesia - ANSWER-• A drug-induced reversible state of
unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased
stress response, and loss of skeletal muscle reflexes to a varying degree
Regional anesthesia - ANSWER-• An injection of local anesthetics near
nerve fibers that causes reversible loss of sensation over an area of the
body
• Examples include spinal, epidural, and peripheral nerve blocks.
Monitored anesthesia care (MAC) - ANSWER-An anesthesia provider
monitors the patient, administers sedatives and other agents as needed,
and provides medical services as required.
Moderate sedation - ANSWER-• The administration of sedative,
analgesic, and/or anxiolytic agents by a physician or by a nurse under
physician supervision
• Depending on state laws and hospital policies, an RN may administer
moderate sedation.
Local anesthesia - ANSWER-• The infiltration or topical administration
of agents to anesthetize a part of the body
• The perioperative nurse provides patient monitoring and supportive
care.
Phases of general anesthesia - ANSWER-• Phase I: Induction
o IV medications and inhalational agents are administered by the
anesthesia provider.
• Phase II: Maintenance
, o Medications and inhalational agents are administered to keep the
patient anesthetized.
• Phase III: Emergence o At the end of the procedure, the anesthetic
agents are discontinued or reversed to allow the patient to wake up.
Anesthesia Reversal agents: Muscle relaxants: - ANSWER-1.
neostigmine
2. edrophonium.
Note: There is no reversal agent for succinylcholine
Anesthesia Reversal agents: Sugammadex: - ANSWER-reversal agent
for rocuronium, vecuronium, and pancuronium
Anesthesia Reversal agents: Benzodiazepines: Midazolam - ANSWER-
Flumazenil
Anesthesia Reversal agents: Narcotics: Fentanyl: - ANSWER-Naloxone
Patients at Increased Risk for Hypothermia - ANSWER-• Older adults
• Infants and children
• Women
• Patients with lower-than-normal body weight
Medical Conditions Associated with Increased Risk for Hypothermia -
ANSWER-• Hypothyroidism
• Hypoglycemia
• Burns
• Trauma
• Hypotension
