AORN PERIOP 101 EXAMINATION 2026/2027 QUESTIONS
AND ANSWERS GRADED A+
✔✔How should the RN transfer a local med to the sterile field? - ✔✔by using a sterile
transfer device
✔✔The last opportunity to detect a med error before it reaches the pt occurs prior to
which phase of the med use process?
a. administering
b. procuring
c. dispensing
d. transcribing - ✔✔a. administering
✔✔All orders must be ________, __________, and __________ by the health care
practitioner giving the order - ✔✔dated, timed, authenticated
✔✔An RN circulator who dispensed a med to the scrub person at the sterile field should
keep the empty med vials and delivery devices in the OR until... - ✔✔the procedure has
been completed
✔✔A minimum of how many total air changes per hour should occur in an operating
room? - ✔✔20
✔✔Surgical attire should be worn before entering a semi-restricted area of the
perioperative environment includes a scrub top and pants, clean shoes, and ______ -
✔✔head covering
✔✔During the time out, the team must confirm, at a minimum, the correct pt, correct
site, and correct ______ - ✔✔procedure
✔✔According to the AORN comprehensive surgical checklist, at what points during the
pts perioperative experience should the surgical site mark be confirmed? - ✔✔- time out
- sign in
- pre procedure check in
✔✔A pt is scheduled for a laparoscopic appendectomy and the RN circulator has
prepped the pts abdomen with a solution of chlorhexidine gluconate with alcohol. Which
fire prevention intervention should be implemented FIRST? - ✔✔Allow the skin prep
solution to dry completely before draping the pt.
✔✔The airflow in an OR has a(n) _________ pressure relationship to the adjacent OR
hallway - ✔✔adverse
, ✔✔What is the primary med to treat a pt. experiencing a malignant hyperthermia (MH)
crisis? - ✔✔dantrolene sodium
✔✔Which of the following is a fire prevention strategy?
a. place the electrosurgical pencil in a holster when not in use
b. pour fluids onto the sterile field 10 min into the procedure
c. include a discussion of the fire risk assessment during the debrief
d. verify the pts. position during the time out - ✔✔a. place the electrosurgical pencil in a
holster when not in use
✔✔Which of the following are considered ignition sources that may cause a fire to ignite
during surgery?
a. surgical drapes and sponges
b. nitrous oxide and O2
c. alcohol based preoperative skin antisepsis solutions
d. electrosurgical unit and laser - ✔✔d. electrosurgical unit and laser
✔✔Which intervention should be implemented immediately when a fire occurs in a pts.
airway? - ✔✔stop the flow of breathing gases while simultaneously removing the
endotracheal tube from the airway
✔✔An anesthesia professional states, "This pt. is experiencing local anesthetic
systemic toxicity." The perioperative RN should be prepared to assist with the
administration of - ✔✔20% lipid emulsion therapy
✔✔The airway is the top nursing priority for the surgical pt. newly admitted to the PACU.
What is an essential piece of equipment for maintaining the pts airway? - ✔✔suction
canister and attachments
✔✔Your pt. has a BMI of 55 and is type 1 diabetic. What ASA classification should you
anticipate for your pt? - ✔✔ASA 3
✔✔Which of the following should occur before a pt is discharged to home?
a. insertion of an additional IV
b. administration of propofol to treat nausea
c. clipping at the surgical site
d. reconciliation of meds - ✔✔d. reconciliation of meds
✔✔The ________ scale is a post-anesthesia scoring system to establish postoperative
discharge criteria - ✔✔Aldrete Scale
AND ANSWERS GRADED A+
✔✔How should the RN transfer a local med to the sterile field? - ✔✔by using a sterile
transfer device
✔✔The last opportunity to detect a med error before it reaches the pt occurs prior to
which phase of the med use process?
a. administering
b. procuring
c. dispensing
d. transcribing - ✔✔a. administering
✔✔All orders must be ________, __________, and __________ by the health care
practitioner giving the order - ✔✔dated, timed, authenticated
✔✔An RN circulator who dispensed a med to the scrub person at the sterile field should
keep the empty med vials and delivery devices in the OR until... - ✔✔the procedure has
been completed
✔✔A minimum of how many total air changes per hour should occur in an operating
room? - ✔✔20
✔✔Surgical attire should be worn before entering a semi-restricted area of the
perioperative environment includes a scrub top and pants, clean shoes, and ______ -
✔✔head covering
✔✔During the time out, the team must confirm, at a minimum, the correct pt, correct
site, and correct ______ - ✔✔procedure
✔✔According to the AORN comprehensive surgical checklist, at what points during the
pts perioperative experience should the surgical site mark be confirmed? - ✔✔- time out
- sign in
- pre procedure check in
✔✔A pt is scheduled for a laparoscopic appendectomy and the RN circulator has
prepped the pts abdomen with a solution of chlorhexidine gluconate with alcohol. Which
fire prevention intervention should be implemented FIRST? - ✔✔Allow the skin prep
solution to dry completely before draping the pt.
✔✔The airflow in an OR has a(n) _________ pressure relationship to the adjacent OR
hallway - ✔✔adverse
, ✔✔What is the primary med to treat a pt. experiencing a malignant hyperthermia (MH)
crisis? - ✔✔dantrolene sodium
✔✔Which of the following is a fire prevention strategy?
a. place the electrosurgical pencil in a holster when not in use
b. pour fluids onto the sterile field 10 min into the procedure
c. include a discussion of the fire risk assessment during the debrief
d. verify the pts. position during the time out - ✔✔a. place the electrosurgical pencil in a
holster when not in use
✔✔Which of the following are considered ignition sources that may cause a fire to ignite
during surgery?
a. surgical drapes and sponges
b. nitrous oxide and O2
c. alcohol based preoperative skin antisepsis solutions
d. electrosurgical unit and laser - ✔✔d. electrosurgical unit and laser
✔✔Which intervention should be implemented immediately when a fire occurs in a pts.
airway? - ✔✔stop the flow of breathing gases while simultaneously removing the
endotracheal tube from the airway
✔✔An anesthesia professional states, "This pt. is experiencing local anesthetic
systemic toxicity." The perioperative RN should be prepared to assist with the
administration of - ✔✔20% lipid emulsion therapy
✔✔The airway is the top nursing priority for the surgical pt. newly admitted to the PACU.
What is an essential piece of equipment for maintaining the pts airway? - ✔✔suction
canister and attachments
✔✔Your pt. has a BMI of 55 and is type 1 diabetic. What ASA classification should you
anticipate for your pt? - ✔✔ASA 3
✔✔Which of the following should occur before a pt is discharged to home?
a. insertion of an additional IV
b. administration of propofol to treat nausea
c. clipping at the surgical site
d. reconciliation of meds - ✔✔d. reconciliation of meds
✔✔The ________ scale is a post-anesthesia scoring system to establish postoperative
discharge criteria - ✔✔Aldrete Scale
