AORN PERIOP 101 2026/2027 ACTUAL FINAL PAPER
QUESTIONS AND ANSWERS GRADED A+
✔✔Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ✔✔B. Sterilization of skin
✔✔The generally recognized length of time required for contact of antimicrobial agents
to be effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ✔✔D. According to manufacturers'
directions
✔✔The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ✔✔C. Prep stomas first
✔✔Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ✔✔D. Chlorhexidine gluconate
✔✔Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
D. Percutaneous absorption does not occur across mucous membranes - ✔✔wrong
✔✔Which statement is FALSE about eye, extremity, or vaginal preps?
A. A 5% sterile ophtalmic prep solution is commercially available for eye preps
B. The vagina should be prepped first as part of a vaginal prep
C. When prepping an extremity, it should be positioned so that the incision site is the
upper-most portion of the prep
D. If fingers or toes are included in the surgical field (extremity prep), it may be
necessary to scrub the nail with a brush and soap solution - ✔✔B. The vagina should be
prepped first as part of a vaginal prep
,✔✔Hand hygiene should be performed after which of the following?
A. Touching the operating room bed controls
B. Adjusting a patient's bed linens
C. Eating
D. Marking the surgical site
E. All of the above - ✔✔E. All of the above
✔✔When should perioperative team members use an alcohol-based rub for hand
hygiene?
A. After hands have been exposed to blood or other bodily fluids
B. After using the restroom
C. When the hands are not visibly soiled
D. When caring for patients with spore-forming organisms - ✔✔C. When the hands are
not visibly soiled
✔✔What is the minimum length of time perioperative team members should spend
performing hand hygiene by washing with soap and water?
A. 7 seconds
B. 15 seconds
C. 20 seconds
D. 30 seconds - ✔✔B. 15 seconds
✔✔How much of an alcohol-based hand rub should be used when performing hand
hygiene?
A. A dime-sized amount
B. A quarter-sized amount
C. 10 drops
D. The amount recommended by the manufacturer - ✔✔D. The amount recommended
by the manufacturer
✔✔Perioperative team members should maintain fingernails at a maximum of what
length?
A. 2 mm (0.08 inch)
B. 6 mm (0.24 inch)
C. 10 mm (0.4 inch)
D. 12 mm (0.5 inch) - ✔✔A. 2 mm (0.08 inch)
✔✔Which of the following measures is helpful for maintaining healthy skin and
minimizing the risk of hand dermatitis?
A. Completely drying hands before putting on gloves
B. Avoiding water hotter than 80° F (27° C)
C. Using approved moisturizing products
D. Using glove liners
E. All of the above - ✔✔E. All of the above
, ✔✔Which of the following types of jewelry is acceptable for perioperative team
members to wear in patient care areas?
A. One ring per hand
B. Watch
C. Loose bracelet
D. Fitness monitor
E. No jewelry is acceptable - ✔✔E. No jewelry is acceptable
✔✔Which of the following is a primary line of defense for protecting the patient from the
transmission of pathogens during surgical procedures?
A. Sterile gloves
B. Sterile gowns
C. Surgical hand antisepsis
D. Surgical masks - ✔✔C. Surgical hand antisepsis
✔✔Which of the following parts of the surgical gown is considered sterile?
A. The axillary region
B. The back
C. The cuff of the gown sleeve
D. The front from the chest to the level of the sterile field
E. The shoulders - ✔✔D. The front from the chest to the level of the sterile field
✔✔Which method of gloving should be used by team members during the initial
gowning and gloving process for surgical procedures?
A. Assisted gloving with gown cuffs at fingertips
B. Assisted gloving with gown cuffs at wrists
C. Open gloving
D. Open assisted gloving
E. Any of the above - ✔✔A. Assisted gloving with gown cuffs at fingertips
✔✔How often should surgical gloves be changed during an invasive surgical
procedure?
A. Every 60 to 90 minutes
B. Every 90 to 150 minutes
C. Surgical gloves only require changing if a known or suspected break in technique
occurs or a tear is identified in the glove
D. There is no recommended time for changing gloves - ✔✔wrong
✔✔Which of the following is the preferred method for assessing hand hygiene in the
perioperative setting?
A. Direct observation
B. Measurement of product usage
C. Automated monitoring
D. Self-reporting - ✔✔wrong
QUESTIONS AND ANSWERS GRADED A+
✔✔Objectives of the surgical prep include all EXCEPT:
A. Removal of dirt, skin oil, and microbes from the skin
B. Sterilization of skin
C. Reduction of bacterial count
D. Prevention of regrowth of microbes for several hours - ✔✔B. Sterilization of skin
✔✔The generally recognized length of time required for contact of antimicrobial agents
to be effective is
A. 1 to 3 minutes
B. 2 to 5 minutes
C. 3 to 5 minutes
D. According to manufacturers' directions - ✔✔D. According to manufacturers'
directions
✔✔The principles of preoperative skin preparation include all of the following EXCEPT:
A. Prep from clean to dirty
B. Use aseptic technique
C. Prep stomas first
D. Prevent pooling - ✔✔C. Prep stomas first
✔✔Which one of the following topical antimicrobial agents is neurotoxic?
A. Povidone-iodine
B. Alcohol
C. PCMX (parachlorometaxylenol)
D. Chlorhexidine gluconate - ✔✔D. Chlorhexidine gluconate
✔✔Which statement is TRUE about iodophor with alcohol?
A. It provides rapid reduction in microbial counts of skin
B. Persistence or residual activity is excellent
C. It has been shown to be nontoxic and nonirritating
D. Percutaneous absorption does not occur across mucous membranes - ✔✔wrong
✔✔Which statement is FALSE about eye, extremity, or vaginal preps?
A. A 5% sterile ophtalmic prep solution is commercially available for eye preps
B. The vagina should be prepped first as part of a vaginal prep
C. When prepping an extremity, it should be positioned so that the incision site is the
upper-most portion of the prep
D. If fingers or toes are included in the surgical field (extremity prep), it may be
necessary to scrub the nail with a brush and soap solution - ✔✔B. The vagina should be
prepped first as part of a vaginal prep
,✔✔Hand hygiene should be performed after which of the following?
A. Touching the operating room bed controls
B. Adjusting a patient's bed linens
C. Eating
D. Marking the surgical site
E. All of the above - ✔✔E. All of the above
✔✔When should perioperative team members use an alcohol-based rub for hand
hygiene?
A. After hands have been exposed to blood or other bodily fluids
B. After using the restroom
C. When the hands are not visibly soiled
D. When caring for patients with spore-forming organisms - ✔✔C. When the hands are
not visibly soiled
✔✔What is the minimum length of time perioperative team members should spend
performing hand hygiene by washing with soap and water?
A. 7 seconds
B. 15 seconds
C. 20 seconds
D. 30 seconds - ✔✔B. 15 seconds
✔✔How much of an alcohol-based hand rub should be used when performing hand
hygiene?
A. A dime-sized amount
B. A quarter-sized amount
C. 10 drops
D. The amount recommended by the manufacturer - ✔✔D. The amount recommended
by the manufacturer
✔✔Perioperative team members should maintain fingernails at a maximum of what
length?
A. 2 mm (0.08 inch)
B. 6 mm (0.24 inch)
C. 10 mm (0.4 inch)
D. 12 mm (0.5 inch) - ✔✔A. 2 mm (0.08 inch)
✔✔Which of the following measures is helpful for maintaining healthy skin and
minimizing the risk of hand dermatitis?
A. Completely drying hands before putting on gloves
B. Avoiding water hotter than 80° F (27° C)
C. Using approved moisturizing products
D. Using glove liners
E. All of the above - ✔✔E. All of the above
, ✔✔Which of the following types of jewelry is acceptable for perioperative team
members to wear in patient care areas?
A. One ring per hand
B. Watch
C. Loose bracelet
D. Fitness monitor
E. No jewelry is acceptable - ✔✔E. No jewelry is acceptable
✔✔Which of the following is a primary line of defense for protecting the patient from the
transmission of pathogens during surgical procedures?
A. Sterile gloves
B. Sterile gowns
C. Surgical hand antisepsis
D. Surgical masks - ✔✔C. Surgical hand antisepsis
✔✔Which of the following parts of the surgical gown is considered sterile?
A. The axillary region
B. The back
C. The cuff of the gown sleeve
D. The front from the chest to the level of the sterile field
E. The shoulders - ✔✔D. The front from the chest to the level of the sterile field
✔✔Which method of gloving should be used by team members during the initial
gowning and gloving process for surgical procedures?
A. Assisted gloving with gown cuffs at fingertips
B. Assisted gloving with gown cuffs at wrists
C. Open gloving
D. Open assisted gloving
E. Any of the above - ✔✔A. Assisted gloving with gown cuffs at fingertips
✔✔How often should surgical gloves be changed during an invasive surgical
procedure?
A. Every 60 to 90 minutes
B. Every 90 to 150 minutes
C. Surgical gloves only require changing if a known or suspected break in technique
occurs or a tear is identified in the glove
D. There is no recommended time for changing gloves - ✔✔wrong
✔✔Which of the following is the preferred method for assessing hand hygiene in the
perioperative setting?
A. Direct observation
B. Measurement of product usage
C. Automated monitoring
D. Self-reporting - ✔✔wrong
