AORN PERIOP 101 FINAL EXAM (2022) COMPLETE TOP SOLUTION
RATED A
All the following professionals are qualified to provide anesthesia to a patient EXCEPT:
a) anesthesiologist
b) CRNA
c) anesthesiology assistant
d) operating surgeon - CORRECT ANSWER d) operating surgeon
Of the following, which is not used to secure airway:
a) ET tube
b) LMA
c) nasal cannula
d) oral airway - CORRECT ANSWER c) nasal cannula
The perioperative team should know the location of equipment stored in the OR and in
the department. Equipment that the anesthesia provider may request includes:
a) video laryngoscopy devices
b) fiberoptic bronchoscopes
c) suction tips and devices
d) all of the above - CORRECT ANSWER d) all of the above
General Anesthesia - CORRECT ANSWER a drug-induced reversible state of
unconsciousness, it includes amnesia, analgesia, loss of responsiveness, decreased
stress response, and loss of skeletal muscle reflexes to varying degree
Regional Anesthesia - CORRECT ANSWER an injection of local anesthetics near
nerve fibers to cause reversible loss of sensation over an area of the body, common
examples include spinal, epidural, and peripheral nerve blocks
Monitored Anesthesia Care (MAC) - CORRECT ANSWER when an anesthesia
provider monitors the patient, administers sedatives and other agents as needed, and
provides medical services as needed
Moderate Sedation - CORRECT ANSWER the administration of sedative, analgesic,
and/or anxiolytic agents by a physician or under physician supervision. Depending on
state laws and hospital policies, a perioperative nurse may be able to administer this
type of anesthesia
Local Anesthesia - CORRECT ANSWER The infiltration or topical administration of
agents to anesthetize a part of the body. It is typically used for minor procedures, does
not involve an anesthesia provider, and does not involve sedation. A perioperative
nurse monitors the patient and provides supportive care if needed.
,The phases of general anesthesia, in order, are:
a) induction, maintenance, emergence
b) emergence, maintenance, induction
c) maintenance, emergence, induction
d) induction, emergence, maintenance - CORRECT ANSWER a) induction,
maintenance, emergence
Propofol - CORRECT ANSWER IV induction agent
etomidate - CORRECT ANSWER IV induction agent
methohexitol - CORRECT ANSWER IV induction agent
IV induction agent - CORRECT ANSWER ketamine
sevoflurane with or without nitric oxide - CORRECT ANSWER inhaled induction agent
Succinylcholine - CORRECT ANSWER short-acting muscle relaxant
cisatracurium - CORRECT ANSWER intermediate-acting muscle relaxant
atracurium - CORRECT ANSWER intermediate-acting muscle relaxant
rocuronium - CORRECT ANSWER intermediate-acting muscle relaxant
vecuronium - CORRECT ANSWER intermediate-acting muscle relaxant
pancuronium - CORRECT ANSWER long-acting muscle relaxant
isoflurane - CORRECT ANSWER used for inhalation maintenance
desflurane - CORRECT ANSWER used for inhalation maintenance
total iv anesthesia (TIVA) - CORRECT ANSWER a technique for maintaining
anesthesia using infusions of short-acting IV agents without inhalation anesthetics.
Propofol and remifentanil are often used for TIVA.
Reversal agent for succinylcholine - CORRECT ANSWER none!
neostigmine - CORRECT ANSWER reversal for muscle relaxant (except
succinylcholine)
edrophonium - CORRECT ANSWER reversal for muscle relaxant (except
succinylcholine)
, sugammadex - CORRECT ANSWER reversal agent for rocuronium, vecuronium, and
pancuronium
flumazenil - CORRECT ANSWER reversal agent for benzos (midazolam)
naloxone - CORRECT ANSWER reversal agent for narcotics (fentanyl)
which of the following type of airway maintenance usually requires muscle relazants?
a) spontaneous respiration
b) mask ventilation
c) laryngeal mask airway
d) endotracheal intubation - CORRECT ANSWER d) endotracheal intubation
When should cricoid pressure be released?
a) if the patient coughs
b) when the patient loses consciousness
c) if the anesthesia provider cannot see the vocal cords
d) after the cuff of the ET tube is inflated and the position is confirmed - CORRECT
ANSWER d) after the cuff of the ET tube is inflated and the position is confirmed
lidocaine - CORRECT ANSWER local anesthetic
bupivacaine - CORRECT ANSWER local anesthetic
ropivacaine - CORRECT ANSWER local anesthetic
tetracaine - CORRECT ANSWER for long-acting spinal anesthesia
epinephrine (anesthesia) - CORRECT ANSWER added to increase density and
duration of a regional block
bicarbonate (anesthesia) - CORRECT ANSWER sometimes added to reduce the
acidity of the local anesthetic and speed the onset of the block
Spinal Anesthesia - CORRECT ANSWER the subarachnoid space is entered and local
anesthetic is injected directly into the spinal canal, pt sitting or lateral
Epidural Anesthesia - CORRECT ANSWER the anesthesia care provider finds the
space between the ligamentum flavum and dura, this space is identified by a loss of
resistance as the needle is advanced, a single dose of anesthetic can be injected, or a
catheter can be placed
IV regional anesthesia (Bier Block) - CORRECT ANSWER used for procedures on
hand, wrist, or forearm (double tourniquet method)
RATED A
All the following professionals are qualified to provide anesthesia to a patient EXCEPT:
a) anesthesiologist
b) CRNA
c) anesthesiology assistant
d) operating surgeon - CORRECT ANSWER d) operating surgeon
Of the following, which is not used to secure airway:
a) ET tube
b) LMA
c) nasal cannula
d) oral airway - CORRECT ANSWER c) nasal cannula
The perioperative team should know the location of equipment stored in the OR and in
the department. Equipment that the anesthesia provider may request includes:
a) video laryngoscopy devices
b) fiberoptic bronchoscopes
c) suction tips and devices
d) all of the above - CORRECT ANSWER d) all of the above
General Anesthesia - CORRECT ANSWER a drug-induced reversible state of
unconsciousness, it includes amnesia, analgesia, loss of responsiveness, decreased
stress response, and loss of skeletal muscle reflexes to varying degree
Regional Anesthesia - CORRECT ANSWER an injection of local anesthetics near
nerve fibers to cause reversible loss of sensation over an area of the body, common
examples include spinal, epidural, and peripheral nerve blocks
Monitored Anesthesia Care (MAC) - CORRECT ANSWER when an anesthesia
provider monitors the patient, administers sedatives and other agents as needed, and
provides medical services as needed
Moderate Sedation - CORRECT ANSWER the administration of sedative, analgesic,
and/or anxiolytic agents by a physician or under physician supervision. Depending on
state laws and hospital policies, a perioperative nurse may be able to administer this
type of anesthesia
Local Anesthesia - CORRECT ANSWER The infiltration or topical administration of
agents to anesthetize a part of the body. It is typically used for minor procedures, does
not involve an anesthesia provider, and does not involve sedation. A perioperative
nurse monitors the patient and provides supportive care if needed.
,The phases of general anesthesia, in order, are:
a) induction, maintenance, emergence
b) emergence, maintenance, induction
c) maintenance, emergence, induction
d) induction, emergence, maintenance - CORRECT ANSWER a) induction,
maintenance, emergence
Propofol - CORRECT ANSWER IV induction agent
etomidate - CORRECT ANSWER IV induction agent
methohexitol - CORRECT ANSWER IV induction agent
IV induction agent - CORRECT ANSWER ketamine
sevoflurane with or without nitric oxide - CORRECT ANSWER inhaled induction agent
Succinylcholine - CORRECT ANSWER short-acting muscle relaxant
cisatracurium - CORRECT ANSWER intermediate-acting muscle relaxant
atracurium - CORRECT ANSWER intermediate-acting muscle relaxant
rocuronium - CORRECT ANSWER intermediate-acting muscle relaxant
vecuronium - CORRECT ANSWER intermediate-acting muscle relaxant
pancuronium - CORRECT ANSWER long-acting muscle relaxant
isoflurane - CORRECT ANSWER used for inhalation maintenance
desflurane - CORRECT ANSWER used for inhalation maintenance
total iv anesthesia (TIVA) - CORRECT ANSWER a technique for maintaining
anesthesia using infusions of short-acting IV agents without inhalation anesthetics.
Propofol and remifentanil are often used for TIVA.
Reversal agent for succinylcholine - CORRECT ANSWER none!
neostigmine - CORRECT ANSWER reversal for muscle relaxant (except
succinylcholine)
edrophonium - CORRECT ANSWER reversal for muscle relaxant (except
succinylcholine)
, sugammadex - CORRECT ANSWER reversal agent for rocuronium, vecuronium, and
pancuronium
flumazenil - CORRECT ANSWER reversal agent for benzos (midazolam)
naloxone - CORRECT ANSWER reversal agent for narcotics (fentanyl)
which of the following type of airway maintenance usually requires muscle relazants?
a) spontaneous respiration
b) mask ventilation
c) laryngeal mask airway
d) endotracheal intubation - CORRECT ANSWER d) endotracheal intubation
When should cricoid pressure be released?
a) if the patient coughs
b) when the patient loses consciousness
c) if the anesthesia provider cannot see the vocal cords
d) after the cuff of the ET tube is inflated and the position is confirmed - CORRECT
ANSWER d) after the cuff of the ET tube is inflated and the position is confirmed
lidocaine - CORRECT ANSWER local anesthetic
bupivacaine - CORRECT ANSWER local anesthetic
ropivacaine - CORRECT ANSWER local anesthetic
tetracaine - CORRECT ANSWER for long-acting spinal anesthesia
epinephrine (anesthesia) - CORRECT ANSWER added to increase density and
duration of a regional block
bicarbonate (anesthesia) - CORRECT ANSWER sometimes added to reduce the
acidity of the local anesthetic and speed the onset of the block
Spinal Anesthesia - CORRECT ANSWER the subarachnoid space is entered and local
anesthetic is injected directly into the spinal canal, pt sitting or lateral
Epidural Anesthesia - CORRECT ANSWER the anesthesia care provider finds the
space between the ligamentum flavum and dura, this space is identified by a loss of
resistance as the needle is advanced, a single dose of anesthetic can be injected, or a
catheter can be placed
IV regional anesthesia (Bier Block) - CORRECT ANSWER used for procedures on
hand, wrist, or forearm (double tourniquet method)
