AORN Perioperative 101 CERTIFICATION
PAPER 2026 FULL SOLUTION GRADED A+
● 4 types anesthesia. Answer: General - loss of consciousness
Regional - loss of sensation
Local - small area loss of sensation
MAC - IV
● Whose responsibility during MAC to monitor pt?. Answer: RN
● What should RN monitor during MAC? (3). Answer: 1. Extravasation
of IV
2. Reduction of arterial O2 sat
3. Difficulty breathing
● 4 Stages of anesthesia. Answer: 1. Initial administration
2. Excitement - unconscious to loss of eyelid reflex
3. Intrasurgery
4. Possibility of resp failure
● 3 Phases of Anesthesia. Answer: 1. Induction - admin until 1st
incision
,2. Maintenance - incision to completion
3. Emergence - from when pt awakens until pt exits OR
● What is often used for upper extremity nerve blocks?. Answer: IV
regional anesthetic/Bier block
● Where is epidural anesthetic injected?. Answer: between ligamentum
flavum and dura
(NOT spinal canal)
● What helps ensure proper needle placement during peripheral nerve
block with regional anesthesia?. Answer: continuous nerve stimulation
● First sign of Malignant Hyperthermia. Answer: increased end-tidal
CO2
● What should be done for pt with MH crisis?. Answer: 1. Stop surgery
& stop triggering agents
2. Give dantrolene
3. Give 100% O2
4. Cool pt with iced saline
● Mentor or preceptor?
, "One who provides encouragement and acts as a guide and facilitator
while modeling professional nursing behaviors". Answer: Mentor
● Mentor or preceptor?
"One who teaches, counsels, inspires, serves as a role model, and
supports the growth and development of the novice for a fixed and
limited period". Answer: Preceptor
● Mentor or preceptor?
Guides nurse through a wide range of professional activities. Answer:
Mentor
● Mentor or preceptor?
Guides nurse through defined clinical activities. Answer: Preceptor
● What should intra-abd pressure be maintained under in an adult pt
during CO2 insufflation for endoscopic surgery?. Answer: 12 mm Hg
● Single most important factor in minimizing microorganism transfer.
Answer: Hand hygiene
● The most effective method for floor care in surgical suite. Answer:
Wet vacuuming
PAPER 2026 FULL SOLUTION GRADED A+
● 4 types anesthesia. Answer: General - loss of consciousness
Regional - loss of sensation
Local - small area loss of sensation
MAC - IV
● Whose responsibility during MAC to monitor pt?. Answer: RN
● What should RN monitor during MAC? (3). Answer: 1. Extravasation
of IV
2. Reduction of arterial O2 sat
3. Difficulty breathing
● 4 Stages of anesthesia. Answer: 1. Initial administration
2. Excitement - unconscious to loss of eyelid reflex
3. Intrasurgery
4. Possibility of resp failure
● 3 Phases of Anesthesia. Answer: 1. Induction - admin until 1st
incision
,2. Maintenance - incision to completion
3. Emergence - from when pt awakens until pt exits OR
● What is often used for upper extremity nerve blocks?. Answer: IV
regional anesthetic/Bier block
● Where is epidural anesthetic injected?. Answer: between ligamentum
flavum and dura
(NOT spinal canal)
● What helps ensure proper needle placement during peripheral nerve
block with regional anesthesia?. Answer: continuous nerve stimulation
● First sign of Malignant Hyperthermia. Answer: increased end-tidal
CO2
● What should be done for pt with MH crisis?. Answer: 1. Stop surgery
& stop triggering agents
2. Give dantrolene
3. Give 100% O2
4. Cool pt with iced saline
● Mentor or preceptor?
, "One who provides encouragement and acts as a guide and facilitator
while modeling professional nursing behaviors". Answer: Mentor
● Mentor or preceptor?
"One who teaches, counsels, inspires, serves as a role model, and
supports the growth and development of the novice for a fixed and
limited period". Answer: Preceptor
● Mentor or preceptor?
Guides nurse through a wide range of professional activities. Answer:
Mentor
● Mentor or preceptor?
Guides nurse through defined clinical activities. Answer: Preceptor
● What should intra-abd pressure be maintained under in an adult pt
during CO2 insufflation for endoscopic surgery?. Answer: 12 mm Hg
● Single most important factor in minimizing microorganism transfer.
Answer: Hand hygiene
● The most effective method for floor care in surgical suite. Answer:
Wet vacuuming
