AORN PERIOP 101 UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated? - ✔✔B. Position knees over the break in the procedure bed to
allow for knee flexion.
✔✔The first step in the sterilization process of surgical instruments that have been used
in case is: - ✔✔A. Cleaning
✔✔By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue. - ✔✔C. Cut and coagulate
✔✔The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - ✔✔A. Improve patient satisfaction
✔✔Which of the following examples is included on the "Joint Commission" list of DO-
NOT-USE abbreviations, Acronyms and Symbols? - ✔✔A. MS
✔✔When a "Time Out" discrepancy occurs, the nurse's priority action should be to: -
✔✔A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
✔✔Which of the following statements about the immediate use steam sterilization is the
recommended practice? - ✔✔D. Instruments may be immediate use steam sterilized
only when there is insufficient time tot process by the preferred wrapped or container
method.
✔✔Which of the following practices is recommended when transferring from gurney to
the OR bed? Select all that apply. - ✔✔A. Ensure that wheels are locked on both the
OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
✔✔Which of the following statements about regional anesthesia is correct? - ✔✔B.
Continuous nerve stimulation helps ensure proper needle placement during peripheral
nerve blocks.
✔✔What are the perioperative nurses responsibilities for the informed consent process?
Select all that apply. - ✔✔B. Act as a witness attesting to the authenticity of the patient's
signature; the voluntary nature of the patient's consent, and that the patient is
competent to give consent.
,D. Ensure that the surgeon has discussed the proposed intervention and the risks
involved with the patient and the patient has signed the consent.
✔✔Which PNDS outcome is the most important when draping the surgical patient? -
✔✔A. The patient is free from signs and symptoms of infection
✔✔Which of the following components should be included in documentation of
intraoperative patient position? Select all that apply. - ✔✔A. Identification of specific
positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
✔✔The preoperative nurse's documentation of the skin prep procedure should include:
Select all that apply. - ✔✔A. The body area prepped
B. Name of the person performing the prep
C. Preoperative assessment of the skin at the operative site.
D. Skin prep agent used.
✔✔Which of the following statements about proper attire of surgical team members are
true? Select all that apply. - ✔✔C. Sterile gowns should resist fluid strike-through
D. The scrub top must be secured at the waist or tucked into the pants
✔✔Preoperative safety concerns that should be considered when caring fro a patient
with an implanted electrical device (IED) include which of the following? Select all that
apply. - ✔✔A. Bipolar surgery should be used whenever possible
B. The active electrode and dispersive electrode are close together but as far away from
the IED as possible.
D. The patient should be monitored closely for signs of complications and IED
malfunction
✔✔A patient is scheduled for reconstruction of her external ear following a dog bite
injury. Which of the following skin prep agents is contraindicated for use in this case? -
✔✔C. Chlorhexidine gluconate
✔✔A __________ is a designated area on the sterile field where the scrub person and
the surgeon place all sharp instruments. - ✔✔A. Neutral zone
✔✔Intraoperative responsibilities of the nurse caring for a patient undergoing a
procedure with general anesthesia may include which of the following? Select all that
apply - ✔✔A. Applying cricoid pressure during intubation if necessary
B. Double checking blood if administered
D. Obtaining warming blankets and emergency equipment as necessary
E. Assessing the patient throughout the operative procedure
, ✔✔Which of the following nursing tools does not reflect critical thinking and clinical
reasoning? - ✔✔A. A single procedure list used for all patients scheduled for that
procedure.
✔✔Your manager has asked you to provide an in-service to team members regarding
hand hygiene. Important information for you to include is: - ✔✔D. Skin is a major source
of contamination in the surgical environment
✔✔Identify the conditions listed below that are important considerations in maintaining
the sterility of an item. Select all that apply. - ✔✔A. The condition of the storage area,
that is, cleanliness, temperature, humidity, air exchanges
C. Traffic should be controlled to limit access to those trained in handling of sterile
supplies
D. Sterile supplies are able to bet stored in a manner that allows adequate air
circulation.
E. When storing items on the top shelf of a supply cart one to consider the distance
between the top of an item and the ceiling
✔✔The types of questions that a novice perioperative nurse might NOT ask her
preceptor about an upcoming cardiovascular surgery include which of the following? -
✔✔A. How does the conduction system of the heart work?
✔✔Which of the following are advantages of disposable drapes? Select all that apply. -
✔✔A. Disposable drapes are lint free.
D. Using disposable drapes can minimize strike-through because of their moisture
repellent quality.
✔✔During your preoperative assessment of a patient undergoing a laparoscopic
cholecystectomy, which of the following considerations would be important to you as a
preoperative nurse. Select all that apply. - ✔✔A. Patients previous abdominal surgery.
B. History of DVT.
C. Voiding in the prep area prior to going to the
OR.
✔✔Which of the following is the best definition of sterile technique? Sterile technique is:
- ✔✔D. Implemeted during surgical procedures to prevent microbial contamination
✔✔Which of the following is NOT a characteristic that promotes a culture of safety
within a healthcare organization? - ✔✔C. Prompt disciplinary action when errors occur.
✔✔When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ✔✔A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
AND ANSWERS SURE A+
✔✔To place a patient safely in TRENDELENBURG position, which of the following
practices is indicated? - ✔✔B. Position knees over the break in the procedure bed to
allow for knee flexion.
✔✔The first step in the sterilization process of surgical instruments that have been used
in case is: - ✔✔A. Cleaning
✔✔By using a high radio frequency electrical current, surgeons routinely use
electrosurgery to _________ the tissue. - ✔✔C. Cut and coagulate
✔✔The preoperative team implements aseptic technique practices to meet all of the
following primary goals EXCEPT? - ✔✔A. Improve patient satisfaction
✔✔Which of the following examples is included on the "Joint Commission" list of DO-
NOT-USE abbreviations, Acronyms and Symbols? - ✔✔A. MS
✔✔When a "Time Out" discrepancy occurs, the nurse's priority action should be to: -
✔✔A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
✔✔Which of the following statements about the immediate use steam sterilization is the
recommended practice? - ✔✔D. Instruments may be immediate use steam sterilized
only when there is insufficient time tot process by the preferred wrapped or container
method.
✔✔Which of the following practices is recommended when transferring from gurney to
the OR bed? Select all that apply. - ✔✔A. Ensure that wheels are locked on both the
OR bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
✔✔Which of the following statements about regional anesthesia is correct? - ✔✔B.
Continuous nerve stimulation helps ensure proper needle placement during peripheral
nerve blocks.
✔✔What are the perioperative nurses responsibilities for the informed consent process?
Select all that apply. - ✔✔B. Act as a witness attesting to the authenticity of the patient's
signature; the voluntary nature of the patient's consent, and that the patient is
competent to give consent.
,D. Ensure that the surgeon has discussed the proposed intervention and the risks
involved with the patient and the patient has signed the consent.
✔✔Which PNDS outcome is the most important when draping the surgical patient? -
✔✔A. The patient is free from signs and symptoms of infection
✔✔Which of the following components should be included in documentation of
intraoperative patient position? Select all that apply. - ✔✔A. Identification of specific
positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
✔✔The preoperative nurse's documentation of the skin prep procedure should include:
Select all that apply. - ✔✔A. The body area prepped
B. Name of the person performing the prep
C. Preoperative assessment of the skin at the operative site.
D. Skin prep agent used.
✔✔Which of the following statements about proper attire of surgical team members are
true? Select all that apply. - ✔✔C. Sterile gowns should resist fluid strike-through
D. The scrub top must be secured at the waist or tucked into the pants
✔✔Preoperative safety concerns that should be considered when caring fro a patient
with an implanted electrical device (IED) include which of the following? Select all that
apply. - ✔✔A. Bipolar surgery should be used whenever possible
B. The active electrode and dispersive electrode are close together but as far away from
the IED as possible.
D. The patient should be monitored closely for signs of complications and IED
malfunction
✔✔A patient is scheduled for reconstruction of her external ear following a dog bite
injury. Which of the following skin prep agents is contraindicated for use in this case? -
✔✔C. Chlorhexidine gluconate
✔✔A __________ is a designated area on the sterile field where the scrub person and
the surgeon place all sharp instruments. - ✔✔A. Neutral zone
✔✔Intraoperative responsibilities of the nurse caring for a patient undergoing a
procedure with general anesthesia may include which of the following? Select all that
apply - ✔✔A. Applying cricoid pressure during intubation if necessary
B. Double checking blood if administered
D. Obtaining warming blankets and emergency equipment as necessary
E. Assessing the patient throughout the operative procedure
, ✔✔Which of the following nursing tools does not reflect critical thinking and clinical
reasoning? - ✔✔A. A single procedure list used for all patients scheduled for that
procedure.
✔✔Your manager has asked you to provide an in-service to team members regarding
hand hygiene. Important information for you to include is: - ✔✔D. Skin is a major source
of contamination in the surgical environment
✔✔Identify the conditions listed below that are important considerations in maintaining
the sterility of an item. Select all that apply. - ✔✔A. The condition of the storage area,
that is, cleanliness, temperature, humidity, air exchanges
C. Traffic should be controlled to limit access to those trained in handling of sterile
supplies
D. Sterile supplies are able to bet stored in a manner that allows adequate air
circulation.
E. When storing items on the top shelf of a supply cart one to consider the distance
between the top of an item and the ceiling
✔✔The types of questions that a novice perioperative nurse might NOT ask her
preceptor about an upcoming cardiovascular surgery include which of the following? -
✔✔A. How does the conduction system of the heart work?
✔✔Which of the following are advantages of disposable drapes? Select all that apply. -
✔✔A. Disposable drapes are lint free.
D. Using disposable drapes can minimize strike-through because of their moisture
repellent quality.
✔✔During your preoperative assessment of a patient undergoing a laparoscopic
cholecystectomy, which of the following considerations would be important to you as a
preoperative nurse. Select all that apply. - ✔✔A. Patients previous abdominal surgery.
B. History of DVT.
C. Voiding in the prep area prior to going to the
OR.
✔✔Which of the following is the best definition of sterile technique? Sterile technique is:
- ✔✔D. Implemeted during surgical procedures to prevent microbial contamination
✔✔Which of the following is NOT a characteristic that promotes a culture of safety
within a healthcare organization? - ✔✔C. Prompt disciplinary action when errors occur.
✔✔When setting up insufflation equipment for an abdominal endoscopic procedure the
preoperative nurse should: Select all that apply. - ✔✔A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
