AORN Periop 101 Final Exam — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Perioperative Patient Safety & Risk Management
02 Aseptic Technique & Surgical Site Infection Prevention
03 Surgical Positioning, Draping & Equipment
04 Intraoperative Nursing Roles & Documentation
05 Postoperative Care & Anesthesia Considerations
ABOUT THIS ASSESSMENT
Build mastery in perioperative nursing — from patient safety and risk management to aseptic technique, surgical site infection
prevention, positioning, draping, equipment, intraoperative roles, documentation, postoperative care, and anesthesia considerations.
This original study bank targets application and analysis skills for the AORN Periop 101 Final Exam, with full rationales for every
answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Advanced (Perioperative Nursing) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Perioperative Patient Safety & Risk Management
Q1. A circulating nurse is performing the Universal Protocol before a left total knee arthroplasty. After the patient confirms identity
and the correct procedure, the nurse notes that the surgical site mark is missing. The most appropriate immediate action is
which of the following?
A. Proceed with induction because the consent form is correct
B. Allow the anesthesia provider to mark the site after intubation
C. Halt the process, notify the surgeon, and ensure the site is marked before incision
D. Document the missing mark and continue with the time-out
Correct Answer: C
Rationale: The Universal Protocol requires site marking before the patient leaves the preoperative area or before incision. Missing site
marking is a critical safety stop; the procedure must not proceed until the site is properly marked by the surgeon or designated
provider.
Q2. During a fire risk assessment, the perioperative team identifies an open oxygen source, an electrosurgical unit, and
alcohol-based skin preparation. The circulating nurse correctly classifies this case as which fire risk level?
A. Low risk because the oxygen concentration is below 30 percent
B. Moderate risk only if laser is also in use
C. High risk because three elements of the fire triad are present
D. No special precautions needed if the drapes are fire-retardant
Correct Answer: C
Rationale: The fire triad consists of an oxidizer (oxygen), an ignition source (ESU), and fuel (alcohol prep or drapes). Presence of all three
elements constitutes a high fire risk requiring specific prevention strategies.
Q3. A patient with a known latex allergy is scheduled for surgery. The circulating nurse implements which primary intervention to
protect the patient?
A. Use standard latex gloves and change them frequently
B. Administer prophylactic epinephrine before induction
C. Create a latex-safe environment by removing all latex products from the room and using latex-free alternatives
D. Schedule the case at the end of the day only
Correct Answer: C
Rationale: Patients with latex allergy require a latex-safe operating room in which all latex-containing products are removed or replaced with
latex-free alternatives before the patient enters.
Q4. While reviewing the preoperative checklist, the nurse discovers that the patient’s informed consent form is incomplete and lacks
the surgeon’s signature. The correct action is which of the following?
A. Obtain the patient’s verbal consent and proceed
B. Have the circulating nurse sign as a witness and continue
C. Notify the surgeon so that informed consent can be properly completed before the patient is transferred to the OR
D. Proceed if the anesthesia consent is complete
Correct Answer: C
Rationale: Informed consent must be complete, including the surgeon’s discussion and signature, before the patient is taken to the operating
room. An incomplete consent is a barrier that must be resolved.
STUVIA ACTUAL EXAM · Page 2