AORN PeriOP 101 Exam Questions and
Answers (Most Recent Version, Complete
Study 2025/2026 RATED A+
When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. - CORRECT ANSWERS A. It involves mental discipline &
the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about the restricted
zone in your OR suite. The following statements are true: - CORRECT ANSWERS A. Air flow
in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: - CORRECT ANSWERS
A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed
gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. - CORRECT ANSWERS
A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial to the
sterile field? - CORRECT ANSWERS Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? - CORRECT
ANSWERS Counting silently so it doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? - CORRECT ANSWERS
Laparotomy
Which of the following statements correctly describes recommendations for preoperative patient
skin antisepsis? - CORRECT ANSWERS D. Prep should start at the site of the incision and
move outwards.
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. - CORRECT ANSWERS A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where accidental
formalin spillage occurs.
,E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of general
anesthesia affecting the patient? - CORRECT ANSWERS A. Administration, excitement,
intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply. - CORRECT ANSWERS A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - CORRECT ANSWERS A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in case is: -
CORRECT ANSWERS A. Cleaning
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? - CORRECT ANSWERS A. Improve patient satisfaction
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT
ANSWERS 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? - CORRECT ANSWERS D. Instruments may be immediate use
steam sterilized only when there is insufficient time to process by the preferred wrapped or
container method.
What are the perioperative nurses responsibilities for the informed consent process? Select all that
apply. - CORRECT ANSWERS 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.
A __________ is a designated area on the sterile field where the scrub person and the surgeon
place all sharp instruments. - CORRECT ANSWERS A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: - CORRECT
ANSWERS D. Implemeted during surgical procedures to prevent microbial contamination
When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative
nurse should: Select all that apply. - CORRECT ANSWERS A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
, Which type of human factor is responsible for an error that occurs when a preoperative nurse is
trying to attend to several tasks at once? - CORRECT ANSWERS C. Situational
Put the following steps in order when opening a wrapped sterile package: - CORRECT ANSWERS
1. Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
According to the CDC, which surgical wound classification should be documented for the patient
who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? -
CORRECT ANSWERS D. Class IV (Dirty/Infected)
Which of the following practices help to prevent contamination in the surgical suite? Select all that
apply - CORRECT ANSWERS B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber
cloth moistened with detergent for disinfectant and water.
Which of the following statements about counts is correct? Select all that apply. - CORRECT
ANSWERS A. All preoperative personnel involved in a surgical procedure are responsible
for the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the
location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
Latex Allergic Response Stages (matching) - CORRECT ANSWERS Stage I: Contact uticaria at
the site of exposure. Symptoms could include: swelling, redness, itching and/or burning.
Stage II: The allergic reaction spreads. Symptoms include: edema, itching around the eyes, acute
rhinitis, nasal itching, sneezing, SOB
Stage III: Can progress to a sudden drop in blood pressure, increased heart rate and potential
circulatory collapse
The surgeon's preference for the preoperative skin pre includes the application of an alcohol and
chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to
draping is because: - CORRECT ANSWERS Fumes trapped underneath the drapes and could
ignite
Which elements are required to create an environment where the culture of safety is embraced? -
CORRECT ANSWERS Sincere commitment to affirming safety as the first priority
Which of the following practices violates a patient's ethical right to self-determination? - CORRECT
ANSWERS Automatic intrapoperative suspension of a don-not-resusucitate decision
Which of the following statements about the gowning procedure are correct? - CORRECT
ANSWERS Step back from the table into an unobstructed area to let the gown unfold
Answers (Most Recent Version, Complete
Study 2025/2026 RATED A+
When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. - CORRECT ANSWERS A. It involves mental discipline &
the ability to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
In preparing for a regulatory survey, your quality consultant questions you about the restricted
zone in your OR suite. The following statements are true: - CORRECT ANSWERS A. Air flow
in the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: - CORRECT ANSWERS
A. A sterile gown and gloves opened on a table (other than the main instrument table) for closed
gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. - CORRECT ANSWERS
A. Preoperative verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial to the
sterile field? - CORRECT ANSWERS Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? - CORRECT
ANSWERS Counting silently so it doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? - CORRECT ANSWERS
Laparotomy
Which of the following statements correctly describes recommendations for preoperative patient
skin antisepsis? - CORRECT ANSWERS D. Prep should start at the site of the incision and
move outwards.
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. - CORRECT ANSWERS A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where accidental
formalin spillage occurs.
,E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of general
anesthesia affecting the patient? - CORRECT ANSWERS A. Administration, excitement,
intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply. - CORRECT ANSWERS A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - CORRECT ANSWERS A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in case is: -
CORRECT ANSWERS A. Cleaning
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? - CORRECT ANSWERS A. Improve patient satisfaction
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT
ANSWERS 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? - CORRECT ANSWERS D. Instruments may be immediate use
steam sterilized only when there is insufficient time to process by the preferred wrapped or
container method.
What are the perioperative nurses responsibilities for the informed consent process? Select all that
apply. - CORRECT ANSWERS 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.
A __________ is a designated area on the sterile field where the scrub person and the surgeon
place all sharp instruments. - CORRECT ANSWERS A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: - CORRECT
ANSWERS D. Implemeted during surgical procedures to prevent microbial contamination
When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative
nurse should: Select all that apply. - CORRECT ANSWERS A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
, Which type of human factor is responsible for an error that occurs when a preoperative nurse is
trying to attend to several tasks at once? - CORRECT ANSWERS C. Situational
Put the following steps in order when opening a wrapped sterile package: - CORRECT ANSWERS
1. Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap
According to the CDC, which surgical wound classification should be documented for the patient
who underwent a laparoscopic appendectomy with the diagnosis of perforated appendicitis? -
CORRECT ANSWERS D. Class IV (Dirty/Infected)
Which of the following practices help to prevent contamination in the surgical suite? Select all that
apply - CORRECT ANSWERS B. All horizontal surfaces should be damp dusted before the
first scheduled procedure of the day.
C. hands should be washed with soap and water for at least 15 seconds
D. Surgical suites should be cleaned after each surgical procedure with a lint free or microfiber
cloth moistened with detergent for disinfectant and water.
Which of the following statements about counts is correct? Select all that apply. - CORRECT
ANSWERS A. All preoperative personnel involved in a surgical procedure are responsible
for the accuracy of sponge counts
B. All preoperative personnel involved in a. surgical procedure have a duty to remain aware of the
location of sponges on the sterile field and in the wound.
C. All sponges must remain in the OR room until the sponge count is complete.
E. Two people, one of them whom is the RN circulator, must preform the sponge count
Latex Allergic Response Stages (matching) - CORRECT ANSWERS Stage I: Contact uticaria at
the site of exposure. Symptoms could include: swelling, redness, itching and/or burning.
Stage II: The allergic reaction spreads. Symptoms include: edema, itching around the eyes, acute
rhinitis, nasal itching, sneezing, SOB
Stage III: Can progress to a sudden drop in blood pressure, increased heart rate and potential
circulatory collapse
The surgeon's preference for the preoperative skin pre includes the application of an alcohol and
chlorhexidine gluconate (CHG) solution. The primary reason for allowing this prep to dry prior to
draping is because: - CORRECT ANSWERS Fumes trapped underneath the drapes and could
ignite
Which elements are required to create an environment where the culture of safety is embraced? -
CORRECT ANSWERS Sincere commitment to affirming safety as the first priority
Which of the following practices violates a patient's ethical right to self-determination? - CORRECT
ANSWERS Automatic intrapoperative suspension of a don-not-resusucitate decision
Which of the following statements about the gowning procedure are correct? - CORRECT
ANSWERS Step back from the table into an unobstructed area to let the gown unfold
