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CNOR 200 Question Practice with
Answers latest 2025
During preoperative verification the nurse notes the patient has an implantable cardioverter-defibrillator (ICD). The nurse ensures the device is turned off prior to the planned procedure because the _______________________ can deprogram the device and cause it to trigger during the procedure. A. wavelength B. audible length C. electrical component D. volume
- A. wavelength Which of the following actions demonstrates a key physical attribute of the RN circulator? A. quickly anticipating the needs of the team B. Using eye-hand coordination C. Remaining calm D. Concentrating during long procedure
- B. Using eye-hand coordination A patient scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12 seconds. The best action of the RN circulator is to: A. inform the surgical team and transport the patient to the OR suite B. inform the anesthesiologist C. cancel the case D. inform the surgeon
- A. inform the surgical team and transport the patient to the OR suite Specimens should be transferred from the sterile field to the appropriate container using ____________________ precautions. A. droplet B. contact C. standard D. universal
- C. standard The perioperative nurse can expert the wound/ostomy/continence nurse to mark the site for the stoma for a colostomy at: A. the patient's belt line B. skin fold C. a crease in the abdomen D. the rectus muscle
- D. the rectus muscle
What is the shelf life of red blood cells when refrigerated? A. 40 days B. 46 days C. 42 days D. 44 days
- C. 42 days During a postoperative follow-up phone call, a patient recovering from a right lumpectomy states that she is experiencing numbness to the ring (fourth) and little (fifth) fingers of her right hand. The perioperative nurse suspects possible damage to the: A. median nerve B. radial nerve C. axillary nerve D. ulnar nerve
- D. ulnar nerve The time between traumatic injury and effective treatment that directly influences patient outcomes is referred to as the: A. hour of decision B. transitional hour C. golden hour D. trauma hour
- C. golden hour Most medication errors in pediatric care occur because this patient population varies dramatically in: A. height B. age C. allergic reactions D. weight
- D. weight Solutions used for manually cleaning flexible endoscopes should be discarded... A. after they become cloudy B. after there are visible particulates C. at the end of the shift D. after every use
- D. after every use The perioperative RN notes that the patient is taking garlic as a prophylactic cold remedy. This information is reported to which of the following health care providers? A. The anesthesia care provider, as the herb can prolong bleeding B. The Registered Nurse First Assistant (RNFA), as there will be less need for electrocautery C. The AM admit nurse, since it is not necessary to hang an IV prophylactic antibiotic
The accountability for surgical counts is a professional responsibility that rests primarily on the... A. scrub person and surgeon B. RN circulator C. RN circulator and surgeon D. scrub person and RN circulator
- D. scrub person and RN circulator When comparing the scope of the perioperative nurse's practice to the scope of the surgical technician's practice, which of the following is a correct statement? A. Both the perioperative nurse and surgical technician care for patients throughout the continuum of the perioperative phase B. The scope of practice of the perioperative nurse is to care for patients throughout the continuum of the perioperative phase, while the scope of practice of the surgical technician is to prepare instruments and supplies and maintain aseptic technique of the surgical procedure. C. Perioperative nurses collaborate and consult with physicians to care for the patient throughout the perioperative phase, while surgical technicians supervise ancillary staff and care for patients throughout the perioperative phase. D. The scope of practice of the perioperative nurse includes educating patients and family members, while the scope of practi
- B. The scope of practice of the perioperative nurse is to care for patients throughout the continuum of the perioperative phase, while the scope of practice of the surgical technician is to prepare instruments and supplies and maintain aseptic technique of the surgical procedure. Initial assessment of the patient upon arrival of the postanesthesia care unit (PACU) begins with... A. assessing respiratory rate and rhythm B. noting oxygen saturation level C. auscultation of breath sounds D. determination of airway patency
- D. determination of airway patency For a patient with a history of serum cholinesterase deficiency, which of the following anesthetic agents should be avoided? A. Succinylcholine B. Atracurium C. Desflurane D. Nitrous Oxide
- A. Succinylcholine ___________________ protected types of mobile hospital tents and containers are used in areas where nuclear, chemical, or biological terrorism threat exists. A. Environmentally B. Thermally
C. Chemically D. Medically
- C. Chemically When delayed primary closure is required, the skin edges are closed how many days after? A. 4 to 6 days B. 3 to 5 days C. 1 to 3 days D. 2 to 4 days
- A. 4 to 6 days ____________________ is an ideal complementary therapy to decrease patient anxiety during the intraoperative period, as there is no contact between the practitioner's hands and the patient. A. Massage B. Therapeutic touch C. Acupressure D. Reflexology
- B. Therapeutic touch Patients with a possible injuring within the cranium should not be placed in a ________________ position. A. Trendelenburg B. Reverse Trendelenburg C. Prone D. Supine
- A. Trendelenburg A potential complication of epidural anesthesia caused by a/an _____________________ is complete paralysis requiring intubation and systemic support until the block is resolved. A. knowledge deficit of the provider B. subarachnoid injection C. inadvertent dural puncture D. vascular injection
- B. subarachnoid injection When stocking medication in the perioperative suite, it is important to stock single-dose vials instead of multi-dose vials whenever possible because... A. the preference card is easier to maintain B. there is less risk of using a contaminated medication C. it is a cost-saving measure D. the pharmacy prefers single dose vials
- B. there is less risk of using a contaminated medication
C. maintaining a patient airway with assistance D. being aroused with tactile stimulation
- D. being aroused with tactile simulation During patient handoffs, providing the postanesthesia care unit (PACU) nurse with the amount and type of local anesthetic used for regional field block is an example of which component of SBAR communication? A. Situation B. Background C. Assessment D. Recommendation
- C. Assessment Which of the following housekeeping duties must be completed prior to the first case of the day? A. mop floors prior to opening any suppliers B. Dry-dust the overhead operating lights, articulated arms, furniture, flat surfaces, and all portable and mounted equipment C. Damp-dust the overhead operating lights, articulated arms, furniture, flat surfaces, and all portable and mounted equipment D. Arrange all unnecessary equipment to ensure it is out of the traffic pattern
- C. Damp-dust the overhead operating lights, articulated arms, furniture, flat surfaces, and all portable and mounted equipment The normal hematocrit for a patient aged 10 years ranges from... A. 34% to 40% B. 42% to 48% C. 40% to 44% D. 28% to 33%
- A. 34% to 40% A child is at risk of blunt intestinal trauma from... A. a seatbelt in a motor vehicle accident B. falling into a pool C. wrestling D. getting hit with a baseball
- A. a seatbelt in a motor vehicle accident The FDA requires manufacturers to track implants throughout the chain of distribution from the purchaser to the... A. implanting physician B. explanting physicians C. patients D. materials managers
- C. patients
Passive drains like a Penrose provide... A. continuous drainage B. drainage independent of the effect of gravity C. drainage based on pressure differential D. a path of resistance from inside a cavity to outside the body
- C. drainage based on pressure differential ______________________ is the mnemonic used when performing a secondary assessment of a patient after all life-threatening issues have been treated. A. FGHI B. ABC C. FGH D. DEF
- A. FGHI (Full set of vitals, Give comfort measures, History and head-to-toe assessment, Inspect posterior surfaces) A patient is scheduled for burr holes to remove fluid accumulated secondary to blunt head trauma. The best option for a drain that removes cerebral spinal fluid while monitoring intracranial pressure is a... A. transducer-tipped catheter B. ventriculostomy C. VP shunt D. ventriculography
- B. ventruculostomy In the event of an incorrect count during closing procedures, what is the first thine the nurse should do? A. search the trash for missing items B. Look for the item after the case is over C. Repeat the entire count D. Immediately inform the surgeon
- D. Immediately inform the surgeon During intraoperative use of monopolar electrosurgery unit, the... A. patient requires no return electrode because it is monopolar B. return electrode should be placed as close to the surgical site as possible C. nurse cuts the return electrode to size according to the patient's weight D. sterile hand-piece cord is secured to the field with a hemostat
- B. return electrode should be places as close to the surgical site as possible A patient suffers a cardiac arrest following the injection of Bupivacaine 0.5% with epinephrine 1:200,000 25mL a a peripheral nerve block for a left knee arthroscopy. The perioperative nurse can anticipate obtaining which of the following drugs for the anesthesia care provider? A. Flumazenil B. Dantrolene sodium
Which of the following procedures is considered a Class III wound? A. Laparoscopic Nissen fundoplication B. Laparoscopic appendectomy C. Exploratory laparotomy with repair of ruptured diverticulum D. Small bowel resection
- C. Exploratory laparotomy with repair of ruptured diverticulum The AORN Perioperative Nursing Dara Set (PNDS) is the structured nursing vocabulary designed to describe nursing care in the perioperative setting. At the core of the PNDS conceptual model is... A. nurse manager B. patient C. RN circulator D. charge nurse
- B. patient In the postoperative phase, information that should be included during handoff includes estimated blood loss, surgeon's orders for drains, diet, modifications, and... A. the consent form B. surgical count status C. the presence of site markings D. surgical site dressings
- D. surgical site dressings Which of the following patients is at an increased risk of inadvertent hypothermia? A. An 82-year-old undergoing a colectomy B. A 29-year-old undergoing a carpal tunnel release C. A 12-year-old undergoing a tonsillectomy D. A 62-year-old undergoing a coronary artery bypass graft (CABG) surgery
- A. An 82-year-old undergoing a colectomy Which one of the following antibiotics can potentiate neuromuscular blocking agents? A. Piperacillin B. Cephazolin C. Cephalexin D. Metronidazole
- A. Piperacillin During the surgical procedure, instruments should be kept as free as possible from gross soil and debris by... A. wiping instruments with a sponge moistened in sterile water B. scraping debris from instruments using a knife blade C. soaking instruments in a basin of sterile saline D. applying enzymatic foam to contaminated instruments
- A. Wiping instruments with a sponge moistened in sterile water
A perioperative nurse is made aware of the impaired practice of another team member. According to the American Nurses Association's Code of Ethics, the perioperative nurse should... A. act to ensure the impaired person receives assistance B. discuss the incident with several coworkers C. remain silent and keep the information to themselves D. wait to see if the incident occurs again before reporting it
- A. act to ensure the impaired person receives assistance A form of standardized language in the perioperative setting is reinforced by use of which documentation format? A. NIC B. PNDS C. NOC D. NANDA
- B. PNDS (Perioperative Nursing Data Set) The OR nurse is providing care for a local anesthetic procedure in the operating room. The surgeon has just injected a test dose of the local anesthetic. Which of the following is a toxic reaction and needs to be communicated to the surgeon? A. Visual disturbances B. Relaxation C. Hunger D. Normothermia
- A. Visual disturbances The philosophical basis for informed consent is the right of... A. self-determination B. privacy C. advance directive D. human dignity
- A. self-determination Which of the following complementary therapies may provide relief for postoperative nausea and vomiting? A. Garlic B. Peppermint aromatherapy C. Gingko D. Echinacea
- B. Peppermint aromatherapy The preferred incisional type for an exploratory laparotomy is... A. thoracoabdominal B. Pfannensteil C. midline vertical D. McBurney
It is important for the perioperative nurse to communicate a patient's new onset atrial fibrillation because of an increased risk of... A. stroke caused by embolus B. chronic obstructive pulmonary disease (COPD) C. intraoperative hypertension D. hemorrhagic stroke
- A. stroke caused by embolus During a subtotal thyroidectomy, both the right and left recurrent laryngeal nerves are ligated. The perioperative nurse can anticipate the need for which of the following interventions? A. Delivering a quarter-inch penrose drain to the sterile field B. Obtaining an emergency tracheotomy tray C. Obtaining an order for a consult for speech therapy D. Obtaining an order for a consult for a swallow test
- B. Obtaining an emergency tracheostomy tray Secondary injury from a blast injury is caused by... A. exacerbation of existing condition B. the victim being thrown against a stationary object C. the blast itself D. debris and projectiles
- D. debris and projectiles Which of the following statements best describes the World Health Organization (WHO) surgical safety checklist? A. The checklist reduces the need to communicate between members of the surgical team B. The checklist provides an opportunity to individualize the plan of patient care C. The checklist is used as one means of improving patient safety D. The checklist incorporates standardized nomenclature from the Perioperative Nursing Data Set (PNDS)
- C. The checklist is used as a means of improving patient safety The perioperative nurse has a professional responsibility to consider factors related to a product's impact on the environment, as demonstrated by which of the following actions? A. The nurse encourages the organization to select non-recycled products B. The nurse supports peers who attend product recycling demonstrations C. The nurse supports vendors who offer products made from recycled materials D. The nurse encourages the organization to identify products from vendors who actively recycle products
- C. The nurse supports vendors who offer products made from recycled materials Determining whether re-anastomosis is possible after a low anterior resection of the sigmoid colon depends on...
A. success in bypassing a pyloric stenosis B. the ability to maintain a high level of tension between the sigmoid colon and rectosigmoid portion of rectum C. the amount of small bowel blockage D. a cancer-free margin of the distal rectum
- D. a cancer-free margin of the distal rectum An EPA-registered disinfectant labeled to kill tuberculosis is effective against... A. prions B. mycobacteria C. all microbial life D. bacterial spores
- B. mycobacteria Beneficence, one of several universal moral principles that guide ethical decision- making in nursing practice, is best defined as a duty to... A. seek balance between good and harmful acts B. provide equal care to all individuals C. give accurate information D. respect privileged information
- A. seek balance between good and harmful acts What is a physiologic change associated with the normal aging process in the geriatric patient? A. Increased testosterone levels B. Increased intestinal peristalsis C. Increased vascular resistance D. Increased renal blood flow
- C. Increased vascular resistance When safely placing an adult patient in the prone position for surgery, a minimum of _____________ people are required. A. five B. six C. four D. three
- C. four Standards published in the Guidelines for Perioperative Practice are... A. established by regulatory agencies B. enforceable by law C. voluntary D. part of the National Quality Forum (NQF)
- C. voluntary
- B. biomedical engineering department Which of the following situations would be categorized as a reportable sentinel event? A. a patient with a gunshot wound that results in a preoperative death B. Febrile reaction to a blood transfusion C. a patient with multiple contusions and a fractured jaw from an assault D. a patient with a fractured wrist as a result of a mechanical fall
- A. a patient with a gunshot wound that results in a preoperative death Atelectasis is characterized by... A. increased temperature, increased pulse, and increased respirations B. decreased temperature, increased pulse, and increased respirations C. increased temperature, increased pulse, and decreased respirations D. decreased temperature, decreased pulse, and decreased respirations
- A. increased temperature, increased pulse, and increased respirations Indications for use of Focused Assessment with Sonography in Trauma (FAST) include detection of... A. cardiac arrhythmias secondary to cardiac contusion B. suspected free fluid in the chest C. suspected perforated bowel D. suspected liver damage
- B. suspected free fluid in the chest A coup-contracoup brain injury is due to... A. energy/penetration B. thermal/electrical forces C. stress/strain forces D. acceleration/deceleration forces
- D. acceleration/deceleration forces Administration of the preoperative prophylactic antibiotic is the responsibility of... A. the OR nurse circulator B. the admission nurse C. the anesthesia care provider D. a designated perioperative health care provider
- D. a designated perioperatve health care provider Which electrolyte is important to check preoperatively after a bowel prep the day before? A. Potassium B. Magnesium C. Sodium D. Calcium
- A. Potassium
As a member of the multidisciplinary committee, the perioperative nurse assists with development of a standardized process to guide in the selection of products that are... A. based on a surgeon's request B. safe and cost effective C. not compatible with existing products D. have a planned obsolenscence schedule
- B. safe and cost effective Universal Protocol is... A. a standardized means for ensuring patient safety during surgery B. the prevention of exposure to bloodborne pathogens C. the standard for performing surgical counts D. a means to identify the patient
- A. a standardized means for ensuring patient safety during surgery Which of the following accurately describes the experience required to establish eligibility for the CNOR exam? A. 2 years and 2400 hours of perioperative nurse experience B. 6 months and 600 hours of perioperative nurse experience C. 1 year and 1200 hours of perioperative nurse experience D. 3 years and 3600 hours of perioperative nurse experience
- A. 2 years and 2400 hours of perioperative nurse experience an undesired outcomes that may have resulted in injury or death and may be the result of direct or indirect action by a professional care giver is known as a/an... A. adverse reaction B. contraindication C. reportable event D. sentinel event
- D. sentinel event The most accurate method for verifying the effectiveness of a steam sterilizer is a... A. printed read-out of the sterilizer cycle B. biologic indicator C. Bowie-Dick test D. chemical indicator
- B. biological indicator Which of the following is a requirement for reprocessing a single-use device (SUD)? A. Meeting local regulations for disposal of biohazardous waste B. Using an in-house reprocessing facility C. Meeting OSHA requirements for regulation of medical devices D. Ensuring the device is FDA approved
- D. Ensuring the device is FDA approved
Novice perioperative staff should seek a _________________, a person who has experience and is respected for clinical competence, and pattern his or her behavior similarly. A. educator B. preceptor C. role model D. mentor
- C. role model To adequately decontaminate a flexible endoscope after use, the first step that should be followed is to... A. flush channels with compressed air B. preclean the exterior with cleaning product C. conduct a leak test D. flush channels with cleaning product
- B. preclean the exterior with cleaning product During a cataract extraction, which of the following medication is used as a prophylactic to reduce inflammation? A. Mannitol B. BSS C. Dexamethasome D. Cefazolin
- C. Dexamethasome The perioperative nurse brings a completed case's contaminated instruments to the decontamination area. he notes that the personal protective equipment (PPE) for workers in the area consists of gloves and shoe coverings. Which of the following is the correct response to this observation? A. "The correct PPE are being worn." B. "In addition to current PPE, workers should be wearing a fluid resistant gown with sleeves, masks, and eye protection." C. "In addition to current PPE, workers should be wearing a fluid-resistant gown with sleeves and masks." D. "In addition to current PPE, workers should be wearing a fluid-resistant gown with sleeves."
- B. "In addition to current PPE, workers should be wearing a fluid resistant gown with sleeves, masks, and eye protection." While a nurse is walking in the hallway to the preoperative area, he notices his neighbor on one of the surgical stretchers waiting for an anesthesia interview. What is the nurse's most appropriate action? A. Taking a quick look at the neighbor's electronic medical record to see what procedure will be performed. B. Saying "hi" to the neighbor.
C. Not stopping or acknowledging the neighbor. D. Telling colleagues about the neighbor's waiting in the preop holding area.
- C. Not stopping or acknowledging the neighbor. Which of the following is an assessment parametere monitored through use of the perioperative nursing process? A. Attainment of expected outcomes B. identification of time frames for goal fulfillment C. Prioritization of interventions D. Documentation of potential needs
- D. Documentation of potential needs The greatest risk for transmitting the HIV virus is through exposure... A. of mucous membranes to infected blood or body fluids B. of non-intact skin to infected blood or body fluids C. to infected blood or body fluids via a large-bore hollow needle D. of intact skin to infected blood or body fluids
- C. to infected blood or body fluids via a large-bore hollow needle Explanted medical devices that have caused serious injury to the patient must be reported to which of the following? A. FDA B. TJC C. Device manufacturer D. OSHA
- C. Device manufacturer Swelling of muscles below the fascial layer of tissue is called... A. DIC B. compartment syndrome C. edema D. third spacing
- B. compartment syndrome For a patient undergoing a left total knee replacement, appropriate marking of the surgical site includes which of the following? A. Writing "yes" on the left knee by the preoperative nurse B. Marking the left knee with an "X" by the circulating nurse prior to prepping the patient C. Initialing the surgical site on the left knee by the surgeon with patient input. D. Writing "no" on the right knee by the registered nurse first assistant
- C. Initialing the surgical site on the left knee by the surgeon with patient input The perioperative nurse sterilizes a yankaur suction tip that has been contaminated during the case. The temperature on the print-out tape for the gravity displacement steam sterilizer reads 272 degrees F (135 degrees C). The nurse's next action is to... A. return the instrument to the sterile field in an aseptic fashion.
