CNOR Comprehensive Final Exam
Questions & Answers 2025-2026
, CNOR Comprehensive Final Exam || 400
Questions & Answers (Graded A+)
Risk assessment for pressure injuries - ANSWER - Braden Scale, Munro Scale, Scott
Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - ANSWER - pressure, shear, friction
Scatter radiation - ANSWER - reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
Leakage Radiation - ANSWER - emanates from X-ray tube housing (secondary
radiation)
Remnant Radiation - ANSWER - exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - ANSWER - goal of achieving optimal tissue concentration
& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - ANSWER - arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - ANSWER - using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuring the patient's - ANSWER - limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
ANSWER - lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
,temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - ANSWER - intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - ANSWER - 350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - ANSWER - proximal
The employer must maintain the employee' sexposure record (I e, sharp incidents) for
the duration of employment plus ___ years? - ANSWER - 30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - ANSWER - high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as -
ANSWER - Class II (Clean-contaminated)
Bonewax is made of - ANSWER - beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - ANSWER - Cervical halo
Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - ANSWER - B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - ANSWER -
dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
ANSWER - indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
, c. propofol (Diprivan).
d. thiopental (Pentothal). - ANSWER - cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - ANSWER - bipolar
The standard means of vascular access for long-term renal dialysis is - ANSWER - AV
fistula
Which modification of the supine position should be made for the OB patient? -
ANSWER - Insert a wedge under the patient's right pelvis orlumbar region
Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - ANSWER - Mitomycin
After a pneumoretinopexy to repair a tear in the retina near the macula, the patient
should be positioned in the ____________ position. - ANSWER - prone (for several
weeks)
Which medication commonly used in otologic surgery is an anti-inflammatory/antibiotic?
- ANSWER - cortisporin otic
The perioperative RN should anticipate applying the preoperative skin antiseptic
solution to what area in preparation for the patient's surgery scheduled as "left
tympanomastoidectomy"? - ANSWER - behind the left ear
A patient is in PACU after having surgery to remove a mass from his left lung. One
chest tube was inserted connected to a sterile water seal, closed-chest drainage
chamber. During the hand-over report, the perioperative RN reminds the PACU RN to
immediately notify the surgeon or contact the rapid response team if
a. drainage from the chest tube is greater than 25 mL/hour.
b. gentle bubbling is observed in water-seal chamber when patient exhales.
c. . patient has sudden onset or increase in intensity of dyspnea.
d. b and c only - ANSWER - patient has sudden onset or increase in intensity of
dyspnea.
The perioperative RN is helping the perioperative team transfer a 10-year-old girl onto
the stretcher after a tonsillectomy procedure. How should the patient be positioned on
the stretcher for transport to the PACU? - ANSWER - Three-quarters prone with the
head turned to the side, with arms and legs flexed
Questions & Answers 2025-2026
, CNOR Comprehensive Final Exam || 400
Questions & Answers (Graded A+)
Risk assessment for pressure injuries - ANSWER - Braden Scale, Munro Scale, Scott
Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - ANSWER - pressure, shear, friction
Scatter radiation - ANSWER - reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
Leakage Radiation - ANSWER - emanates from X-ray tube housing (secondary
radiation)
Remnant Radiation - ANSWER - exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - ANSWER - goal of achieving optimal tissue concentration
& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - ANSWER - arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - ANSWER - using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuring the patient's - ANSWER - limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
ANSWER - lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
,temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - ANSWER - intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - ANSWER - 350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - ANSWER - proximal
The employer must maintain the employee' sexposure record (I e, sharp incidents) for
the duration of employment plus ___ years? - ANSWER - 30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - ANSWER - high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as -
ANSWER - Class II (Clean-contaminated)
Bonewax is made of - ANSWER - beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - ANSWER - Cervical halo
Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - ANSWER - B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - ANSWER -
dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
ANSWER - indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
, c. propofol (Diprivan).
d. thiopental (Pentothal). - ANSWER - cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - ANSWER - bipolar
The standard means of vascular access for long-term renal dialysis is - ANSWER - AV
fistula
Which modification of the supine position should be made for the OB patient? -
ANSWER - Insert a wedge under the patient's right pelvis orlumbar region
Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - ANSWER - Mitomycin
After a pneumoretinopexy to repair a tear in the retina near the macula, the patient
should be positioned in the ____________ position. - ANSWER - prone (for several
weeks)
Which medication commonly used in otologic surgery is an anti-inflammatory/antibiotic?
- ANSWER - cortisporin otic
The perioperative RN should anticipate applying the preoperative skin antiseptic
solution to what area in preparation for the patient's surgery scheduled as "left
tympanomastoidectomy"? - ANSWER - behind the left ear
A patient is in PACU after having surgery to remove a mass from his left lung. One
chest tube was inserted connected to a sterile water seal, closed-chest drainage
chamber. During the hand-over report, the perioperative RN reminds the PACU RN to
immediately notify the surgeon or contact the rapid response team if
a. drainage from the chest tube is greater than 25 mL/hour.
b. gentle bubbling is observed in water-seal chamber when patient exhales.
c. . patient has sudden onset or increase in intensity of dyspnea.
d. b and c only - ANSWER - patient has sudden onset or increase in intensity of
dyspnea.
The perioperative RN is helping the perioperative team transfer a 10-year-old girl onto
the stretcher after a tonsillectomy procedure. How should the patient be positioned on
the stretcher for transport to the PACU? - ANSWER - Three-quarters prone with the
head turned to the side, with arms and legs flexed
