CNOR EXAM NEWEST ACTUAL 2026 TEST BANK EXAM
QUESTIONS AND CORRECT DETAILED VERIFIED ANSWERS
(GUARANTEED PASS)
Question 1
A patient is scheduled for a total knee arthroplasty. During the
preoperative verification process, the patient states, "I'm having surgery
on my left knee." The medical record indicates the right knee is scheduled
for surgery. What is the immediate action of the perioperative nurse?
A) Mark the correct surgical site with the patient awake and aware
B) Proceed with the surgery as the consent form is signed
C) Notify the surgeon and pause the procedure
D) Ask the patient to confirm again after sedation
Verified Answer: C
Rationale: This scenario represents a critical discrepancy in the
universal protocol for preventing wrong-site surgery. The immediate
action is to notify the surgeon and pause the procedure to resolve the
discrepancy. The time-out process requires all discrepancies to be
addressed before proceeding. Marking the site (A) should occur during
preoperative preparation, not after a discrepancy is identified.
Proceeding (B) or waiting for sedation (D) would violate patient safety
protocols.
,Question 2
Which of the following is the most appropriate intervention to prevent
hypothermia in a patient undergoing a laparoscopic cholecystectomy
under general anesthesia?
A) Administer warmed IV fluids at 37°C
B) Decrease the room temperature to 18°C
C) Apply a forced-air warming blanket preoperatively
D) Use unwarmed irrigation fluids
Verified Answer: C
Rationale: Forced-air warming blankets (e.g., Bair Hugger) are the most
effective intervention for preventing intraoperative hypothermia,
especially when applied preoperatively. Warmed IV fluids (A) are
beneficial but less effective than forced-air warming for maintaining core
temperature. Decreasing room temperature (B) would exacerbate heat
loss. Unwarmed irrigation fluids (D) contribute to hypothermia.
Question 3
A scrub person experiences a needlestick injury while suturing during a
procedure on a patient with unknown hepatitis B status. What is the first
action the scrub person should take?
A) Report the incident to the charge nurse
B) Wash the site with soap and water
C) Initiate post-exposure prophylaxis
D) Complete an incident report
,Verified Answer: B
Rationale: The immediate first action following a needlestick injury is to
wash the site with soap and water, which reduces the risk of pathogen
transmission. Reporting (A) and completing an incident report (D) are
important subsequent steps but not the initial priority. Post-exposure
prophylaxis (C) should be initiated after evaluation by occupational health,
not as the first action.
Question 4
During a total abdominal hysterectomy, the surgeon requests that all
counted items be verified before closing the peritoneum. This practice is
primarily intended to prevent which complication?
A) Surgical site infection
B) Retained surgical item
C) Anesthesia awareness
D) Venous thromboembolism
Verified Answer: B
Rationale: Performing a count verification before closure of the
peritoneum is a critical step in preventing retained surgical items (RSIs).
The peritoneum is considered a major closure point requiring an accurate
count. This practice is mandated by AORN guidelines and the universal
protocol for preventing RSIs.
, Question 5
A patient undergoing a craniotomy is positioned with the head elevated
and turned to the side. The perioperative nurse should prioritize
monitoring for which potential complication?
A) Brachial plexus injury
B) Air embolism
C) Corneal abrasion
D) Pressure injury to the occiput
Verified Answer: B
Rationale: In craniotomy positions with the head elevated above the
heart, there is an increased risk of venous air embolism, especially if the
surgical site is above the heart. Air can be entrained into open veins.
Brachial plexus injury (A) and corneal abrasion (C) are also risks but are
not the priority in this specific positioning scenario.
Question 6
Which of the following is the correct sequence for donning sterile gown
and gloves using the closed-glove technique?
A) Don gown, insert hands into sleeves, don gloves without exposing bare
hands
B) Don gloves, then don gown using open-glove technique
C) Don gown, don gloves using open-glove technique, then fasten gown
D) Insert hands into sleeves, don gloves, then don gown
QUESTIONS AND CORRECT DETAILED VERIFIED ANSWERS
(GUARANTEED PASS)
Question 1
A patient is scheduled for a total knee arthroplasty. During the
preoperative verification process, the patient states, "I'm having surgery
on my left knee." The medical record indicates the right knee is scheduled
for surgery. What is the immediate action of the perioperative nurse?
A) Mark the correct surgical site with the patient awake and aware
B) Proceed with the surgery as the consent form is signed
C) Notify the surgeon and pause the procedure
D) Ask the patient to confirm again after sedation
Verified Answer: C
Rationale: This scenario represents a critical discrepancy in the
universal protocol for preventing wrong-site surgery. The immediate
action is to notify the surgeon and pause the procedure to resolve the
discrepancy. The time-out process requires all discrepancies to be
addressed before proceeding. Marking the site (A) should occur during
preoperative preparation, not after a discrepancy is identified.
Proceeding (B) or waiting for sedation (D) would violate patient safety
protocols.
,Question 2
Which of the following is the most appropriate intervention to prevent
hypothermia in a patient undergoing a laparoscopic cholecystectomy
under general anesthesia?
A) Administer warmed IV fluids at 37°C
B) Decrease the room temperature to 18°C
C) Apply a forced-air warming blanket preoperatively
D) Use unwarmed irrigation fluids
Verified Answer: C
Rationale: Forced-air warming blankets (e.g., Bair Hugger) are the most
effective intervention for preventing intraoperative hypothermia,
especially when applied preoperatively. Warmed IV fluids (A) are
beneficial but less effective than forced-air warming for maintaining core
temperature. Decreasing room temperature (B) would exacerbate heat
loss. Unwarmed irrigation fluids (D) contribute to hypothermia.
Question 3
A scrub person experiences a needlestick injury while suturing during a
procedure on a patient with unknown hepatitis B status. What is the first
action the scrub person should take?
A) Report the incident to the charge nurse
B) Wash the site with soap and water
C) Initiate post-exposure prophylaxis
D) Complete an incident report
,Verified Answer: B
Rationale: The immediate first action following a needlestick injury is to
wash the site with soap and water, which reduces the risk of pathogen
transmission. Reporting (A) and completing an incident report (D) are
important subsequent steps but not the initial priority. Post-exposure
prophylaxis (C) should be initiated after evaluation by occupational health,
not as the first action.
Question 4
During a total abdominal hysterectomy, the surgeon requests that all
counted items be verified before closing the peritoneum. This practice is
primarily intended to prevent which complication?
A) Surgical site infection
B) Retained surgical item
C) Anesthesia awareness
D) Venous thromboembolism
Verified Answer: B
Rationale: Performing a count verification before closure of the
peritoneum is a critical step in preventing retained surgical items (RSIs).
The peritoneum is considered a major closure point requiring an accurate
count. This practice is mandated by AORN guidelines and the universal
protocol for preventing RSIs.
, Question 5
A patient undergoing a craniotomy is positioned with the head elevated
and turned to the side. The perioperative nurse should prioritize
monitoring for which potential complication?
A) Brachial plexus injury
B) Air embolism
C) Corneal abrasion
D) Pressure injury to the occiput
Verified Answer: B
Rationale: In craniotomy positions with the head elevated above the
heart, there is an increased risk of venous air embolism, especially if the
surgical site is above the heart. Air can be entrained into open veins.
Brachial plexus injury (A) and corneal abrasion (C) are also risks but are
not the priority in this specific positioning scenario.
Question 6
Which of the following is the correct sequence for donning sterile gown
and gloves using the closed-glove technique?
A) Don gown, insert hands into sleeves, don gloves without exposing bare
hands
B) Don gloves, then don gown using open-glove technique
C) Don gown, don gloves using open-glove technique, then fasten gown
D) Insert hands into sleeves, don gloves, then don gown
