Nursing CCI-CNOR Exam 2025/2026

Nursing CCI-CNOR Exam 2025/2026 Question 1. (Single Select) Before closing the incision during an abdominal procedure, the surgeon places a flap of omentum over the affected organ. What is the most likely reason for the surgeon"s actions before closing the incision? A: Attempting to prevent adhesion formation B: Attempting to repair a surgical defect C: Attempting to prevent hernia formation D: Attempting to prevent wound dehiscence Correct Answer: A Explanation: The formation of abdominal adhesions is one of the most common complications of abdominal or pelvic surgery. Infection with appendicitis or peritonitis can also contribute to the development of adhesions. Various interventions have been enacted in an attempt to decrease the development of adhesions, including minimizing trauma to the peritoneal tissues by limiting the handling of the tissue and using only gentle handling of the tissue, being diligent about providing hemostasis during surgery, keeping the peritoneal tissues moist throughout the surgery, and being careful to prevent talc from sterile gloves or lint from surgical sponges from entering the wound. Physical barrier methods may also be utilized to prevent or minimize abdominal adhesions; barrier material in the form of absorbable or nonabsorbable sheets, spray-on gels, and liquid barrier products can be applied over the affected tissues to separate the peritoneal tissue as it heals. Another effective barrier method is to place a flap of omentum over the affected organs. The flap of the omentum may be left on a pedicle and twisted into place (this method preserves blood supply to the omental flap) or free-cut and placed over the affected organs.