CNOR Exam Comprehensive Questions
(Frequently Tested) and Complete Solutions
Graded A+
When should assistive technology be used when transfering a patient? - Answer: When one team
member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) - Answer: 48
hours
Examples of clinical alarms - Answer: alarms on cardiac monitors anesthesia machines, ventilators
(visual, auditory or both)
Universal Protocol - Answer: prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - Answer: air-assisted transfer mattresses (hovermats),
full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - Answer: blunt suture needles, safety
scalpels, needless systems, alternate wound closures
,Contact time - Answer: specific length of time disinfectants can remain in contact w/ microorganisms to
achieve disinfection
For every time of equipment of supply used on or for patient, what document should always be
followed? - Answer: IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - Answer: hypotension, cardiac arrest, CVA,
pulmonary embolism, fat embolism, hypersensitivity, thrombophlebitis, death
RN's action after hearing a verbal order from Dr - Answer: read back the order
Symptoms of local anesthetic systemic toxicity - Answer: metallic taste, confusion, dizziness, numbness
(initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - Answer: keep eye moist during surgery
Effective meds to reduce postop N/V - Answer: Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop suite - Answer: Three
What type of muscle cell is affected during MH? - Answer: Skeletal
Examples of research evidence - Answer: RCTs, systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices? - Answer: Perioperative Nursing Data Set
(PNDS)
Examples of non-absorbable suture materials - Answer: cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's - Answer: Deep
brain stimulator
,What is Unique Device Identification? - Answer: FDA requirement; every device has a number (also on
package); for implantable life-supporting, sustaining devices
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 measuringthe 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 (ie, 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
(Frequently Tested) and Complete Solutions
Graded A+
When should assistive technology be used when transfering a patient? - Answer: When one team
member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) - Answer: 48
hours
Examples of clinical alarms - Answer: alarms on cardiac monitors anesthesia machines, ventilators
(visual, auditory or both)
Universal Protocol - Answer: prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - Answer: air-assisted transfer mattresses (hovermats),
full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - Answer: blunt suture needles, safety
scalpels, needless systems, alternate wound closures
,Contact time - Answer: specific length of time disinfectants can remain in contact w/ microorganisms to
achieve disinfection
For every time of equipment of supply used on or for patient, what document should always be
followed? - Answer: IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - Answer: hypotension, cardiac arrest, CVA,
pulmonary embolism, fat embolism, hypersensitivity, thrombophlebitis, death
RN's action after hearing a verbal order from Dr - Answer: read back the order
Symptoms of local anesthetic systemic toxicity - Answer: metallic taste, confusion, dizziness, numbness
(initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - Answer: keep eye moist during surgery
Effective meds to reduce postop N/V - Answer: Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop suite - Answer: Three
What type of muscle cell is affected during MH? - Answer: Skeletal
Examples of research evidence - Answer: RCTs, systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices? - Answer: Perioperative Nursing Data Set
(PNDS)
Examples of non-absorbable suture materials - Answer: cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's - Answer: Deep
brain stimulator
,What is Unique Device Identification? - Answer: FDA requirement; every device has a number (also on
package); for implantable life-supporting, sustaining devices
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 measuringthe 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 (ie, 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
