CNOR TEST EXAM QUESTIONS WITH CORRECT ANSWERS ALL SOLVED
SOLUTION 2022
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - CORRECT ANSWER overexertion leading to back strains
sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning - CORRECT ANSWER before
manual cleaning and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person (UAP) to
push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job description
- offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - CORRECT ANSWER offer assistance to the anesthesia professional
so that the anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care unit. Her
body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2 28, HCO3 24. the
patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - CORRECT ANSWER respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the facility.
When surgical count discrepancies occur, what actions should be taken 1st by the perioperative
rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
,- inform the pt's family or caregiver that the procedure is taking longer than expected due to
the missing item - CORRECT ANSWER follow the ASC's standardized process to locate the
missing item
the perioperative rn should be recognized that the most common complication for a pt with
multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock - CORRECT ANSWER shock
in addition to the pt's identity, which of the following should be confirmed to help decrease the
risk for wrong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site - CORRECT ANSWER procedure and site
what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide consultative
services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide
pharmaceutical services at an ASC - CORRECT ANSWER a pharmacist may be contracted by
the health care organization to provide consultative services on site or by telepharmacy.
Mr. w is a 52-yr-old man in the emergency department complaining of shortness of breath and
tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his
blood sugar is within normal limits. There are no electrocardiogram changes. He has no
significant respiratory or cardiac history. He takes several anti-anxiety medications. He says he
has had anxiety attacks in the past. While Mr. w is being worked up for chest pain, a blood
specimen is drawn for testing arterial blood gasses (ABG). What do mr. w's ABG values
indicate?
pH 7.48, PaCO2 28, HCO3 22
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - CORRECT ANSWER respiratory alkalosis
the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
,- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. -
CORRECT ANSWER that is long enough so that bladder of the tourniquet overlaps
sufficiently on the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's surgery
admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests
indicated a high level of cocaine in his system. The anesthesia professional was at the pt's side
discussing the need to postpone the surgery with the surgeon when the pt became belligerent
and forcefully grabbed the anesthesia professional's neck. The pt was placed into restraints. In
this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery - CORRECT ANSWER the pt posed a
threat to the anesthesia professional
a root cause analysis is conducted after it is discovered that a laparotomy sponge was left in a
patient's abdomen after a surgical procedure. In response to this event, which of the following
actions would be consistent with conducting a root cause analysis?
- apologize and disclose the error to the patient
- identify and analyze each step of the surgical count process that is in place at the facility.
- Identify the involved perioperative learn members and initiate disciplinary actions
- report the event to the designated hospital accreditation organization - CORRECT
ANSWER identify and analyze each step of the surgical count process that is in place at the
facility.
when the retractable magnetic resonance imaging (MRI) scanner is in use in a hybrid OR, the
OR is considered to be MRI zone
I
II
III
IV - CORRECT ANSWER IV
if a pt experiences a cardiac arrest in a hybrid OR when the magnetic resonance imaging (MRI)
scanner is in use, the first action the perioperative rn should do to assist the team is
- begin basic cardiopulmonary resuscitation and retract the MRI scanner back into the holding
bay
- call for help, bring in the code cart and resuscitate the pt.
- Remind the team that the MRI scanner is in use and follow the facility protocol
- turn off the MRI scanner by pushing the quench button - CORRECT ANSWER begin basic
cardiopulmonary resuscitation and retract the MRI scanner back into the holding bay
, the role of the health care industry representative includes all of the following except
- opening sterile implants and instructing the surgeon and the assistants how to implant the
medical devices
- providing one-on-one instruction for the perioperative team related to the medical device.
- Providing technical support according to the health care organization's policies and local,
state, and federal regulations
- teaching in-service programs to the perioperative team related to the medical device -
CORRECT ANSWER opening sterile implants and instructing the surgeon and the assistants
how to implant the medical devices
what should the water temperature be for hand hygiene?
- 60 F (15.6C) or lower
- between 60 F and 100 F (15.6c to 37.8C)
- between 70 F and 80F (21.1C and 26.7C)
- 80F (26.7C) or higher - CORRECT ANSWER between 70 F and 80F (21.1C and 26.7C)
17. what nursing activity can a perioperative RN delegate to an unlicensed assistive person?
- assessment of the pt's skin
- evaluation of nursing care
- organization of supplies
- planning the pt's care - CORRECT ANSWER organization of supplies
18. a surveyor comments to the perioperative director that one team member is not following
the AORN guidelines related to surgical attire. Which team member is he referring to?
- RN circulator who is wearing a long-sleeved scrub shirt while performing preoperative skin
antisepsis for a surgical pt in the OR
- sterile processing team member who is wearing a short-sleeved scrub top while preparing and
packaging items in the clean assembly area of the sterile processing department
- scrubbed RN who is wearing protective eyewear during an orthopedic trauma procedure
surgeon who is wearing a hood as a head cover, goggles, and a surgical mask - CORRECT
ANSWER sterile processing team member who is wearing a short-sleeved scrub top while
preparing and packaging items in the clean assembly area of the sterile processing department
19. to prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the perioperative RN
should
- ask the OR charge RN to assign an additional scrub person to help with the procedure
- notify the pt of all of the special precautions that are being taken to ensure the staff member's
safety
- open the standard reusable brain biopsy tray with all of the extra instruments that may be
needed.
- Use a disposable brain biopsy set, linens, drapes, and equipment - CORRECT ANSWER Use
a disposable brain biopsy set, linens, drapes, and equipment
SOLUTION 2022
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - CORRECT ANSWER overexertion leading to back strains
sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning - CORRECT ANSWER before
manual cleaning and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person (UAP) to
push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job description
- offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - CORRECT ANSWER offer assistance to the anesthesia professional
so that the anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care unit. Her
body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2 28, HCO3 24. the
patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - CORRECT ANSWER respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the facility.
When surgical count discrepancies occur, what actions should be taken 1st by the perioperative
rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
,- inform the pt's family or caregiver that the procedure is taking longer than expected due to
the missing item - CORRECT ANSWER follow the ASC's standardized process to locate the
missing item
the perioperative rn should be recognized that the most common complication for a pt with
multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock - CORRECT ANSWER shock
in addition to the pt's identity, which of the following should be confirmed to help decrease the
risk for wrong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site - CORRECT ANSWER procedure and site
what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide consultative
services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide
pharmaceutical services at an ASC - CORRECT ANSWER a pharmacist may be contracted by
the health care organization to provide consultative services on site or by telepharmacy.
Mr. w is a 52-yr-old man in the emergency department complaining of shortness of breath and
tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his
blood sugar is within normal limits. There are no electrocardiogram changes. He has no
significant respiratory or cardiac history. He takes several anti-anxiety medications. He says he
has had anxiety attacks in the past. While Mr. w is being worked up for chest pain, a blood
specimen is drawn for testing arterial blood gasses (ABG). What do mr. w's ABG values
indicate?
pH 7.48, PaCO2 28, HCO3 22
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - CORRECT ANSWER respiratory alkalosis
the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
,- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. -
CORRECT ANSWER that is long enough so that bladder of the tourniquet overlaps
sufficiently on the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's surgery
admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests
indicated a high level of cocaine in his system. The anesthesia professional was at the pt's side
discussing the need to postpone the surgery with the surgeon when the pt became belligerent
and forcefully grabbed the anesthesia professional's neck. The pt was placed into restraints. In
this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery - CORRECT ANSWER the pt posed a
threat to the anesthesia professional
a root cause analysis is conducted after it is discovered that a laparotomy sponge was left in a
patient's abdomen after a surgical procedure. In response to this event, which of the following
actions would be consistent with conducting a root cause analysis?
- apologize and disclose the error to the patient
- identify and analyze each step of the surgical count process that is in place at the facility.
- Identify the involved perioperative learn members and initiate disciplinary actions
- report the event to the designated hospital accreditation organization - CORRECT
ANSWER identify and analyze each step of the surgical count process that is in place at the
facility.
when the retractable magnetic resonance imaging (MRI) scanner is in use in a hybrid OR, the
OR is considered to be MRI zone
I
II
III
IV - CORRECT ANSWER IV
if a pt experiences a cardiac arrest in a hybrid OR when the magnetic resonance imaging (MRI)
scanner is in use, the first action the perioperative rn should do to assist the team is
- begin basic cardiopulmonary resuscitation and retract the MRI scanner back into the holding
bay
- call for help, bring in the code cart and resuscitate the pt.
- Remind the team that the MRI scanner is in use and follow the facility protocol
- turn off the MRI scanner by pushing the quench button - CORRECT ANSWER begin basic
cardiopulmonary resuscitation and retract the MRI scanner back into the holding bay
, the role of the health care industry representative includes all of the following except
- opening sterile implants and instructing the surgeon and the assistants how to implant the
medical devices
- providing one-on-one instruction for the perioperative team related to the medical device.
- Providing technical support according to the health care organization's policies and local,
state, and federal regulations
- teaching in-service programs to the perioperative team related to the medical device -
CORRECT ANSWER opening sterile implants and instructing the surgeon and the assistants
how to implant the medical devices
what should the water temperature be for hand hygiene?
- 60 F (15.6C) or lower
- between 60 F and 100 F (15.6c to 37.8C)
- between 70 F and 80F (21.1C and 26.7C)
- 80F (26.7C) or higher - CORRECT ANSWER between 70 F and 80F (21.1C and 26.7C)
17. what nursing activity can a perioperative RN delegate to an unlicensed assistive person?
- assessment of the pt's skin
- evaluation of nursing care
- organization of supplies
- planning the pt's care - CORRECT ANSWER organization of supplies
18. a surveyor comments to the perioperative director that one team member is not following
the AORN guidelines related to surgical attire. Which team member is he referring to?
- RN circulator who is wearing a long-sleeved scrub shirt while performing preoperative skin
antisepsis for a surgical pt in the OR
- sterile processing team member who is wearing a short-sleeved scrub top while preparing and
packaging items in the clean assembly area of the sterile processing department
- scrubbed RN who is wearing protective eyewear during an orthopedic trauma procedure
surgeon who is wearing a hood as a head cover, goggles, and a surgical mask - CORRECT
ANSWER sterile processing team member who is wearing a short-sleeved scrub top while
preparing and packaging items in the clean assembly area of the sterile processing department
19. to prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the perioperative RN
should
- ask the OR charge RN to assign an additional scrub person to help with the procedure
- notify the pt of all of the special precautions that are being taken to ensure the staff member's
safety
- open the standard reusable brain biopsy tray with all of the extra instruments that may be
needed.
- Use a disposable brain biopsy set, linens, drapes, and equipment - CORRECT ANSWER Use
a disposable brain biopsy set, linens, drapes, and equipment
