CNOR AORN Prep Exam Questions and
Answers
Where is the most common site of fire on or in the patient? - Correct Answers-Head,
neck, upper chest
An ASC does not have a radiology department at the facility. When surgical count
discrepancies occur, what actions should be taken first by the periop RN? - Correct
Answers-Follow the ASC's standardized process to locate the missing item
pH 7.22, PACO2 25, HCO3 12 - Correct Answers-Metabolic acidosis with respiratory
compensation
A periop RN teaching new nurses about robotic equipment safety should include
competency verification for - Correct Answers-Troubleshooting equipment problems,
use of consoles, and docking and undocking the robot
Which of the following is a depolarizing neuromuscular blocking agent whose actions
cannot be reversed pharmaceutically? - Correct Answers-Succinylcholine
A patient who is experiencing severe pain, a lack of sensation, swelling, vascular
compromise, and restricted movement in the extremity after the use of a pneumatic
tourniquet is most likely exhibiting the clinical manifestations of - Correct Answers-
Compartment syndrome
Implementing preoperative fasting guidelines is a preventative measure to decrease the
patient's risk for - Correct Answers-Aspiration
The relative humidity in the OR should be maintained between - Correct Answers-20%-
60%
A 76 year old male is scheduled for an emergency trach. His wife mentions that he has
a pacemaker. There is no time to assemble the team caring for his pacemaker.
Preference card says surgeon uses monopolar for this. With whom should the RM
circulator consult to determine interventions to perform for safe use of electrosurgery? -
Correct Answers-Pacemaker manufacturer
Which of the following is recognized as a primary means to prevent health care
associated infections? - Correct Answers-Performing hand hygiene
,Unauthorized access to a patient's health information is a violation of - Correct Answers-
HIPAA
During the preoperative assessment, a patient reports being unable to understand the
scheduled procedure. The operative consent has been signed. What is the periop RN's
most appropriate action? - Correct Answers-Inform the surgeon that the consent has
been signed without adequate knowledge and request that the surgeon speak with the
patient about the procedure
A periop RN is scheduled to circulate for a 1 day old infant who has been diagnosed
with esophageal atresia. For what procedure should she expect to set up equipment
and supplies? - Correct Answers-Bronchoscopy, gastrostomy, and thoracotomy
The perioperative RN maintains rapport with the patient during the procedure being
performed under moderate sedation/analgesia to verify LOC. This practice represents
which phase of the nursing process? - Correct Answers-*NOT* assessment
Perioperative team members should maintain short, natural fingernails, tips should be
no longer than - Correct Answers-2 mm (0.08 inch)
Which of the following actions by a scrub nurse increases the potential for
contamination? - Correct Answers-Removing sterile items from the sterilizer
pH 7.52, PACO2 28, HCO3 24 - Correct Answers-Respiratory alkalosis
Patient on cocaine, belligerent and forcefully grabbed anesthesia provider's neck. The
patient is placed into restraints. Why? - Correct Answers-The patient posed a threat to
the anesthesia provider
What did the FDA identify as a recurrent issue contributing to persistent bronchoscope
contamination and transmission of exogenous infection? - Correct Answers-Failure to
meticulously follow the manufacturer's written instructions for processing
Which of the following may result from shivering? - Correct Answers-*NOT* ICP
A free standing ASC is open Mon-Fri. OR 2 is used only for eye surgeries. How often
should it be terminally cleaned? - Correct Answers-Monday-Friday
Following an appy, a blistered area is noted on the patient's left thigh where bovie pad
was placed. In addition to documenting finding, what should the periop RN do? - Correct
Answers-Remove the ESU from service and save the active and dispersive electrode
devices, including the ESU pad package
To prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the periop RN
should - Correct Answers-Use a disposable brain biopsy set, linens, drapes, and
equipment
, A MH crisis is a biochemical chain reaction response affecting what type of muscle? -
Correct Answers-Skeletal
During the preop assessment, the periop RN documents the patient's temperature as 35
C (95F). What should her next action be? - Correct Answers-Implement measures to
warm the patient
A patient is in PACU after ORIF of right femur fracture. The periop RN observes
respiratory distress tachypnea, HR is 160, patient appears anxious and agitated, and
there are petechiae present on patient's chest. The patient is most likely exhibiting signs
of - Correct Answers-Fat embolism syndrome
Select the size of a pneumatic tourniquet cuff - Correct Answers-to maintain pressure,
fit, and visibility of the surgical field
To decrease the potential for ______ during a spinal surgery, the periop RN should
ensure that the cardiac monitoring leads and neuromuscular monitoring cords are as far
as possible from the electrosurgical hand piece cord. - Correct Answers-*NOT* direct
coupling (Maybe antenna coupling or capacative coupling)
The radiation safety officer in an ASC should be - Correct Answers-*NOT* a radiologist
or rad tech (someone who works at the ASC)
An ASC offers radiology services but has no onsite radiologist. Who is responsible for
verifying a surgeon's or anesthesiologist's competence in using radiology equipment
and interpreting radiographic images at the facility? - Correct Answers-*NOT* the ASC's
medical director (maybe... Only personnel designated as qualified by the medical staff
may use the radiologic equipment and administer)
A periop RN's documentation for a postop patient, "the patient is free from pain or
numbness associate with surgical positioning" is an example of a nursing - Correct
Answers-outcome statement
According to AORN guidelines, how much emergency supply of oxygen should be
stored at an ASC? - Correct Answers-1 day supply
After positioning a patient in the supine position and tucking his arms at his sides, the
periop RN should ensure that the patient's arms are in a neutral position and the palms
are facing - Correct Answers-toward the body
The degree of contamination with microorganisms and organic debris is known as the -
Correct Answers-bioburden
According to OSHA, for employees exposed to airborne ethylene oxide, the maximum
permissible exposure in an 8-hour period is - Correct Answers-1 part per million
Answers
Where is the most common site of fire on or in the patient? - Correct Answers-Head,
neck, upper chest
An ASC does not have a radiology department at the facility. When surgical count
discrepancies occur, what actions should be taken first by the periop RN? - Correct
Answers-Follow the ASC's standardized process to locate the missing item
pH 7.22, PACO2 25, HCO3 12 - Correct Answers-Metabolic acidosis with respiratory
compensation
A periop RN teaching new nurses about robotic equipment safety should include
competency verification for - Correct Answers-Troubleshooting equipment problems,
use of consoles, and docking and undocking the robot
Which of the following is a depolarizing neuromuscular blocking agent whose actions
cannot be reversed pharmaceutically? - Correct Answers-Succinylcholine
A patient who is experiencing severe pain, a lack of sensation, swelling, vascular
compromise, and restricted movement in the extremity after the use of a pneumatic
tourniquet is most likely exhibiting the clinical manifestations of - Correct Answers-
Compartment syndrome
Implementing preoperative fasting guidelines is a preventative measure to decrease the
patient's risk for - Correct Answers-Aspiration
The relative humidity in the OR should be maintained between - Correct Answers-20%-
60%
A 76 year old male is scheduled for an emergency trach. His wife mentions that he has
a pacemaker. There is no time to assemble the team caring for his pacemaker.
Preference card says surgeon uses monopolar for this. With whom should the RM
circulator consult to determine interventions to perform for safe use of electrosurgery? -
Correct Answers-Pacemaker manufacturer
Which of the following is recognized as a primary means to prevent health care
associated infections? - Correct Answers-Performing hand hygiene
,Unauthorized access to a patient's health information is a violation of - Correct Answers-
HIPAA
During the preoperative assessment, a patient reports being unable to understand the
scheduled procedure. The operative consent has been signed. What is the periop RN's
most appropriate action? - Correct Answers-Inform the surgeon that the consent has
been signed without adequate knowledge and request that the surgeon speak with the
patient about the procedure
A periop RN is scheduled to circulate for a 1 day old infant who has been diagnosed
with esophageal atresia. For what procedure should she expect to set up equipment
and supplies? - Correct Answers-Bronchoscopy, gastrostomy, and thoracotomy
The perioperative RN maintains rapport with the patient during the procedure being
performed under moderate sedation/analgesia to verify LOC. This practice represents
which phase of the nursing process? - Correct Answers-*NOT* assessment
Perioperative team members should maintain short, natural fingernails, tips should be
no longer than - Correct Answers-2 mm (0.08 inch)
Which of the following actions by a scrub nurse increases the potential for
contamination? - Correct Answers-Removing sterile items from the sterilizer
pH 7.52, PACO2 28, HCO3 24 - Correct Answers-Respiratory alkalosis
Patient on cocaine, belligerent and forcefully grabbed anesthesia provider's neck. The
patient is placed into restraints. Why? - Correct Answers-The patient posed a threat to
the anesthesia provider
What did the FDA identify as a recurrent issue contributing to persistent bronchoscope
contamination and transmission of exogenous infection? - Correct Answers-Failure to
meticulously follow the manufacturer's written instructions for processing
Which of the following may result from shivering? - Correct Answers-*NOT* ICP
A free standing ASC is open Mon-Fri. OR 2 is used only for eye surgeries. How often
should it be terminally cleaned? - Correct Answers-Monday-Friday
Following an appy, a blistered area is noted on the patient's left thigh where bovie pad
was placed. In addition to documenting finding, what should the periop RN do? - Correct
Answers-Remove the ESU from service and save the active and dispersive electrode
devices, including the ESU pad package
To prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the periop RN
should - Correct Answers-Use a disposable brain biopsy set, linens, drapes, and
equipment
, A MH crisis is a biochemical chain reaction response affecting what type of muscle? -
Correct Answers-Skeletal
During the preop assessment, the periop RN documents the patient's temperature as 35
C (95F). What should her next action be? - Correct Answers-Implement measures to
warm the patient
A patient is in PACU after ORIF of right femur fracture. The periop RN observes
respiratory distress tachypnea, HR is 160, patient appears anxious and agitated, and
there are petechiae present on patient's chest. The patient is most likely exhibiting signs
of - Correct Answers-Fat embolism syndrome
Select the size of a pneumatic tourniquet cuff - Correct Answers-to maintain pressure,
fit, and visibility of the surgical field
To decrease the potential for ______ during a spinal surgery, the periop RN should
ensure that the cardiac monitoring leads and neuromuscular monitoring cords are as far
as possible from the electrosurgical hand piece cord. - Correct Answers-*NOT* direct
coupling (Maybe antenna coupling or capacative coupling)
The radiation safety officer in an ASC should be - Correct Answers-*NOT* a radiologist
or rad tech (someone who works at the ASC)
An ASC offers radiology services but has no onsite radiologist. Who is responsible for
verifying a surgeon's or anesthesiologist's competence in using radiology equipment
and interpreting radiographic images at the facility? - Correct Answers-*NOT* the ASC's
medical director (maybe... Only personnel designated as qualified by the medical staff
may use the radiologic equipment and administer)
A periop RN's documentation for a postop patient, "the patient is free from pain or
numbness associate with surgical positioning" is an example of a nursing - Correct
Answers-outcome statement
According to AORN guidelines, how much emergency supply of oxygen should be
stored at an ASC? - Correct Answers-1 day supply
After positioning a patient in the supine position and tucking his arms at his sides, the
periop RN should ensure that the patient's arms are in a neutral position and the palms
are facing - Correct Answers-toward the body
The degree of contamination with microorganisms and organic debris is known as the -
Correct Answers-bioburden
According to OSHA, for employees exposed to airborne ethylene oxide, the maximum
permissible exposure in an 8-hour period is - Correct Answers-1 part per million
