CNOR Comprehensive Exam with
Complete Solutions
The narrowest part of a child's airway is the:
A. vocal cords
B. cricoid cartilage
C. mouth opening
D. bronchioles - Correct Answers-B. Cricoid cartilage
What type of plan should a healthcare facility have to address a breakdown in the
medical gas system?
A. Fire safety plan
B. Patient safety plan
C. Utility failure plan
D. Hazardous materials plan - Correct Answers-C. Utility failure plan
If a pinprick to the palmar side of the pinky finger is perceived as dull, this would
indicate a possible injury to the ______________ nerve.
A. Radial
B. Ulnar
C. Medial
D. Palmar - Correct Answers-B. Ulnar
If an intracranial mass is suspected as the cause of increase intracranial pressure (ICP),
which of the following would be contraindicated?
A. Lumbar puncture
B. Burr hole
C. Administration of non-osmotic diuretic
D. IV transfusion of hypertonic mannitol - Correct Answers-A. Lumbar puncture
(sudden decrease in pressure from LP could cause brain herniation)
What is the normal range of ejection fraction for an adult?
A. 40-50%
B. 60-70%
C. 80-90%
,D. 90-100% - Correct Answers-B. 60-70%
Which of the following is used to occlude blood vessels?
A. Anesthesia forceps
B. Biopsy forceps
C. Magill forceps
D. Kelly's forceps - Correct Answers-D. Kelly's forceps
Which of the following instruments will hold the tissue without slipping?
A. Rat tooth forceps
B. Adson tissue forceps
C. Allis intestinal tissue forceps
D. Babock intestinal tissue forceps - Correct Answers-A. Rat tooth forceps
What is antisepsis in a surgical unit?
A. Use of sterile instruments
B. Use of no hand touch
C. Absence of infectious organism
D. Removal of transient micro-organisms from the skin - Correct Answers-D. Removal
of transient micro-organisms from the skin
When dropping sterile instruments from sterile packs onto the sterile tray, how much
distance must the packs be held at by the nurse?
A. 2 inches
B. 3 inches
C. 4 inches
D. 5 inches - Correct Answers-B. 3 inches
Which one of the following surgical skin-preparation agents acts by oxidation?
A. Isopropyl alcohol
B. Chlorhexadine
C. Povidone-Iodine
D. Hexidine - Correct Answers-C. Povidone-Iodine
Which of the following is caused by preformed anti-donor antibodies?
A. Acute rejection
B. Hyperactue rejection
C. Chronic rejection
D. Non-adherence rejection - Correct Answers-B. Hyperacute rejection
,Breastfeeding infants must not breastfeed or receive breast milk for:
A. 8 hours before surgery
B. 6 hours before surgery
C. 4 hours before surgery
D. 2 hours before surgery - Correct Answers-C. 4 hours before surgery
A preanesthesia evaluation and assessment may not be required for:
A. Minor surgical procedures
B. Patients with recent history of anesthesia
C. Patients receiving local anesthesia
D. Outpatient surgical procedures - Correct Answers-C. Patients receiving local
anesthesia.
Metochlopramide may be given as a preoperative medication in order to:
A. Relieve apprehension
B. Reduce risk of aspiration
C. Relieve discomfort
D. To control secretions - Correct Answers-B. Reduce risk of aspiration
The following skin changes in older adults increases the risk of developing pressure
ulcers:
A. Hypodermis thins
B. Sweat glands decrease
C. Epidermal-dermal junction flattens
D. Langerhans cells decrease in number - Correct Answers-A. Hypodermis thins
With Perioperative Nursing Data Set (PNDS) coding, the letter X stands for:
A. Outcome
B. Intervention
C. Diagnosis
D. Domain - Correct Answers-C. Diagnosis
During x-ray studies of the hips and femur, x-ray shielding should be applied:
A. To protect the thyroid
B. To protect the ovaries and testes
C. To protect the other leg
D. No shielding is necessary - Correct Answers-B. To protect the ovaries and testes
The position that places the eyes most at risk for injury is:
, A. Prone
B. Reverse trendelenburg
C. Supine
D. Left lateral decubitus - Correct Answers-A. Prone
Reasons to count sponges, sharps, and instruments include all of the following
EXCEPT:
A. Items left in a patient's body cause harm and the need for additional surgery.
B. Items lost in trash or linen may cause harm to other personnel.
C. Items lost from inventory result in high, replacement costs.
D. Staff must be accountable for instruments. - Correct Answers-D. Staff must be
accountable for instruments.
On arrival to the post-anesthesia care unit, you obtain your pediatric patient's
temperature to determine the effectiveness of warming procedures used in the OR to
maintain the patient's temperature. Which part of the nursing process does your action
represent?
A. Implementation
B. Planning
C. Assessment
D. Evaluation - Correct Answers-D. Evaluation
Your diabetic patient is scheduled for a below-the-knee amputation of his right leg. The
patient states, "I'm really going to miss having two legs." What nursing diagnosis might
be appropriate in this situation?
A. Fear
B. Anxiety
C. Anticipatory grieving
D. Ineffective coping - Correct Answers-C. Anticipatory grieving
A patient, Mrs. Anna Jones, has arrived in the holding area. You are the circulator on
duty. You should identify the patient by:
A. Reading the patient's name off the paper label at the end of the bed, and comparing
it to the patient's identification bracelet and chart.
B. Asking the patient to give her name and one other identifier, such as birthday, and
comparing this information to the patient's identification bracelet and chart.
C. Asking the patient, "Are you Anna Jones?" and comparing the answer to her
identification bracelet and chart.
D. Reading the name and age on the patient's identification bracelet and chart. - Correct
Answers-B.
Complete Solutions
The narrowest part of a child's airway is the:
A. vocal cords
B. cricoid cartilage
C. mouth opening
D. bronchioles - Correct Answers-B. Cricoid cartilage
What type of plan should a healthcare facility have to address a breakdown in the
medical gas system?
A. Fire safety plan
B. Patient safety plan
C. Utility failure plan
D. Hazardous materials plan - Correct Answers-C. Utility failure plan
If a pinprick to the palmar side of the pinky finger is perceived as dull, this would
indicate a possible injury to the ______________ nerve.
A. Radial
B. Ulnar
C. Medial
D. Palmar - Correct Answers-B. Ulnar
If an intracranial mass is suspected as the cause of increase intracranial pressure (ICP),
which of the following would be contraindicated?
A. Lumbar puncture
B. Burr hole
C. Administration of non-osmotic diuretic
D. IV transfusion of hypertonic mannitol - Correct Answers-A. Lumbar puncture
(sudden decrease in pressure from LP could cause brain herniation)
What is the normal range of ejection fraction for an adult?
A. 40-50%
B. 60-70%
C. 80-90%
,D. 90-100% - Correct Answers-B. 60-70%
Which of the following is used to occlude blood vessels?
A. Anesthesia forceps
B. Biopsy forceps
C. Magill forceps
D. Kelly's forceps - Correct Answers-D. Kelly's forceps
Which of the following instruments will hold the tissue without slipping?
A. Rat tooth forceps
B. Adson tissue forceps
C. Allis intestinal tissue forceps
D. Babock intestinal tissue forceps - Correct Answers-A. Rat tooth forceps
What is antisepsis in a surgical unit?
A. Use of sterile instruments
B. Use of no hand touch
C. Absence of infectious organism
D. Removal of transient micro-organisms from the skin - Correct Answers-D. Removal
of transient micro-organisms from the skin
When dropping sterile instruments from sterile packs onto the sterile tray, how much
distance must the packs be held at by the nurse?
A. 2 inches
B. 3 inches
C. 4 inches
D. 5 inches - Correct Answers-B. 3 inches
Which one of the following surgical skin-preparation agents acts by oxidation?
A. Isopropyl alcohol
B. Chlorhexadine
C. Povidone-Iodine
D. Hexidine - Correct Answers-C. Povidone-Iodine
Which of the following is caused by preformed anti-donor antibodies?
A. Acute rejection
B. Hyperactue rejection
C. Chronic rejection
D. Non-adherence rejection - Correct Answers-B. Hyperacute rejection
,Breastfeeding infants must not breastfeed or receive breast milk for:
A. 8 hours before surgery
B. 6 hours before surgery
C. 4 hours before surgery
D. 2 hours before surgery - Correct Answers-C. 4 hours before surgery
A preanesthesia evaluation and assessment may not be required for:
A. Minor surgical procedures
B. Patients with recent history of anesthesia
C. Patients receiving local anesthesia
D. Outpatient surgical procedures - Correct Answers-C. Patients receiving local
anesthesia.
Metochlopramide may be given as a preoperative medication in order to:
A. Relieve apprehension
B. Reduce risk of aspiration
C. Relieve discomfort
D. To control secretions - Correct Answers-B. Reduce risk of aspiration
The following skin changes in older adults increases the risk of developing pressure
ulcers:
A. Hypodermis thins
B. Sweat glands decrease
C. Epidermal-dermal junction flattens
D. Langerhans cells decrease in number - Correct Answers-A. Hypodermis thins
With Perioperative Nursing Data Set (PNDS) coding, the letter X stands for:
A. Outcome
B. Intervention
C. Diagnosis
D. Domain - Correct Answers-C. Diagnosis
During x-ray studies of the hips and femur, x-ray shielding should be applied:
A. To protect the thyroid
B. To protect the ovaries and testes
C. To protect the other leg
D. No shielding is necessary - Correct Answers-B. To protect the ovaries and testes
The position that places the eyes most at risk for injury is:
, A. Prone
B. Reverse trendelenburg
C. Supine
D. Left lateral decubitus - Correct Answers-A. Prone
Reasons to count sponges, sharps, and instruments include all of the following
EXCEPT:
A. Items left in a patient's body cause harm and the need for additional surgery.
B. Items lost in trash or linen may cause harm to other personnel.
C. Items lost from inventory result in high, replacement costs.
D. Staff must be accountable for instruments. - Correct Answers-D. Staff must be
accountable for instruments.
On arrival to the post-anesthesia care unit, you obtain your pediatric patient's
temperature to determine the effectiveness of warming procedures used in the OR to
maintain the patient's temperature. Which part of the nursing process does your action
represent?
A. Implementation
B. Planning
C. Assessment
D. Evaluation - Correct Answers-D. Evaluation
Your diabetic patient is scheduled for a below-the-knee amputation of his right leg. The
patient states, "I'm really going to miss having two legs." What nursing diagnosis might
be appropriate in this situation?
A. Fear
B. Anxiety
C. Anticipatory grieving
D. Ineffective coping - Correct Answers-C. Anticipatory grieving
A patient, Mrs. Anna Jones, has arrived in the holding area. You are the circulator on
duty. You should identify the patient by:
A. Reading the patient's name off the paper label at the end of the bed, and comparing
it to the patient's identification bracelet and chart.
B. Asking the patient to give her name and one other identifier, such as birthday, and
comparing this information to the patient's identification bracelet and chart.
C. Asking the patient, "Are you Anna Jones?" and comparing the answer to her
identification bracelet and chart.
D. Reading the name and age on the patient's identification bracelet and chart. - Correct
Answers-B.
