CNOR Study Questions: Zander
Exam 2025 with Complete Answers
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of the
perioperative nurse monitoring this patient?
A. Recheck the dose of local anesthetic given
B. Ensure an airway
C. Set the IV line to full flow
D. Call for 20% lipid emulsion to be brought to the room - ANSWER✔✔-B. Ensure an
airway
* Patient Safety
Something done urgently
,- Key Word: immediate
The circulating nurse reports that the needle count is incorrect. The surgeon continues
to close the wound, stating, "I know it is not in the wound and I am not going to stop to
look for it." The best plan of action is to:
A. accept the surgeon's response without comment and fill out an incident report
B. inform the surgeon of hospital policy and document subsequent actions
C. order X-rays regardless of the surgeon's wishes
D. notify the OR supervisor and ask for advice - ANSWER✔✔-B. inform the surgeon of
hospital policy and document subsequent actions
Answer A is an absolute- avoid those, Answer C is not within the scope of practice,
Answer D is passing the buck- always choose something you can do. Think "according
to AORN Recommended Practices" and think generic.
A new employee unknowingly dispensed an unsterile solution to the sterile field. The
following day, the supervisor learns of the incident. The supervisor's first action would
be to:
,A. initiate an incident report
B. instruct the employee on the technique of reading labels
C. counsel the employee verbally
D. notify the surgeon of the break in technique - ANSWER✔✔-D. notify the surgeon of
the break in technique
*Patient Safety
Patient safety first. Physician may wish to place patient on prophylactic antibiotic
coverage.
B and C are almost the same action - talking to the employee (can rule out)
Due to an emergency, the perioperative nurse is unable to conduct the sponge, sharps,
and instrument counts. At the conclusion of the surgery, the nurse should:
A. ask the surgeon to sign the count
B. immediately notify the OR supervisor
C. document the absence of counts
, D. refuse to sign the sponge count record - ANSWER✔✔-C. document the absence of
counts
C is correct. This is appropriate in this situation.
A - Surgeon doesn't sign the count.
B - Try to handle it yourself first before calling supervisor
D is absolute: "refuse." The perioperative nurse's signature doesn't mean the count is
correct. Further documentation is required to show that institutional policy was
followed. Don't infer anything in addition to the information given in these responses.
The optimum patient position provides:
A. access and exposure, maintains circulatory and respiratory functions, and does not
compromise neuromuscular structures
B. optimum access and exposure to surgical site, with no permanent compromise to
neuromuscular structures
C. access for the surgeon, does not compromise the neuromuscular structures, and
maintains an adequate airway for the anesthetis
Exam 2025 with Complete Answers
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of the
perioperative nurse monitoring this patient?
A. Recheck the dose of local anesthetic given
B. Ensure an airway
C. Set the IV line to full flow
D. Call for 20% lipid emulsion to be brought to the room - ANSWER✔✔-B. Ensure an
airway
* Patient Safety
Something done urgently
,- Key Word: immediate
The circulating nurse reports that the needle count is incorrect. The surgeon continues
to close the wound, stating, "I know it is not in the wound and I am not going to stop to
look for it." The best plan of action is to:
A. accept the surgeon's response without comment and fill out an incident report
B. inform the surgeon of hospital policy and document subsequent actions
C. order X-rays regardless of the surgeon's wishes
D. notify the OR supervisor and ask for advice - ANSWER✔✔-B. inform the surgeon of
hospital policy and document subsequent actions
Answer A is an absolute- avoid those, Answer C is not within the scope of practice,
Answer D is passing the buck- always choose something you can do. Think "according
to AORN Recommended Practices" and think generic.
A new employee unknowingly dispensed an unsterile solution to the sterile field. The
following day, the supervisor learns of the incident. The supervisor's first action would
be to:
,A. initiate an incident report
B. instruct the employee on the technique of reading labels
C. counsel the employee verbally
D. notify the surgeon of the break in technique - ANSWER✔✔-D. notify the surgeon of
the break in technique
*Patient Safety
Patient safety first. Physician may wish to place patient on prophylactic antibiotic
coverage.
B and C are almost the same action - talking to the employee (can rule out)
Due to an emergency, the perioperative nurse is unable to conduct the sponge, sharps,
and instrument counts. At the conclusion of the surgery, the nurse should:
A. ask the surgeon to sign the count
B. immediately notify the OR supervisor
C. document the absence of counts
, D. refuse to sign the sponge count record - ANSWER✔✔-C. document the absence of
counts
C is correct. This is appropriate in this situation.
A - Surgeon doesn't sign the count.
B - Try to handle it yourself first before calling supervisor
D is absolute: "refuse." The perioperative nurse's signature doesn't mean the count is
correct. Further documentation is required to show that institutional policy was
followed. Don't infer anything in addition to the information given in these responses.
The optimum patient position provides:
A. access and exposure, maintains circulatory and respiratory functions, and does not
compromise neuromuscular structures
B. optimum access and exposure to surgical site, with no permanent compromise to
neuromuscular structures
C. access for the surgeon, does not compromise the neuromuscular structures, and
maintains an adequate airway for the anesthetis
