CNOR Comprehensive Questions
(Frequently Tested) and Complete Solutions
Graded A+
While completing the preoperative assessment, a nurse notices the pt R knee has been marked by the
surgeon but the pt is scheduled for the L Knee arthroplasty. What is the best action for the nurse? -
Answer: verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory surgery center. During
the preoperative telephone interview, the mother asks the preoperative nurse if her daughter will be
able to take her favorite stuffed animal into the OR. Which of the following is the best response based
on the child's developmental level - Answer: we will make sure the toy stays with your daughter until
the anesthetic takes effect
The periperative registered nurse notes that the pt is taking garlic as a prophylactic cold remedy. This
information is reported to which of the following health care providers? - Answer: Anesthesia care
provider, because garlic can prolong bleeding
A pt who has just received a local anesthetic block is beginning to demonstrate decreased breathing rate
& depth, tremors, and muscle twitching, the nurse should suspect a/an - Answer: toxic reaction to the
local anesthesia
the perioperative nurse can expect the would /ostomy/continence nurse to mark the site for the stoma
for a colostomy at - Answer: rectus muscle
During a local procedure, the nurse notices that the pt is exhibiting a sense of uneasiness, agitation,
coughing & wheezing. The nrse should suspect a/an - Answer: allergic reaction to the local anesthesia
the 3 tops risk factors associated w/ pt falls are medications, gait, and - Answer: previous fall
normal hematocrit for pt age 10 years ranges from - Answer: 34-40%
,universal protocol is a process to keep pt safe in surgery. Verbal confirmation is performed at 3 points
during the perioperative period. Which of the following is identified as 1 of the 3 critical points? -
Answer: sign in before induction of anesthesia
a 12 year old boy is scheduled for srgery to repair a fracture to the knee involving the epiphyseal plate.
The perioperative nurse recognizes the primary complication resulting from the injury is - Answer:
impaired growth to the affected leg
a pt suffers a cardiac arrest following the injection of bupivacaine 0.5% w/ epi 1:200,000 25 mL as a
peripheral nerve block for L knee arthroscopy. The perioperative nurse can anticipate obtaining which of
the following drugs for the anesthesia care provider? - Answer: 20% lipid emulsion
Which of the following is an assessment parameter monitored through the use of perioperative nurse
process? - Answer: documentation of potential needs
preoperative pt assessment of the use of herbs is an important function of the perioperative nurse so
that - Answer: the appropriate healthcare provider can be notified of potential risks to the surgical
procedure
which electrolyte is important to check preoperatively after bowel prep the day before? - Answer:
Potassium
AORN peripoperative nursing data set (PNDS) is the structured nursing vocabulary designed to describe
nursing care in the perioperative setting. At the core of the PNDS conceptual model is the - Answer:
patient
What Is Defined As The Standardized Process To Keep Patients Safe In Surgery? - Answer: Universal
protocol
The purpose of witnessing a surgical consent is to attest to which of the following? - Answer: the
signature was voluntary and not coerced
Which one of the following antibiotics can potentiate neuromuscular blocking agents? - Answer:
piperacillin
,Universal protocol is - Answer: a standardized means for ensuring pt safety during surgery
during the discharge medication reconciliation process, the postanesthesia care unit nurse educates the
pt and family members to - Answer: use 1 pharmacy for filling all prescriptions and OTC medications
a pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12 seconds.
The best action of the RN circulator is to - Answer: inform the surgical team and transport the patient to
the OR suite
During the preoperative assessment, the pt states that "donor-directed" RBCs are available and should
be sued if a blood transfusion is necessary. Which of the following is accurate about donor directed
RBCs? - Answer: donated blood is tested and processed by the blood bank
What is the physiological change associated w/ the normal aging process in geriatric pt? - Answer:
increased vascular resistance
during the preoperative assessment, the perioperative nurse notes on the history & physical that the pt
has an entrapped median nerve on the volar surface of the wrist secondary to her work as an IT
specialist. The nurse will set up for which of the following procedures? - Answer: carpal tunnel repair
which of the following pt is at increased risk of inadvertent hypothermia? - Answer: 82 year old
undergoing colectomy
pt is admitted from a long term facility with a fractured hip. The pt has a " do not resuscitate" (DNR)
order in his medical record. The perioperative nurse's next action is to - Answer: ensure that the pt,
anesthesia care provider & surgeon have an opportunity to discuss options and answer questions
It is the responsibility of the _____ to obtain informed consent for a proposed surgical procedure -
Answer: practitioner performing the procedure
a form of standardized language in the perioperative setting is reinforced by the use of which
documentation format? - Answer: PNDS
, Pneumatic tourniquet inflation pressures are determined by - Answer: systolic BP, age of pt, &
circumference of extremity
placing sequential compression devices ( SCDs) on a pt legs preoperatively addresses which of the
following risk factors for the development of deep vain thrombosis (DVT)? - Answer: venous stasis
a pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to NPO
status, the pt states she had a sip of water with her usual dose of metoprolol/hydrochlorothiazide at
0700. The perioperative nurse's next response is to: - Answer: proceed with the case as scheduled
bone wax should be immediately available for craniotomies conducted in the Fowler position because of
this position's increased risk for: - Answer: air embolus
for a pt with a history of serum cholinesterase deficiency, which of the following anesthetic agents
should be avoided? - Answer: succinylcholin
the perioperative registered nurse is caring for a developmentally delayed male pt aged 46 years whose
cognitive level is comparable to a child aged 9 years.Which of the following is the most appropriate pain
assessment tool? - Answer: using a FACES pain rating scale
Pt with a possible injury within the cranium should not be placed in a ____ position unless absolutely
necessary - Answer: Trendelenburg
Which of the following is an example of education using the pt centered care approach? - Answer: call
the dr if the blood on your dressing is bigger than a fifty cent piece
greatest risk for transmitting the HIV virus is through exposure - Answer: to infected blood or body
fluids via a large bore hollow needle
which of the following complementary therapies may provide relief for postoperative nausea &
vomiting? - Answer: peppermint aromatherapy
(Frequently Tested) and Complete Solutions
Graded A+
While completing the preoperative assessment, a nurse notices the pt R knee has been marked by the
surgeon but the pt is scheduled for the L Knee arthroplasty. What is the best action for the nurse? -
Answer: verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory surgery center. During
the preoperative telephone interview, the mother asks the preoperative nurse if her daughter will be
able to take her favorite stuffed animal into the OR. Which of the following is the best response based
on the child's developmental level - Answer: we will make sure the toy stays with your daughter until
the anesthetic takes effect
The periperative registered nurse notes that the pt is taking garlic as a prophylactic cold remedy. This
information is reported to which of the following health care providers? - Answer: Anesthesia care
provider, because garlic can prolong bleeding
A pt who has just received a local anesthetic block is beginning to demonstrate decreased breathing rate
& depth, tremors, and muscle twitching, the nurse should suspect a/an - Answer: toxic reaction to the
local anesthesia
the perioperative nurse can expect the would /ostomy/continence nurse to mark the site for the stoma
for a colostomy at - Answer: rectus muscle
During a local procedure, the nurse notices that the pt is exhibiting a sense of uneasiness, agitation,
coughing & wheezing. The nrse should suspect a/an - Answer: allergic reaction to the local anesthesia
the 3 tops risk factors associated w/ pt falls are medications, gait, and - Answer: previous fall
normal hematocrit for pt age 10 years ranges from - Answer: 34-40%
,universal protocol is a process to keep pt safe in surgery. Verbal confirmation is performed at 3 points
during the perioperative period. Which of the following is identified as 1 of the 3 critical points? -
Answer: sign in before induction of anesthesia
a 12 year old boy is scheduled for srgery to repair a fracture to the knee involving the epiphyseal plate.
The perioperative nurse recognizes the primary complication resulting from the injury is - Answer:
impaired growth to the affected leg
a pt suffers a cardiac arrest following the injection of bupivacaine 0.5% w/ epi 1:200,000 25 mL as a
peripheral nerve block for L knee arthroscopy. The perioperative nurse can anticipate obtaining which of
the following drugs for the anesthesia care provider? - Answer: 20% lipid emulsion
Which of the following is an assessment parameter monitored through the use of perioperative nurse
process? - Answer: documentation of potential needs
preoperative pt assessment of the use of herbs is an important function of the perioperative nurse so
that - Answer: the appropriate healthcare provider can be notified of potential risks to the surgical
procedure
which electrolyte is important to check preoperatively after bowel prep the day before? - Answer:
Potassium
AORN peripoperative nursing data set (PNDS) is the structured nursing vocabulary designed to describe
nursing care in the perioperative setting. At the core of the PNDS conceptual model is the - Answer:
patient
What Is Defined As The Standardized Process To Keep Patients Safe In Surgery? - Answer: Universal
protocol
The purpose of witnessing a surgical consent is to attest to which of the following? - Answer: the
signature was voluntary and not coerced
Which one of the following antibiotics can potentiate neuromuscular blocking agents? - Answer:
piperacillin
,Universal protocol is - Answer: a standardized means for ensuring pt safety during surgery
during the discharge medication reconciliation process, the postanesthesia care unit nurse educates the
pt and family members to - Answer: use 1 pharmacy for filling all prescriptions and OTC medications
a pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12 seconds.
The best action of the RN circulator is to - Answer: inform the surgical team and transport the patient to
the OR suite
During the preoperative assessment, the pt states that "donor-directed" RBCs are available and should
be sued if a blood transfusion is necessary. Which of the following is accurate about donor directed
RBCs? - Answer: donated blood is tested and processed by the blood bank
What is the physiological change associated w/ the normal aging process in geriatric pt? - Answer:
increased vascular resistance
during the preoperative assessment, the perioperative nurse notes on the history & physical that the pt
has an entrapped median nerve on the volar surface of the wrist secondary to her work as an IT
specialist. The nurse will set up for which of the following procedures? - Answer: carpal tunnel repair
which of the following pt is at increased risk of inadvertent hypothermia? - Answer: 82 year old
undergoing colectomy
pt is admitted from a long term facility with a fractured hip. The pt has a " do not resuscitate" (DNR)
order in his medical record. The perioperative nurse's next action is to - Answer: ensure that the pt,
anesthesia care provider & surgeon have an opportunity to discuss options and answer questions
It is the responsibility of the _____ to obtain informed consent for a proposed surgical procedure -
Answer: practitioner performing the procedure
a form of standardized language in the perioperative setting is reinforced by the use of which
documentation format? - Answer: PNDS
, Pneumatic tourniquet inflation pressures are determined by - Answer: systolic BP, age of pt, &
circumference of extremity
placing sequential compression devices ( SCDs) on a pt legs preoperatively addresses which of the
following risk factors for the development of deep vain thrombosis (DVT)? - Answer: venous stasis
a pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to NPO
status, the pt states she had a sip of water with her usual dose of metoprolol/hydrochlorothiazide at
0700. The perioperative nurse's next response is to: - Answer: proceed with the case as scheduled
bone wax should be immediately available for craniotomies conducted in the Fowler position because of
this position's increased risk for: - Answer: air embolus
for a pt with a history of serum cholinesterase deficiency, which of the following anesthetic agents
should be avoided? - Answer: succinylcholin
the perioperative registered nurse is caring for a developmentally delayed male pt aged 46 years whose
cognitive level is comparable to a child aged 9 years.Which of the following is the most appropriate pain
assessment tool? - Answer: using a FACES pain rating scale
Pt with a possible injury within the cranium should not be placed in a ____ position unless absolutely
necessary - Answer: Trendelenburg
Which of the following is an example of education using the pt centered care approach? - Answer: call
the dr if the blood on your dressing is bigger than a fifty cent piece
greatest risk for transmitting the HIV virus is through exposure - Answer: to infected blood or body
fluids via a large bore hollow needle
which of the following complementary therapies may provide relief for postoperative nausea &
vomiting? - Answer: peppermint aromatherapy
