CNOR Exam; Questions & Answers (Grade A+)
b Correct Answer-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 anesthesia 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
b Correct Answer-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
, CNOR Exam; Questions & Answers (Grade A+)
d Correct Answer-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
c Correct Answer-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
a Correct Answer-The optimum patient position provides:
, CNOR Exam; Questions & Answers (Grade A+)
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 anesthetist.
d. Sustained circulatory and respiratory functions, does not compromise
neuromuscular structures, and maintains body alignment.
c Correct Answer-A patient who is 8 months pregnant is to undergo an
emergency laparotomy. In planning nursing care for this patient, the
perioperative nurse should have available a wedge cushion or pillow to place
under the patient's:
a. Knees
b. Left side
c. Right side
d. Shoulders
b Correct Answer-You're loading the sterilizer with trays and wrapped towels.
The correct configuration would be:
, CNOR Exam; Questions & Answers (Grade A+)
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom shelf
c. The trays and towels go on the top shelf and leave the bottom shelf empty
d. There is no specific configuration when there is a mixed load of trays and
wrapped textiles
b Correct Answer-During the induction of anesthesia, the perioperative nurse
may notice fasciculation as a response to which of the following depolarizing
muscle relaxants?
a. Tubocurarine chloride (curare)
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide (Pavulon)
a Correct Answer-The ER notifies you that it has an 18-yr-old patient who was
in a sledding accident and who is accompanied by his parents. The patient is
alert, oriented, in pain, has a blood pressure of 80/60, pulse of 120, and RR of
24. The abdomen is distended and tender. After being transferred to the OR bed,
the patient is very apprehensive and complains of being cold. The nurse should
confirm the patient's name, allergies, and operative procedure by:
b Correct Answer-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 anesthesia 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
b Correct Answer-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
, CNOR Exam; Questions & Answers (Grade A+)
d Correct Answer-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
c Correct Answer-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
a Correct Answer-The optimum patient position provides:
, CNOR Exam; Questions & Answers (Grade A+)
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 anesthetist.
d. Sustained circulatory and respiratory functions, does not compromise
neuromuscular structures, and maintains body alignment.
c Correct Answer-A patient who is 8 months pregnant is to undergo an
emergency laparotomy. In planning nursing care for this patient, the
perioperative nurse should have available a wedge cushion or pillow to place
under the patient's:
a. Knees
b. Left side
c. Right side
d. Shoulders
b Correct Answer-You're loading the sterilizer with trays and wrapped towels.
The correct configuration would be:
, CNOR Exam; Questions & Answers (Grade A+)
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom shelf
c. The trays and towels go on the top shelf and leave the bottom shelf empty
d. There is no specific configuration when there is a mixed load of trays and
wrapped textiles
b Correct Answer-During the induction of anesthesia, the perioperative nurse
may notice fasciculation as a response to which of the following depolarizing
muscle relaxants?
a. Tubocurarine chloride (curare)
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide (Pavulon)
a Correct Answer-The ER notifies you that it has an 18-yr-old patient who was
in a sledding accident and who is accompanied by his parents. The patient is
alert, oriented, in pain, has a blood pressure of 80/60, pulse of 120, and RR of
24. The abdomen is distended and tender. After being transferred to the OR bed,
the patient is very apprehensive and complains of being cold. The nurse should
confirm the patient's name, allergies, and operative procedure by:
