CNOR EXAM FINAL PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔INTRAOPERATIVE QUESTION
In addition verifying the correct patient, which of the following options are other tenets of
the seven rights of correct medication administration?
A Right dose, route, and indication.
B. Right medication, container, and time
C. Right documentation, route, and clinician.
D. Right route, dose, and infusion setting - ✔✔A Right dose, route, and indication
Patient safety considerations include the seven rights of safe medication administration:
right patient, medication dose, time, route, indication and documentation
✔✔INTRAOPERATIVE CARE QUESTION
In the event facility's electronic health record system fails, perioperative nurses need to
be prepared to continue to document in a legal and ethical manner. Which of the
following is one strategy to facilitate appro- priate documentation?
A. Place greater reliance on clear verbal communication.
B. Report that the system is down to the information technology department.
C. Have backup paper forms for documenting care.
D. Request a scribe to take notes. - ✔✔C. Have backup paper forms for documenting
care
Verbal communication does not constitute legal documentation of care. documentation
must be written (electronically or on a paper form) each patient care facility responsible
for creating forms and charting formats for personnel to use in hardcopy documentation
✔✔INTRAOPERATIVE CARE QUESTION
When placing a patient in the supine position for an abdominal surgery, the circulating
nurse should
A. position the arms above the head.
B. rest the patient's heels on a pillow.
,C. avoid having the legs crossed.
D. tuck the arms tightly with a draw sheet. - ✔✔C. Avoid having the legs crossed
Preventing the patients legs from crossing facilitate circulation in the legs tight arm
tuckingbending the arms at greater than 90° and placing pillows under the hills versus
the ankle can produce injury to tissue and nerves
✔✔INTRAOPERATIVE CARE QUESTION
A combination of Lactated Ringer's, lidocaine, and epinephrine is rou- tinely injected in
fatty areas prior to liposuction in order to
A. minimize the chance of infection.
B. decrease fluid volume shift.
C. prevent intraoperative hypothermia.
D. increase the ease of removing adipose tissue - ✔✔B. decrease fluid volume shift.
A surgeon typically injects a medicated wetting solution into the fatty areas before
removal because of concerns about Large fluid vilume ahift and bld loss after lipectomy
✔✔INTRAOPERATIVE CARE QUESTION
An example of a gravity drain used to prevent fluid accumulation and infection in
surgical wounds is a ———drain.
A. Penrose
B. Jackson Pratt
C. Foley catheter
D. Hemovac - ✔✔A. Penrose
Penrose and T -tubes are examples of gravity open drains used to evacuate surgical
wounds. Jackson-Pratt, Foley and hemovac iare all closed drainage systems
✔✔INTRAOPERATIVE CARE QUESTION
Which of the following positions and positioning devices are associated with causing
injury to the common peroneal nerves?
A. Lithotomy position and the use of stirrups.
,B. Supine position and the use of a shoulder brace.
C. Trendelenburg position and the use of a footboard.
D. Modified Fowler position and the use of a headrest. - ✔✔A. Lithotomy position and
the used of stirrups.
The common peroneal nerve curves laterally over the fibula the utilizationof stirrups for
positioning increases the potential for injury to the peroneal nerve related to the way the
leg may rest against the stirrup post or rest within the knee cradle of various type of
stirrups
✔✔INTRAOPERATIVE CARE QUESTION
The most common surgical incision made for a hepatic resection is
A. right subcostal.
B. upper transverse.
C. midline abdominal.
D. lower midline. - ✔✔A. Right subcostal
The pt. Undergoing a hepatic resection is prepped frim rhe nipples to the midthigh area.
The mist common incision is a rt. Subcoatal, allowing for expansion into A left subcostal
as needed.
✔✔INTRAOPERATIVE CARE QUESTION
If the patient's arms are placed palm-side down during positioning, what structure is
most commonly injured?
A. Obturator nerve
B. Ulnar nerve
C. Brachial plexus
D. Median nerve - ✔✔B. Ulnar nerve
Themain goal protecting the ulnar nerve is to eliminate pressure on it the patient's arm
should be positioned on the arm boards with the palms up Supinated this position place
is the ulnar nerve in a protected position
, ✔✔INTRAOPERATIVE CARE QUESTION
Administrative controls for an ergonomically healthy perioperative environment include
A. having appropriate assistive, patient-handling equipment available.
B. limiting the weight of instrument trays to 25 pounds or less.
C. providing adequate lighting.
D. using patient-care ergonomic assessment protocols - ✔✔D. using patient-care
ergonomic assessment protocols
Administrative controls include developing and educating staff about an ergonomically
safe environment. All other options are examples of engineering controls for ergonomic
safety.
✔✔INTRAOPERATIVE CARE QUESTION
Multidose medications used for more than one patient
A. can be stored with single-dose medications.
B. have the same expiration date as single-dose vials.
C. possess the potential for cross-contamination.
D. increase the cost for medications. - ✔✔C. Possess the potential for cross
contamination
Primary safety concerns for the use of multidose vials include cross-contamination,
misinterpretting the dose, confusing expiration dates and separate storage from the
single-dose vials
✔✔INTRAOPERATIVE CARE QUESTION
Which organization created the Needlestick Safety and Prevention Act?
A. The Joint Commission (TJC)
B. Occupational Safety and Health Administration (OSHA)
C. World Health Organization (WHO)
D. Centers for Disease Control and Prevention (CDC) - ✔✔B. OSHA
SOLUTIONS GRADED A+
✔✔INTRAOPERATIVE QUESTION
In addition verifying the correct patient, which of the following options are other tenets of
the seven rights of correct medication administration?
A Right dose, route, and indication.
B. Right medication, container, and time
C. Right documentation, route, and clinician.
D. Right route, dose, and infusion setting - ✔✔A Right dose, route, and indication
Patient safety considerations include the seven rights of safe medication administration:
right patient, medication dose, time, route, indication and documentation
✔✔INTRAOPERATIVE CARE QUESTION
In the event facility's electronic health record system fails, perioperative nurses need to
be prepared to continue to document in a legal and ethical manner. Which of the
following is one strategy to facilitate appro- priate documentation?
A. Place greater reliance on clear verbal communication.
B. Report that the system is down to the information technology department.
C. Have backup paper forms for documenting care.
D. Request a scribe to take notes. - ✔✔C. Have backup paper forms for documenting
care
Verbal communication does not constitute legal documentation of care. documentation
must be written (electronically or on a paper form) each patient care facility responsible
for creating forms and charting formats for personnel to use in hardcopy documentation
✔✔INTRAOPERATIVE CARE QUESTION
When placing a patient in the supine position for an abdominal surgery, the circulating
nurse should
A. position the arms above the head.
B. rest the patient's heels on a pillow.
,C. avoid having the legs crossed.
D. tuck the arms tightly with a draw sheet. - ✔✔C. Avoid having the legs crossed
Preventing the patients legs from crossing facilitate circulation in the legs tight arm
tuckingbending the arms at greater than 90° and placing pillows under the hills versus
the ankle can produce injury to tissue and nerves
✔✔INTRAOPERATIVE CARE QUESTION
A combination of Lactated Ringer's, lidocaine, and epinephrine is rou- tinely injected in
fatty areas prior to liposuction in order to
A. minimize the chance of infection.
B. decrease fluid volume shift.
C. prevent intraoperative hypothermia.
D. increase the ease of removing adipose tissue - ✔✔B. decrease fluid volume shift.
A surgeon typically injects a medicated wetting solution into the fatty areas before
removal because of concerns about Large fluid vilume ahift and bld loss after lipectomy
✔✔INTRAOPERATIVE CARE QUESTION
An example of a gravity drain used to prevent fluid accumulation and infection in
surgical wounds is a ———drain.
A. Penrose
B. Jackson Pratt
C. Foley catheter
D. Hemovac - ✔✔A. Penrose
Penrose and T -tubes are examples of gravity open drains used to evacuate surgical
wounds. Jackson-Pratt, Foley and hemovac iare all closed drainage systems
✔✔INTRAOPERATIVE CARE QUESTION
Which of the following positions and positioning devices are associated with causing
injury to the common peroneal nerves?
A. Lithotomy position and the use of stirrups.
,B. Supine position and the use of a shoulder brace.
C. Trendelenburg position and the use of a footboard.
D. Modified Fowler position and the use of a headrest. - ✔✔A. Lithotomy position and
the used of stirrups.
The common peroneal nerve curves laterally over the fibula the utilizationof stirrups for
positioning increases the potential for injury to the peroneal nerve related to the way the
leg may rest against the stirrup post or rest within the knee cradle of various type of
stirrups
✔✔INTRAOPERATIVE CARE QUESTION
The most common surgical incision made for a hepatic resection is
A. right subcostal.
B. upper transverse.
C. midline abdominal.
D. lower midline. - ✔✔A. Right subcostal
The pt. Undergoing a hepatic resection is prepped frim rhe nipples to the midthigh area.
The mist common incision is a rt. Subcoatal, allowing for expansion into A left subcostal
as needed.
✔✔INTRAOPERATIVE CARE QUESTION
If the patient's arms are placed palm-side down during positioning, what structure is
most commonly injured?
A. Obturator nerve
B. Ulnar nerve
C. Brachial plexus
D. Median nerve - ✔✔B. Ulnar nerve
Themain goal protecting the ulnar nerve is to eliminate pressure on it the patient's arm
should be positioned on the arm boards with the palms up Supinated this position place
is the ulnar nerve in a protected position
, ✔✔INTRAOPERATIVE CARE QUESTION
Administrative controls for an ergonomically healthy perioperative environment include
A. having appropriate assistive, patient-handling equipment available.
B. limiting the weight of instrument trays to 25 pounds or less.
C. providing adequate lighting.
D. using patient-care ergonomic assessment protocols - ✔✔D. using patient-care
ergonomic assessment protocols
Administrative controls include developing and educating staff about an ergonomically
safe environment. All other options are examples of engineering controls for ergonomic
safety.
✔✔INTRAOPERATIVE CARE QUESTION
Multidose medications used for more than one patient
A. can be stored with single-dose medications.
B. have the same expiration date as single-dose vials.
C. possess the potential for cross-contamination.
D. increase the cost for medications. - ✔✔C. Possess the potential for cross
contamination
Primary safety concerns for the use of multidose vials include cross-contamination,
misinterpretting the dose, confusing expiration dates and separate storage from the
single-dose vials
✔✔INTRAOPERATIVE CARE QUESTION
Which organization created the Needlestick Safety and Prevention Act?
A. The Joint Commission (TJC)
B. Occupational Safety and Health Administration (OSHA)
C. World Health Organization (WHO)
D. Centers for Disease Control and Prevention (CDC) - ✔✔B. OSHA
