CNOR AORN EXAM QUESTIONS
WITH 100% CORRECT
ANSWERS
What do the AORN guidelines recommend for sterilization of implantable medical
devices?
- immediate use steam sterilize the implant device for 10 minutes in a steam sterilizer
with a biological monitoring device and then use immediately
- immediate use stem sterilize the implant for 3 minutes with a biological monitoring
device and then use immediately
- release the implant before the results of the biological monitoring device are known,
then report the results to the surgeon as soon as the result is available.
- Sterilize then quarantine the implantable device and await the outcome of biological
monitoring to display a negative result. - Answer- Sterilize then quarantine the
implantable device and await the outcome of biological monitoring to display a negative
result.
An ambulatory surgery center (ASC) offers radiology services but has no onsite
radiologist. Who is responsible for verifying a surgeon's or anesthesiologist's
competence in using radiology equipment and interpreting radiographic images at the
facility?
- the ASC's governing board
- the ASC's medical director
- the ASC's radiation safety committee
- the ASC's director - Answer- the ASC's governing board
Halfway through a bilateral lower-extremity debridement and skin graft on a pt with third-
degree burns, the surgeon requests that the drapes be repositioned farther apart to
achieve better surgical access. According to AORN recommendations, what is the scrub
RN's most appropriate action?
- inform the surgeon that once the drapes are placed, they should not be moved
- move the drapes to best accommodate the surgeon's access to the surgical site
- request a laparotomy drape to re-drape the entire sterile field
- use sterile towels to cover the edges of the original drapes. - Answer- inform the
surgeon that once the drapes are placed, they should not be moved
,At a minimum, what type of personal protective equipment should perioperative team
members wear when performing manual high-level disinfection?
- mask and eye protection
- mask, eye protection, and chemical resistant gloves
- mask, moisture-repellent gown, and gloves
- PVC gloves and moisture-repellant gown - Answer- mask, eye protection and chemical
resistant gloves
Evidence-based practice questions are typically formatted as PICO questions. What
does PICO stand for?
- pt, intervention, comparison, outcome
- pt, investigation, comparison, outlier
- population, intervention, counter-intervention, outlier
- problem, investigation, counter-intervention, outcome - Answer- pt, intervention,
comparison, outcome
Which biological indicator should be used to test ethylene oxide sterilizer efficacy?
- aspergillus spp
- bacillus atrophaeus
- c difficile
- geobacillus stearothermophilus - Answer- bacillus atrophaeus
A 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment,
the perioperative RN review the recent arterial blood gases report.
The results are pH 7.2, PaCO2 50, and HCO3 26. what is the perioperative RN's most
likely action regarding the test results?
- administer additional pain medications that were ordered preoperatively and ask the
physicians for an order for supplemental oxygen
- call the code arrest team
- closely monitor the vital signs for changes and notify the physician of abnormal
findings
- encourage the pt to take deep breaths, contact the physicians, and request ab oxygen
from the anesthesia professional - Answer- call the code arrest team
47-yr-old man who was struck by a car 2 days ago has returned to surgery for the
removal of the therapeutic abdominal packing left inside the wound from the previous
surgery. What should the perioperative RN do after the packing material is removed
from the wound?
,- isolate the packing material and not include it in the counts for the removal procedure.
- Isolate the packing material to a defined area on the back table
- reconcile the surgical count and include the packing material in the count.
- Send the packing material to the pathology lab. - Answer- isolate the packing material
and not include it in the counts for the removal procedure.
the HVAC, surgical attire, and traffic pattern requirements of the surgical suite are
designed to be more stringent as personnel move from.
- restricted to semi-restricted areas.
- Restricted to unrestricted areas.
- Semi Restricted to unrestricted areas.
- Unrestricted to restricted areas. - Answer- Unrestricted to restricted areas.
the occupational risk of the hepatitis B virus (HBV) is
- dependent on the level of exposure to blood and the type of hepatitis B antigens.
- Dependent on the virulence of the bacteria
- not a risk factor for infection for the pt
- slightly increased since the widespread adoption of the HBV immunizations - Answer-
dependent on the level of exposure to blood and the type of hepatitis B antigens.
a perioperative RN assesses an adult female pt who is scheduled for a breast biopsy
and local anesthesia. She learns that the pt has a past history of myocardial infarction.
What should the perioperative RN do?
- cancel the surgery
- consult with the surgeon to determine the plan of care.
- Notify the supervisor
- postpone the surgery and request a cardiology consultation. - Answer- consult with the
surgeon to determine the plan of care.
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - Answer- overexertion leading to back strains sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
, - before manual cleaning and before it is placed into cleaning - Answer- before manual
cleaning and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person
(UAP) to push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job
description
- offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - Answer- offer assistance to the anesthesia professional so
that the anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care
unit. Her body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2
28, HCO3 24. the patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - Answer- respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the
facility. When surgical count discrepancies occur, what actions should be taken 1st by
the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected
due to the missing item - Answer- follow the ASC's standardized process to locate the
missing item
the perioperative rn should be recognized that the most common complication for a pt
with multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock - Answer- shock
in addition to the pt's identity, which of the following should be confirmed to help
decrease the risk for wong site surgery?
WITH 100% CORRECT
ANSWERS
What do the AORN guidelines recommend for sterilization of implantable medical
devices?
- immediate use steam sterilize the implant device for 10 minutes in a steam sterilizer
with a biological monitoring device and then use immediately
- immediate use stem sterilize the implant for 3 minutes with a biological monitoring
device and then use immediately
- release the implant before the results of the biological monitoring device are known,
then report the results to the surgeon as soon as the result is available.
- Sterilize then quarantine the implantable device and await the outcome of biological
monitoring to display a negative result. - Answer- Sterilize then quarantine the
implantable device and await the outcome of biological monitoring to display a negative
result.
An ambulatory surgery center (ASC) offers radiology services but has no onsite
radiologist. Who is responsible for verifying a surgeon's or anesthesiologist's
competence in using radiology equipment and interpreting radiographic images at the
facility?
- the ASC's governing board
- the ASC's medical director
- the ASC's radiation safety committee
- the ASC's director - Answer- the ASC's governing board
Halfway through a bilateral lower-extremity debridement and skin graft on a pt with third-
degree burns, the surgeon requests that the drapes be repositioned farther apart to
achieve better surgical access. According to AORN recommendations, what is the scrub
RN's most appropriate action?
- inform the surgeon that once the drapes are placed, they should not be moved
- move the drapes to best accommodate the surgeon's access to the surgical site
- request a laparotomy drape to re-drape the entire sterile field
- use sterile towels to cover the edges of the original drapes. - Answer- inform the
surgeon that once the drapes are placed, they should not be moved
,At a minimum, what type of personal protective equipment should perioperative team
members wear when performing manual high-level disinfection?
- mask and eye protection
- mask, eye protection, and chemical resistant gloves
- mask, moisture-repellent gown, and gloves
- PVC gloves and moisture-repellant gown - Answer- mask, eye protection and chemical
resistant gloves
Evidence-based practice questions are typically formatted as PICO questions. What
does PICO stand for?
- pt, intervention, comparison, outcome
- pt, investigation, comparison, outlier
- population, intervention, counter-intervention, outlier
- problem, investigation, counter-intervention, outcome - Answer- pt, intervention,
comparison, outcome
Which biological indicator should be used to test ethylene oxide sterilizer efficacy?
- aspergillus spp
- bacillus atrophaeus
- c difficile
- geobacillus stearothermophilus - Answer- bacillus atrophaeus
A 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment,
the perioperative RN review the recent arterial blood gases report.
The results are pH 7.2, PaCO2 50, and HCO3 26. what is the perioperative RN's most
likely action regarding the test results?
- administer additional pain medications that were ordered preoperatively and ask the
physicians for an order for supplemental oxygen
- call the code arrest team
- closely monitor the vital signs for changes and notify the physician of abnormal
findings
- encourage the pt to take deep breaths, contact the physicians, and request ab oxygen
from the anesthesia professional - Answer- call the code arrest team
47-yr-old man who was struck by a car 2 days ago has returned to surgery for the
removal of the therapeutic abdominal packing left inside the wound from the previous
surgery. What should the perioperative RN do after the packing material is removed
from the wound?
,- isolate the packing material and not include it in the counts for the removal procedure.
- Isolate the packing material to a defined area on the back table
- reconcile the surgical count and include the packing material in the count.
- Send the packing material to the pathology lab. - Answer- isolate the packing material
and not include it in the counts for the removal procedure.
the HVAC, surgical attire, and traffic pattern requirements of the surgical suite are
designed to be more stringent as personnel move from.
- restricted to semi-restricted areas.
- Restricted to unrestricted areas.
- Semi Restricted to unrestricted areas.
- Unrestricted to restricted areas. - Answer- Unrestricted to restricted areas.
the occupational risk of the hepatitis B virus (HBV) is
- dependent on the level of exposure to blood and the type of hepatitis B antigens.
- Dependent on the virulence of the bacteria
- not a risk factor for infection for the pt
- slightly increased since the widespread adoption of the HBV immunizations - Answer-
dependent on the level of exposure to blood and the type of hepatitis B antigens.
a perioperative RN assesses an adult female pt who is scheduled for a breast biopsy
and local anesthesia. She learns that the pt has a past history of myocardial infarction.
What should the perioperative RN do?
- cancel the surgery
- consult with the surgeon to determine the plan of care.
- Notify the supervisor
- postpone the surgery and request a cardiology consultation. - Answer- consult with the
surgeon to determine the plan of care.
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - Answer- overexertion leading to back strains sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
, - before manual cleaning and before it is placed into cleaning - Answer- before manual
cleaning and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person
(UAP) to push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job
description
- offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - Answer- offer assistance to the anesthesia professional so
that the anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care
unit. Her body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2
28, HCO3 24. the patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - Answer- respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the
facility. When surgical count discrepancies occur, what actions should be taken 1st by
the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected
due to the missing item - Answer- follow the ASC's standardized process to locate the
missing item
the perioperative rn should be recognized that the most common complication for a pt
with multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock - Answer- shock
in addition to the pt's identity, which of the following should be confirmed to help
decrease the risk for wong site surgery?
