CNOR Flash Card with Complete
Solutions
When performing preoperative patient antisepsis, the perioperative RN should
A- shave the area to be prepped before applying the antiseptic
B- apply the antiseptic in concentric circles from the outside perimeter to the incision
site
C- Clean the prep site with 70% isopropyl alcohol before applying the antiseptic
D- Allow the antiseptic solution to dry for the time recommended in the manufacturer's
instructions for use before applying surgical drapes - ANSWER-Answer: D
Allowing to dry improves the safety and efficacy of preoperative patient skin antisepsis
Safety = fire prevention Guideline for preoperative patient skin antisepsis
The CNOR exam includes which of the following areas of perioperative practice
A- Main operating room, an outpatient surgical center, and a wound clinic.
B- Main operating room, an outpatient surgical center, and a cardiac Cath lab.
C- Outpatient surgical center, cardiac Cath lab, and IV Clinic.
D- Outpatient surgical center, a wound clinic, and IV Clinic. - ANSWER-Answer: B
Perioperative nursing is practiced in multiple location including L&D Cath lab
interventional radiology private physician practices hospital operating rooms
Autologous bone grafts should be stored at a temperature of
A- 68 F- (20 C)
B- 32 F- (0 C)
C- -4 F- (-20 C)
D- -112 F - (-80 C) - ANSWER-Answer: C
Maintaining storage temperatures within recommended parameters helps ensure that
autographs are maintained in optimal conditions for successful replantation Guideline
for autologous tissue management - 2020
When performing pre-operative patient antisepsis, the peri-operative RN should
a. Shave the area to be prepped immediately before applying the antiseptic
b. Apply the antiseptic in concentric circles moving from the outside perimeter toward
the incision site
,c. Clean the area to be prepped with 70% isopropyl alcohol before applying the
antiseptic
d. Allow the anti-septic solution to dry for the full-time recommended in the
manufacturer's - ANSWER-Answer: D
Allowing to dry improves the safety and efficacy of pre-operative patient skin antisepsis.
Safety = fire prevention
AORN Guideline for Pre-operative Patient Skin Antisepsis
Time out
a. Pause in care to review
i. Correct patient
ii. Procedure
iii. Equipment
b. Can be more than one, occurs at several stages
i. Preoperative phase = 1) Before invasive procedure 2) Line insertion
ii. The patient arrives in the OR = 1) Before induction of anesthesia 2) Allows patient to
participate
iii. After prep and drape = before incision - ANSWER-
Which patient population is more sensitive to dosage errors?
a. Male patients ages 25 to 40
b. Bariatric patients
c. A patient with a history of congestive heart failure
d. Pediatric patients - ANSWER-Answer: D
a. Pediatric patients are at higher risk of medication errors related to dosing for body
size.
b. Patient weight should always be recorded in kilograms for medication dosage
calculations.
c. Other populations at high risk include geriatric patients and those patients with
impaired body systems. d. Berry & Kohn 2017 Surgical pharmacology: Avoiding
Pharmaceutical Error
2. The National Patient Safety Goals for improving staff communication include
a. Ensuring important test results are communicated to the right person on time
b. Transferring patients to the correct next level of care
c. Completing peri-operative charting before transfer to PACU
d. Conducting quality-assurance rounds - ANSWER-Answer: A
a. Test results are critical to maintaining patient safety and must be communicated in a
timely manner to the appropriate personnel. b. The Joint Commission Hospital 2018
National Patient Safety Goals
,Which of the following is a potential contraindication to the use of a pneumatic
tourniquet?
a. The patient has had previous joint-replacement surgery
b. The procedure is being done under local anesthetic
c. The patient has sickle cell anemia
d. The patient's operative extremity has been shaved - ANSWER-Answer: C
a. Some of the potential contraindications for tourniquet use include:
i. Venous thromboembolism
ii. Impaired circulation or peripheral vascular compromise
iii. Previous revascularization of the extremity
iv. Extremities with dialysis access
v. Acidosis
vi. Hemoglobinopathy (example: sickle-cell anemia)
vii. Extremity infection
b. AORN guideline: Care of Patients Undergoing Pneumatic Tourniquet-Assisted
Procedures 2017
Which of the following is part of the surgical-safety checklist?
a. When the patient last ate food or drank fluids
b. Whether any special equipment, devices, or implants will be needed
c. The cell-phone number of the family member to contact after surgery
d. What pharmacy the patient uses - ANSWER-Answer: B
a. The comprehensive surgical checklist is part of the Universal Protocol that is
supported and endorsed by both the World Health Organization and The Joint
Commission.
b. Identify if there are any special equipment, devices, or implants needed for the
surgical procedure is par to the pre-operative check in.
c. Berry & Kohn 2017
5. A patient taking ginger preoperatively is at risk for surgical complications that include
bleeding, hypotension and
a. Hyperglycemia
b. Bradycardia
c. Hypokalemia
d. Liver dysfunction - ANSWER-Answer: B
a. Ginger is often used as an antiemetic, digestive aid, cough suppressant and to
relieve menstrual cramps.
b. Potential complications include
i. Bradycardia ii. Bleeding iii. Hypotension
, c. Berry & Kohn 2017
A patient on long-term acetyl salicylic-acid therapy should be counseled to discontinue
taking the medication ____ prior to surgery.
a. 7 days
b. 14 days
c. 21 days
d. 28 days - ANSWER-Answer: B
a. Patients taking aspirin for prophylactic purposes may be asked to discontinue its use
2 weeks preoperatively b. Berry & Kohn 2017
A patient-specific risk factor for venous thromboembolism (VTE) is
a. Previous history of stroke
b. The duration of the surgery
c. The intra-operative position
d. What room the surgery is scheduled in - ANSWER-Answer: A
a. A patient-specific risk factor for VTE is a previous history of VTE or stroke
b. The duration of surgery, the intra-operative position and use of a pneumatic
tourniquet are procedure-specific risk factors
c. AORN Guideline for Prevention of Venous Thromboembolism 2018
Actively warming surgical patients with forced air to prevent hypothermia should begin
a. As soon as the patient enters the operating room or procedure room
b. Before the patient in intubated
c. In pre-operative holding area
d. Just before the surgeon makes the incision - ANSWER-Answer: C
a. Research has shown that, to be most effective, forced-air warming should be initiated
in the pre-operative holding areas and continued intraoperatively. Pre-operatively
warming the patient with forced-air warming before induction of anesthesia minimized
heat loss more effectively than the use of warmed cotton blankets alone.
b. Alexander's 2019
Which patient is at increased risk of developing a pressure ulcer during a surgical
procedure?
a. Aged 50 or older
b. History of recent gallbladder surgery
. Female patient
d. Poor pre-operative nutritional status - ANSWER-Answer: D
Solutions
When performing preoperative patient antisepsis, the perioperative RN should
A- shave the area to be prepped before applying the antiseptic
B- apply the antiseptic in concentric circles from the outside perimeter to the incision
site
C- Clean the prep site with 70% isopropyl alcohol before applying the antiseptic
D- Allow the antiseptic solution to dry for the time recommended in the manufacturer's
instructions for use before applying surgical drapes - ANSWER-Answer: D
Allowing to dry improves the safety and efficacy of preoperative patient skin antisepsis
Safety = fire prevention Guideline for preoperative patient skin antisepsis
The CNOR exam includes which of the following areas of perioperative practice
A- Main operating room, an outpatient surgical center, and a wound clinic.
B- Main operating room, an outpatient surgical center, and a cardiac Cath lab.
C- Outpatient surgical center, cardiac Cath lab, and IV Clinic.
D- Outpatient surgical center, a wound clinic, and IV Clinic. - ANSWER-Answer: B
Perioperative nursing is practiced in multiple location including L&D Cath lab
interventional radiology private physician practices hospital operating rooms
Autologous bone grafts should be stored at a temperature of
A- 68 F- (20 C)
B- 32 F- (0 C)
C- -4 F- (-20 C)
D- -112 F - (-80 C) - ANSWER-Answer: C
Maintaining storage temperatures within recommended parameters helps ensure that
autographs are maintained in optimal conditions for successful replantation Guideline
for autologous tissue management - 2020
When performing pre-operative patient antisepsis, the peri-operative RN should
a. Shave the area to be prepped immediately before applying the antiseptic
b. Apply the antiseptic in concentric circles moving from the outside perimeter toward
the incision site
,c. Clean the area to be prepped with 70% isopropyl alcohol before applying the
antiseptic
d. Allow the anti-septic solution to dry for the full-time recommended in the
manufacturer's - ANSWER-Answer: D
Allowing to dry improves the safety and efficacy of pre-operative patient skin antisepsis.
Safety = fire prevention
AORN Guideline for Pre-operative Patient Skin Antisepsis
Time out
a. Pause in care to review
i. Correct patient
ii. Procedure
iii. Equipment
b. Can be more than one, occurs at several stages
i. Preoperative phase = 1) Before invasive procedure 2) Line insertion
ii. The patient arrives in the OR = 1) Before induction of anesthesia 2) Allows patient to
participate
iii. After prep and drape = before incision - ANSWER-
Which patient population is more sensitive to dosage errors?
a. Male patients ages 25 to 40
b. Bariatric patients
c. A patient with a history of congestive heart failure
d. Pediatric patients - ANSWER-Answer: D
a. Pediatric patients are at higher risk of medication errors related to dosing for body
size.
b. Patient weight should always be recorded in kilograms for medication dosage
calculations.
c. Other populations at high risk include geriatric patients and those patients with
impaired body systems. d. Berry & Kohn 2017 Surgical pharmacology: Avoiding
Pharmaceutical Error
2. The National Patient Safety Goals for improving staff communication include
a. Ensuring important test results are communicated to the right person on time
b. Transferring patients to the correct next level of care
c. Completing peri-operative charting before transfer to PACU
d. Conducting quality-assurance rounds - ANSWER-Answer: A
a. Test results are critical to maintaining patient safety and must be communicated in a
timely manner to the appropriate personnel. b. The Joint Commission Hospital 2018
National Patient Safety Goals
,Which of the following is a potential contraindication to the use of a pneumatic
tourniquet?
a. The patient has had previous joint-replacement surgery
b. The procedure is being done under local anesthetic
c. The patient has sickle cell anemia
d. The patient's operative extremity has been shaved - ANSWER-Answer: C
a. Some of the potential contraindications for tourniquet use include:
i. Venous thromboembolism
ii. Impaired circulation or peripheral vascular compromise
iii. Previous revascularization of the extremity
iv. Extremities with dialysis access
v. Acidosis
vi. Hemoglobinopathy (example: sickle-cell anemia)
vii. Extremity infection
b. AORN guideline: Care of Patients Undergoing Pneumatic Tourniquet-Assisted
Procedures 2017
Which of the following is part of the surgical-safety checklist?
a. When the patient last ate food or drank fluids
b. Whether any special equipment, devices, or implants will be needed
c. The cell-phone number of the family member to contact after surgery
d. What pharmacy the patient uses - ANSWER-Answer: B
a. The comprehensive surgical checklist is part of the Universal Protocol that is
supported and endorsed by both the World Health Organization and The Joint
Commission.
b. Identify if there are any special equipment, devices, or implants needed for the
surgical procedure is par to the pre-operative check in.
c. Berry & Kohn 2017
5. A patient taking ginger preoperatively is at risk for surgical complications that include
bleeding, hypotension and
a. Hyperglycemia
b. Bradycardia
c. Hypokalemia
d. Liver dysfunction - ANSWER-Answer: B
a. Ginger is often used as an antiemetic, digestive aid, cough suppressant and to
relieve menstrual cramps.
b. Potential complications include
i. Bradycardia ii. Bleeding iii. Hypotension
, c. Berry & Kohn 2017
A patient on long-term acetyl salicylic-acid therapy should be counseled to discontinue
taking the medication ____ prior to surgery.
a. 7 days
b. 14 days
c. 21 days
d. 28 days - ANSWER-Answer: B
a. Patients taking aspirin for prophylactic purposes may be asked to discontinue its use
2 weeks preoperatively b. Berry & Kohn 2017
A patient-specific risk factor for venous thromboembolism (VTE) is
a. Previous history of stroke
b. The duration of the surgery
c. The intra-operative position
d. What room the surgery is scheduled in - ANSWER-Answer: A
a. A patient-specific risk factor for VTE is a previous history of VTE or stroke
b. The duration of surgery, the intra-operative position and use of a pneumatic
tourniquet are procedure-specific risk factors
c. AORN Guideline for Prevention of Venous Thromboembolism 2018
Actively warming surgical patients with forced air to prevent hypothermia should begin
a. As soon as the patient enters the operating room or procedure room
b. Before the patient in intubated
c. In pre-operative holding area
d. Just before the surgeon makes the incision - ANSWER-Answer: C
a. Research has shown that, to be most effective, forced-air warming should be initiated
in the pre-operative holding areas and continued intraoperatively. Pre-operatively
warming the patient with forced-air warming before induction of anesthesia minimized
heat loss more effectively than the use of warmed cotton blankets alone.
b. Alexander's 2019
Which patient is at increased risk of developing a pressure ulcer during a surgical
procedure?
a. Aged 50 or older
b. History of recent gallbladder surgery
. Female patient
d. Poor pre-operative nutritional status - ANSWER-Answer: D
