CNOR EXAM 2025/2026/ACTUAL EXAM QUESTIONS AND ANSWERS/GRADE A+
ASSURED
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 - (Correct Answer) - b
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 - (Correct Answer) - b
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 - (Correct Answer) - d
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 - (Correct Answer) - c
The optimum patient position provides:
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. - (Correct Answer) - a
ASSURED
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 - (Correct Answer) - b
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 - (Correct Answer) - b
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 - (Correct Answer) - d
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 - (Correct Answer) - c
The optimum patient position provides:
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. - (Correct Answer) - a
