CNOR CERTIFICATION EXAM NEWEST
ACTUAL EXAM PRACTICE TEST 2024-
2025 QUESTIONS AND DETAILED
CORRECT ANSWERS | CERTIFIED
PERIOPERATIVE NURSE
Concerning the intention to combat fluid volume deficit
intraoperatively in a patient who professes to be a Jehovah's
witness, which of the following interventions would be permitted
by this patient's religion?
A. Intraoperative administration of autologous blood
B. Directed donor transfusion
C. Blood from the blood bank
D. Autotransfusion Correct Answer d
During an abdominal hysterectomy on a patient with a
hemoglobin reading of 10 and a hematocrit reading of 30, the
perioperative nurse notices 600 cc of bloody fluid in the suction
canister. In this case, the perioperative nurse would first:
A. Weigh the soiled sponges and add this weight to the 600-cc
suction loss to calculate the blood loss.
B. Alert the anesthesia provider and the surgeon to the presence
of the 600 cc in the suction canister.
C. Ask the scrub nurse how much irrigation has been used and
subtract this amount from the 600 cc to estimate the partial blood
loss.
D. Prepare paperwork for type and cross-match Correct Answer c
,During the emergency induction of anesthesia, the perioperative
nurse may be requested to use the Selleck's maneuver (cricoid
pressure) to:
A. Displace the larynx anteriorly for better endotracheal tube
placement
B. Suppress the cough reflex
C. Facilitate the opening of the esophagus to intubation
D. Control regurgitation of stomach contents Correct Answer d
The patient condition necessitates rapid sequence intubation. The
perioperative nurse anticipates the order of activity will be
_________________________________and assists accordingly
A. Paralysis with induction, pre-oxygenation, placement with proof
B. Pre-oxygenation, paralysis with induction, placement with proof
C. Pre-oxygenation, paralysis with induction, second oxygenation,
placement with proof
D. Position, paralysis with induction, placement with proof Correct
Answer b
A 25-year-old male arrives to the trauma room after a high speed
rollover MVA. The abdomen is distended and tender. He has a
closed tib-fib fracture and multiple lacerations to his face, chest
and arms. The perioperative nurse is prepping the abdomen for
an exploratory laparotomy. She asks another nurse in the room to
locate and mark the pulse distal to the fracture in the lower
extremity. Why?
A. Post-operative nurses will need to know where the peripheral
pulse used to be
B. Bounding pulses secondary to high blood pressure should be
noted
C. Poor perfusion will cool the extremity necessitating warming
measures
,D. This patient is at risk for compartment syndrome and she will
use the mark to check for a pulse periodically during the
procedure Correct Answer d
A patient admitted through the emergency department has a deep
scalp laceration and maxillary and cervical fractures. After
evaluating the patient, the perioperative nurse's next action
should be to:
A. Prepare the fiberoptic laryngoscope
B. Apply pressure to stop bleeding from the laceration
C. Maintain head immobilization
D. Prepare for adequate suction Correct Answer c
For a patient with a ruptured abdominal aortic aneurysm, which
method would provide for the safest and most immediate blood
replacement?
A. Type-specific replacement
B. Directed donation
C. Autologous replacement
D. Autotransfusion Correct Answer d
The perioperative nurse receives a patient from the emergency
room. The operative consent was signed for a craniotomy by the
patient's husband, who is no longer immediately available. The
patient is unstable and disoriented. To identify the operative site,
the nurse's most appropriate action in this situation would be to:
A. confirm the diagnosis from the emergency room physician's
notes
B. consult the surgeon for confirmation of the operative site
C. evaluate the computerized axial tomography (CAT) scan
D. request advice from the manager Correct Answer b
, During an exploratory laparotomy on a blunt force trauma patient
the patient's BP is 97/40, HR 122, RR, 16 on the ventilator. The
patient's ABG is as follows: pH 7.32, CO2 35, HCO3 19. The
circulating nurse understands the appropriate treatment for this
ABG is to:
A. increase the respiratory ventilation rate.
B. stop the bleeding and treat with sodium bicarbonate IV
C. decrease the respiratory ventilation rate
D. perform cardiopulmonary resuscitation Correct Answer b
During a mass casualty situation which patients will you treat in
surgery first?
A. Red tagged patients
B. Only patient who require surgical procedures
C. Orthopedic trauma patients
D. Black tagged patients Correct Answer a
The trauma patient needs emergency released uncrossmatched
blood. What blood type will the patient receive?
A. AB Positive
B. O Negative
C. A Negative
D. O Positive Correct Answer b
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
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