CNOR PRACTICE EXAM (Q&A) 2024
Aseptic technique is also known as:
A. Clean technique
B. Sterile technique
C. Sterilization
D. Decontamination - Answers -A. Clean technique
Aseptic technique refers to clean methods of containing microbial contamination in the
environment. The environment cannot be sterilized.
An intrinsic factor that contributes to the development of a pressure injury is:
A. Pressure
B. Hypothermia
C. Diabetes mellitus
D. General anesthesia - Answers -C. Diabetes mellitus
An intrinsic factor is related to the health of the patient. Diabetes mellitus is an intrinsic
factor that contributes to the development of a pressure injury.
Which of the following helps determine a patient's discharge destination?
A. Written discharge instructions from anesthesiology and medical staff
B. Risk of postoperative complications
C. Standardized pain scoring
D. General condition and readiness for discharge - Answers -B. Risk of postoperative
complications
The choice of discharge site is based on patient acuity, access to follow-up care, and
the potential for postoperative complications.
Central nervous system (CNS) signs and symptoms of local anesthetic systemic toxicity
(LAST) include:
A. Hypertension
B. Numbness of lips and tongue
C. Respiratory depression
D. Elevated temperature - Answers -B. Numbness of lips and tongue
CNS symptoms of LAST include circumoral and tongue numbness. All other options are
not considered part of the CNS.
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) - Answers -C. -4*F (-20*C)
Maintaining storage temperatures within recommended parameters of -4*F (-20*C)
helps ensure that autografts are maintained in optimal conditions for successful
replantation.
When caring for a patient with sickle cell anemia, the perioperative nurse should:
A. Raise the temperature in the operating room to between 26.7*C and 29.4*C (80*F
and 85*F).
B. Have relaxing music playing in the operating room to avoid overstimulation
C. Administer a liter of normal saline prior to surgery to ensure that the patient is well
hydrated
D. Allow a family member or friend to sit with the patient in the preoperative area and in
the post anesthesia care unit. - Answers -A. Raise the temperature in the operating
room to between 26.7*C and 29.4*C (80*F and 85*F).
The sickle cell patient must be kept warm to prevent hypothermia and meet increased
demands for oxygen.
A _______ type of fire extinguisher should be used in an operating or procedure room.
A. Wet chemical
B. Carbon dioxide
C. Halogen
D. Dry powder - Answers -B. Carbon dioxide
The National Fire Protection Association recommends using either a water mist or
carbon dioxide extinguisher for extinguishing fires in the operating room.
_______ requires purposeful, outcomes-directed thought and is driven by patient need.
A. Critical thinking
B. Assessment
C. Diagnosis
D. Planning - Answers -A. Critical thinking
Scientific nursing interventions, critical thinking and clinical reasoning, and caring,
comforting behaviors are at the heart of perioperative nursing. Critical thinking is a
thoughtful process important in the performance of perioperative nursing care versus
being part of the nursing process.
A hemoglobin value considered to be within normal limits for an adult woman is:
, A. 10 g/dL to 14 g/dL
B. 12 g/dL to 16 g/dL
C. 14 g/dL to 18 g/dL
D. 16 g/dL to 20 g/dL - Answers -B. 12 g/dL to 16 g/dL
Normal hemoglobin values are 12 g/dL to 16 g/dL for women and 14 g/dL to 18 g/dL for
men.
What technique is the safest to use when securing the arms at the patient's sides?
A. Drawing a sheet under the arms, over the patient, and using non-penetrating clamps
to secure it to the opposite side
B. Drawing a sheet over the arm and then sliding it between the mattress and the bed
C. Drawing a sheet over the arm and tucking it between the patient and the mattress
D. Wrapping the patient's arm with padding and securing it to the body with a safety
strap - Answers -C. Drawing a sheet over the arm and tucking it between the patient
and the mattress
A safe and effective way to prevent nerve injury of the upper extremities is to secure the
patient's arms by smoothly wrapping the draw sheet over the arm and then tucking it
under the patient's body to prevent arm slippage during surgery.
Which of the following intraoperative medication orders would prompt a perioperative
nurse to have a urinary catheter readily available?
A. Levetiracetam 1gm IV after incision
B. Cefepime 2g/100mL IV infusion within 30 minutes of incision
C. Ketorolac 20mg IV push before incision
D. Mannitol 10% 10g/100mL after incision - Answers -D. Mannitol 10% 10g/100mL after
incision
Hypertonic mannitol is a nonosmotic diuretic that is often used during brain surgery to
promote diuresis and therefore decrease intracranial pressure.
Which of the following is defined as the process of teaching adults?
A. Pedagogy
B. Andragogy
C. Cognition
D. Orientation - Answers -B. Andragogy
Teaching and learning processes related to mature adults are known as andragogy.
Personal protective equipment that must be worn when mixing and inserting methyl
methacrylate bone cement includes:
Aseptic technique is also known as:
A. Clean technique
B. Sterile technique
C. Sterilization
D. Decontamination - Answers -A. Clean technique
Aseptic technique refers to clean methods of containing microbial contamination in the
environment. The environment cannot be sterilized.
An intrinsic factor that contributes to the development of a pressure injury is:
A. Pressure
B. Hypothermia
C. Diabetes mellitus
D. General anesthesia - Answers -C. Diabetes mellitus
An intrinsic factor is related to the health of the patient. Diabetes mellitus is an intrinsic
factor that contributes to the development of a pressure injury.
Which of the following helps determine a patient's discharge destination?
A. Written discharge instructions from anesthesiology and medical staff
B. Risk of postoperative complications
C. Standardized pain scoring
D. General condition and readiness for discharge - Answers -B. Risk of postoperative
complications
The choice of discharge site is based on patient acuity, access to follow-up care, and
the potential for postoperative complications.
Central nervous system (CNS) signs and symptoms of local anesthetic systemic toxicity
(LAST) include:
A. Hypertension
B. Numbness of lips and tongue
C. Respiratory depression
D. Elevated temperature - Answers -B. Numbness of lips and tongue
CNS symptoms of LAST include circumoral and tongue numbness. All other options are
not considered part of the CNS.
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) - Answers -C. -4*F (-20*C)
Maintaining storage temperatures within recommended parameters of -4*F (-20*C)
helps ensure that autografts are maintained in optimal conditions for successful
replantation.
When caring for a patient with sickle cell anemia, the perioperative nurse should:
A. Raise the temperature in the operating room to between 26.7*C and 29.4*C (80*F
and 85*F).
B. Have relaxing music playing in the operating room to avoid overstimulation
C. Administer a liter of normal saline prior to surgery to ensure that the patient is well
hydrated
D. Allow a family member or friend to sit with the patient in the preoperative area and in
the post anesthesia care unit. - Answers -A. Raise the temperature in the operating
room to between 26.7*C and 29.4*C (80*F and 85*F).
The sickle cell patient must be kept warm to prevent hypothermia and meet increased
demands for oxygen.
A _______ type of fire extinguisher should be used in an operating or procedure room.
A. Wet chemical
B. Carbon dioxide
C. Halogen
D. Dry powder - Answers -B. Carbon dioxide
The National Fire Protection Association recommends using either a water mist or
carbon dioxide extinguisher for extinguishing fires in the operating room.
_______ requires purposeful, outcomes-directed thought and is driven by patient need.
A. Critical thinking
B. Assessment
C. Diagnosis
D. Planning - Answers -A. Critical thinking
Scientific nursing interventions, critical thinking and clinical reasoning, and caring,
comforting behaviors are at the heart of perioperative nursing. Critical thinking is a
thoughtful process important in the performance of perioperative nursing care versus
being part of the nursing process.
A hemoglobin value considered to be within normal limits for an adult woman is:
, A. 10 g/dL to 14 g/dL
B. 12 g/dL to 16 g/dL
C. 14 g/dL to 18 g/dL
D. 16 g/dL to 20 g/dL - Answers -B. 12 g/dL to 16 g/dL
Normal hemoglobin values are 12 g/dL to 16 g/dL for women and 14 g/dL to 18 g/dL for
men.
What technique is the safest to use when securing the arms at the patient's sides?
A. Drawing a sheet under the arms, over the patient, and using non-penetrating clamps
to secure it to the opposite side
B. Drawing a sheet over the arm and then sliding it between the mattress and the bed
C. Drawing a sheet over the arm and tucking it between the patient and the mattress
D. Wrapping the patient's arm with padding and securing it to the body with a safety
strap - Answers -C. Drawing a sheet over the arm and tucking it between the patient
and the mattress
A safe and effective way to prevent nerve injury of the upper extremities is to secure the
patient's arms by smoothly wrapping the draw sheet over the arm and then tucking it
under the patient's body to prevent arm slippage during surgery.
Which of the following intraoperative medication orders would prompt a perioperative
nurse to have a urinary catheter readily available?
A. Levetiracetam 1gm IV after incision
B. Cefepime 2g/100mL IV infusion within 30 minutes of incision
C. Ketorolac 20mg IV push before incision
D. Mannitol 10% 10g/100mL after incision - Answers -D. Mannitol 10% 10g/100mL after
incision
Hypertonic mannitol is a nonosmotic diuretic that is often used during brain surgery to
promote diuresis and therefore decrease intracranial pressure.
Which of the following is defined as the process of teaching adults?
A. Pedagogy
B. Andragogy
C. Cognition
D. Orientation - Answers -B. Andragogy
Teaching and learning processes related to mature adults are known as andragogy.
Personal protective equipment that must be worn when mixing and inserting methyl
methacrylate bone cement includes:
