CNOR Exam Practice Questions

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CNOR Exam Practice Questions
The Official CNOR Exam Prep

© 2016 Competency & Credentialing Institute. All rights reserved.
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CNOR Exam Practice Questions
All questions in this presentation are from CCI’s newest study aid, The Official CNOR Exam Prep.
Chapter titles, or subject areas of the CNOR Exam, are listed at the top of each slide. Each
question is presented in bold with four multiple choice answers. The answer, with supporting
rationale and references, is presented on the following slide.
CCI’s training and educational materials – in print and electronic form - are protected under federal copyright law. No part of this publication may be reproduced,
copied, modified, or transmitted in any form by any means – electronic or otherwise – without the prior written permission of CCI. Any unauthorized use of CCI
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for a single willful violation of CCI's copyright.
©2016 Competency & Credentialing Institute

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1 Preoperative Patient Assessment and Diagnosis
What part of the preoperative assessment indicates that a patient is at risk for
postoperative deep vein thrombosis (DVT)?
a. History of varicosities
b. History of alcohol abuse
c. Recent upper respiratory infection
d. Body mass index greater than 26

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1 Preoperative Patient Assessment and Diagnosis
Answer A is correct.
During the preoperative assessment, the nurse should assess the patient for
conditions that may suggest an increased risk of DVT development. These risks
include a personal or family history of thrombosis, coagulopathy, blood clots,
blood-clotting disorders, previous deep vein thrombosis or pulmonary embolism,
varicosities or leg swelling, smoking, or living a sedentary or nonambulatory
lifestyle for more than 72 hours.
Reference: Guideline for deep vein thrombosis. In: Guidelines for Perioperative Practice. Denver,
CO: AORN, Inc; 2016:523.

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2 Perioperative Plan of Care
In planning for the transfer of an 18-pound child to the gurney after bilateral
myringotomies with insertion of ear tubes, the perioperative nurse plans for which
of the following patient transfer aids?
a. A lateral transfer device, one caregiver, and the anesthesia professional
b. A lateral transfer device, two caregivers, and the anesthesia professional
c. A lateral transfer device, three caregivers, and the anesthesia professional
d. A mechanical lift device, three caregivers, and the anesthesia professional

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2 Perioperative Plan of Care
For patients up to 52 pounds, a lateral transfer device, one caregiver, and an
anesthesia professional should be used for a supine-to-supine patient transfer.
Reference: Guideline for positioning the patient. In: Guidelines for Perioperative Practice.
Denver, CO: AORN, Inc; 2016:656.

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3 Intraoperative Care
Local anesthetic systemic toxicity is treated by administering:
a. 10% lipid emulsion.
b. 15% hetastarch.
c. 20% lipid emulsion.
d. 25% hetastarch.

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Answer C is correct.
The only medication that helps to reverse the effects of systemic local anesthetic
toxicity is 20% lipid emulsion.
Reference: Guideline for care of the patient receiving local anesthesia. In: Guidelines for
Perioperative Practice. Denver, CO: AORN, Inc; 2016:583.

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An unscrubbed person may perform a two-step skin prep using:
a. unsterile exam gloves donned in the closed-glove fashion.
b. sterile gloves donned in the closed-glove fashion.
c. unsterile gloves donned in the open-glove fashion.
d. sterile gloves donned in the open-glove fashion.

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Answer D is correct.
Sterile gloves are donned by the person doing the prep using the open glove
method for the two-step prep.
Reference: Positioning, prepping, and draping the patient. In: Phillips N, ed. Berry & Kohn’s
Operating Room Technique. 12th ed. St Louis, MO: Elsevier; 2013:512.

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4 Communication
The Joint Commission’s Universal Protocol serves as a guide to prevent:
a. wrong-medication, wrong-dose, and wrong-site surgery.
b. wrong-person, wrong-procedure, and wrong-site surgery.
c. wrong-procedure, wrong-person, and wrong-medication surgery.
d. wrong-medication, wrong-dose, and wrong-person surgery.

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4 Communication
Answer B is correct.
The Universal Protocol guides the prevention of wrong-person, wrong-procedure,
and wrong-site surgery. The other answers apply to a different patient safety
measure: the five rights of medication administration.
Reference: Universal Protocol. The Joint Commission.
http://www.jointcommission.org/standards_information/up.aspx.

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5 Transfer of Care
Documentation of transfer-of-care communication should be:
a. done by each member of the perioperative team participating in the hand over.
b. presented in SBAR format to ensure the consistency of hand-over documentation.
c. approved by all personnel involved in the hand over.
d. done using a standardized documentation format.

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5 Transfer of Care
Answer D is correct.
Clear and timely communication is the goal of documentation related to patient
care. Use of a standardized format allows for the provision of consistent and
reliable communication.
Reference: Guideline for transfer of patient care information. In: Guidelines for Perioperative
Practice. Denver, CO: AORN, Inc; 2016:672.

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6 Instrument Processing & Supply Management
Which biologic indicator is validated for use with liquid peracetic acid
sterilization?
a. Geobacillus stearothermophilus
b. Self-contained biologic indicator (SCBI)
c. Bacillus atrophaeus
d. No indicator is validated for use with peracetic acid sterilization.

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There is no biological indicator available that has been validated for use with
liquid peracetic acid sterilant systems.
Reference: Guideline for sterilization. In: Guidelines for Perioperative Practice. Denver, CO:
AORN, Inc; 2016:846.
6 Instrument Processing & Supply Management

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7 Emergency Situations
______________ involves the action of forces on the human body and their
effects during a traumatic injury.
a. Kinematics
b. Kinesthetics
c. Velocity
d. Force

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7 Emergency Situations
Kinematics is also known as the mechanism of injury. “The first EMS team to
respond to the scene of an injury must carefully evaluate the patient in relation
to the MOI.”
Reference: Gawronski DP. Trauma surgery. In: Rothrock JC, ed. Alexander’s Care of the Patient in
Surgery. 15th ed. St Louis, MO: Elsevier; 2015:1105.

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8 Management of Personnel, Services, and Materials
The appropriate method for cleaning an operating room after a procedure includes:
a. disinfecting the back table and Mayo stand while the patient emerges from anesthesia to cut
down on turnover time.
b. starting at the center of the room and working toward the perimeter.
c. starting at the top and working toward the bottom.
d. flooding horizontal surfaces with alcohol.

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Answer C is correct.
Cleaning should progress from top to bottom areas, and from cleaner to dirtier
areas.
Reference: Guideline for environmental cleaning. In: Guidelines for Perioperative Practice.
Denver, CO: AORN, Inc; 2016:9, 17-18.
8 Management of Personnel, Services, and Materials

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9 Professional Accountability
What type of research involves evaluating the link among patient characteristics,
nursing care delivery, and the results of that care?
a. Process
b. Outcomes
c. Implementation
d. Results

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9 Professional Accountability
Outcomes research is a process that includes evaluating the process of
implemented standards of care and helps to identify best practices.
Reference: Steelman VM. Concepts basic to perioperative nursing. In: Rothrock JC, ed.
Alexander’s Care of the Patient in Surgery. 15th ed. St Louis, MO: Elsevier; 2015:5.

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