Zander CNOR Practice Exam Questions-
FINAL EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100%
GUARANTEED PASS BRAND NEW
VERSION
The patient's desirable and measurable physiological and psychological responses to
nursing interventions are called:
Process Standards
Outcome Standards
Clinical Efficiency
Quality Improvement -ANSWER✅✅✅✅Outcome standards
What the wound classification for vaginal hysterectomy?
A. Class 1
B. Class 2
C. Class 3
D. Class 4 -ANSWER✅✅✅✅Class 2
The CRNA is attempting to open the 25-year-old man's mouth for intubation but the jaw
is tight and she's having difficulty. Then the nurse notices that the patient's capnograph
is rising dramatically. As the CRNA continues to struggle to open the jaw to intubate, the
patient's heart rate and blood pressure are rising. What is the appropriate response for
the perioperative nurse?
A. The anesthesia is too light, and the patient is confused and struggling against the
CRNA.
B. These are early signs of Malignant Hyperthermia. The perioperative nurse tells the
CRNA what she's seeing. The perioperative nurse calls the OR desk to ask for help and
that the MH cart be brought to the room.
C. The patient Is having an allergic reaction to a medication.
D. Masseter Muscle Rigidity (MMR) is not uncommon in young patients. The
perioperative nurse should remain at the head of the bed and assist as needed. -
,ANSWER✅✅✅✅These are early signs of Malignant Hyperthermia. The perioperative
nurse tells the CRNA what she's seeing. The perioperative nurse calls the OR desk to
ask for help and that the MH cart be brought to the room.
These are early signs of Malignant Hyperthermia. MMR does happen more frequently in
pediatric patients (not 25-year-olds) and may not be associated with MH but you'd not
see the rise in HR, BP or ETCO2 with it.
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open Tib/Fib
fracture for ORIF. What wound class is it?
A. Class 1
B. Class 2
C. Class 3
D. Class 4 -ANSWER✅✅✅✅Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one that
is less than 4-6 hours old at the start of surgery.
Patients with one or more of Virchow's triad are at increased risk for
A. Deep vein thrombosis
B. Hemorrhage
C. Surgical site infection
D. Respiratory distress -ANSWER✅✅✅✅Deep Vein thrombosis
Virchow's triad describes the three broad categories of factors that are thought to
contribute to thrombosis. Hypercoagulability. Hemodynamic changes (stasis,
turbulence) Endothelial injury/dysfunction. DVT is at an increased risk
The Spaulding classification system is used to determine:
A. Appropriate methods to attain desired level of processing required for safety in
patient care items.
B. Safety standards for safely administering and monitoring anesthesia car
C. Post-operative discharge criteria
D. Ideal pressurization for rubberized spherical items -ANSWER✅✅✅✅Appropriate
methods to attain desired level of processing required for safety in patient care items.
Earle Spaulding, a microbiologist, developed a classification system in 1968 to
determine the appropriate method to attain the desired level of processing required for
safety in patient care items. This system was adopted and later modified by the CDC.
When passing the knife to the surgeon the best practice would be...
A. To place the knife into a designated tray and so the surgeon can pick it up
,B. To firmly place the blade handle into the surgeon's palm
C. Let the surgeon take what he wants from the mayo stand
D. With the use of a safety scalpel passing device -ANSWER✅✅✅✅To place the knife
into a designated tray and so the surgeon can pick it up
The neutral zone is a sterile basin or tray or magnetic pad from which the surgeon or
assistant can retrieve them. When finished the surgeon returns the item to the tray
where the scrub person retrieves them. Hand to hand passing of sharps increases the
chance of accidental sharps injury. Nobody but me gets to touch my mayo stand and I
made up the safety scalpel passing device
The ultimate responsibility for the nurse's competency is:
A. Nurse
B. Educator
C. Manager
D. Director -ANSWER✅✅✅✅Nurse
During a bowel resection for malignancy the circulating nurse anticipates...
A. Recounting sponges sharps and instruments after the GI tract is clamped
B. Prepare for regowning and regloving of the entire surgical team at the field
C. The need for a separate surgical consent in addition to the bowel resection
D. Antibiotic irrigation solution will be used -ANSWER✅✅✅✅Prepare for regowning
and regloving of the entire surgical team at the field
When positioning a patient in a left lateral decubitus position padding will be needed...
A. Between the knees
B. Under the knees
C. Under the patella
D. On the lateral aspect of the right knee -ANSWER✅✅✅✅Between the knees
Lateral decubitus position is synonymous to lateral position. The flexed knees may
require padding to prevent pressure and shearing force.
What does a uniform pattern on the Bowie -Dick indicate?
A. The vacuum cycle functioned properly
B. The sterilization parameters have been met
C. That the dynamic air removal sterilizer is ready to sterilize instruments
D. That the instruments are sterile -ANSWER✅✅✅✅The vacuum cycle functioned
properly
A uniform pattern on the Bowie-Dick card indicates that a vacuum was created inside
the chamber. It doesn't measure anything more than that
, After the patient has signed the surgical consent she is given Midazolam and brought to
the surgical suite. She is then transferred to the OR table. She tells the CRNA 'I don't
want to do it'. The patient is scheduled for an AV fistula so she can begin renal dialysis.
The CRNA asks "you don't want to have surgery?" The patient responds that she does
not. What should be the response of the surgical team?
A. The patient has versed on board and will not remember and likely doesn't know what
she's saying. The team should proceed with induction
B. The patient should be taken back to the holding area and the surgeon notified of the
patient's decision
C. The patient signed the consent for surgery and needs the procedure for dialysis. The
team is obligated to proceed
D. The surgeon should be called to come in the room and explain to the patient why she
must have the procedure -ANSWER✅✅✅✅The patient should be taken back to the
holding area and the surgeon notified of the patient's decision
The informed consent remains in effect for as long as the person still agrees to the
surgery or procedure. If at any time the patient no longer agrees the consent is
withdrawn. There is no exception to this. Medications given or forms signed does not
remove the individual's right to choose.
Counting sponges is a nursing action. The nurse is accountable. The belief that the
surgeon is responsible for all actions taken by staff in surgery, known as 'The Captain of
the Ship' is outdated and no longer legally valid. The nurse is legally responsible for the
surgical count. What type of law deals with injury to a person such as a retained object?
A. Civil Law
B. Criminal Law
C. Civic Law
D. Tort law -ANSWER✅✅✅✅Tort Law
A tort action law suit is filed when there is injury to a person caused by another person.
A retained object is tort claim.
What is the Perioperative Nursing Data Set (PNDS), and its function?
A. The PNDS is a standardized vocabulary and care pathway in electronic
documentation that can be aggregated and analyzed. It's used to evaluate the
effectiveness of nursing care on patient outcomes
B. The PNDS are standardized components of the perioperative nursing care used for
reporting patient errors to hospital administration
C. The PNDS is a set of possible outcomes for surgical patients used for quality
reporting and sentinel events.
D. The PNDS is the foundation on which all surgical nursing research is based allowing
definable and measurable results. -ANSWER✅✅✅✅The PNDS is a standardized
FINAL EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100%
GUARANTEED PASS BRAND NEW
VERSION
The patient's desirable and measurable physiological and psychological responses to
nursing interventions are called:
Process Standards
Outcome Standards
Clinical Efficiency
Quality Improvement -ANSWER✅✅✅✅Outcome standards
What the wound classification for vaginal hysterectomy?
A. Class 1
B. Class 2
C. Class 3
D. Class 4 -ANSWER✅✅✅✅Class 2
The CRNA is attempting to open the 25-year-old man's mouth for intubation but the jaw
is tight and she's having difficulty. Then the nurse notices that the patient's capnograph
is rising dramatically. As the CRNA continues to struggle to open the jaw to intubate, the
patient's heart rate and blood pressure are rising. What is the appropriate response for
the perioperative nurse?
A. The anesthesia is too light, and the patient is confused and struggling against the
CRNA.
B. These are early signs of Malignant Hyperthermia. The perioperative nurse tells the
CRNA what she's seeing. The perioperative nurse calls the OR desk to ask for help and
that the MH cart be brought to the room.
C. The patient Is having an allergic reaction to a medication.
D. Masseter Muscle Rigidity (MMR) is not uncommon in young patients. The
perioperative nurse should remain at the head of the bed and assist as needed. -
,ANSWER✅✅✅✅These are early signs of Malignant Hyperthermia. The perioperative
nurse tells the CRNA what she's seeing. The perioperative nurse calls the OR desk to
ask for help and that the MH cart be brought to the room.
These are early signs of Malignant Hyperthermia. MMR does happen more frequently in
pediatric patients (not 25-year-olds) and may not be associated with MH but you'd not
see the rise in HR, BP or ETCO2 with it.
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open Tib/Fib
fracture for ORIF. What wound class is it?
A. Class 1
B. Class 2
C. Class 3
D. Class 4 -ANSWER✅✅✅✅Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one that
is less than 4-6 hours old at the start of surgery.
Patients with one or more of Virchow's triad are at increased risk for
A. Deep vein thrombosis
B. Hemorrhage
C. Surgical site infection
D. Respiratory distress -ANSWER✅✅✅✅Deep Vein thrombosis
Virchow's triad describes the three broad categories of factors that are thought to
contribute to thrombosis. Hypercoagulability. Hemodynamic changes (stasis,
turbulence) Endothelial injury/dysfunction. DVT is at an increased risk
The Spaulding classification system is used to determine:
A. Appropriate methods to attain desired level of processing required for safety in
patient care items.
B. Safety standards for safely administering and monitoring anesthesia car
C. Post-operative discharge criteria
D. Ideal pressurization for rubberized spherical items -ANSWER✅✅✅✅Appropriate
methods to attain desired level of processing required for safety in patient care items.
Earle Spaulding, a microbiologist, developed a classification system in 1968 to
determine the appropriate method to attain the desired level of processing required for
safety in patient care items. This system was adopted and later modified by the CDC.
When passing the knife to the surgeon the best practice would be...
A. To place the knife into a designated tray and so the surgeon can pick it up
,B. To firmly place the blade handle into the surgeon's palm
C. Let the surgeon take what he wants from the mayo stand
D. With the use of a safety scalpel passing device -ANSWER✅✅✅✅To place the knife
into a designated tray and so the surgeon can pick it up
The neutral zone is a sterile basin or tray or magnetic pad from which the surgeon or
assistant can retrieve them. When finished the surgeon returns the item to the tray
where the scrub person retrieves them. Hand to hand passing of sharps increases the
chance of accidental sharps injury. Nobody but me gets to touch my mayo stand and I
made up the safety scalpel passing device
The ultimate responsibility for the nurse's competency is:
A. Nurse
B. Educator
C. Manager
D. Director -ANSWER✅✅✅✅Nurse
During a bowel resection for malignancy the circulating nurse anticipates...
A. Recounting sponges sharps and instruments after the GI tract is clamped
B. Prepare for regowning and regloving of the entire surgical team at the field
C. The need for a separate surgical consent in addition to the bowel resection
D. Antibiotic irrigation solution will be used -ANSWER✅✅✅✅Prepare for regowning
and regloving of the entire surgical team at the field
When positioning a patient in a left lateral decubitus position padding will be needed...
A. Between the knees
B. Under the knees
C. Under the patella
D. On the lateral aspect of the right knee -ANSWER✅✅✅✅Between the knees
Lateral decubitus position is synonymous to lateral position. The flexed knees may
require padding to prevent pressure and shearing force.
What does a uniform pattern on the Bowie -Dick indicate?
A. The vacuum cycle functioned properly
B. The sterilization parameters have been met
C. That the dynamic air removal sterilizer is ready to sterilize instruments
D. That the instruments are sterile -ANSWER✅✅✅✅The vacuum cycle functioned
properly
A uniform pattern on the Bowie-Dick card indicates that a vacuum was created inside
the chamber. It doesn't measure anything more than that
, After the patient has signed the surgical consent she is given Midazolam and brought to
the surgical suite. She is then transferred to the OR table. She tells the CRNA 'I don't
want to do it'. The patient is scheduled for an AV fistula so she can begin renal dialysis.
The CRNA asks "you don't want to have surgery?" The patient responds that she does
not. What should be the response of the surgical team?
A. The patient has versed on board and will not remember and likely doesn't know what
she's saying. The team should proceed with induction
B. The patient should be taken back to the holding area and the surgeon notified of the
patient's decision
C. The patient signed the consent for surgery and needs the procedure for dialysis. The
team is obligated to proceed
D. The surgeon should be called to come in the room and explain to the patient why she
must have the procedure -ANSWER✅✅✅✅The patient should be taken back to the
holding area and the surgeon notified of the patient's decision
The informed consent remains in effect for as long as the person still agrees to the
surgery or procedure. If at any time the patient no longer agrees the consent is
withdrawn. There is no exception to this. Medications given or forms signed does not
remove the individual's right to choose.
Counting sponges is a nursing action. The nurse is accountable. The belief that the
surgeon is responsible for all actions taken by staff in surgery, known as 'The Captain of
the Ship' is outdated and no longer legally valid. The nurse is legally responsible for the
surgical count. What type of law deals with injury to a person such as a retained object?
A. Civil Law
B. Criminal Law
C. Civic Law
D. Tort law -ANSWER✅✅✅✅Tort Law
A tort action law suit is filed when there is injury to a person caused by another person.
A retained object is tort claim.
What is the Perioperative Nursing Data Set (PNDS), and its function?
A. The PNDS is a standardized vocabulary and care pathway in electronic
documentation that can be aggregated and analyzed. It's used to evaluate the
effectiveness of nursing care on patient outcomes
B. The PNDS are standardized components of the perioperative nursing care used for
reporting patient errors to hospital administration
C. The PNDS is a set of possible outcomes for surgical patients used for quality
reporting and sentinel events.
D. The PNDS is the foundation on which all surgical nursing research is based allowing
definable and measurable results. -ANSWER✅✅✅✅The PNDS is a standardized
