CNOR Perioperative Nursing Certification Exam Surgical Safety Sterile Technique Anesthesia Prep 2026/2027 – Complete Exam-Style Questions | Detailed Rationales – Pass Guaranteed – A+ Graded

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v Pre/Postoperative Assessment v Infection Prevention & Control

v Plan of Care Development v Communication & Documentation

v Intraoperative Management v Emergency Protocols

v Sterile Technique & Safety v Professional Accountability




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Pre/Postoperative Assessment Care Plan Development Intraoperative Activities

Infection Prevention Sterile Technique Documentation Emergency Management

Patient Safety Anesthesia Care


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, SECTION 1 | Pre/Postoperative Patient Assessment & Diagnosis | Q1-Q9 | CNOR Perioperative
Nursing Certification Exam 2026 | Surgical Safety, Sterile Technique, Anesthesia 2026/2027

Q1 Question 1 of 50
A 68-year-old male with a history of COPD and coronary artery disease is scheduled for an
elective laparoscopic cholecystectomy. During the preoperative assessment, the
perioperative nurse notes he has been taking warfarin 5 mg daily and his INR is 2.8. What
is the priority nursing action before proceeding with surgery?
A. Contact the surgeon to discuss holding the warfarin and bridging with heparin
B. Administer a preoperative dose of vitamin K to reverse anticoagulation
C. Proceed with surgery since the INR is within acceptable range for laparoscopic
procedures
D. Request a type and screen but defer further action until the anesthesiologist arrives



Correct Answer: C


Rationale:
An INR of 2.8 exceeds the generally accepted threshold of 1.5 for most elective
surgeries, and warfarin should be held with bridging therapy considered based on the
patient's thromboembolic risk. Vitamin K is reserved for emergency reversal, and
proceeding without addressing anticoagulation significantly increases bleeding risk.