CCI First Edition CNOR Exam Prep
Chapters 1-9 Questions
___________________________ involves the action of forces on the human body and their
effects during a traumatic injury.
A. Kinematics
B. Kinesthetics
C. Velocity
D. Force - correct answer-A. Kinematics
Rationale: Kinematics is also known as the me the mechanism of injury. "The first EMS team
on respond to the scene of an injury must carefully evaluate the patient in relation to the
MOI."
1. A patient's life-threatening injuries prevent required hair removal before transfer to the OR.
The best course of action for the perioperative nurse to follow is to:
A. leave the hair at the incision site and prep the patient
B. use a razor and 3" cloth tape to remove the hair
C. moisten the area to be prepped and use a disposable clipper
D. use a depilatory cream on the surgical site - correct answer-C. moisten the area to be
prepped and use a disposable clipper
Rationale: Prevention of hair dispersal for hair removed in the OR may be accomplished by
wet clipping.
1. Which patient population is more sensitive to dosage errors?
A. Male patients ages 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - correct answer-D. Pediatric patients
Rationale: Pediatric patients are at higher risk of medication errors related to dosing for body
size. Patient weight should always be recorded in kilograms for medication dosage
calculations. Other populations at high risk including geriatric patients and those patient with
impaired body systems.
10. A 28-year-old Hispanic male is schedule for repair of an incarcerated inguinal hernia. He
does not speak English. The consent form is only available in English. The best way for the
perioperative nurse to ensure informed consent for this patient is to:
A. witness the patient's signature on the consent form.
B. arrange for a medical interpreter.
C. allow a family member to interpret for the surgeon.
D. arrange for a Spanish-speaking staff member to interpret for the surgeon. - correct
answer-B. arrange for a medical interpreter.
,Rationale: The patient must be provided information related to his surgery in terms that he
can understand. To maintain patient confidentiality, a medical interpreter should be provided
to assist non-English speaking patients.
10. The perioperative nurse performs a preoperative assessment on a surgical patient to aid
in the development of:
A. the complete medical record
B. the patient's plan of care
C. the surgeon's postoperative note
D. future research in perioperative nursing - correct answer-B. the patient's plan of care
Rationale: The perioperative nurse must complete a preoperative assessment on his or her
patient to facilitate identification of the appropriate nursing diagnosis, development of a plan
for the appropriate interventions and care, and achievement of the desired surgical
outcomes.
2. The goal of medication reconciliation is to:
A. inform the patient of anesthetic medication administered intraoperatively.
B. save the surgeon from having to look up medications later.
C. promote safe patient outcomes related to medication administration
D. save the floor nurse work when admitting the patient - correct answer-C. promote safe
patient outcomes related to medication administration
Rationale: Medication reconciliation is done to promote safe patient outcomes. It is a
process of comparing the medications that a patient is currently using at home with
medications that are ordered for him or her by the current health care provider.
2. The optimal time to apply intermittent compression pneumatic devices to prevent deep
vein thrombosis is:
A. when the surgical procedure is scheduled
B. when the patient arrives in the preoperative area
C. immediately upon arrival in the OR
D. before induction of anesthesia - correct answer-B. when the patient arrives in the
preoperative area
Rationale: The risk for formation of deep vein thrombosis increases with preoperative
immobility.
3. A perioperative nurse is assessing a patient preoperatively for carpal tunnel surgery.
Which of the following would be a possible contraindication to using a tourniquet on the
operative side?
A. the patient is wearing a wedding ring on the operative side
B. The patient drank coffee with milk five hours ago
C. the patient has a dialysis access device on the operative side
D. the patient's dominant hand is the same as the operative side - correct answer-C. The
patient has a dialysis access device on the operative side
, Rationale: The perioperative nursing assessment should include any medication conditions
that may be contraindicated during the preparation and care of the patient undergoing
surgery. Tourniquet use is contraindicated on limbs with a dialysis access device present
because use of the tourniquet on that limb will diminish blood flow to the fistula, increasing
the risk for clot formation in the fistula.
3. 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 aides?
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 - correct
answer-B. A lateral transfer device, one caregivers, and the anesthesia professional
Rationale: For patients up to 52 pounds, a lateral transfer device, one caregiver, and an
anesthesia professional should be used for supine-to-supine patient transfer.
4. A patient undergoing placement of a cardiac stent is at highest risk for _____________
secondary to exposure to ionizing radiation.
A. impaired skin integrity
B. cancer
C. decreased cardiac output
D. nausea - correct answer-A. impaired skin integrity
Rationale: The patient exposed to ionizing radiation is at greatest risk for impaired skin
integrity.
4. Which of the following is part of the surgical safety checklist?
A. When the patient last ate food or drank liquids
B. Whether any special equipment, devices, or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - correct answer-B. Whether any special equipment,
devices, or implants will be needed
Rationale: The comprehensive surgical checklist is part of the Universal Protocol that is
supported and endorsed by both the World Health Organization and The Joint Commission.
Identifying if there are any special equipment, devices, or implants needed for the surgical
procedure is part of the preoperative check-in.
5. An 18-year old patient is hesitant to remove her acrylic tongue piercing before an
exploratory laparoscopy for a possible ruptured ovarian cyst. The most appropriate verbal
response for the perioperative RN to provide is:
A. "You can always get another piercing if the opening for this one closes."
B. "If the piercing is dislodged while the breathing tube is put in, it could block your airway or
be pushed into your lung."
C. "It's our policy that all jewelry be removed prior to surgery."
Chapters 1-9 Questions
___________________________ involves the action of forces on the human body and their
effects during a traumatic injury.
A. Kinematics
B. Kinesthetics
C. Velocity
D. Force - correct answer-A. Kinematics
Rationale: Kinematics is also known as the me the mechanism of injury. "The first EMS team
on respond to the scene of an injury must carefully evaluate the patient in relation to the
MOI."
1. A patient's life-threatening injuries prevent required hair removal before transfer to the OR.
The best course of action for the perioperative nurse to follow is to:
A. leave the hair at the incision site and prep the patient
B. use a razor and 3" cloth tape to remove the hair
C. moisten the area to be prepped and use a disposable clipper
D. use a depilatory cream on the surgical site - correct answer-C. moisten the area to be
prepped and use a disposable clipper
Rationale: Prevention of hair dispersal for hair removed in the OR may be accomplished by
wet clipping.
1. Which patient population is more sensitive to dosage errors?
A. Male patients ages 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - correct answer-D. Pediatric patients
Rationale: Pediatric patients are at higher risk of medication errors related to dosing for body
size. Patient weight should always be recorded in kilograms for medication dosage
calculations. Other populations at high risk including geriatric patients and those patient with
impaired body systems.
10. A 28-year-old Hispanic male is schedule for repair of an incarcerated inguinal hernia. He
does not speak English. The consent form is only available in English. The best way for the
perioperative nurse to ensure informed consent for this patient is to:
A. witness the patient's signature on the consent form.
B. arrange for a medical interpreter.
C. allow a family member to interpret for the surgeon.
D. arrange for a Spanish-speaking staff member to interpret for the surgeon. - correct
answer-B. arrange for a medical interpreter.
,Rationale: The patient must be provided information related to his surgery in terms that he
can understand. To maintain patient confidentiality, a medical interpreter should be provided
to assist non-English speaking patients.
10. The perioperative nurse performs a preoperative assessment on a surgical patient to aid
in the development of:
A. the complete medical record
B. the patient's plan of care
C. the surgeon's postoperative note
D. future research in perioperative nursing - correct answer-B. the patient's plan of care
Rationale: The perioperative nurse must complete a preoperative assessment on his or her
patient to facilitate identification of the appropriate nursing diagnosis, development of a plan
for the appropriate interventions and care, and achievement of the desired surgical
outcomes.
2. The goal of medication reconciliation is to:
A. inform the patient of anesthetic medication administered intraoperatively.
B. save the surgeon from having to look up medications later.
C. promote safe patient outcomes related to medication administration
D. save the floor nurse work when admitting the patient - correct answer-C. promote safe
patient outcomes related to medication administration
Rationale: Medication reconciliation is done to promote safe patient outcomes. It is a
process of comparing the medications that a patient is currently using at home with
medications that are ordered for him or her by the current health care provider.
2. The optimal time to apply intermittent compression pneumatic devices to prevent deep
vein thrombosis is:
A. when the surgical procedure is scheduled
B. when the patient arrives in the preoperative area
C. immediately upon arrival in the OR
D. before induction of anesthesia - correct answer-B. when the patient arrives in the
preoperative area
Rationale: The risk for formation of deep vein thrombosis increases with preoperative
immobility.
3. A perioperative nurse is assessing a patient preoperatively for carpal tunnel surgery.
Which of the following would be a possible contraindication to using a tourniquet on the
operative side?
A. the patient is wearing a wedding ring on the operative side
B. The patient drank coffee with milk five hours ago
C. the patient has a dialysis access device on the operative side
D. the patient's dominant hand is the same as the operative side - correct answer-C. The
patient has a dialysis access device on the operative side
, Rationale: The perioperative nursing assessment should include any medication conditions
that may be contraindicated during the preparation and care of the patient undergoing
surgery. Tourniquet use is contraindicated on limbs with a dialysis access device present
because use of the tourniquet on that limb will diminish blood flow to the fistula, increasing
the risk for clot formation in the fistula.
3. 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 aides?
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 - correct
answer-B. A lateral transfer device, one caregivers, and the anesthesia professional
Rationale: For patients up to 52 pounds, a lateral transfer device, one caregiver, and an
anesthesia professional should be used for supine-to-supine patient transfer.
4. A patient undergoing placement of a cardiac stent is at highest risk for _____________
secondary to exposure to ionizing radiation.
A. impaired skin integrity
B. cancer
C. decreased cardiac output
D. nausea - correct answer-A. impaired skin integrity
Rationale: The patient exposed to ionizing radiation is at greatest risk for impaired skin
integrity.
4. Which of the following is part of the surgical safety checklist?
A. When the patient last ate food or drank liquids
B. Whether any special equipment, devices, or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - correct answer-B. Whether any special equipment,
devices, or implants will be needed
Rationale: The comprehensive surgical checklist is part of the Universal Protocol that is
supported and endorsed by both the World Health Organization and The Joint Commission.
Identifying if there are any special equipment, devices, or implants needed for the surgical
procedure is part of the preoperative check-in.
5. An 18-year old patient is hesitant to remove her acrylic tongue piercing before an
exploratory laparoscopy for a possible ruptured ovarian cyst. The most appropriate verbal
response for the perioperative RN to provide is:
A. "You can always get another piercing if the opening for this one closes."
B. "If the piercing is dislodged while the breathing tube is put in, it could block your airway or
be pushed into your lung."
C. "It's our policy that all jewelry be removed prior to surgery."
