CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
A critically injured patient requires immediate surgery, but all unassigned
personnel have limited OR experience. In this situation, the charge nurse should:
a. Assist the available personnel in caring for the patient
b. Reassign experienced personnel to the emergency procedure
c. Personally assume care for the critically injured patient
d. Call in additional personnel to handle the
emergency b
The ER notifies you that it has an 18-yr-old patient who was in a sledding accident
and who is accompanied by his parents. The patient is alert, oriented, in pain, has a
blood pressure of 80/60, pulse of 120, and RR of 24. The abdomen is distended
and tender. After being transferred to the OR bed, the patient is very apprehensive
and complains of being cold. The nurse should confirm the patient's name,
allergies, and operative procedure by:
a. Speaking with the patient and reading the patient's chart
b. Telephone conversation with the ER nurse
c. Use of the ER record provided
d. Telephone conversation with a parent of the
patient a
The nurse's initial response to a patient who develops signs of cyanosis during the
preoperative assessment is to:
a. Administer O2 and start an IV line
b. Begin CPR
c. Read the history and physical to determine health status
d. Assess for breath sounds and airway
obstruction d
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of
the perioperative nurse monitoring this patient?
a. Recheck the dose of local anesthesia given
b. Ensure an airway
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to
the room b
The circulating nurse reports that the needle count is incorrect. The surgeon
continues to close the wound, stating, "I know it is not in the wound and I am not
going to stop to look for it." The best plan of action is to:
a. Accept the surgeon's response without comment and fill out an incident report
b. Inform the surgeon of hospital policy and document subsequent actions
c. Order X-rays regardless of the surgeon's wishes
d. Notify the OR supervisor and ask for
advice b
A new employee unknowingly dispensed an unsterile solution to the sterile field.
The following day, the supervisor learns of the incident. The supervisor's first
action would be to:
a. Initiate an incident report
b. Instruct the employee on the technique of reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in
technique d
Due to an emergency, the perioperative nurse is unable to conduct the sponge,
sharps, and instrument counts. At the conclusion of the surgery, the nurse should:
a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count
record c
The optimum patient position provides:
a. Access and exposure, maintains circulatory and respiratory functions,
and does not compromise neuromuscular structures.
b. Optimum access and exposure to surgical site, with no permanent
compromise to neuromuscular structures.
c. Access for the surgeon, does not compromise the neuromuscular structures, and
maintains an adequate airway for the anesthetist.
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
d. Sustained circulatory and respiratory functions, does not compromise
neuromuscular structures, and maintains body alignment.
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
a
A patient who is 8 months pregnant is to undergo an emergency laparotomy. In
planning nursing care for this patient, the perioperative nurse should have
available a wedge cushion or pillow to place under the patient's:
a. Knees
b. Left side
c. Right side
d. Shoulde
rs c
You're loading the sterilizer with trays and wrapped towels. The correct configuration
would be:
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom shelf
c. The trays and towels go on the top shelf and leave the bottom shelf empty
d. There is no specific configuration when there is a mixed load of trays and
wrapped textiles b
During the induction of anesthesia, the perioperative nurse may notice fasciculation
as a response to which of the following depolarizing muscle relaxants?
a. Tubocurarine chloride (curare)
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide
(Pavulon) b
This type of sterilization is known as an "expensive toaster oven" but cheap form
of sterilization. It acts almost as an oven (360-400 degrees F). Blue wraps and tape
should not be placed in here because they will burn. Materials must only be placed
inside that are approved for use.
dry heat
A prosthesis is contaminated during an orthopedic case and a suitable replacement
is not immediately available. How should this prosthesis be sterilized?
a. Immediate use sterilization @ 270° F for 3 minutes with a chemical indicator
b. Send the implant to sterile processing to be returned after the biological
indicator has been read
c. Double-wrap and autoclave @ 270° F for 30 minutes with a chemical indicator
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
A critically injured patient requires immediate surgery, but all unassigned
personnel have limited OR experience. In this situation, the charge nurse should:
a. Assist the available personnel in caring for the patient
b. Reassign experienced personnel to the emergency procedure
c. Personally assume care for the critically injured patient
d. Call in additional personnel to handle the
emergency b
The ER notifies you that it has an 18-yr-old patient who was in a sledding accident
and who is accompanied by his parents. The patient is alert, oriented, in pain, has a
blood pressure of 80/60, pulse of 120, and RR of 24. The abdomen is distended
and tender. After being transferred to the OR bed, the patient is very apprehensive
and complains of being cold. The nurse should confirm the patient's name,
allergies, and operative procedure by:
a. Speaking with the patient and reading the patient's chart
b. Telephone conversation with the ER nurse
c. Use of the ER record provided
d. Telephone conversation with a parent of the
patient a
The nurse's initial response to a patient who develops signs of cyanosis during the
preoperative assessment is to:
a. Administer O2 and start an IV line
b. Begin CPR
c. Read the history and physical to determine health status
d. Assess for breath sounds and airway
obstruction d
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of
the perioperative nurse monitoring this patient?
a. Recheck the dose of local anesthesia given
b. Ensure an airway
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to
the room b
The circulating nurse reports that the needle count is incorrect. The surgeon
continues to close the wound, stating, "I know it is not in the wound and I am not
going to stop to look for it." The best plan of action is to:
a. Accept the surgeon's response without comment and fill out an incident report
b. Inform the surgeon of hospital policy and document subsequent actions
c. Order X-rays regardless of the surgeon's wishes
d. Notify the OR supervisor and ask for
advice b
A new employee unknowingly dispensed an unsterile solution to the sterile field.
The following day, the supervisor learns of the incident. The supervisor's first
action would be to:
a. Initiate an incident report
b. Instruct the employee on the technique of reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in
technique d
Due to an emergency, the perioperative nurse is unable to conduct the sponge,
sharps, and instrument counts. At the conclusion of the surgery, the nurse should:
a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count
record c
The optimum patient position provides:
a. Access and exposure, maintains circulatory and respiratory functions,
and does not compromise neuromuscular structures.
b. Optimum access and exposure to surgical site, with no permanent
compromise to neuromuscular structures.
c. Access for the surgeon, does not compromise the neuromuscular structures, and
maintains an adequate airway for the anesthetist.
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
d. Sustained circulatory and respiratory functions, does not compromise
neuromuscular structures, and maintains body alignment.
, CNOR (CERTIFIED NURSE OPERATING ROOM)
CERTIFICATION EXAM 2024-2025 LATEST UPDATE
a
A patient who is 8 months pregnant is to undergo an emergency laparotomy. In
planning nursing care for this patient, the perioperative nurse should have
available a wedge cushion or pillow to place under the patient's:
a. Knees
b. Left side
c. Right side
d. Shoulde
rs c
You're loading the sterilizer with trays and wrapped towels. The correct configuration
would be:
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom shelf
c. The trays and towels go on the top shelf and leave the bottom shelf empty
d. There is no specific configuration when there is a mixed load of trays and
wrapped textiles b
During the induction of anesthesia, the perioperative nurse may notice fasciculation
as a response to which of the following depolarizing muscle relaxants?
a. Tubocurarine chloride (curare)
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide
(Pavulon) b
This type of sterilization is known as an "expensive toaster oven" but cheap form
of sterilization. It acts almost as an oven (360-400 degrees F). Blue wraps and tape
should not be placed in here because they will burn. Materials must only be placed
inside that are approved for use.
dry heat
A prosthesis is contaminated during an orthopedic case and a suitable replacement
is not immediately available. How should this prosthesis be sterilized?
a. Immediate use sterilization @ 270° F for 3 minutes with a chemical indicator
b. Send the implant to sterile processing to be returned after the biological
indicator has been read
c. Double-wrap and autoclave @ 270° F for 30 minutes with a chemical indicator
