CCI First Edition CNOR Exam Prep Chapters 1-9 Questions
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1. 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: 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.
2. 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: 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.
3. 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: 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.
4. 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: B. Whether any special equipment, devices,
, CCI First Edition CNOR Exam Prep Chapters 1-9 Questions
Study online at https://quizlet.com/_98tenp
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. 5. Which of the following authoritative organizations is responsible for
delineating the accepted list of nursing diagnosis?
A. NANDA International
B. American Nurses Association
C. AORN
D. The Joint Commission: A. NANDA International
Rationale: NANDA International is the organization responsible for creating and
updating the current list of nursing diagnoses. NANDA classifies human response
patterns and standardizes the terminology for all nursing diagnoses.
6. 6. Surgical site marking should be performed by the:
A. patient before coming to the hospital
B. surgeon after the site and side (if applicable) have been surgically prepped
and draped.
C. nurse doing the patient preoperative assessment
D. surgeon before the patient receives any sedatives: D. Surgeon before the
patient receives any sedatives
Rationale: Surgical site marking should be performed by the surgeon before the
patient receives any sedatives. The nurse performing the perioperative assessment
verifies the site and side (if applicable) and this site verification is performed again
with the surgical team before the incision is made.
7. 7. 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: A. History of varicosities
Rationale: 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,
, CCI First Edition CNOR Exam Prep Chapters 1-9 Questions
Study online at https://quizlet.com/_98tenp
varicosities or leg swelling, smoking, or living sedentary or nonambulatory lifestyle
for more than 72 hours.
8. 8. Actively warming surgical patients with forced air to prevent hypothermia
should begin:
A. as soon as the patient enters the OR or procedure room
B. in the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision: C. in the preoperative holding area
Rationale: Research has shown that, to be most effective, forced air warming
should be initiated in the preoperative holding area and continued intraoperatively.
Preoperatively warming the patient with forced air warming before induction of
anesthesia minimizes heat loss more effectively than use of warmed cotton blankets
alone.
9. 9. Which of the following indicators demonstrates a patient who is at in-
creased risk of developing a pressure ulcer during a surgical procedure?
A. Aged 50 or older
B. History of recent gallbladder surgery
C. Female patient
D. Poor preoperative nutritional status: D. Poor preoperative nutritional status
Rationale: The perioperative nurse should take additional precautions to decrease
the risk of developing a pressure ulcer in patients who are older than 70 years of age;
who require vascular procedures or any procedure lasting longer than four hours;
who are thin, small in stature, or have poor preoperative nutritional status; who are
diabetic or have vascular disease; or who have a preoperative Braden score that is
less than 20.
10. 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: 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.
Study online at https://quizlet.com/_98tenp
1. 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: 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.
2. 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: 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.
3. 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: 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.
4. 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: B. Whether any special equipment, devices,
, CCI First Edition CNOR Exam Prep Chapters 1-9 Questions
Study online at https://quizlet.com/_98tenp
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. 5. Which of the following authoritative organizations is responsible for
delineating the accepted list of nursing diagnosis?
A. NANDA International
B. American Nurses Association
C. AORN
D. The Joint Commission: A. NANDA International
Rationale: NANDA International is the organization responsible for creating and
updating the current list of nursing diagnoses. NANDA classifies human response
patterns and standardizes the terminology for all nursing diagnoses.
6. 6. Surgical site marking should be performed by the:
A. patient before coming to the hospital
B. surgeon after the site and side (if applicable) have been surgically prepped
and draped.
C. nurse doing the patient preoperative assessment
D. surgeon before the patient receives any sedatives: D. Surgeon before the
patient receives any sedatives
Rationale: Surgical site marking should be performed by the surgeon before the
patient receives any sedatives. The nurse performing the perioperative assessment
verifies the site and side (if applicable) and this site verification is performed again
with the surgical team before the incision is made.
7. 7. 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: A. History of varicosities
Rationale: 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,
, CCI First Edition CNOR Exam Prep Chapters 1-9 Questions
Study online at https://quizlet.com/_98tenp
varicosities or leg swelling, smoking, or living sedentary or nonambulatory lifestyle
for more than 72 hours.
8. 8. Actively warming surgical patients with forced air to prevent hypothermia
should begin:
A. as soon as the patient enters the OR or procedure room
B. in the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision: C. in the preoperative holding area
Rationale: Research has shown that, to be most effective, forced air warming
should be initiated in the preoperative holding area and continued intraoperatively.
Preoperatively warming the patient with forced air warming before induction of
anesthesia minimizes heat loss more effectively than use of warmed cotton blankets
alone.
9. 9. Which of the following indicators demonstrates a patient who is at in-
creased risk of developing a pressure ulcer during a surgical procedure?
A. Aged 50 or older
B. History of recent gallbladder surgery
C. Female patient
D. Poor preoperative nutritional status: D. Poor preoperative nutritional status
Rationale: The perioperative nurse should take additional precautions to decrease
the risk of developing a pressure ulcer in patients who are older than 70 years of age;
who require vascular procedures or any procedure lasting longer than four hours;
who are thin, small in stature, or have poor preoperative nutritional status; who are
diabetic or have vascular disease; or who have a preoperative Braden score that is
less than 20.
10. 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: 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.
