CNOR AORN ONLINE TEST EXAM 2025
QUESTIONS AND ANSWERS
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - ANS overexertion leading to back strains sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning - ANS before manual cleaning
and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person (UAP) to
push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
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Page
- notify the charge rn that the UAP is performing a task that is not within his job description
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, - offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - ANS offer assistance to the anesthesia professional so that the
anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care unit. Her
body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2 28, HCO3 24. the
patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the facility. When
surgical count discrepancies occur, what actions should be taken 1st by the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected due to
the missing item - ANS follow the ASC's standardized process to locate the missing item
the perioperative rn should be recognized that the most common complication for a pt with
multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
2
Page
infection
@COPYRIGHT SIRJOEL 2025/2026
, shock - ANS shock
in addition to the pt's identity, which of the following should be confirmed to help decrease the
risk for wong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site - ANS procedure and site
what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide consultative
services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide
pharmaceutical services at an ASC - ANS a pharmacist may be contracted by the health care
organization to provide consultative services on site or by telepharmacy.
Mr. w is a 52-yr-old man in the emergency department complaining of shortness of breath and
tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his
blood sugar is within normal limits. There are no electrocardiogram changes. He has no
significant respiratory or cardiac history. He takes several anti-anxiety medications. He says he
has had anxiety attacks in the past. While Mr. w is being worked up for chest pain, a blood
specimen is drawn for testing arterial blood gasses (ABG). What do mr. w's ABG values
indicate?
pH 7.48, PaCO2 28, HCO3 22
3
Page
metabolic acidosis
@COPYRIGHT SIRJOEL 2025/2026
, metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS respiratory alkalosis
the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. -
ANS that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's surgery
admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests
indicated a high level of cocaine in his system. The anesthesia professional was at the pt's side
discussing the need to postpone the surgery with the surgeon when the pt became belligerent
and forcefully grabbed the anesthesia professional's neck. The pt was placed into restraints. In
this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery - ANS the pt posed a threat to the
anesthesia professional
a root cause analysis is conducted after it is discovered that a laparotomy sponge was left in a
patient's abdomen after a surgical procedure. In response to this event, which of the following
actions would be consistent with conducting a root cause analysis?
4
- apologize and disclose the error to the patient
Page
@COPYRIGHT SIRJOEL 2025/2026
QUESTIONS AND ANSWERS
What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - ANS overexertion leading to back strains sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning - ANS before manual cleaning
and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person (UAP) to
push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
1
Page
- notify the charge rn that the UAP is performing a task that is not within his job description
@COPYRIGHT SIRJOEL 2025/2026
, - offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - ANS offer assistance to the anesthesia professional so that the
anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care unit. Her
body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2 28, HCO3 24. the
patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the facility. When
surgical count discrepancies occur, what actions should be taken 1st by the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected due to
the missing item - ANS follow the ASC's standardized process to locate the missing item
the perioperative rn should be recognized that the most common complication for a pt with
multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
2
Page
infection
@COPYRIGHT SIRJOEL 2025/2026
, shock - ANS shock
in addition to the pt's identity, which of the following should be confirmed to help decrease the
risk for wong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site - ANS procedure and site
what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide consultative
services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide
pharmaceutical services at an ASC - ANS a pharmacist may be contracted by the health care
organization to provide consultative services on site or by telepharmacy.
Mr. w is a 52-yr-old man in the emergency department complaining of shortness of breath and
tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his
blood sugar is within normal limits. There are no electrocardiogram changes. He has no
significant respiratory or cardiac history. He takes several anti-anxiety medications. He says he
has had anxiety attacks in the past. While Mr. w is being worked up for chest pain, a blood
specimen is drawn for testing arterial blood gasses (ABG). What do mr. w's ABG values
indicate?
pH 7.48, PaCO2 28, HCO3 22
3
Page
metabolic acidosis
@COPYRIGHT SIRJOEL 2025/2026
, metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS respiratory alkalosis
the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. -
ANS that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's surgery
admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests
indicated a high level of cocaine in his system. The anesthesia professional was at the pt's side
discussing the need to postpone the surgery with the surgeon when the pt became belligerent
and forcefully grabbed the anesthesia professional's neck. The pt was placed into restraints. In
this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery - ANS the pt posed a threat to the
anesthesia professional
a root cause analysis is conducted after it is discovered that a laparotomy sponge was left in a
patient's abdomen after a surgical procedure. In response to this event, which of the following
actions would be consistent with conducting a root cause analysis?
4
- apologize and disclose the error to the patient
Page
@COPYRIGHT SIRJOEL 2025/2026
