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CNOR Exam Review Quiz

Total questions: 33

Worksheet time: 17mins

Name
Class
Date
1.

Which of the following is a hemostatic surgical instrument commonly used to clamp blood vessels?

a)

Scalpel

b)

Hemostat

c)

Retractor

d)

Needle holder

2.

What is the primary purpose of a surgical count before and after a procedure?

a)

To ensure all instruments are sterile

b)

To prevent retained surgical items

c)

To check for instrument damage

d)

To organize the instrument table

3.

Which anesthesia technique involves injecting anesthetic near a cluster of nerves to numb a specific area of the body?

a)

General anesthesia

b)

Regional anesthesia

c)

Local anesthesia

d)

Topical anesthesia

4.

Which of the following is the most effective method for preventing surgical site infections?

a)

Using sterile gloves

b)

Hand hygiene

c)

Wearing a surgical mask

d)

Double gloving

5.

What is the recommended position for a patient in the recovery room after abdominal surgery?

a)

Prone

b)

Supine

c)

Trendelenburg

d)

Lithotomy

6.

Which antiseptic is commonly used for surgical site preparation?

a)

Hydrogen peroxide

b)

Chlorhexidine gluconate

c)

Sodium chloride

d)

Alcohol wipes

7.

Which instrument is best suited for cutting delicate tissue during surgery?

a)

Mayo scissors

b)

Metzenbaum scissors

c)

Allis clamp

d)

Kocher clamp

8.

What is the main goal of the Universal Protocol in patient safety?

a)

To reduce anesthesia complications

b)

To prevent wrong-site, wrong-procedure, and wrong-patient surgery

c)

To ensure proper instrument sterilization

d)

To monitor vital signs

9.

Which of the following is a sign of local anesthetic toxicity?

a)

Bradycardia

b)

Metallic taste

c)

Hypertension

d)

Fever

10.

What is the minimum recommended duration for hand scrubbing before a surgical procedure?

a)

10 seconds

b)

2 minutes

c)

30 seconds

d)

5 minutes

11.

Which postoperative complication is most commonly prevented by early patient ambulation?

a)

Deep vein thrombosis

b)

Wound dehiscence

c)

Hemorrhage

d)

Infection

12.

Which area should be prepped last when preparing a surgical site?

a)

Incision site

b)

Periphery

c)

Hairline

d)

Umbilicus

13.

A patient is allergic to latex. Which of the following actions should the nurse take to ensure patient safety?

a)

Use latex gloves

b)

Use non-latex equipment and gloves

c)

Avoid using any gloves

d)

Use double gloves

14.

A surgical technologist notices a tear in a sterile glove during a procedure. What is the appropriate action?

a)

Continue the procedure

b)

Change the glove immediately

c)

Ignore the tear

d)

Inform the patient

15.

A patient under spinal anesthesia begins to complain of a severe headache postoperatively. What is the most likely cause?

a)

Infection

b)

Spinal fluid leak

c)

Allergic reaction

d)

Hypertension

16.

A nurse is preparing to insert a Foley catheter in the operating room. Which infection control practice should be followed?

a)

Use clean gloves

b)

Use sterile technique

c)

Use non-sterile water

d)

Use alcohol wipes only

17.

A patient is experiencing shivering in the postoperative period. Which nursing intervention is most appropriate?

a)

Apply warm blankets

b)

Increase IV fluids

c)

Administer antibiotics

d)

Lower the room temperature

18.

When prepping a surgical site for abdominal surgery, which step should be performed first?

a)

Apply antiseptic to the periphery

b)

Clean the incision site in a circular motion outward

c)

Shave the surgical area

d)

Drape the patient

19.

A nurse is asked to select the appropriate retractor for a deep abdominal procedure. Which factor should be considered?

a)

The length and depth of the incision

b)

The color of the instrument

c)

The surgeon’s preference only

d)

The patient’s age

20.

A patient is scheduled for surgery and has not signed the consent form. What should the nurse do?

a)

Proceed with surgery

b)

Notify the surgeon and hold the procedure

c)

Ask the family to sign

d)

Ignore the consent

21.

A patient develops sudden hypotension during general anesthesia. What is the nurse’s first action?

a)

Increase the IV fluid rate

b)

Notify the anesthesiologist immediately

c)

Administer pain medication

d)

Lower the head of the bed

22.

A nurse observes a break in sterile technique during a procedure. What is the best course of action?

a)

Ignore the break

b)

Report the break and correct it immediately

c)

Wait until the procedure is over

d)

Ask another nurse to fix it

23.

A patient with a history of MRSA is scheduled for surgery. Which infection control measure should be implemented?

a)

Standard precautions only

b)

Contact precautions and isolation

c)

No special precautions

d)

Airborne precautions

24.

A patient is experiencing decreased urine output after surgery. Which action should the nurse take first?

a)

Notify the physician

b)

Check the patency of the catheter

c)

Increase oral fluids

d)

Administer diuretics

25.

A patient is scheduled for surgery on the left knee. During the time-out, the surgical team discovers the consent form says “right knee.” What should the team do?

a)

Proceed with surgery on the left knee

b)

Stop and clarify the correct site before proceeding

c)

Change the consent form after surgery

d)

Ignore the discrepancy

26.

A patient develops signs of malignant hyperthermia during anesthesia. What is the nurse’s priority intervention?

a)

Administer dantrolene and notify the anesthesia provider

b)

Apply ice packs only

c)

Increase the anesthetic dose

d)

Give antibiotics

27.

A nurse is planning care for a patient at high risk for postoperative infection. Which strategy is most effective?

a)

Administer antibiotics after signs of infection appear

b)

Maintain strict aseptic technique during dressing changes

c)

Delay wound care until discharge

d)

Use only clean gloves for wound care

28.

A patient is recovering from abdominal surgery and reports increasing pain and swelling at the incision site. What should the nurse do first?

a)

Assess the incision for signs of infection or dehiscence

b)

Administer additional pain medication

c)

Reassure the patient

d)

Remove the dressing

29.

A nurse is preparing a patient for surgery who is at risk for latex allergy. Which plan demonstrates strategic thinking?

a)

Schedule the patient as the last case of the day

b)

Ensure all team members use latex-free products and alert the surgical team

c)

Use latex gloves only for the surgeon

d)

Avoid documenting the allergy

30.

A patient develops a fever and redness at the surgical site two days after surgery. What is the nurse’s best action?

a)

Document the findings and continue routine care

b)

Notify the physician and obtain a wound culture as ordered

c)

Apply a cold compress

d)

Remove the sutures

31.

Which of the following instruments is primarily used to hold tissue aside during surgery?

a)

Hemostat

b)

Needle holder

c)

Scalpel

d)

Retractor

32.

What is the most appropriate nursing intervention when a patient develops signs of wound dehiscence after surgery?

a)

Remove the sutures

b)

Apply pressure to the wound

c)

Continue routine care

d)

Cover the wound with a sterile dressing and notify the physician

33.

Which infection control practice is essential when preparing the surgical field before an abdominal procedure?

a)

Use clean gloves for prepping

b)

Skip prepping if the patient is healthy

c)

Perform hand hygiene and use sterile technique

d)

Apply antiseptic only to the periphery