CCI Certified Perioperative Nurse (CNOR) Practice Exam

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• A pt-specific risk factor for venous thromboembolism (VTE) is which of the following?
• Which teaching method has been shown to improve communication and teamwork?
• Preoperative cessation timing for acetylsalicylic acid therapy prior to elective surgery is typically two weeks. Which option reflects this timing?
• Which statement about hetastarch is correct?
• What are the three elements of the fire triangle?
• Which statement best defines a Clean wound classification?
• Which transfer arrangement is described for a small child undergoing ear tube placement?
• Why does Ethylene oxide need to be aerated in a mechanical aerator?
• When risk for exposure to blood and body fluids exists, which PPE items should be worn?
• Which indicator is designed to respond to two or more critical parameters and is more accurate than single-parameter indicators?
• Which statement best describes the hand hygiene methods included in surgical practice?
• A sterile field has been prepared for a vaginal hysterectomy. The surgeon has been called away for an emergency C-section, delaying the scheduled case by at least 1 hour. The appropriate method for maintaining the sterile field is to
• Which infection is typically managed with contact precautions?
• A ________ must be used to remove waste anesthesia gases from the operating room.
• In laser safety, how is the nominal hazard zone defined?
• Which statement reflects a patient’s accurate understanding of her scheduled total abdominal hysterectomy?
• What component of the fire triangle does prepping solution represent?
• Potential harm from the use of povidone-iodine antiseptics includes
• In the OR, the temperature should be maintained within which range?
• Which statement correctly reflects the NPO guideline for Food and Fluids as Desired?
• Which indicator class is multiparameter and is more accurate than Class III because it reacts to two or more critical process parameters?
• The Joint Commission has provided guidance on _______ processes to address unexpected occurrences that have resulted or may result in pt injury or death
• In the OR, an industry representative is present to observe a procedure. Which action aligns with their role?
• During anesthesia, when the patient’s respirations become increasingly shallow and the pupils become smaller and smaller until they are pinpoint, how should this situation be managed?
• Who has the final say about allowing a parent to accompany a child into the operating room?
• The Bowie-Dick test is used to assess whether the sterilizer chamber has had all air removed and whether any residual air remains during the cycle. When is it run?
• Which indicator is used for a specialized sterilization cycle and emulates all the critical parameters?
• Which patient characteristic would most strongly indicate increased risk for venous thromboembolism during or after surgery?
• Which name describes an algorithm guiding EMS personnel through four decision points including physiological parameters, anatomical parameters, mechanisms of injury, and other special considerations?
• Which statement accurately describes when medication containers must be labeled in the sterile field?
• Which of the following actions best describes the management of malignant hyperthermia in the OR?
• Which statement best describes a late sign of MH?
• When should the scrub person transfer specimens from the sterile field to the RN?
• The HITECH Act addresses
• Which of the following items is least likely to be sterilized using saturated steam?
• Who is responsible for granting permission for a parent to accompany a child to the operating room?
• When a healthcare industry representative is present in the OR during a procedure, which action is appropriate?
• When communicating patient information to other team members, perioperative RNs should which of the following?
• Which statement correctly describes a Kronig incision?
• What is a primary reason to standardize surgical products, such as sutures, in a healthcare facility?
• The RN completing the final count for a knee arthroscopy discovers that an atraumatic needle is missing. After an exhaustive search, an X-ray is ordered; results are negative and the surgeon closes the wound. How does the RN document the incident?
• During a suspected malignant hyperthermia episode, which action should be performed first?
• The World Health Organization Surgical Safety Checklist is designed to improve what in the operating room?
• In malignant hyperthermia management, cooling should be continued until the core temperature reaches approximately which value before stopping cooling?
• Which statement best describes the difference between droplet and airborne precautions?
• Which NPO category has the longest permitted fasting time?
• To determine the efficacy of standardized formats, which action is most appropriate?
• Where should policies and procedures related to transfer of information be available?
• Supine position with head up is which of the following positions?
• Absorbable gelatin should not be used on what part of the body?
• Placing the patient supine with arms extended on armboards at greater than 90 degrees may injure which nerve?
• What is the maximum storage temperature for sterilized instruments?
• Which condition is a contraindication to the use of a pneumatic tourniquet?
• Structure and processes for transfer of patient information should be developed by which group?
• EO sterilization is a low-temperature process used for moisture and heat sensitive items.
• What is the primary purpose of assessing a patient’s psychosocial state preoperatively?
• How long is the Surgical hand scrub with a brush?
• Educating patients and family members about prevention of wound infections post-op is part of which program?
• In a facility with a shortage of surgical technologists considering radiology techs as scrub personnel for interventional radiology procedures, what is the first step to determine feasibility?
• A 12-year-old child with asthma emerging from general anesthesia after tonsillectomy develops wheezing and stridor; the perioperative nurse can anticipate assisting the anesthesia professional with which action first?
• What is a late sign of malignant hyperthermia?
• Massive hemorrhage is treated by transfusion equal to replacing what percent of estimated blood volume within three hours or less?
• The peri-op pts transition phase 1 to phase II level of care is based on
• What wound class would a lap appy be?
• Primary intention wound healing is defined as which of the following?
• A patient taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and which of the following?
• The best way to preserve potential evidence in a trauma victim's hands is to:
• What is the correct sequence for applying skin antiseptic to minimize infection risk?
• Which precaution has pathogens greater than 5 micrometers in size?
• What is the recommended approach to ensure patients understand discharge instructions?
• A ____ is an environment where actions are analyzed to determine accountability and reparations are enacted when appropriate.
• Symptoms of malignant hyperthermia include which combination?
• A patient on long-term acetylsalicylic acid therapy should discontinue the medication before surgery for how long?
• Which item is part of the surgical checklist?
• Management of a patient infected with anthrax includes using which precautions?
• In liquid peracetic acid low-temperature sterilization, which condition is required for the device?
• What molecules does Ethylene oxide kill?
• What is the primary purpose of the Universal Protocol in the operating room?
• Which organization is primarily responsible for hospital accreditation and promoting patient safety culture?
• What action should be taken when there is a discrepancy between expected and actual devices during preop preparation (e.g., a wire is in the opposite breast)?
• Wound Classification IV Dirty infected corresponds to which scenario?
• Postoperative ice therapy to the scrotal area after inguinal hernia repair is intended to prevent which outcome?
• What is the air exchange rate associated with achieving 99% removal of airborne particles in the operating room?
• What airflow pressures and total air exchanges per hour are most appropriate for sterile storage areas?
• Which of the following statements about lead shielding is correct?
• If corrections are made to the medical record, the correction should
• What is the one medication commonly used as a preoperative anxiolytic?
• To prevent wrong-site surgery, which action is recommended?
• When performing preop patient skin antisepsis, the RN should
• A split-thickness skin graft is obtained for autotransplantation. What is the best way to preserve the graft?
• A patient scheduled for bronchoscopy presents with a persistent cough with blood-tinged sputum, night sweats and weight loss. Which action should be taken?
• Which of the following is a common root cause of sentinel events?
• Which NPO category includes infant formula and non human milk?
• Which medication is started as part of malignant hyperthermia treatment?
• Which statement describes the transfer method for a patient weighing more than 157 pounds?
• After care of a person with an airborne disease in the operating room, the room should be closed and not cleaned until:
• Which class of chemical indicator is placed externally to show that the item has been exposed to the sterilization process?
• When delegating a task to unlicensed assistive personnel, the perioperative nurse retains which element for that delegated task?
• A 28-year-old Hispanic male who does not speak English has a consent form only in English. The best way for the nurse to ensure informed consent is to:
• Which statement about the Kronig incision is true?
• Which of the following is NOT one of the three primary methods of hand hygiene?
• What is the recommended method for preserving a split-thickness skin graft for autotransplantation?
• The use of checklists in the perioperative environment primarily aims to improve what outcomes?
• Ethylene oxide (EO) sterilization is
• A tongue piercing is present; the patient is hesitant to remove before surgery. What is the most appropriate verbal response by the perioperative nurse?
• What can compromise the accuracy of the nurse's transfer of patient care?
• Which items are suitable for sterilization with saturated steam?
• Wound Classification III Contaminated corresponds to which scenario?
• Which infection is commonly managed with contact precautions in healthcare settings?
• Which diagnostic procedure has the ability to be most specific when identifying a traumatic injury?
• Actively warming surgical patients with forced air to prevent hypothermia should begin where?
• What is the ONLY way to prevent the transfer of Clostridium difficile?
• Secondary intention wound healing is described as which of the following?
• Which practice is most associated with reducing miscommunication during handoffs?
• Which patient population is most sensitive to dosage errors in perioperative care?
• Ozone sterilization uses which two components to achieve sterilization?
• Malignant hyperthermia is a life-threatening condition triggered by which agents?
• Wound Classification II (Clean-Contaminated) occurs when the respiratory, alimentary, or genitourinary tract is entered under controlled conditions without evidence of infection or contamination or major break in technique ie spillage. Which option reflects this classification?
• Lead shielding used to minimize the patient's exposure to ionizing radiation should be placed:
• Intraoperative documentation should include which of the following to prevent retained surgical items?
• A patient has lost 750 mL of blood intraoperatively. Vitals are within normal limits. Which intervention should the nurse anticipate?
• Postoperative care after inguinal hernia repair includes applying ice packs to the scrotal area to prevent edema for the first how many days?
• To prevent the incident of wrong patient transport, which action would be most effective?
• During a procedure using a CO2 laser, an endotracheal tube ignites. Which action should be taken first?
• Which combination of personal protective equipment is appropriate for protection against exposure to blood and body fluids?
• Which indicator class is a specialty indicator that tests for the presence of air in the sterilizer chamber?
• Which standard of peri-op nursing is represented by completing an individualized orientation based on identified learning needs and seeking experiences to maintain skills and competency?
• Informed consent when the patient speaks a different language, which approach is appropriate?
• Assessing a surgical patient’s psychosocial state allows the team to contribute to the plan of care by which action?
• Which indicator class is a single-parameter indicator that responds to one critical process parameter such as time or pressure?
• When intermittent pneumatic compression devices are prescribed, they should be applied and functioning:
• Which practice is essential for preventing wrong-patient, wrong-site, and wrong-procedure errors?
• A sentinel event is best described as an unanticipated event that results in death or serious physical or psychological injury, or the risk thereof.
• A patient undergoing cochlear implant surgery refuses to allow tracking of the device. What is the appropriate action?
• What is the recommended relative humidity range for storage of sterilized instruments?
• An early indication of MH is which finding during airway management?
• Which practice most effectively reduces surgical site infections related to hair removal?
• When delegating tasks to unlicensed assistive personnel, which element is the nurse obligated to retain?
• A disaster preparedness plan with command center, triage center, staffing, documentation, and communication should be held at least:
• A peri-op nurse is assigned to care for a patient with MRSA. Which cleaning practice is anticipated to be required after the procedure?
• A periop nurse is preparing to perform a skin prep for a patient scheduled for a right breast biopsy with needle localization. When the nurse removes the patient's gown, she discovers a wire inserted into the left breast. What is the appropriate action?
• Documentation of transfer of care communication should be
• Which incision should be used for a C-Section of a baby in breech position?
• Which product should be used for disinfecting environmental surfaces in the perioperative setting?
• During time-out for a total knee, the scrub discovers that the incorrect implant is on the back table. The correct implant is available but unsterile. The surgeon would like to continue with the case. What is the best course of action?
• Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except:
• In the perioperative safety process, the operating room nurse is primarily responsible for which functions?
• A specific directive, written by a physician, about end of life decisions is a/an
• What is the nominal hazard zone in Laser safety?
• There should be a process in place to ________ the efficacy of standardized formats.
• In immediate-use steam sterilization, which indicators must be placed in the load to validate the process?
• Which combination of PPE and technique is essential for maintaining sterility in the OR?
• Which low-temperature sterilant is suitable for heat-sensitive devices, can be immersed, and must be used immediately after sterilization?
• What professional nursing behavior is evidenced by mutual trust, recognition, and respect among all members of the health care team in a shared decision-making process?
• Which herb may prolong the effects of anesthesia?
• Which indicator demonstrates a patient at increased risk of developing a pressure ulcer during a surgical procedure?
• The 'standards of professional peri-op professional practice' identifies key behaviors of a professional that include maintaining competency and current knowledge on the peri-op specialty and
• A safety culture that encourages reporting of near misses without blame is known as what?
• For transferring an 18 pound child to the gurney after bilateral myringotomies with insertion of ear tubes, the perioperative nurse plans for which transfer arrangement?
• Which agents are known triggers for malignant hyperthermia?
• To help prevent hypothermia, active warming should begin in which area?
• What is the NPO fasting time for Breast Milk?
• What is the orientation of a patient in Reverse Trendelenburg position?
• What is the required total air exchanges per hour in the storage environment for sterilized items?
• Penetrating trauma is the result of which blast injuries common in explosions?
• What is the greatest value of a standardized process for transferring patient information?
• In patients placed in the steep Trendelenburg position, which respiratory change is most likely?
• Which statement best describes delayed primary closure (third intention) wound healing?
• If life-threatening injuries prevent hair removal before transfer to the OR, the best course of action for prepping the area is to:
• When placing the patient in steep Trendelenburg, where should the knees be placed on the bed?
• Local anesthetic systemic toxicity is treated by administering
• Which concept emphasizes accountability and learning from errors without punitive punishment?
• Which factor is most likely to compromise handoff safety?
• What is the appropriate method for cleaning an operating room after a procedure?
• Which herb is listed as elevating blood pressure?
• Which of the following describes the plan of care for an obese patient in the supine position?
• During a hand off between scrubs before a change in personnel using SBAR, the information under Situation includes pertinent procedural information, name of the procedure and which of the following?
• What is the NPO fasting time for Clear liquids only, with no solid foods or foods containing fat?
• Which statement best reflects the transfer-of-care handover documentation requirement?
• A new plastic surgeon asks for a suture brand not carried by the facility. How should the nurse respond to justify the current brand?
• Which statement best describes the general approach to documenting transfer of care in the perioperative setting?
• What are the three tenets that radiation safety is based on?
• Based on data collected during the patient assessment, the perioperative nurse formulates which of the following?
• What are two patient identifiers commonly required to confirm identity in the perioperative setting?
• In the EMS decision scheme, which of the following is a decision point described in the algorithm?
• What type of research involves evaluating the link among pt characteristics, nursing care delivery, and the results of that care
• If a tongue piercing is present, what risk should be communicated during airway planning?
• The purpose of the ______ is that it contains statements related to ethical obligations, duties, standards, and a nurses commitment to society.
• Which indicator is used to verify exposure to all critical parameters of a sterilization process and is placed internally within the load?
• Which herb is listed as potentially causing liver inflammation?
• Which herb may prolong anesthesia duration and is listed along with St. John’s Wort and Valerian?
• How should a patient weighing more than 157 pounds be transferred to the OR bed?
• Airborne precautions are instated for pathogens that are how big?
• Which best describes the primary purpose of a follow-up telephone call after discharge?
• Which statement is true about a Clean wound?
• If all members of the surgical team are present when the patient enters the room, can the sign-in time-out process be performed?
• Which of the following is NOT one of the three primary phases of wound healing?
• In the context of anesthesia safety, which step best reduces risk?
• Which type of extinguisher should be used on an electrical fire?
• Policies and procedures related to transfer of patient information should be
• Which wound class is associated with a perforated viscera?
• What term refers to a healthcare event that requires systematic investigation because it results or could result in patient harm?
• Which statement best reflects the focus of the National Patient Safety Goals for staff communication?
• Which document outlines the nursing profession's role in leading change and advancing health?
• Delayed primary closure or third intention wound healing is described as which of the following?
• Discharge education should include adverse effects of opioid pain medications, including constipation, vomiting, and which other adverse effect?
• What areas of the OR require POSITIVE AIRFLOW?
• What concentration of lipid emulsion is used to treat LAST?
• What trait of professionalism is used to describe telling the truth and keeping promises
• When is the correct time to label containers designated for medications or solutions?
• Which term describes the process of integrating best current evidence with clinical expertise and patient preferences to guide practice?
• Which herb is associated with potential liver inflammation?
• What is the NPO guideline for No solids or liquids?
• What is a Kronig incision?
• During a delayed case where the scheduled procedure is postponed by at least one hour, what is the recommended method to maintain sterility?
• Which organization should be notified in the event of a medical device adverse event?
• Which scenario best represents secondary wound healing?
• Effective communication is best demonstrated when the caregiver's body language is
• In the management of malignant hyperthermia, what oxygen concentration should be used for ventilation?
• During preoperative skin antisepsis, which practice ensures proper antisepsis?
• Which safety goal is primarily addressed by ensuring the right person receives important test results on time?
• If a new irrigation fluid is chosen, which aspect will be affected?
• Which statement best describes early signs of MH?
• What is the treatment for malignant hyperthermia?
• What standard involves tailoring an orientation program to the learner's needs and providing opportunities for skill-building?
• Which statement about EO sterilization hazards is true?
• Who leads the time-out in the operating room to verify patient, procedure, and site?
• What are the three primary phases of wound healing?
• Which indicator type is emulating and reacts to all the critical parameters of a specialized sterilization cycle?
• In the OR, humidity should be maintained within which range?
• During a malignant hyperthermia crisis, what should be performed after discontinuing triggering agents?
• Which item is explicitly part of the surgical checklist?
• In steep Trendelenburg, why should the knees be placed over the distal break?
• Which option best describes a Clean wound definition scenario when the tract is not entered and there is no infection?
• Which indicator type is integrating, reacting to all critical parameters of sterilization and should be placed internally within the load?
• Which statement accurately reflects the NPO guideline for a Light Meal?
• Which organization proposed the goal to improve the effectiveness of communication among caregivers?
• Hetastarch is used as what?
• Collecting and evaluating information to assess current processes are known as
• Which statement accurately reflects the placement of shielding in radiographic procedures?