Nursing MCQ Flashcards
7 cards from real CNOR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nursing MCQ flashcards as text
A patient with a BMI of 48 kg/m² is scheduled for a laparoscopic bariatric procedure. Which pressure injury site requires PRIORITY padding assessment before positioning?
Answer: Sacrum and heels
Obese patients in supine position are at highest risk for pressure injuries at the sacrum and heels due to concentrated body weight over bony prominences.
When setting up a sterile back table, which area of a sterile gown is considered non-sterile?
Answer: The back of the gown
The back of the surgical gown is considered non-sterile because it cannot be continuously visualized by the scrubbed team member.
Which pathogen is responsible for surgical site infections most frequently caused by a break in sterile technique?
Answer: Staphylococcus aureus
Staphylococcus aureus, particularly MRSA, is the most common cause of surgical site infections related to breaks in aseptic technique.
A surgeon uses a monopolar ESU near a patient's pacemaker. Which nursing intervention is MOST critical?
Answer: Use bipolar ESU instead of monopolar
Bipolar electrosurgery is preferred for patients with pacemakers or ICDs because current passes only between two tips and does not travel through the patient's body.
Which type of wound closure is used for contaminated or dirty wounds to reduce infection risk?
Answer: Delayed primary closure (tertiary intention)
Delayed primary closure (tertiary intention) is used for contaminated wounds, leaving them open initially and closing after 3-5 days once infection risk decreases.
During the time-out, the CNOR identifies that the surgeon has marked the wrong extremity. The appropriate response is to:
Answer: Halt the procedure and clarify with the patient before anesthesia induction
Wrong-site marking requires halting all preparation and verifying the correct site with the conscious patient before proceeding, per universal protocol.
Which suture type is MOST appropriate for approximating the bowel anastomosis in a colorectal resection?
Answer: Polyglycolic acid (absorbable, braided)
Polyglycolic acid (e.g., Vicryl) is an absorbable braided suture ideal for GI anastomoses, providing adequate tensile strength during healing and then absorbing.