CNOR Certification MCQ 3

Question 1

Which wound classification is assigned to a colorectal resection performed for cancer without gross spillage of bowel contents?

Accepted Answer

Class II – Clean-Contaminated

Answer

Elective colorectal surgery with controlled entry into the GI tract but no gross spillage is classified as Clean-Contaminated (Class II).

Question 2

During a laparoscopic procedure, the circulator notices the patient's end-tidal CO2 is rising rapidly and the capnography waveform changes. The FIRST priority is:

Accepted Answer

Alert the surgeon and anesthesiologist immediately

Answer

Rapidly rising EtCO2 may indicate CO2 embolism or inadvertent subcutaneous emphysema; immediate notification of the surgical team is the priority action.

Question 3

The recommended method for verifying instrument counts before and after surgery is:

Accepted Answer

Two individuals count together and record counts on a count sheet

Answer

AORN guidelines require two-person concurrent counting with results recorded to ensure accuracy and accountability.

Question 4

A patient who has a documented latex allergy should be scheduled as which type of case whenever possible?

Accepted Answer

First case of the morning before latex particles accumulate in room air

Answer

Scheduling latex-allergic patients as the first case of the day minimizes airborne latex allergen exposure that accumulates from prior cases.

Question 5

When using a monopolar electrosurgical unit (ESU), the dispersive electrode (patient return electrode) should be placed:

Accepted Answer

On a well-vascularized muscle mass between the ESU site and the grounding pad

Answer

Placement over a well-vascularized muscle mass near but not over implants ensures low current density and adequate heat dispersal to prevent burns.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Certification MCQ 3