CNOR Nursing MCQ 4

Question 1

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?

Accepted Answer

Sacrum and heels

Answer

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.

Question 2

When setting up a sterile back table, which area of a sterile gown is considered non-sterile?

Accepted Answer

The back of the gown

Answer

The back of the surgical gown is considered non-sterile because it cannot be continuously visualized by the scrubbed team member.

Question 3

Which pathogen is responsible for surgical site infections most frequently caused by a break in sterile technique?

Accepted Answer

Staphylococcus aureus

Answer

Staphylococcus aureus, particularly MRSA, is the most common cause of surgical site infections related to breaks in aseptic technique.

Question 4

A surgeon uses a monopolar ESU near a patient's pacemaker. Which nursing intervention is MOST critical?

Accepted Answer

Use bipolar ESU instead of monopolar

Answer

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.

Question 5

Which type of wound closure is used for contaminated or dirty wounds to reduce infection risk?

Accepted Answer

Delayed primary closure (tertiary intention)

Answer

Delayed primary closure (tertiary intention) is used for contaminated wounds, leaving them open initially and closing after 3-5 days once infection risk decreases.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Nursing MCQ 4