CNOR Operating Room 3

Question 1

Which position is MOST associated with the risk of venous air embolism during neurosurgical procedures?

Accepted Answer

Sitting (beach chair)

Answer

The sitting position elevates the surgical site above the heart, creating negative venous pressure that can draw air into open venous sinuses.

Question 2

When scrubbing for a surgical procedure, how long should the initial hand and forearm scrub last according to AORN standards?

Accepted Answer

3-5 minutes

Answer

AORN recommends a minimum of 3-5 minutes for the initial surgical hand scrub, though manufacturer instructions should also be followed.

Question 3

A patient in the lithotomy position begins to complain of lower extremity pain after repositioning. What is the priority concern?

Accepted Answer

Compartment syndrome

Answer

Compartment syndrome can result from prolonged lithotomy positioning with legs elevated, causing muscle ischemia due to increased compartment pressure.

Question 4

What does the term 'surgical conscience' mean in perioperative nursing?

Accepted Answer

Personal commitment to maintain sterile technique and report breaks immediately

Answer

Surgical conscience is the internalized ethic of maintaining sterile technique and self-reporting any contamination without waiting to be observed.

Question 5

Which layer of the surgical gown is considered sterile and must be protected from contamination?

Accepted Answer

The front from the chest to the sterile field level and sleeves to 2 inches above the elbow

Answer

The sterile area of the gown is considered to be the front from chest to the level of the sterile field, and the sleeves from above the elbow to the cuff.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Operating Room 3