CNOR Perioperative Communication and Documentation 2

Question 1

Which element of the intraoperative nursing record documents the patient's position during surgery?

Accepted Answer

Positioning devices and body alignment used

Answer

The intraoperative record must document positioning devices, supports, and body alignment to track potential pressure injury risks.

Question 2

A scrub technician notices a sponge count discrepancy before wound closure. What is the FIRST action the perioperative nurse should take?

Accepted Answer

Notify the surgeon immediately and repeat the count

Answer

The surgeon must be notified immediately so the wound can be explored before closure when a count discrepancy occurs.

Question 3

Which abbreviation has been identified by The Joint Commission as 'Do Not Use' in medical documentation?

Accepted Answer

U (for units)

Answer

'U' for units is on The Joint Commission's Do Not Use list because it can be mistaken for the number zero or four.

Question 4

What is the primary purpose of the perioperative handoff report when transferring a patient from the OR to the PACU?

Accepted Answer

To ensure continuity of care by communicating critical patient information

Answer

The handoff report ensures the receiving PACU nurse has all critical information needed to safely continue patient care.

Question 5

During a surgical timeout, which team member has the authority to call a stop if a safety concern is raised?

Accepted Answer

Any member of the surgical team

Answer

Any member of the surgical team has both the authority and the responsibility to call a stop when a safety concern arises during the timeout.

CNOR - Certification Exam Practice Test