CNOR Perioperative Communication and Documentation 3

Question 1

Which component of SBAR communication represents the nurse's assessment of the patient's condition?

Accepted Answer

Assessment — the nurse's clinical judgment

Answer

The 'A' in SBAR stands for Assessment, where the nurse communicates her clinical interpretation of the situation.

Question 2

An incorrect needle count is discovered after wound closure in a laparoscopic case. What is the most appropriate next step?

Accepted Answer

Notify the surgeon so an X-ray can be obtained before the patient leaves the OR

Answer

An incorrect needle count after closure requires immediate surgeon notification and an intraoperative X-ray to locate the missing needle.

Question 3

Which document serves as the legal operative record and must be signed by the operating surgeon?

Accepted Answer

Operative report / dictated operative note

Answer

The operative report, dictated or written by the surgeon, is the legal document describing the procedure performed and must be completed promptly.

Question 4

When documenting irrigation fluid used during a procedure, the perioperative nurse should record which of the following?

Accepted Answer

Type, volume instilled, and volume returned

Answer

Accurate fluid balance documentation requires recording the type of irrigant, the volume instilled, and the volume retrieved to track fluid absorption.

Question 5

A surgeon requests a change in the surgical procedure after the timeout is complete. What action must the perioperative team take?

Accepted Answer

Conduct a new timeout to verify the change before proceeding

Answer

Any significant change in the planned procedure requires repeating the surgical timeout to ensure all team members are aligned.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Perioperative Communication and Documentation 3