CNOR Professional Accountability and Ethics 5

Question 1

A patient with decision-making capacity refuses a blood transfusion for religious reasons despite a life-threatening hemorrhage. The perioperative nurse should:

Accepted Answer

Respect the patient's decision and document it, notifying the care team

Answer

A competent adult's informed refusal of treatment must be respected even if the decision may result in death; overriding it is a violation of autonomy.

Question 2

Which behavior BEST demonstrates that a perioperative nurse is fulfilling lifelong learning obligations?

Accepted Answer

Actively pursuing continuing education, reading current literature, and applying new evidence to practice

Answer

Professional accountability includes proactively seeking knowledge beyond minimum requirements to deliver the highest standard of care.

Question 3

When caring for a pediatric patient requiring emergency surgery without a guardian present, the perioperative nurse should:

Accepted Answer

Proceed with surgery under the doctrine of implied emergency consent and document thoroughly

Answer

In a life-threatening emergency involving a minor without a guardian, implied consent allows immediate treatment to prevent death or serious harm.

Question 4

Which statement BEST describes the perioperative nurse's responsibility regarding cultural competence?

Accepted Answer

The nurse should recognize and respect cultural, religious, and individual differences that may affect perioperative care

Answer

Cultural competence requires acknowledging and integrating patients' cultural backgrounds into individualized perioperative care planning.

Question 5

A perioperative nurse receives a gift from a grateful patient's family after a complex surgery. The MOST ethical action is to:

Accepted Answer

Decline the gift or follow institutional policy regarding acceptance of gifts

Answer

Most professional codes of ethics and institutional policies prohibit or restrict acceptance of gifts to prevent conflicts of interest and maintain professional boundaries.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Professional Accountability and Ethics 5