CNOR Practice Exam Prep by CCI. Questions and answers, 100% Accurate. Latest update.

CNOR Practice Exam Prep by CCI. Questions and answers, 100% Accurate. Latest update. Which patient population is more sensitive to dosage errors A. Male patients 25-40 B. Bariatric patients C. A patient with a hi ...

CNOR Practice Exam Prep by CCI. Questions and answers, 100% Accurate. Latest update. Which patient population is more sensitive to dosage errors A. Male patients 25-40 B. Bariatric patients C. A patient with a history of polypharmacy D. Pediatric patients - ✔✔D. Pediatric patients The National Patient Safety Goals directed at improving staff communication review the need for A. ensuring important test results are communicated to the right person on time B. transferring patients to the correct next level of care C. completing perioperative charting prior to transfer to the postanesthesia care unit D. Conducting a daily huddle on the unit - ✔✔A, ensuring important test results are communicated to the right person on time Which of the following is a potential contraindication to the use of a pneumatic tourniquet? A. Pt has undergone prev joint replacement surgery B. Pt is older than 80 years old C. Pt has sickle cell anemia D. Pt's operative extremity has been shaved - ✔✔C. Sickle cell anemia Which of the following is part of the surgical check list A. When the pt last ate food or drank fluids B. whether any special equipment, devices or implants will be needed C. Whom the surgeon should talk to after surgery D. What pharmacy the patient uses - ✔✔B. Whether any special equipment, devices or implants will be needed A pt taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and A. hypoglycemia B. Bradycardia C. hypokalemia D. liver dysfunction - ✔✔B. Bradycardia A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be counselled to discontinue taking the medication _________ prior to surgery A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks - ✔✔B. 2 weeks A pt-specific risk factor for venous thromboembolism (VTE) is A. a prev hx of stroke B. duration of surgery C. intraoperative position D. use of a pneumatic tourniquet - ✔✔A. previous history of stroke Actively warming surgical patients with forced air to prevent hypothermia should begin A. as soon as the patient enters the OR or procedure room B. In the recovery room C. in the preoperative holding area D. just before the surgeon makes the incision - ✔✔C. in the preoperative holding area Which of the following indicators demonstrates a patient who is at increased risk of developing a pressure ulcer during a surgical procedure A. Aged 50 or older B. Hx of recent gallbladder surgery C. Female D. Poor preoperative nutritional status - ✔✔D. Poor preoperative nutritional status Based on data collected during the patient assessment, the perioperative RN A. identifies an outcome B. Formulates a nursing diagnosis C. develops a plan of care D. performs nursing interventions - ✔✔B. formulates a nursing diagnosis Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except: A. Device must be approved for this process B. Device must be heat sensitive C. Device must be aerated D. Device must be immersed - ✔✔C. Device must be aerated During surgery the patients respirations become increasingly shallow, and the pupils become smaller and smaller until they are pinpoint. How should this situation be managed? A. The patient should be extubated and bagged with 100% oxygen B. This is normal and is not cause for alarm C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered D. Oxygen should be increased while anesthetic is decreased - ✔✔C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered NPO Guidelines: Food and fluids as desired - ✔✔Up to 8 hours NPO Guidelines Light meal (toast, clear liquids, infant formula, non human milk) - ✔✔Up to 6 hours NPO Guidelines Breast Milk - ✔✔Up to 4 hours NPO Guidelines Clear liquids only, NO solid food or foods with fat content - ✔✔Up to 2 hours NPO Guidelines No solids or liquids - ✔✔During the 2 hours until surgical times After a person with an airborne disease has been cared for in the OR, the OR should be closed and not cleaned until.. - ✔✔99% of the airborne particles have been removed from the air (eg 15 air exchanges/hour for 28 minutes) Airborne precautions are instated for pathogens that are how big? - ✔✔Small, 5 micrometers or less and can therefore can stay suspended in the air. Which precaution has pathogens greater than 5 micrometers in size - ✔✔Droplet What diseases are present for Contact precautions - ✔✔HIV HEP B HEP C Staph aureus C-Diff What Herbs may increase bleeding - ✔✔Feverfew Garlic Ginger Ginko Biloba Ginseng Vitamin E What Herbs may cause liver Inflammation - ✔✔Echinacea Kava What Herbs may elevate Blood Pressure - ✔✔Goldenseal Licorice What Herbs may prolong the effects of anesthesia - ✔✔Kava St. johns Wort Valerian What are the three tenets that radiation safety is based on - ✔✔Time, distance and sheilding A patients life threatening injuries prevent required hair removal before transfer to the OR. The best course of action for the perioperative nurse to follow is to A. Leave the hair at the incision site and prep the patient B. use a razor and 3" cloth tape to remove the hair C. moisten the area to be prepped and use a disposable clipper D. use a depilatory cream on the surgical site - ✔✔C. moisten the area to be prepped and use a disposable clipper When prescribed, intermittent pneumatic compression devices should be applied and functioning A. after the administration of regional or gen anesthesia B. before the admin of regional or gen anesthesia C. before the patient arrives in the operating or procedure room D. after the patient arrives in the operating or procedure room - ✔✔B. before the admin of regional or gen anesthesia In planning for the transfer of an 18 pound child to the gurney after bilateral myringotomies with insertion of ear tubes, the perioperative nurse plans for which of the following patient transfer aides A. A lateral transfer device, one caregiver, and the anesthesia professional B. A lateral transfer device, two caregivers, and the anesthesia professional C. A lateral transfer device, three caregivers, and the anesthesia professional D. A mechanical list device, three caregivers and the anesthesia professional - ✔✔A. A lateral transfer device, one caregiver, and the anesthesia professional ( any patient under 52 pounds) Lead shielding used to minimize the patients exposure to ionizing radiation should be placed A. between the patient and the source of radiation, but not within the path of the beam that originates from the x-ray tube B. between the patient and the source of radiation and within the path of the beam that originates from the x-ray tube C. between the patient and the image intensifier of the fluoroscopic unit, but not within the path of the beam that originates from the x-ray tube D. between the patient and the image intensifier side of the fluoroscopic unit, and within the path of the beam that originates from the x-ray tube. - ✔✔A. between the patient and the source of radiation, but not within the path of the beam that originates from the x-ray tube An 18 year old pt is hesitant to remove her acrylic tongue piercing before and ex-lap for a possible ruptured ovarian cyst. The most appropriate verbal response for the perioperative RN to provide is A. You can always get another piercing if the opening for this one closes B. If the piercing is dislodged while the breathing tube is put in, it could block your airway or be pushed into your lung C. It is our policy that all jewelry be removed prior to surgery D. Your tongue could be burned if your jewelry serves as an alternate ground for the electrocautery - ✔✔B. If the piercing is dislodged while the breathing tube is put in, it could block your airway or be pushed into your lung Which of the following statements reflects a female paitents accurate understanding of her scheduled total abdominal hysterectomy A. I'm having all my female parts removed B. I'm having a TAH C. I'm having my uterus removed D. I'm having my uterus removed through my vagina - ✔✔C. I'm having my uterus removed The plan of care for an obese patient in the supine position may include A. using 2 chest supports that extend from the clavicle to the iliac crest B. placing an axillary roll under the patients dependent thorax C. elevating the head 25 degrees D. the use of foam heal padding - ✔✔C. elevating the head 25 degrees Assessing the surgical patients psychosocial state allows the RN to contribute to the plan of care by A. suggesting modifications to the patients position B. communicating effectively with other members of the team C. ensuring the requisite supplies and equipment are readily available D. Providing explanation, comfort and emotional support - ✔✔D. Providing explanation, comfort and emotional support A pt scheduled for a bronchoscopy states he has had a persistent cough with blood-tinged sputum, night sweats and a loss of appetite with significant weight loss over the past three months. Which action should be taken A. Leave the portable HEPA filter unit "on" while the patient is intubated to supplement normal room air exchanges. B. Schedule the patient for the first procedure of the day, when the infection prevention specialist is available C. Provide the patient with N-95 fit tested respirator to wear during transport D. Notify environmental services to delay cleaning the OR until the air exchange system has had time to remove 99% of airborne particles - ✔✔D. Notify environmental services to delay cleaning the OR until the air exchange system has had time to remove 99% of airborne particles A 28 y/o Hispanic male is scheduled for repair of an incarcerated inguinal hernia. He does not speak English. The consent form is only available in English. The best way for the nurse to ensure informed consent for this patient is to A. witness the pts signature on the consent form B. arrange for a medical interpreter C. allow a family member to interpret for the surgeon D. arrange for a Spanish speaking staff member to interpret for the surgeon. - ✔✔B. arrange for a medical interpreter If all members of the surgical team are present when the patients enters the room, can the sign in a time out process be performed? - ✔✔yes What are the three elements of the fire triangle - ✔✔fuel, ignition, oxidizers What is the "nominal hazard zone" in Laser safety - ✔✔The space in which the level of direct, reflected, or scattered radiation used during normal laser operation exceeds the applicable max permissible exposure How should a patient weighing more that 157 pounds be transferred to the OR bed - ✔✔Mechanical lifting device by 3 caregivers plus anesthesia When placing the patient in steep Trendelenberg, where should the patients knees be on the bed - ✔✔over the distal break to allow for bending the knees and to secure the pt, and to protect from undue shear during the procedure When performing preoperative skin antisepsis, the perioperative RN should A. Shave the area to be prepped immediately before applying the antiseptic B. Apply the antiseptic in concentric circles moving from the outer perimeter toward the incision site. C. Clean the area to be prepped with 70% isopropyl alcohol before applying the antiseptic. D. Allow the antiseptic solution to dry for the full time recommended in the manufacturers instructions for use before the surgical drapes are applied - ✔✔D. Allow the antiseptic solution to dry for the full time recommended in the manufacturers instructions for use before the surgical drapes are applied A ________ must be used to remove waste anesthesia gases from the operating room A. Ventilation system B. anesthesia delivery system C. Scavenging system D. Air sampling system - ✔✔C. Scavenging system Local anesthetic systemic toxicity is treated by administering A. 10% lipid emulsion B. 15% hetastarch C. 20% lipid emulsion D. 25% hetastarch - ✔✔C. 20% lipid emuls