2024 CNOR Exam Prep: Perioperative Care Q&A, Exams of Nursing

Download 2024 CNOR Exam Prep: Perioperative Care Q&A and more Exams Nursing in PDF only on Docsity! CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) 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 - Correct Answer ✅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 - Correct Answer ✅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 CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) B. Pt is older than 80 years old C. Pt has sickle cell anemia D. Pt's operative extremity has been shaved - Correct Answer ✅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 - Correct Answer ✅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 - Correct Answer ✅B. Bradycardia CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) 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 - Correct Answer ✅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 - Correct Answer ✅C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) NPO Guidelines: Food and fluids as desired - Correct Answer ✅Up to 8 hours NPO Guidelines Light meal (toast, clear liquids, infant formula, non human milk) - Correct Answer ✅Up to 6 hours NPO Guidelines Breast Milk - Correct Answer ✅Up to 4 hours NPO Guidelines Clear liquids only, NO solid food or foods with fat content - Correct Answer ✅Up to 2 hours NPO Guidelines No solids or liquids - Correct Answer ✅During the 2 hours until surgical times CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) After a person with an airborne disease has been cared for in the OR, the OR should be closed and not cleaned until.. - Correct Answer ✅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? - Correct Answer ✅Small, 5 micrometers or less and can therefore can stay suspended in the air. Which precaution has pathogens greater than 5 micrometers in size - Correct Answer ✅Droplet What diseases are present for Contact precautions - Correct Answer ✅HIV HEP B HEP C Staph aureus C-Diff CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) D. after the patient arrives in the operating or procedure room - Correct Answer ✅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 - Correct Answer ✅A. A lateral transfer device, one caregiver, and the anesthesia professional ( any patient under 52 pounds) CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) 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. - Correct Answer ✅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 CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) 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 - Correct Answer ✅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 - Correct Answer ✅C. I'm having my uterus removed The plan of care for an obese patient in the supine position may include CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) C. allow a family member to interpret for the surgeon D. arrange for a Spanish speaking staff member to interpret for the surgeon. - Correct Answer ✅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? - Correct Answer ✅yes What are the three elements of the fire triangle - Correct Answer ✅fuel, ignition, oxidizers What is the "nominal hazard zone" in Laser safety - Correct Answer ✅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 - Correct Answer ✅Mechanical lifting device by 3 caregivers plus anesthesia CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) When placing the patient in steep Trendelenberg, where should the patients knees be on the bed - Correct Answer ✅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 - Correct Answer ✅D. Allow the antiseptic solution to dry for the full time recommended in the manufacturers instructions for use before the surgical drapes are applied CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) 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 - Correct Answer ✅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 - Correct Answer ✅C. 20% lipid emulsion Placing the patient on the OR bed in the supine position with arms extended on armboards at greater that 90 degrees may cause injury to the A. Axillary Nerve B. Brachial Nerve C. Median Nerve CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. Perform a surgical hand scrub and wear a sterile gown B. Perform a surgical hand scrub and wear short sleeved scrub attire C. Perform hand hygiene and wear a sterile gown D. perform hand hygiene and wear long sleeved scrub attire - Correct Answer ✅D. perform hand hygiene and wear long sleeved scrub attire Patients placed in the steep trendelenberg position may be at risk for A. increased tidal volume B. decreased tidal volume C. decreased intracranial pressure D. increased stroke volume - Correct Answer ✅B. decreased tidal volume due to the pressure of abdominal contents against the diaphragm What type of extinguisher should be used in an electrical fire - Correct Answer ✅Halon because it will not leave a residue on the equipment CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) When risk for exposure to blood and body fluids exists, the following types of PPE should be worn - Correct Answer ✅gloves, surgical masks, fluid resistant gown, eye protection What airflow pressures and total air exchanges per hour is the most appropriate for sterile storage areas - Correct Answer ✅positive airflow pressure with a min of 4 total air exchanges per hour What incision should be used for a C-Section of a baby in breech position? A. Kerr B. Kronig C. Low transverse D. Classic uterine incision - Correct Answer ✅B. Kronig What is a Kronig incision - Correct Answer ✅An 8cm vertical incision made in the lower uterine segment after the bladder is separated and retracted away CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A Sterile field has been prepared for a vaginal hyst. The surgeon has been called away for an emergency C-Section, delaying the scheduled case by at least 1 hour. the appropriate method for maintaining the sterile field for a delayed case is to A. Tape the door closed B. Cover the sterile field with a sterile drape and leave the room C. Cover the sterile field with a sterile drape and remain in the room D. Wait for an hour and the tear down the back table - Correct Answer ✅C. Cover the sterile field with a sterile drape and remain in the room A pt has lost 750mL of blood intraop. Vitals are WNL. Which of the following interventions sould the nurse anticipate. A. Send a blood specimen for a stat type and cross B. Set up autologous blood transfusion unit C. Send an order for 2 units of O-neg D. Obtain additional crystalloids - Correct Answer ✅D. Obtain additional crystalloids CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) C. Proceed with the surgery and document in the perioperative notes that the patient has refused to allow tracking of the medical device D. Report the incident to the US food and Drug admin - Correct Answer ✅C. Proceed with the surgery and document in the perioperative notes that the patient has refused to allow tracking of the medical device When should the scrub person transfer specimens from the sterile field to the RN A. At the end of the procedure B. When it's convenient for the scrub person C. ASAP D. Never, specimens should not be passed off the sterile field - Correct Answer ✅C. ASAP In the OR humidity should be maintained between - Correct Answer ✅20%-60% In the OR temperature should be maintained between - Correct Answer ✅68 and 75 CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) What is a late sign of Malignant Hyperthermia? - Correct Answer ✅Increased Temperature malignant hyperthermia is a life threatening condition triggered by - Correct Answer ✅medications used in anesthesia; inhaled anesthetics, succinylcholine Symptoms of MH - Correct Answer ✅hypercarbia, tachypnea, tachycardia, metabolic and resp acidosis, cardiac dysrhythmias, and temp elevation What is an early indication of MH - Correct Answer ✅rigidity of the jaw, identified during intubation What is the treatment for MH - Correct Answer ✅Dantrolene 2.5mg/KG What is the one medication used as a preoperative anxiolytic? - Correct Answer ✅Midazolam CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) Hetastarch - Correct Answer ✅A substitute for blood plasma and has oxygen carrying capabilities What are the three primary methods of hand hygiene? - Correct Answer ✅Washing with soap and water performing surgical hand scrub using surgical hand rubs What is the ONLY way to prevent the transfer of Clostridium difficile? - Correct Answer ✅Hand washing with Soap and Water How long is the Surgical hand scrub with a brush - Correct Answer ✅Three to five minutes Wound classification parameters: Clean - Correct Answer ✅Wound is not infected or inflammed The procedure was free from entry into the resp, alimentary or genitourinary tract Was the wound primarily closed or drained with closed drainage CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) Wounds are typically left open so the can heal from the inside out Delayed primary closure or third intention wound healing is - Correct Answer ✅wounds that require debridement first and then later require primary or secondary closure Supine position with head up is - Correct Answer ✅Reverse Trendelenberg Which of the following is a common root cause of sentinel events A. Failure to use written communication tools B. Breakdown in communication C. Absence of or failure to follow policies and procedures D. Fear of reprisal for speaking up - Correct Answer ✅B. Breakdown in communication When communicating patient information to other team members, perioperative RNs should CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. speak loudly and slowly B. Avoid using body language C. use the read-back method D. provide the information in writing - Correct Answer ✅C. use the read-back method What is the greatest value of a standardized process for transferring patient information A. Improves accuracy, reliability, and quality of info B. shortens the time it takes to transfer info from one caregiver to another C. Ensures that the same information is transferred for every patient D. Ensures that the transfer process adheres to facility policy - Correct Answer ✅A. Improves accuracy, reliability, and quality of info Structure and processes for transfer of patient information should be developed by whom? - Correct Answer ✅a multidisciplinary team comprising caregivers who participated in the transfer of pt info CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) During a hand off between scrubs before a change in personnel using the SBAR, the information under Situation includes pertinent procedural information, name of the procedure and A. Patient allergies B. Name of the Patient C. Names of the surgical team D. Medication on the back table - Correct Answer ✅B. Name of the Patient Post-op teaching for a male patient after inguinal hernia repair should include the application of ice packs 3-4 times per day to the scrotal area to prevent edema for the first A. 2 days B. 4 days C. 6 days D. 7 days - Correct Answer ✅A. 2 days CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. Requiring an RN to accompany the patient to the pre-op area B. Reviewing with transport the process for confirming the correct pt's identity. C. Ensuring that the OR charge calls the unit before transport of the patient D. Posting the surgical schedule at the nurses station on the med-surg unit - Correct Answer ✅B. Reviewing with transport the process for confirming the correct pt's identity. The importance of educating patients and family members about prevention of wound infections post-op is part of the A. National patient safety Goals B. Surgical Care Improvement Project C. AORN D. Centers for Disease Control and Prevention - Correct Answer ✅A. National patient safety Goals Documentation of transfer of care communication should be A. done by each member of the peri-op team participating in the handover CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) B. presented in SBAR format to ensure the consistency of hand-over documentation C. Approved by all personnel involved in the hand over D. done using a standardized documentation format - Correct Answer ✅D. done using a standardized documentation form Policies and procedures related to transfer of patient information should be A. reviewed annually B. Available in the practice setting C. written by a registered nurse D. Written using SBAR format - Correct Answer ✅B. Available in the practice setting The peri-op pts transition phase 1 to phase II level of care is based on A. length of time the pt has been in phase I B. the nurses assessment of the pt C. The pts blood pressure measurement CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) D. the pts oxygen saturation - Correct Answer ✅B. the nurses assessment of the pt The goal to "improve the effectiveness of communication among caregivers" is proposed by A. Centers for Medicare and Medicaid Services B. the Occupational Safety and Health Administration C. the United States Department of Health and Human Services D. The Joint Commission's National Patient Safety Goals - Correct Answer ✅D. The Joint Commission's National Patient Safety Goals Discharge education should include adverse effects of opioid pain medications, including constipation, vomiting, and A. respiratory depression B. hypotension C. hypertension D. diarrhea - Correct Answer ✅A. respiratory depression CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) What does Ozone sterilization use for sterilization? - Correct Answer ✅oxygen and water what is a low-temp steriliant that should be used for devices that are heat sensitive, can be immersed, needs to be used immediately after sterilization. - Correct Answer ✅Peracetic acid liquid Class I (CI) - Correct Answer ✅process indicator show whether the item has been exposed to the sterilization processed and should be placed EXTERNALLY ie Tape Class II (CI) - Correct Answer ✅specialty indicator. tests for the presence of air in the sterilizer chamber Class III CI - Correct Answer ✅single parameter indicator. react to one of the critical process parameters ie. Time, pressure CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) Class IV CI - Correct Answer ✅multiparameter indicator. are accurate than class III because they react to 2 or more of the critical process parameters Class V CI - Correct Answer ✅integrating indicators. react to all critical parameters of sterilization and should be placed internally. Multilayered trays may require more than 1 indicator Class VI CI - Correct Answer ✅emulating indicators. react to all the critical parameters of a specialized sterilization cycle What is a Bowie Dick test - Correct Answer ✅indicator II, run in an empty chamber at the beginning of each day. Test if all the air was removed in the chamber and whether residual air is present during the cycle Storage for sterilized instruments and supplies parameters. Temperature, total air exchanges per hour and humidity - Correct Answer ✅Temp not to exceed 75F (24C) 4 total air exchanges per hour CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) humidity between 20%-60% but no higher than 70% Malignant Hyperthermia onset actions - Correct Answer ✅STOP inhalant anesthesia STOP surgery HYPERventilate with 100% O2 START Dantrolene COOL the patient (if greater than 102, once 100.4 stop cooling) The _______ is an algoriithm that guides EMS personnel through the following four decision points physiological parameters, anatomic parameters, mechanisms of injury, and other special considerations A. Triage Tree B. Medical Plan C. Decision Scheme D. Trauma Protocol - Correct Answer ✅C. Decision Scheme CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) Penetrating trauma is the result of _________ blast injuries common in explosions. A. initial B. tertiary C. primary C. secondary - Correct Answer ✅C. secondary The best way to preserve potential evidence in a trauma victims hands is to A. place hands in plastic bags and tie at elbow B. wash hands and keep rinsed fluid in a sterile specimen container C. cover hands with paper bags and tape at wrists D. have law enforcement conduct examination - Correct Answer ✅C. cover hands with paper bags and tape at wrists A 12 year old child with a history of asthma is emerging from general anesthesia following a tonsillectomy. Upon extubation the child begins wheezing, which rapidly progresses to stridor. The peri-op nurse can anticipate assisting the CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) anesthesia professional with which of the following actions first? A. Suctioning the airway B. Setting up an aerosol mask with 2.5% racemic epi C. Administering Solu-Medrol 2mg/kg IV D. reintubating the child - Correct Answer ✅A. Suctioning the airway A patient is undergoing a procedure to remove vocal cord polyps using a carbon dioxide laser. During the procedure, the ET tube ignites. Which of the following actions should be undertaken first A. call for assistance B. Remove the ETT C. Pour saline into the patients airway D. turn off the CO2 laser - Correct Answer ✅B. Remove the ETT A facility has a shortage of surgical techs and is considering allowing radiology techs to serve in the scrub role for CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) interventional radiology procedures. What is the first step in determining the feasibility of this new role A. Consult the states standards of practice for radiology techs. B. Determine if the radiology technicians educational program includes training on surgical scrub details C. Ask the peri-op nurse educator to develop an orientation plan D. Develop a job description for the new role. - Correct Answer ✅A. Consult the states standards of practice for radiology techs. Which of the following products should be used for disinfecting environmental surfaces in the peri-op setting A. Liquid chemical sterilants B. Hospital grade Environmental Protection Agency registered disinfectants C. High level disinfectants D. Commercial grade bleach - Correct Answer ✅B. Hospital grade Environmental Protection Agency registered disinfectants CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. Standardization of products is one way our surgeons can help us control costs B. We dont have enough shelf space in the suture room to accomodate more boxes C. We dont have a contract with that suture company D. The rest of our surgeons wont use that type of suture - Correct Answer ✅A. Standardization of products is one way our surgeons can help us control costs A split-thickness skin graft is obtained for autotransplantation to occur in one week at the same facility. The best way to preserve the graft is to A. place the tissue in balanced salt solution B. refrigerate the tissue in NS C. sterilize the skin using ethylene oxide (ETO) D. Sterilize the skin using steam sterilization - Correct Answer ✅B. refrigerate the tissue in NS A peri-op nurse is assigned to care for a pt with MRSA Which of the following cleaning practices can be anticipated to be required after the procedure CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. Closing the room for 28 minutes to allow for an adequate air exchange B. Incinerating all disposable instruments C. incorporating enhanced environmental cleaning procedures D. incorporating routine environmental cleaning procedures. - Correct Answer ✅C. incorporating enhanced environmental cleaning procedures A multidisciplinary team is evaluating a new brand of irrigation fluid. The empty container is recyclable. Which of the following will be affected if this product is chosen. A. The environment B. Patient safety C. End-user satisfaction D. Group purchasing contract - Correct Answer ✅A. The environment A ____ is an environment where actions are analyzed to determine accountability and reparations are enacted when appropriate CNOR Practice Exam Prep Questions and Answers (Latest Update 2024) A. Just Culture B. culture of Accountability C. Culture of communications D. Learning culture - Correct Answer ✅A. Just Culture Collecting and evaluating information to assess current processes are known as A. research utilization B. change implementation C. EBP D. quality improvement - Correct Answer ✅C. EBP The Joint Commission has provided guidance on _______ processes to address unexpected occurrences that have resulted or may result in pt injury or death A. root cause analysis B. sentinel event C. error identification D. process analysis - Correct Answer ✅B. sentinel event