CNOR AORN’S Ergonomic and
RN Preoperative Practice Questions and
answers 2023/2024
When should assistive technology be used when transferring a patient? - correct
answer When one team member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) -
correct answer 48 hours
Examples of clinical alarms - correct answer alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)
Universal Protocol - correct answer prevent wrong site, wrong procedure, and wrong
surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - correct answer air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - correct answer
blunt suture needles, safety scalpels, needless systems, alternate wound closures
Contact time - correct answer specific length of time disinfectants can remain in
contact w/ microorganisms to achieve disinfection
For every time of equipment of supply used on or for patient, what document should
always be followed? - correct answer IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - correct answer
hypotension, cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - correct answer read back the order
,Symptoms of local anesthetic systemic toxicity - correct answer metallic taste,
confusion, dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - correct answer keep eye
moist during surgery
Effective meds to reduce postop N/V - correct answer Droperidol, Ondansetron,
Promethazine
Maximum number of meds prep RN should compound in periop suite - correct answer
Three
What type of muscle cell is affected during MH? - correct answer Skeletal
Examples of research evidence - correct answer RCTs, systematic reviews, quasi-
experimental studies
Standardized language that reflects period nursing practices? - correct answer
Perioperative Nursing Data Set (PNDS)
Examples of non-absorbable suture materials - correct answer cotton, milk, nylon
sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
correct answer Deep brain stimulator
What is Unique Device Identification? - correct answer FDA requirement; every device
has a number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - correct answer Braden Scale, Munro Scale,
Scott Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - correct answer pressure, shear, friction
Scatter radiation - correct answer reflected off patient, table, shielding, material
(secondary radiation)
risk to personnel in room
Leakage Radiation - correct answer emanates from X-ray tube housing (secondary
radiation)
Remnant Radiation - correct answer exits patient & imparts image on film
poses little threat to personnel
,The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - correct answer goal of achieving optimal tissue concentration
& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - correct answer arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - correct answer using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuringthe patient's - correct answer limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
correct answer lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - correct answer intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - correct answer 350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - correct answer proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - correct answer 30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - correct answer high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as - correct
answer Class II (Clean-contaminated)
, Bonewax is made of - correct answer beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - correct answer Cervical
halo
Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - correct answer B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - correct
answer dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
correct answer indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
c. propofol (Diprivan).
d. thiopental (Pentothal). - correct answer cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - correct answer bipolar
The standard means of vascular access for long-term renal dialysis is - correct answer
AV fistula
Which modification of the supine position should be made for the OB patient? - correct
answer Insert a wedge under the patient's right pelvis orlumbar region
Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - correct answer Mitomycin
