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CNOR Practice Exam Prep by CCI questions and answers
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CNOR Practice Exam Prep by CCIA ____ is an environment where actions are analyzed to determine accountability and
reparations are enacted when appropriate
A. Just Culture
B. culture of Accountability
C. Culture of communications
D. Learning culture - correct answer-A. Just Culture
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
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 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 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. - correct
answer-B. arrange for a medical interpreter
A disaster prepardness plan including the use of a command center, triage center, staffing
plan, documentation and communication should be held at least
A. every three months
B. Twice a year
C. Yearly
D. every 2 years - correct answer-B. Twice a year
A facility has a shortage of surgical techs and is considering allowing radiology techs to
serve in the scrub role for 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.
A multidisciplinary team has been convened to review several recent incidents where the
wrong patient has been brought from the med-surg unit to the pre-op holding area. Which of
the following actions would prevent this incident from occurring in the future.
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.
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 new plastic surgeon has just joined the staff of an ambulatory surgery center. The surgeon
requests a line of suture that is not carried by the facility. how can the nurse best respond in
providing rationale for use of the facilities current brand of suture
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 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 - correct answer-B. 2 weeks
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 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 - correct answer-C. moisten the area to be
prepped and use a disposable clipper
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
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 periop nurse is preparing to perform a skin prep for a patient scheduled for a right breast
biopsy with needle localization. When the nurse removes the patients gown, she discovers a
wire inserted into the left breast. What is the appropriate action
A. Leave the wire in place and prep the left breast
B. Remove the wire and prep the right breast
C. Call the radiologist and tell him of the error
D. Postpone prepping until the discrepancy is resolved - correct answer-D. Postpone
prepping until the discrepancy is resolved
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
A pt is scheduled for a total knee. During time out the scrub discovers that the incorrect
implant is on the back table. The correct implant is available, but unsterile. The surgeon
would like to continue with the case. What is the best course of action.
A. Notify the surgeon that the correct implant may be sterilized via the immediate-use steam
sterilization method if biological and class V indicators are placed in the load
B. Notify the surgeon that the correct implant may be sterilized via the ethylene oxide
method if the aeration period is aborted
C. Notify the surgeon that a root cause analysis will be initiated
D. Cancel and reschedule the procedure - correct answer-A. Notify the surgeon that the
correct implant may be sterilized via the immediate-use steam sterilization method if
biological and class V indicators are placed in the load
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
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