Exam (elaborations)
CNOR EXAM QUESTIONS AND ANSWERS
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CNOR EXAM QUESTIONS AND ANSWERS
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CNOR EXAM QUESTIONS AND ANSWERSWhile completing the preoperative assessment, a nurse notices the pt r knee has been
marked by the surgeon but the pt is scheduled for the l knee arthroplasty. What is the
best action for the nurse? - answers -verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory
surgery center. During the preoperative telephone interview, the mother asks the
preoperative nurse if her daughter will be able to take her favorite stuffed animal into the
or. Which of the following is the best response based on the child's developmental level
- answers -we will make sure the toy stays with your daughter until the anesthetic takes
effect
During the discharge medication reconciliation process, the postanesthesia care unit
nurse educates the pt and family members to - answers -use 1 pharmacy for filling all
prescriptions and otc medications
A pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result
of 12 seconds. The best action of the rn circulator is to - answers -inform the surgical
team and transport the patient to the or suite
During the preoperative assessment, the pt states that "donor-directed" rbcs are
available and should be sued if a blood transfusion is necessary. Which of the following
is accurate about donor directed rbcs? - answers -donated blood is tested and
processed by the blood bank
What is the physiological change associated w/ the normal aging process in geriatric pt?
- answers -increased vascular resistance
During the preoperative assessment, the perioperative nurse notes on the history &
physical that the pt has an entrapped median nerve on the volar surface of the wrist
secondary to her work as an it specialist. The nurse will set up for which of the following
procedures? - answers -carpal tunnel repair
Which of the following pt is at increased risk of inadvertent hypothermia? - answers -82
year old undergoing colectomy
Pt is admitted from a long term facility with a fractured hip. The pt has a " do not
resuscitate" (dnr) order in his medical record. The perioperative nurse's next action is to
- answers -ensure that the pt, anesthesia care provider & surgeon have an opportunity
to discuss options and answer questions
It is the responsibility of the _____ to obtain informed consent for a proposed surgical
procedure - answers -practitioner performing the procedure
,A form of standardized language in the perioperative setting is reinforced by the use of
which documentation format? - answers -pnds
Pneumatic tourniquet inflation pressures are determined by - answers -systolic bp, age
of pt, & circumference of extremity
Placing sequential compression devices ( scds) on a pt legs preoperatively addresses
which of the following risk factors for the development of deep vain thrombosis (dvt)? -
answers -venous stasis
A pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question
related to npo status, the pt states she had a sip of water with her usual dose of
metoprolol/hydrochlorothiazide at 0700. The perioperative nurse's next response is to: -
answers -proceed with the case as scheduled
Bone wax should be immediately available for craniotomies conducted in the fowler
position because of this position's increased risk for: - answers -air embolus
For a pt with a history of serum cholinesterase deficiency, which of the following
anesthetic agents should be avoided? - answers -succinylcholin
The perioperative registered nurse is caring for a developmentally delayed male pt aged
46 years whose cognitive level is comparable to a child aged 9 years.which of the
following is the most appropriate pain assessment tool? - answers -using a faces pain
rating scale
Pt with a possible injury within the cranium should not be placed in a ____ position
unless absolutely necessary - answers -trendelenburg
Which of the following is an example of education using the pt centered care approach?
- answers -call the dr if the blood on your dressing is bigger than a fifty cent piece
Greatest risk for transmitting the hiv virus is through exposure - answers -to infected
blood or body fluids via a large bore hollow needle
Which of the following complementary therapies may provide relief for postoperative
nausea & vomiting? - answers -peppermint aromatherapy
The major benefit of using the perioperative nursing data set (pnds) is its - answers -
ability to document pt care that is unique to perioperative nursing
Pt preoperative health assessment form indicates that he uses a continuous positive
airway pressuse (cpcp) machine at night for sleep apnea. The perioperative nurse
knows to transfer this information to the postanesthesia care unit (pacu) nurse so that
the pt can be monitored more closely for signs & symptoms of : - answers -hypoxia
, Administration of the preoperative prophylactic antibiotic is the responsibility of -
answers -a designated perioperative health care provider
Compared to adults, infants are at increased risk for hypothermia due to - answers -
increased body surface area to weight ratio
Accountability for surgical counts is a professional responsibility that rests primarily on
the - answers -scrub person & rn circulator
Pnds uses ____ domains to address the perioperative nursing process - answers -4
The nurse should place a specimen in a container with ___ when sending to pathology
for a frozen section - answers -nothing
Specimens should be transferred from the sterile field to the appropriate container using
___ precautions - answers -standard
34 year old female pt with a diagnosis of breast cancer is scheduled for a r breast
mastectomy. When performing the surgical skin prep, the nurse - answers -uses a no
touch technique during prepping
If the alimentary, respiratory & genitourinary tracts or oropharyngeal cavity are entered
under controlled conditions without significant spillage or unusual contamination, the
surgical wound is classified as which of the following? - answers -clean contaminated
wound
Rational: correct wound classification should be completed after conclusion of the
surgical procedures. Determination of any alteration related to spillage of contaminated
contents must be considered when applying the wound classification. Any gi or gu tracts
are considered clean contaminated unless alterations occur.
During a subtotal thyroidectomy, both the r & l recurrent laryngeal nerves are ligated.
The perioperative nurse can anticipate the need for which of the following interventions?
- answers -obtaining an emergency tracheotomy tray
A pt with a fractured anterior fossa of the skull may have an alteration in which sense? -
answers -smell
Rational: fractures of the anterior fossa of the skull may affect the olfactory nerve, which
is responsible for the sense of smell
The periperative registered nurse notes that the pt is taking garlic as a prophylactic cold
remedy. This information is reported to which of the following health care providers? -
answers -anesthesia care provider, because garlic can prolong bleeding
A pt who has just received a local anesthetic block is beginning to demonstrate
decreased breathing rate & depth, tremors, and muscle twitching, the nurse should
suspect a/an - answers -toxic reaction to the local anesthesia
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