Exam (elaborations)
CNOR PRACTICE QUESTIONS AND ANSWERS
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CNOR PRACTICE QUESTIONS AND ANSWERS
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CNOR PRACTICE QUESTIONS AND ANSWERSWhen should assistive technology be used when transfering a patient? - Answers -
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) -
Answers -48 hours
Examples of clinical alarms - Answers -alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)
Universal Protocol - Answers -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 - Answers -air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - Answers -blunt
suture needles, safety scalpels, needless systems, alternate wound closures
Contact time - Answers -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? - Answers -IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - Answers -hypotension,
cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - Answers -read back the order
Symptoms of local anesthetic systemic toxicity - Answers -metallic taste, confusion,
dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - Answers -keep eye moist
during surgery
,Effective meds to reduce postop N/V - Answers -Droperidol, Ondansetron,
Promethazine
Maximum number of meds prep RN should compound in periop suite - Answers -Three
What type of muscle cell is affected during MH? - Answers -Skeletal
Examples of research evidence - Answers -RCTs, systematic reviews, quasi-
experimental studies
Standardized language that reflects period nursing practices? - Answers -Perioperative
Nursing Data Set (PNDS)
Examples of non-absorbable suture materials - Answers -cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
Answers -Deep brain stimulator
What is Unique Device Identification? - Answers -FDA requirement; every device has a
number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - Answers -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 - Answers -pressure, shear, friction
Scatter radiation - Answers -reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
Leakage Radiation - Answers -emanates from X-ray tube housing (secondary radiation)
Remnant Radiation - Answers -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 - Answers -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. - Answers -arterial
,Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - Answers -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 - Answers -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. -
Answers -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? - Answers -intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - Answers -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. - Answers -proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - Answers -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 - Answers -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 -
Answers -Class II (Clean-contaminated)
Bonewax is made of - Answers -beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - Answers -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. - Answers -B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - Answers -
dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
Answers -indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
c. propofol (Diprivan).
d. thiopental (Pentothal). - Answers -cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - Answers -bipolar
The standard means of vascular access for long-term renal dialysis is - Answers -AV
fistula
Checking, observing, and appraising the results of nursing interventions is what part of
the nursing process? - Answers -Evaluation
Positioning a patient using FDA-approved positioning devices is an example of a
nursing - Answers -intervention
Describing a nurse-sensitive, measurable, and quantifiable desirable patient condition is
what part of the nursing process? - Answers -outcome identification
An RN's documentation "anxiety and ineffective coping mechanisms" is which part of
the nursing process? - Answers -Diagnosis
The method of identifying and classifying data collected in the assessment of the patient
is the nursing - Answers -Diagnosis
The perioperative RN administering a medication to a patient is what part of the nursing
process? - Answers -implementation
According to the AORN Guidelines, at what time during an invasive surgical procedure
should the scrubbed team members change their gloves? - Answers -90-150 minutes
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