CNOR EXAM NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
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Course
CNOR
Institution
CNOR
CNOR EXAM NEWEST 2024 ACTUAL
EXAM TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
c - ANS-Due to an emergency, the perioperative nurse is unable to
conduct the sponge, sharps, and instrument counts. At the
conclusion of the surgery, the nurse should:
a....
CNOR EXAM NEWEST 2024 ACTUAL
EXAM TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
c - ANS-Due to an emergency, the perioperative nurse is unable to
conduct the sponge, sharps, and instrument counts. At the
conclusion of the surgery, the nurse should:
a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count record
a - ANS-The optimum patient position provides:
a. Access and exposure, maintains circulatory and respiratory
functions, and does not compromise neuromuscular structures.
b. Optimum access and exposure to surgical site, with no
permanent compromise to neuromuscular structures.
c. Access for the surgeon, does not compromise the neuromuscular
structures, and maintains an adequate airway for the anesthetist.
d. Sustained circulatory and respiratory functions, does not
compromise neuromuscular structures, and maintains body
alignment.
c - ANS-A patient who is 8 months pregnant is to undergo an
emergency laparotomy. In planning nursing care for this patient, the
perioperative nurse should have available a wedge cushion or pillow
to place under the patient's:
,a. Knees
b. Left side
c. Right side
d. Shoulders
b - ANS-You're loading the sterilizer with trays and wrapped towels.
The correct configuration would be:
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom
shelf
c. The trays and towels go on the top shelf and leave the bottom
shelf empty
d. There is no specific configuration when there is a mixed load of
trays and wrapped textiles
b - ANS-During the induction of anesthesia, the perioperative nurse
may notice fasciculation as a response to which of the following
depolarizing muscle relaxants?
a. Tubocurarine chloride (curare)
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide (Pavulon)
a - ANS-The ER notifies you that it has an 18-yr-old patient who was
in a sledding accident and who is accompanied by his parents. The
patient is alert, oriented, in pain, has a blood pressure of 80/60,
pulse of 120, and RR of 24. The abdomen is distended and tender.
After being transferred to the OR bed, the patient is very
apprehensive and complains of being cold. The nurse should
confirm the patient's name, allergies, and operative procedure by:
,a. Speaking with the patient and reading the patient's chart
b. Telephone conversation with the ER nurse
c. Use of the ER record provided
d. Telephone conversation with a parent of the patient
b - ANS-A critically injured patient requires immediate surgery, but
all unassigned personnel have limited OR experience. In this
situation, the charge nurse should:
a. Assist the available personnel in caring for the patient
b. Reassign experienced personnel to the emergency procedure
c. Personally assume care for the critically injured patient
d. Call in additional personnel to handle the emergency
d - ANS-The nurse's initial response to a patient who develops signs
of cyanosis during the preoperative assessment is to:
a. Administer O2 and start an IV line
b. Begin CPR
c. Read the history and physical to determine health status
d. Assess for breath sounds and airway obstruction
critical - ANS-*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-Must be sterile
-Will enter sterile tissue or the vascular system
critical - ANS-*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
b - ANS-During a procedure under local anesthesia, the patient
complains of circumoral numbness, blurred vision, and dizziness.
, What should be the immediate action of the perioperative nurse
monitoring this patient?
a. Recheck the dose of local anesthesia given
b. Ensure an airway
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to the room
b - ANS-The circulating nurse reports that the needle count is
incorrect. The surgeon continues to close the wound, stating, "I
know it is not in the wound and I am not going to stop to look for it."
The best plan of action is to:
a. Accept the surgeon's response without comment and fill out an
incident report
b. Inform the surgeon of hospital policy and document subsequent
actions
c. Order X-rays regardless of the surgeon's wishes
d. Notify the OR supervisor and ask for advice
d - ANS-A new employee unknowingly dispensed an unsterile
solution to the sterile field. The following day, the supervisor learns
of the incident. The supervisor's first action would be to:
a. Initiate an incident report
b. Instruct the employee on the technique of reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in technique
-Instruments
-Cutting endoscopic accessories and endoscopes (ex. BIOPSY
FORCEPS)
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