CNOR Practice Questions
When should assistive technology be used when transfering a patient? - ANS 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) - ANS 48 hours
Examples of clinical alarms - ANS alarms on cardiac monitors anesthesia machines, ventilators (visual,
auditory or both)
Universal Protocol - ANS 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 - ANS air-assisted transfer mattresses (hovermats), full
body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - ANS blunt suture needles, safety
scalpels, needless systems, alternate wound closures
,Contact time - ANS 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? - ANS IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - ANS hypotension, cardiac arrest, CVA,
pulmonary embolism, fat embolism, hypersensitivity, thrombophlebitis, death
RN's action after hearing a verbal order from Dr - ANS read back the order
Symptoms of local anesthetic systemic toxicity - ANS metallic taste, confusion, dizziness, numbness
(initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - ANS keep eye moist during surgery
Effective meds to reduce postop N/V - ANS Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop suite - ANS Three
What type of muscle cell is affected during MH? - ANS Skeletal
Examples of research evidence - ANS RCTs, systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices? - ANS Perioperative Nursing Data Set
(PNDS)
,Examples of non-absorbable suture materials - ANS cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's - ANS Deep brain
stimulator
What is Unique Device Identification? - ANS FDA requirement; every device has a number (also on
package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - ANS 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 - ANS pressure, shear, friction
Scatter radiation - ANS reflected off patient, table, shielding, material (secondary radiation)
risk to personnel in room
Leakage Radiation - ANS emanates from X-ray tube housing (secondary radiation)
Remnant Radiation - ANS 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 - ANS 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. - ANS arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be exsanguinated by -
ANS 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 - ANS 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. - ANS 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? - ANS intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - ANS 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. - ANS proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the duration of
employment plus ___ years? - ANS 30 years