CNOR Exam Prep

Helpfulness: 0
Set Details Share
created 10 days ago by Nick_Bristow
5 views
updated 5 days ago by Nick_Bristow
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

What are the 6 steps in the Nursing Process?

Assess

ID NSG diagnoses

ID ideal outcomes

Plan care

Implement care

Evaluate effectiveness & make changes PRN

2

The pre-procedure verification process includes:

Confirm pt's ID

Verify procedure

Verify site marking

Performing the time out (before incision)

3

1) The pre-operative assessment involves these key elements:

2) Additional information the nurse should obtain includes:

1) Current diagnosis, physical & psych status

Medical/surgical Hx, prior illnesses

Validating current procedure & pt understanding of procedure

2) NPO status, BMI, loose teeth/dentures, eyeglasses/contacts, hearing aids, etc.

4

Regarding a pt's anesthesia Hx, what info would a prudent RN gleam from a patient?

Familial Hx of unexpected death during anesthesia

Adverse response to previous surgeries/anesthesia

5

The recent coronavirus pandemic highlights the importance of obtaining this key piece of information during the pre-procedural interview process:

Any travel to countries w/infectious disease outbreaks?

6

Which pt population is more sensitive to dosage errors?

a. Males 25-40

b. Bariatric

c. Polypharmacy

d. Pediatric

d. Pediatric

7

Which of the following is part of the surgical safety checklist?

a. Last food/drink intake

b. Special equip, devices, implants will be needed?

c. Whom surgeon should talk to after surgery

d. What pharmacy pt uses

b. Special equip, devices, implants will be needed?

8

Actively warming surgical pts w/forced air to prevent hypothermia should begin:

a. as soon as pt enters OR or procedure room

b. in recovery room

c. in preoperative holding area

d. just before surgeon makes incision

c. in preoperative holding area

9

_____ increases risk for SSI, pain, pressure ulcers, & adversely impacts coagulation cascade, which increases bleeding risk & delays wound healing

Hypothermia

10

These 2 pt populations are at increased risk for hypothermia

Very young

Frail elderly

11

Ancef should be administered __ __ prior to incision

60 mins

12

1g of Ancef, given 60 mins prior to incision, should be redosed for surgeries longer than __ __

3 hrs

13

Vanc 15mg/kg is given __ __ prior to incision and is redosed for surgeries longer than __ __

2 hrs

8 hrs

14

What should occur following the treatment of an airborne pt in the OR?

OR should be closed & not cleaned until 99% of airborne particles have been removed from air (15 air exchanges/hr for 28 mins)

15

Along with TB, these two disease processes require airborne precautions:

Varicella

Rubeola

16

A pt with any of the following will require _____ precautions:

-Meningitis

-PNA

-Mumps

-Rubella

-Pertussis

Droplet precautions

17

These herbal supplements place the pt at risk for _____; _____ supplies should be on hand during the case:

Garlic

Ginger

Gingko Biloba

Ginseng

Vitamin E

Bleeding

Hemostatic supplies

18

These herbal supplements may prolong _____; A delayed _____ should be anticipated:

Kava

St John's Wort

Valerian

Anesthesia

Delayed emergence

19

Radiation safety is based on these 3 tenets:

Time, distance, and shielding

20

A pt's life-threating injuries prevent hair removal prior to transfer to OR. The best course of action?

a. leave hair at site & prep

b. use razor & 3" cloth tape

c. moisten area to be prepped & use disposable clipper

d. use a depilatory cream on site

c. moisten area to be prepped & use disposable clipper

21

Optimal time to apply SCDs?

a. when procedure is scheduled

b. when pt arrives in pre-op

c. upon arrival to OR

d. before induction

b. when pt arrives in pre-op

22

How should an 18 lb child be transferred?

a. lateral transfer device, one caregiver, & anesthesia

b. lateral transfer device, two caregivers, & anesthesia

c. lateral transfer device, three caregivers, & anesthesia

d. mechanical lift device, three caregivers, & anesthesia

a. lateral transfer device, one caregiver, & anesthesia

23

The pt undergoing cardiac stent placement is at highest risk for ____ r/t ionizing radiation:

a. impaired skin integrity

b. cancer

c. decreased CO

d. nausea

a. impaired skin integrity

24

18 y/o pt hesistant to remove acrylic tongue piercing before ex lap for possible ruptured ovarian cyst. Best response would be?

a. "You can always get another piercing if the opening closes"

b. "If the piercing is dislodged while intubating, it could block your airway or be pushed into your lung"

c. "It's our policy that all jewelry be removed prior to surgery"

d. "Your

b. "If the piercing is dislodged while intubating, it could block your airway or be pushed into your lung"

25

Which of the following statements reflects a female pts accurate understanding of her scheduled total abdominal hysterectomy?

a. "I'm having all my female parts removed"

b. "I'm having a TAH"

c. "I'm having my uterus removed"

d. I'm having my uterus removed through my vagina"

c. "I'm having my uterus removed"

26

3 elements of the fire triangle

Fuel

Ignition

Oxidizers

27

The space in which the level of direct, reflected, or scattered radiation during normal laser use exceeds the applicable maximum permissible exposure

Nominal hazard zone

28

Maneuver of providing cricoid pressure

Sellick maneuver

29

A rapid rise in etCO2 during a surgical procedure is alarming for the development of _____ _____

Malignant hyperthermia

30

In MH, _____ is administered at 2.5mg/kg

Dantrolene

31

A pt suspected of MH weighs 100kg. At 2.5mg/kg and available in 25mg vials, how many vials are needed for this pt?

10 vials

32

Sterilization process intended for unwrapped items to be used right away and not stored to use later

IUSS

33

Primary source of waste anesthesia gas results from:

a. ET leak

b. Poor-fitting mask

c. Anesthesia professional's practice

d. Spilling liquid halogenated agents

c. Anesthesia professional's practice

34

Local anesthetic systemic toxicity is treated by administering:

a. 10% lipid emulsion

b. 15% hetastarch

c. 20% lipid emulsion

d. 25% hetastarch

c. 20% lipid emulsion

35

The RN is preparing skin prep for a pt for a right breast biopsy w/needle loc. When removing the gown, she discovers a wire inserted into the left breast. What's the best action?

a. Leave wire & prep left breast

b. Remove wire & prep right breast

c. Call radiologist & inform of error

d. Postpone prepping until discrepancy is resolved

d. Postpone prepping until discrepancy is resolved

36

Potential harm from using povidone-iodine antiseptics include:

a. deafness

b. thyroid dysfunction

c. neurotoxicity

d. allergic response to iodine

b. thyroid dysfunction

37

A cancer pt that's had multiple surgeries to stop her breast cancer is now comatose. Her husband consents to a bronchoscopy in the OR under anesthesia. The RN is feeling uncomfortable w/the proposed procedure. The most appropriate response:

a. call immediate supervisor & ask for ethics consult

b. call in another RN to do the procedure

c. refuse to schedule the procedure

d. tell the husband his wife won't benefit from the procedure

a. call immediate supervisor & ask for ethics consult

38

An unscrubbed person may perform a two-step skin prep using:

a. unsterile exam gloves donned in closed-glove fashion

b. sterile gloves donned in closed-glove

c. unsterile gloves donned in open-glove fashion

d. sterile gloves donned in open-glove fashion

d. sterile gloves donned in open-glove fashion

39

This type of extinguisher is used for electrical fires

Halon

40

Correct parameters in the OR suite is _____ pressure, temp range __ - __ degrees F

Negative pressure

68-75 F

41

The RN notes that an atraumatic needle is missing during a closing count for a knee arthroscopy. X-ray is called & it's negative. How does the RN document this incident?

a. document the count was incorrect or unreconciled & describe steps taken to rectify count

b. document the count was correct d/t x-ray being negative

c. notify supervisor & document what he/she instructs according to facility policy

d. inform pt that needle may have been left in wound

a. document the count was incorrect or unreconciled & describe steps taken to rectify count

42

During time-out, the RN discovers the wrong implant on the back table for a total knee. The correct implant is available but is unsterile. What's the best COA?

a. notify surgeon that correct implant may be sterilized with IUSS if biological & class V indicators are placed in the load

b. notify surgeon that correct implant may be sterilized via ethylene oxide method if aeration period is aborted

c. notify surgeon that RCA will be initiated

d. cancel & reschedule

a. notify surgeon that correct implant may be sterilized with IUSS if biological & class V indicators are placed in the load

43

An 18 y/o pt refuses to have implants tracked even after being informed of possible implications of a recall or adverse event. What is the next COA?

a. cancel procedure & reschedule at another facility

b. notify surgeon & let him decide what to do

c. proceed & document in note that pt refused to allow tracking of medical device/s

d. report incident to US FDA

c. proceed & document in note that pt refused to allow tracking of medical device/s

44

3 elements of clear communication

Simplicity

Brevity

Clarity

45

The greatest value of a standardized process for transferring patient information

Reduce need for verbal communication

46

During intraop handover b/w scrub techs using SBAR, the info under Situation includes pertinent procedure info, name of procedure, and:

a. pt allergies

b. name of pt

c. names of surgical team

d. meds on back table

b. name of pt

47

Students, healthcare workers, & retired workers have a continuing duty to observe & protect pt privacy under HIPAA and:

a. The JC

b. AORN

c. CMS

d. HITECH

d. HITECH