CNOR EXAM 2025 QUESTIONS AND ANSWERS
In diabetes insipidus, there is not enough hormone. These patients can
diurese very quickly so KEEP AN EYE ON THE FOLEY BAG. These patients are given
*vasopressin* (which is this hormone which also clamps down blood vessels to increase
blood pressure), or DDAVP. Pts receiving this NEED A CENTRAL LINE! - Correct answer-
ADH
It is recommended to patients to smoking 7-8 weeks before surgery
for ciliary function to return - Correct answer-stop
A sign of high blood pressure would be a patient getting headaches
(during anesthesia, the goal is to have a STEADY blood pressure on the low side of
baseline; NOT up and down up and down) - Correct answer-symptomatic
is a hereditary disease where blood does not coagulate to stop
bleeding (*factor VIII deficiency*).
FACTOR VIII (8) IS STARTED PROPHYLACTICALLY IN PRE-OP AREA EVEN WITH
NORMAL LEVELS and continues throughout surgery - Correct answer-hemophilia
In a pregnant patient > weeks, a fetal heart monitor should be in the OR at the
time during surgery. (Pregnant patients are going to come out of surgery having
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braxton hicks due to irritability: WATCH FOR increasing severity and LOSS OF MUCOUS
PLUG) - Correct answer-20
True or false?
CHF patients should stay out of surgery because they're prone to fluid overload and
have an exaggerated vasodilation response. We make these pts NPO and tell them not
to take their diuretic, but then fluid overload them while giving them anesthesia,
leading them to need aggressive diuresis post op - Correct answer- true
Morbid obesity is classified as a BMI > - Correct answer-40
The most difficult position for ventilation is exaggerated or high
. This INCREASES the work of breathing and the tidal volume
DECREASES. - Correct answer-lithotomy
In asthmatic patients, we have them bring their to preop and take a
few puffs before going to OR. These patients require a *deeper sedation for
intubation* because they have reactive airways. - Correct answer-inhalers
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For anesthesia, COPD patients require sedation with *supplemental
oxygen* usually via a nasal cannula at 2L oxygen (30% oxygen). In COPD patients, low
oxygen stimulates breathing, NOT HIGH CO2 because they're so used to living with a
high CO2 level. The hypothalamus doesn't increase respiratory drive with a high CO2
level like in a normal person because they always have high CO2. - Correct answer-
moderate
The goal for oxygen saturation during anesthesia for a patient with COPD is -
% - Correct answer-88-92
True or false?
In a patient with Rheumatoid Arthritis, they need a pre-op H&H before going into the OR
and under anesthesia because RA causes ANEMIA. Steroid coverage puts these patients
at a risk for *hypo-adrenal crisis* which is a hyper stress response and looks like
circulatory collapse/shock - Correct answer-true
The five things that can cause a include:
1. Hypothermia
2. Hypotension
3. Hypovolemia
4. Hypoglycemia
5. Hypoxia
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TIVA/nerve blocks are preferred for these patients over general
anesthesia/spinals/epidurals to avoid the dip in blood pressure
It is recommended for these patients to have clear liquids WITH CALORIES for up to 2
hours before surgery to prevent hypoglycemia - Correct answer-sickle cell crisis
Pediatric considerations:
Infant, toddler, preschooler, school age, or adolescent?
-sooth with pacifier
-hold and rock - Correct answer-infant
Pediatric considerations:
Infant, toddler, preschooler, school age, or adolescent?
-separation anxiety
-communicate with simple sentences
-sooth with distraction and familiar objects
-once they're mad, it's over, just do what you need to do - Correct answer-toddler