CNOR Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf

CNOR Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf 1. The patient's desirable and measurable physiological and psychological responses to nursing interventions are called: Process Standards Outcome Standards Clinical Efficiency Quality Improvement - Correct Answer: Outcome standards 2. What the wound classification for vaginal hysterectomy? A. Class 1 B. Class 2 C. Class 3 D. Class 4 - Correct Answer: Class 2 3. The CRNA is attempting to open the 25-year-old man's mouth for intubation but the jaw is tight and she's having difficulty. Then the nurse notices that the patient's capnograph is rising dramatically. As the CRNA continues to struggle to open the jaw to intubate, the patient's heart rate and blood pressure are rising. What is the appropriate response for the perioperative nurse? A. The anesthesia is too light, and the patient is confused and struggling against the CRNA. B. These are early signs of Malignant Hyperthermia. The perioperative nurse tells the CRNA what she's seeing. The perioperative nurse calls the OR desk to ask for help and that the MH cart be brought to the room. C. The patient Is having an allergic reaction to a medication. D. Masseter Muscle Rigidity (MMR) is not uncommon in young patients. The perioperative nurse should remain at the head of the bed and assist as needed. - Correct Answer: These are early signs of Malignant Hyperthermia. The perioperative nurse tells the CRNA what she's seeing. The perioperative nurse calls the OR desk to ask for help and that the MH cart be brought to the room. These are early signs of Malignant Hyperthermia. MMR does happen more frequently in pediatric patients (not 25-year-olds) and may not be associated with MH but you'd not see the rise in HR, BP or ETCO2 with it. 4. The 19-year-old patient arrives to the OR within 2 hours of a traumatic open Tib/Fib fracture for ORIF. What wound class is it? A. Class 1 B. Class 2 C. Class 3 D. Class 4 - Correct Answer: Class 3 A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one that is less than 4-6 hours old at the start of surgery. 5. Patients with one or more of Virchow's triad are at increased risk for A. Deep vein thrombosis B. Hemorrhage C. Surgical site infection D. Respiratory distress - Correct Answer: Deep Vein thrombosis Virchow's triad describes the three broad categories of factors that are thought to contribute to thrombosis. Hypercoagulability. Hemodynamic changes (stasis, turbulence) Endothelial injury/dysfunction. DVT is at an increased risk 6. The Spaulding classification system is used to determine: A. Appropriate methods to attain desired level of processing required for safety in patient care items. B. Safety standards for safely administering and monitoring anesthesia car C. Post-operative discharge criteria D. Ideal pressurization for rubberized spherical items - Correct Answer: Appropriate methods to attain desired level of processing required for safety in patient care items. Earle Spaulding, a microbiologist, developed a classification system in 1968 to determine the appropriate method to attain the desired level of processing required for safety in patient care items. This system was adopted and later modified by the CDC. 7. When passing the knife to the surgeon the best practice would be... A. To place the knife into a designated tray and so the surgeon can pick it up B. To firmly place the blade handle into the surgeon's palm C. Let the surgeon take what he wants from the mayo stand D. With the use of a safety scalpel passing device - Correct Answer: To place the knife into a designated tray and so the surgeon can pick it up The neutral zone is a sterile basin or tray or magnetic pad from which the surgeon or assistant can retrieve them. When finished the surgeon returns the item to the tray where the scrub person retrieves them. Hand to hand passing of sharps increases the chance of accidental sharps injury. Nobody but me gets to touch my mayo stand and I made up the safety scalpel passing device 8. The ultimate responsibility for the nurse's competency is: A. Nurse B. Educator C. Manager D. Director - Correct Answer: Nurse 9. During a bowel resection for malignancy the circulating nurse anticipates... A. Recounting sponges sharps and instruments after the GI tract is clamped B. Prepare for regowning and regloving of the entire surgical team at the field C. The need for a separate surgical consent in addition to the bowel resection D. Antibiotic irrigation solution will be used - Correct Answer: Prepare for regowning and regloving of the entire surgical team at the field 10. When positioning a patient in a left lateral decubitus position padding will be needed... A. Between the knees B. Under the knees C. Under the patella D. On the lateral aspect of the right knee - Correct Answer: Between the knees Lateral decubitus position is synonymous to lateral position. The flexed knees may require padding to prevent pressure and shearing force.