CNOR COMPLETE EXAMINATION TEST
QUESTIONS WITH VERIFIED SOLUTIONS
●● Signs of MH
Answer: HR increase 120;
require increase 02;
purple splotches;
tight jaws
●● Other conditions that have similar reaction to MH
Answer: Allergy to bone cement
PE
Allergy to anesthesia
●● Blood Transfusion reaction steps
Answer: 1st- STOP transfusion
Replace tubing with 0.9% NACL
Report to surgeon and blood bank
Anticipate orders for emergency drugs
●● Signs of reaction to blood transfusion
Answer: Blood in urine
,Urine output decrease
Hypotension
Hyperthermia
Excessive or unusual bleeding
●● IVS ready for discharge
Answer: stay awake for 20 minutes without stimulation
●● MH crisis patient observed
Answer: 36 hours post op
●● Local Anesthesia toxicity
initial and increased
Answer: initial- hypertension
increased-hypotension
●● Local Anesthesia hypersensitivity
Answer: tachycardia
●● Laser Safety- OR fire
Answer: Communicate
Pour saline slowly on patient
, Remove drapes
Consult with anesthesia
Remove airway circuit
Turn off O2
Remove ET tube
Pour saline in airway
Re establish airway
●● Prevent Laser OR fire
Answer: Gel coat facial hair
ET tube filled with Saline and Dye
Non reflective instruments
ESU rubber coated
Do not TENT drapes
●● OR room Temperatures Pediatric
Answer: Infants 80-85
Older children 75-80
●● Pediatric intubation
Answer: straight laryngoscopes
Uncuffed to 8 years
QUESTIONS WITH VERIFIED SOLUTIONS
●● Signs of MH
Answer: HR increase 120;
require increase 02;
purple splotches;
tight jaws
●● Other conditions that have similar reaction to MH
Answer: Allergy to bone cement
PE
Allergy to anesthesia
●● Blood Transfusion reaction steps
Answer: 1st- STOP transfusion
Replace tubing with 0.9% NACL
Report to surgeon and blood bank
Anticipate orders for emergency drugs
●● Signs of reaction to blood transfusion
Answer: Blood in urine
,Urine output decrease
Hypotension
Hyperthermia
Excessive or unusual bleeding
●● IVS ready for discharge
Answer: stay awake for 20 minutes without stimulation
●● MH crisis patient observed
Answer: 36 hours post op
●● Local Anesthesia toxicity
initial and increased
Answer: initial- hypertension
increased-hypotension
●● Local Anesthesia hypersensitivity
Answer: tachycardia
●● Laser Safety- OR fire
Answer: Communicate
Pour saline slowly on patient
, Remove drapes
Consult with anesthesia
Remove airway circuit
Turn off O2
Remove ET tube
Pour saline in airway
Re establish airway
●● Prevent Laser OR fire
Answer: Gel coat facial hair
ET tube filled with Saline and Dye
Non reflective instruments
ESU rubber coated
Do not TENT drapes
●● OR room Temperatures Pediatric
Answer: Infants 80-85
Older children 75-80
●● Pediatric intubation
Answer: straight laryngoscopes
Uncuffed to 8 years
