CNOR Questions And Answers With Latest Updates Graded A

While completing the preoperative assessment, a nurse notices the pt R knee has been marked by the surgeon but the pt is scheduled for the L Knee arthroplasty. What is the best action for the nurse? Correct Answer: verify with the surgeon A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory surgery center. During the preoperative telephone interview, the mother asks the preoperative nurse if her daughter will be able to take her favorite stuffed animal into the OR. Which of the following is the best response based on the child's developmental level Correct Answer: we will make sure the toy stays with your daughter until the anesthetic takes effect The perioperative registered nurse notes that the pt is taking garlic as a prophylactic cold remedy. This information is reported to which of the following health care providers? Correct Answer: Anesthesia care provider, because garlic can prolong bleeding A pt who has just received a local anesthetic block is beginning to demonstrate decreased breathing rate & depth, tremors, and muscle twitching, the nurse should suspect a/an Correct Answer: toxic reaction to the local anesthesia the perioperative nurse can expect the would /ostomy/continence nurse to mark the site for the stoma for a colostomy at Correct Answer: rectus muscle During a local procedure, the nurse notices that the pt is exhibiting a sense of uneasiness, agitation, coughing & wheezing. The nrse should suspect a/an Correct Answer: allergic reaction to the local anesthesia the 3 tops risk factors associated w/ pt falls are medications, gait, and Correct Answer: previous fall normal hematocrit for pt age 10 years ranges from Correct Answer: 34-40% universal protocol is a process to keep pt safe in surgery. Verbal confirmation is performed at 3 points during the perioperative period. Which of the following is identified as 1 of the 3 critical points? Correct Answer: sign in before induction of anesthesia a 12 year old boy is scheduled for srgery to repair a fracture to the knee involving the epiphyseal plate. The perioperative nurse recognizes the primary complication resulting from the injury is Correct Answer: impaired growth to the affected leg a pt suffers a cardiac arrest following the injection of bupivacaine 0.5% w/ epi 1:200,000 25 mL as a peripheral nerve block for L knee arthroscopy. The perioperative nurse can anticipate obtaining which of the following drugs for the anesthesia care provider? Correct Answer: 20% lipid emulsion Which of the following is an assessment parameter monitored through the use of perioperative nurse process? Correct Answer: documentation of potential needs preoperative pt assessment of the use of herbs is an important function of the perioperative nurse so that Correct Answer: the appropriate healthcare provider can be notified of potential risks to the surgical procedure which electrolyte is important to check preoperatively after bowel prep the day before? Correct Answer: Potassium AORN peripoperative nursing data set (PNDS) is the structured nursing vocabulary designed to describe nursing care in the perioperative setting. At the core of the PNDS conceptual model is the Correct Answer: patient What Is Defined As The Standardized Process To Keep Patients Safe In Surgery? Correct Answer: Universal protocol The purpose of witnessing a surgical consent is to attest to which of the following? Correct Answer: the signature was voluntary and not coerced Which one of the following antibiotics can potentiate neuromuscular blocking agents? Correct Answer: piperacillin Universal protocol is Correct Answer: a standardized means for ensuring pt safety during surgery during the discharge medication reconciliation process, the postanesthesia care unit nurse educates the pt and family members to Correct Answer: use 1 pharmacy for filling all prescriptions and OTC medications a pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12 seconds. The best action of the RN circulator is to Correct Answer: inform the surgical team and transport the patient to the OR suite During the preoperative assessment, the pt states that "donor-directed" RBCs are available and should be sued if a blood transfusion is necessary. Which of the following is accurate about donor directed RBCs? Correct Answer: donated blood is tested and processed by the blood bank What is the physiological change associated w/ the normal aging process in geriatric pt? Correct Answer: increased vascular resistance during the preoperative assessment, the perioperative nurse notes on the history & physical that the pt has an entrapped median nerve on the volar surface of the wrist secondary to her work as an IT specialist. The nurse will set up for which of the following procedures? Correct Answer: carpal tunnel repair which of the following pt is at increased risk of inadvertent hypothermia? Correct Answer: 82 year old undergoing colectomy pt is admitted from a long term facility with a fractured hip. The pt has a " do not resuscitate" (DNR) order in his medical record. The perioperative nurse's next action is to Correct Answer: ensure that the pt, anesthesia care provider & surgeon have an opportunity to discuss options and answer questions It is the responsibility of the _____ to obtain informed consent for a proposed surgical procedure Correct Answer: practitioner performing the procedure a form of standardized language in the perioperative setting is reinforced by the use of which documentation format? Correct Answer: PNDS Pneumatic tourniquet inflation pressures are determined by Correct Answer: systolic BP, age of pt, & circumference of extremity placing sequential compression devices ( SCDs) on a pt legs preoperatively addresses which of the following risk factors for the development of deep vain thrombosis (DVT)? Correct Answer: venous stasis a pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to NPO status, the pt states she had a sip of water with her usual dose of metoprolol/hydrochlorothiazide at 0700. The perioperative nurse's next response is to: Correct Answer: proceed with the case as scheduled bone wax should be immediately available for craniotomies conducted in the Fowler position because of this position's increased risk for: Correct Answer: air embolus for a pt with a history of serum cholinesterase deficiency, which of the following anesthetic agents should be avoided? Correct Answer: succinylcholin the perioperative registered nurse is caring for a developmentally delayed male pt aged 46 years whose cognitive level is comparable to a child aged 9 years.Which of the following is the most appropriate pain assessment tool? Correct Answer: using a FACES pain rating scale Pt with a possible injury within the cranium should not be placed in a ____ position unless absolutely necessary Correct Answer: Trendelenburg Which of the following is an example of education using the pt centered care approach? Correct Answer: call the dr if the blood on your dressing is bigger than a fifty cent piece greatest risk for transmitting the HIV virus is through exposure Correct Answer: to infected blood or body fluids via a large bore hollow needle which of the following complementary therapies may provide relief for postoperative nausea & vomiting? Correct Answer: peppermint aromatherapy the major benefit of using the Perioperative Nursing Data set (PNDS) is its Correct Answer: ability to document pt care that is unique to perioperative nursing pt preoperative health assessment form indicates that he uses a continuous positive airway pressuse (CPCP) machine at night for sleep apnea. The perioperative nurse knows to transfer this information to the postanesthesia care unit (PACU) nurse so that the pt can be monitored more closely for signs & symptoms of : Correct Answer: hypoxia administration of the preoperative prophylactic antibiotic is the responsibility of Correct Answer: a designated perioperative health care provider compared to adults, infants are at increased risk for hypothermia due to Correct Answer: increased body surface area to weight ratio Continues....