CNOR COMPLETE PRACTICE
QUESTIONS AND ANSWERS
When should assistive technology be used when transfering a
patient? - CORRECT ANSWER-When one team member is
required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal
mandate, not hospital policy) - CORRECT ANSWER-48 hours
Examples of clinical alarms - CORRECT ANSWER-alarms on
cardiac monitors anesthesia machines, ventilators (visual,
auditory or both)
Universal Protocol - CORRECT ANSWER-prevent wrong site,
wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - CORRECT
ANSWER-air-assisted transfer mattresses (hovermats), full
body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps
injuries - CORRECT ANSWER-blunt suture needles, safety
scalpels, needless systems, alternate wound closures
,Contact time - CORRECT ANSWER-specific length of time
disinfectants can remain in contact w/ microorganisms to
achieve disinfection
For every time of equipment of supply used on or for patient,
what document should always be followed? - CORRECT
ANSWER-IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) -
CORRECT ANSWER-hypotension, cardiac arrest, CVA,
pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - CORRECT
ANSWER-read back the order
Symptoms of local anesthetic systemic toxicity - CORRECT
ANSWER-metallic taste, confusion, dizziness, numbness (initial
phase)
Indication for use of BSS (Endosol) (balanced salt solution) -
CORRECT ANSWER-keep eye moist during surgery
Effective meds to reduce postop N/V - CORRECT ANSWER-
Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop
suite - CORRECT ANSWER-Three
What type of muscle cell is affected during MH? - CORRECT
ANSWER-Skeletal
Examples of research evidence - CORRECT ANSWER-RCTs,
systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices? -
CORRECT ANSWER-Perioperative Nursing Data Set (PNDS)
,Examples of non-absorbable suture materials - CORRECT
ANSWER-cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait
problems for Parkinson's - CORRECT ANSWER-Deep brain
stimulator
What is Unique Device Identification? - CORRECT ANSWER-
FDA requirement; every device has a number (also on
package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - CORRECT ANSWER-
Braden Scale, Munro Scale, Scott Triggers Tool
Using prophylactic dressings applied to healthy skin that is at
risk for pressure injury may reduce effects of - CORRECT
ANSWER-pressure, shear, friction
Scatter radiation - CORRECT ANSWER-reflected off patient,
table, shielding, material (secondary radiation)
risk to personnel in room
Leakage Radiation - CORRECT ANSWER-emanates from X-
ray tube housing (secondary radiation)
Remnant Radiation - CORRECT ANSWER-exits patient &
imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic
antibiotic, when ordered for a patient whose plan of care
includes the use of a pneumatic tourniquet, should be based on
the - CORRECT ANSWER-goal of achieving optimal tissue
concentration
& policy/ procedures of hospital
, Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - CORRECT ANSWER-
arterial
Before the pneumatic tourniquet is inflated, guidelines include
the extremity may be exsanguinated by - CORRECT
ANSWER-using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should
determine the initial tourniquet inflation pressure by
measuringthe patient's - CORRECT ANSWER-limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity,
the perioperative RN should position the cuff tubing on or near
the ___________ aspect of the extremity. - CORRECT
ANSWER-lateral
A perioperative RN develops a plan of care for a patient whose
surgery includes the use of a pneumatic tourniquet placed on
her right lower extremity. Monitoring the patient's temperature
throughout the perioperative period is considered what part of
the nursing process for this patient? - CORRECT ANSWER-
intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - CORRECT ANSWER-350mmHg
When the use of monopolar electrosurgery is anticipated, after
the application of a pneumatic tourniquet, the perioperative RN
should place a single-use dispersive electrode _____________
to the cuff. - CORRECT ANSWER-proximal
QUESTIONS AND ANSWERS
When should assistive technology be used when transfering a
patient? - CORRECT ANSWER-When one team member is
required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal
mandate, not hospital policy) - CORRECT ANSWER-48 hours
Examples of clinical alarms - CORRECT ANSWER-alarms on
cardiac monitors anesthesia machines, ventilators (visual,
auditory or both)
Universal Protocol - CORRECT ANSWER-prevent wrong site,
wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - CORRECT
ANSWER-air-assisted transfer mattresses (hovermats), full
body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps
injuries - CORRECT ANSWER-blunt suture needles, safety
scalpels, needless systems, alternate wound closures
,Contact time - CORRECT ANSWER-specific length of time
disinfectants can remain in contact w/ microorganisms to
achieve disinfection
For every time of equipment of supply used on or for patient,
what document should always be followed? - CORRECT
ANSWER-IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) -
CORRECT ANSWER-hypotension, cardiac arrest, CVA,
pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - CORRECT
ANSWER-read back the order
Symptoms of local anesthetic systemic toxicity - CORRECT
ANSWER-metallic taste, confusion, dizziness, numbness (initial
phase)
Indication for use of BSS (Endosol) (balanced salt solution) -
CORRECT ANSWER-keep eye moist during surgery
Effective meds to reduce postop N/V - CORRECT ANSWER-
Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop
suite - CORRECT ANSWER-Three
What type of muscle cell is affected during MH? - CORRECT
ANSWER-Skeletal
Examples of research evidence - CORRECT ANSWER-RCTs,
systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices? -
CORRECT ANSWER-Perioperative Nursing Data Set (PNDS)
,Examples of non-absorbable suture materials - CORRECT
ANSWER-cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait
problems for Parkinson's - CORRECT ANSWER-Deep brain
stimulator
What is Unique Device Identification? - CORRECT ANSWER-
FDA requirement; every device has a number (also on
package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - CORRECT ANSWER-
Braden Scale, Munro Scale, Scott Triggers Tool
Using prophylactic dressings applied to healthy skin that is at
risk for pressure injury may reduce effects of - CORRECT
ANSWER-pressure, shear, friction
Scatter radiation - CORRECT ANSWER-reflected off patient,
table, shielding, material (secondary radiation)
risk to personnel in room
Leakage Radiation - CORRECT ANSWER-emanates from X-
ray tube housing (secondary radiation)
Remnant Radiation - CORRECT ANSWER-exits patient &
imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic
antibiotic, when ordered for a patient whose plan of care
includes the use of a pneumatic tourniquet, should be based on
the - CORRECT ANSWER-goal of achieving optimal tissue
concentration
& policy/ procedures of hospital
, Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - CORRECT ANSWER-
arterial
Before the pneumatic tourniquet is inflated, guidelines include
the extremity may be exsanguinated by - CORRECT
ANSWER-using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should
determine the initial tourniquet inflation pressure by
measuringthe patient's - CORRECT ANSWER-limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity,
the perioperative RN should position the cuff tubing on or near
the ___________ aspect of the extremity. - CORRECT
ANSWER-lateral
A perioperative RN develops a plan of care for a patient whose
surgery includes the use of a pneumatic tourniquet placed on
her right lower extremity. Monitoring the patient's temperature
throughout the perioperative period is considered what part of
the nursing process for this patient? - CORRECT ANSWER-
intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - CORRECT ANSWER-350mmHg
When the use of monopolar electrosurgery is anticipated, after
the application of a pneumatic tourniquet, the perioperative RN
should place a single-use dispersive electrode _____________
to the cuff. - CORRECT ANSWER-proximal
