CNOR Study Guide Latest Update
How many days does it take for an SSI occur? - ANSWER-30 days
When should discharge planning start? - ANSWER-Pre-admission; When decision for
surgery is made
When should forced air warming be initiated for the surgical patient? - ANSWER-In the
preoperative holding area
Minimizes heat loss more effectively
What is the reversal agent of heparin? - ANSWER-Protamine sulfate
What 3 structures does the surgeon need to visualize during a carotid endarterectomy?
- ANSWER-Internal, external, and common carotid arteries
What is the drug of choice for anaphylaxis? - ANSWER-epinephrine
What is. the Patient Self Determination Act of 1990? - ANSWER-Includes patients rights
related to informed consent, living will, power of attorney for healthcare, DNR, or AND
(allow natural death)
What is shearing? - ANSWER-Sliding of skin and subcutaneous tissue over stationary
muscle
occurs beneath the skin
Can occur in Trendelenburg position
What is friction? - ANSWER-Act of RUBBING one tissue over another tissue or surface
Can occur when patient is dragged from one surface to another without using transfer
device
What are the pressure points for supine position? - ANSWER-Occiput
Scapulae
Olecranon (elbow)
Thoracic Vertebrae
Sacrum and Coccyx
Calcaneus (heel)
,What are potential complications of Trendelenburg? - ANSWER-Increased intraocular
and intracranial pressure
Increased BP and cardiac output
Risk of shearing
What are potential complications of Lithotomy? - ANSWER-Risk for decreased
respiratory function and tidal volume
Risk for acute change in vasculature volume and cardiac exertion
Potential for compartment syndrome
Risk for hyperabduction of hips
What are potential complications of Semi-Fowler/beach chair? - ANSWER-
Neurovascular bundle strain
Potenial for decreased vascular return volume
*Air embolism
What are pressure points of prone position? - ANSWER-Cheeks
Eyes (blindness)
Ears
Female breasts
Male genitalia
Knees and toes
What are potential complications of prone position? - ANSWER-Respiratory volume is
compromised because of limited anterolateral movement and potential limitation of
diaphragmatic movements
Potential for pain during range of motion
What is the safest radiation treatment for OR and PACU staff? - ANSWER-Afterloading
radiation treatment
In the OR, a cold, unloaded, hollow plastic or metal applicator is inserted into or
adjacent to the tissues that will receive radiation. After x-ray verification of correct
placement, the radiation source is loaded into the applicator at the patient's bedside.
What happens during vasogenic shock? - ANSWER-Cardiac output decreases, the
heart muscle weakens, and venous pressure is unstable. Two examples are
anaphylaxis and septic shock.
What information should be documented when using immediate use steam sterilization
("flashing")? - ANSWER-IUSS is performed, the information to be documented includes
date, time, patient name or ID number, load contents, sterilizer identification number,
cycle parameters (time, temperature, pressure), and indicator verification (whether
chemical and/or biologic)
, Results of indicator are not documented
What are signs and symptoms of hypercalcemia? - ANSWER-Cardiac dysrhythmias
kidney stones
nausea and vomiting
muscle weakness
Stupor or altered level of consciousness
calcium level: 9-10.5
What is the reversal agent of benzodiazepines? - ANSWER-Romazicon (Flumazenil)
What is the reversal agent of muscle relaxants? - ANSWER-Cholinergics
What is a reversal agent of narcotics? - ANSWER-Naloxone (Narcan)
What are examples of halogenated anesthetic agents? - ANSWER-Desflurane
Sevoflurane
Both are triggers for MH
What is the patient-centered model? - ANSWER-Nurse serves as integral partner with
patient and other caregivers in achieving positive outcomes during the perioperative
experience. Serves as framework for development of a plan of care.
Health System
Safety
Physiological responses (to surgery)
Behavioral responses
What are potential complications of hypothermia in surgical patients? - ANSWER-
Cardiac irregularities
Bleeding issues
Impaired wound healing
Delayed anesthesia emergence
What is the IV dose of Dantrolene to treat MH? - ANSWER-2.5mg/kg
What is the earliest sign of MH? - ANSWER-Muscle/Jaw rigidity
What information should the scrub person label on all medications on the sterile field? -
ANSWER-Medication name
*Concentration (strength)
Amount if not apparent by markings on container (eg, syringe)
Expiration date
How many days does it take for an SSI occur? - ANSWER-30 days
When should discharge planning start? - ANSWER-Pre-admission; When decision for
surgery is made
When should forced air warming be initiated for the surgical patient? - ANSWER-In the
preoperative holding area
Minimizes heat loss more effectively
What is the reversal agent of heparin? - ANSWER-Protamine sulfate
What 3 structures does the surgeon need to visualize during a carotid endarterectomy?
- ANSWER-Internal, external, and common carotid arteries
What is the drug of choice for anaphylaxis? - ANSWER-epinephrine
What is. the Patient Self Determination Act of 1990? - ANSWER-Includes patients rights
related to informed consent, living will, power of attorney for healthcare, DNR, or AND
(allow natural death)
What is shearing? - ANSWER-Sliding of skin and subcutaneous tissue over stationary
muscle
occurs beneath the skin
Can occur in Trendelenburg position
What is friction? - ANSWER-Act of RUBBING one tissue over another tissue or surface
Can occur when patient is dragged from one surface to another without using transfer
device
What are the pressure points for supine position? - ANSWER-Occiput
Scapulae
Olecranon (elbow)
Thoracic Vertebrae
Sacrum and Coccyx
Calcaneus (heel)
,What are potential complications of Trendelenburg? - ANSWER-Increased intraocular
and intracranial pressure
Increased BP and cardiac output
Risk of shearing
What are potential complications of Lithotomy? - ANSWER-Risk for decreased
respiratory function and tidal volume
Risk for acute change in vasculature volume and cardiac exertion
Potential for compartment syndrome
Risk for hyperabduction of hips
What are potential complications of Semi-Fowler/beach chair? - ANSWER-
Neurovascular bundle strain
Potenial for decreased vascular return volume
*Air embolism
What are pressure points of prone position? - ANSWER-Cheeks
Eyes (blindness)
Ears
Female breasts
Male genitalia
Knees and toes
What are potential complications of prone position? - ANSWER-Respiratory volume is
compromised because of limited anterolateral movement and potential limitation of
diaphragmatic movements
Potential for pain during range of motion
What is the safest radiation treatment for OR and PACU staff? - ANSWER-Afterloading
radiation treatment
In the OR, a cold, unloaded, hollow plastic or metal applicator is inserted into or
adjacent to the tissues that will receive radiation. After x-ray verification of correct
placement, the radiation source is loaded into the applicator at the patient's bedside.
What happens during vasogenic shock? - ANSWER-Cardiac output decreases, the
heart muscle weakens, and venous pressure is unstable. Two examples are
anaphylaxis and septic shock.
What information should be documented when using immediate use steam sterilization
("flashing")? - ANSWER-IUSS is performed, the information to be documented includes
date, time, patient name or ID number, load contents, sterilizer identification number,
cycle parameters (time, temperature, pressure), and indicator verification (whether
chemical and/or biologic)
, Results of indicator are not documented
What are signs and symptoms of hypercalcemia? - ANSWER-Cardiac dysrhythmias
kidney stones
nausea and vomiting
muscle weakness
Stupor or altered level of consciousness
calcium level: 9-10.5
What is the reversal agent of benzodiazepines? - ANSWER-Romazicon (Flumazenil)
What is the reversal agent of muscle relaxants? - ANSWER-Cholinergics
What is a reversal agent of narcotics? - ANSWER-Naloxone (Narcan)
What are examples of halogenated anesthetic agents? - ANSWER-Desflurane
Sevoflurane
Both are triggers for MH
What is the patient-centered model? - ANSWER-Nurse serves as integral partner with
patient and other caregivers in achieving positive outcomes during the perioperative
experience. Serves as framework for development of a plan of care.
Health System
Safety
Physiological responses (to surgery)
Behavioral responses
What are potential complications of hypothermia in surgical patients? - ANSWER-
Cardiac irregularities
Bleeding issues
Impaired wound healing
Delayed anesthesia emergence
What is the IV dose of Dantrolene to treat MH? - ANSWER-2.5mg/kg
What is the earliest sign of MH? - ANSWER-Muscle/Jaw rigidity
What information should the scrub person label on all medications on the sterile field? -
ANSWER-Medication name
*Concentration (strength)
Amount if not apparent by markings on container (eg, syringe)
Expiration date
