CNOR - Questions With Clear Solutions (100% Correct)
Pt with a possible injury within the cranium should not be placed in a ____
position unless absolutely necessary Right Ans - Trendelenburg
Which of the following is an example of education using the pt centered care
approach? Right Ans - 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 Right Ans -
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? Right Ans - peppermint aromatherapy
the major benefit of using the Perioperative Nursing Data set (PNDS) is its
Right Ans - 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 : Right Ans - hypoxia
administration of the preoperative prophylactic antibiotic is the responsibility
of Right Ans - a designated perioperative health care provider
compared to adults, infants are at increased risk for hypothermia due to
Right Ans - increased body surface area to weight ratio
accountability for surgical counts is a professional responsibility that rests
primarily on the Right Ans - scrub person & RN circulator
PNDS uses ____ domains to address the perioperative nursing process Right
Ans - 4
the nurse should place a specimen in a container with ___ when sending to
pathology for a frozen section Right Ans - Nothing
,specimens should be transferred from the sterile field to the appropriate
container using ___ precautions Right Ans - standard
34 year old female pt with a diagnosis of breast cancer is scheduled for a R
breast mastectomy. When performing the surgical skin prep, the nurse
Right Ans - uses a no touch technique during prepping
if the alimentary, respiratory & genitourinary tracts or oropharyngeal cavity
are entered under controlled conditions without significant spillage or
unusual contamination, the surgical wound is classified as which of the
following? Right Ans - clean contaminated wound
Rational: correct wound classification should be completed after conclusion of
the surgical procedures. Determination of any alteration related to spillage of
contaminated contents must be considered when applying the wound
classification. Any GI or GU tracts are considered clean contaminated unless
alterations occur.
During a subtotal thyroidectomy, both the R & L recurrent laryngeal nerves
are ligated. The perioperative nurse can anticipate the need for which of the
following interventions? Right Ans - obtaining an emergency tracheotomy
tray
a pt with a fractured anterior fossa of the skull may have an alteration in
which sense? Right Ans - smell
Rational: fractures of the anterior fossa of the skull may affect the olfactory
nerve, which is responsible for the sense of smell
the preferred incisional type for an exploratory laparotomy is Right Ans -
midline vertical
Rational: a midline vertical incision is preferred for an exploratory
laparotomy because it enables fast entry into the abdomen and excellent
exposure to the abdominal contents and because it can be closed securely and
rapidly
A ____ is a major cause of death during & immediately following a surgical
procedure that can result from blood pooling in low pressure areas Right
Ans - pulmonary embolism
,Rational: PE can be caused by blood clots or other debris like fat. Debris
blocks the pulmonary artery or one of the branches. A PE is most often caused
by stasis of blood in deep veins during extended proceedures.
in the absence of a sterile transfer device when dispensing medication to the
sterile field, the best option is to Right Ans - have the RN circulator draw up
the medication in syringe & transfer
Rational: The best option is to use a sterile transfer device. If one is not
available, the next best option is for the RN circulator to draw up the
medication in a syringe and remove the needle prior to dispensing on the field
most medication errors in pediatric care occur because this pt population
varies dramatically in Right Ans - weight
Rational: pediatric medication administration is based on the pt weight. An
accurate wt measurement upon admission in both pounds and kg is an
essential part of preventing medication errors.
determining whether re-anastomosis is possible after a low anterior resection
of the sigmoid colon depends on Right Ans - cancer free margin of the
distal rectum
Rational: the ability to reestablish continuity of the proximal sigmoid colon
and the rectum is contingent on whether the distal rectal margin is cancer free
and if there is sufficient length of the bowel to vreate a tension- free
anastomosis
what is the American Society of Anesthesiologists (ASA) classification of a pt
with severe hypertention? Right Ans - ASA Class 3
Rational: Class 3 defined as pt having severe systemic disease that limits
activity but does not completely incapacitate the pt.
the chemical indicator inside a wrapped instrument tray has not changed to
the appropriate color. The perioperative nurse should first Right Ans -
review the sterilizer print out Rational: the sterilizer print out should be
checked 1st to determine whether cycle parameters have been met. Physical
monitors can provide a rapid means of identification of sterilizer failure.
Subsequent actions are based on whether the reason for the failure is due to
operator or sterilizer causes
, using ___ after high level disinfection of flexible endoscopes may help dry the
lumen to prevent microorganisms from multiplying Right Ans - 70-90%
ethyl alcohol
Rational: flushing w/70-90% ethyl or isopropyl alcohol should be determined
by the interdisciplinary team at the organization. Flushing with alcohol may
not be necessary if the flexible endoscope is dried properly
pt is scheduled for burr holes to remove fluid accumulated secondary to blunt
head trauma. The best option for a drain that removes cerebral spinal fluid
while monitoring intracranial pressure is a Right Ans - ventriculostomy
Rational: A ventriculostomy provides the most accurate method of monitoring
intracranial pressure while providing the ability to drain cerebrospinal fluid
mcburney's incision is used by surgeons when performin an open Right
Ans - appendectomy
Rational: this method involved pressing on the R lower quadrant below the
umbilicus and medial to the anterior superior iliac spine. This is known as the
McBurney's point
the primary goal for moderate sedation/analgesia is for the pt to exhibit a
depression level of consciousness while Right Ans - being aroused with
tactile stimulation
Rational: goals of moderate sedation include independent maintenance of
airway and appropriate response to physical and verbal stimulation. Although
the pain threshold is elevated, all painfull sensation may NOT be eliminated
shoes worn by perioperative team members within the surgical suite should
have closed toes & backs, low heels, and non skid soles & must meet ___
requirements Right Ans - OSHA
pulse oximetry measures Right Ans - saturated hemoglobin in arterial
blood
local anesthesia injected during an epidural is diffused by the Right Ans -
rate of injection
Rational: the concentration, volume, and rate of injection determine the
spread and diffusion of medication during an epidural injection
Pt with a possible injury within the cranium should not be placed in a ____
position unless absolutely necessary Right Ans - Trendelenburg
Which of the following is an example of education using the pt centered care
approach? Right Ans - 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 Right Ans -
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? Right Ans - peppermint aromatherapy
the major benefit of using the Perioperative Nursing Data set (PNDS) is its
Right Ans - 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 : Right Ans - hypoxia
administration of the preoperative prophylactic antibiotic is the responsibility
of Right Ans - a designated perioperative health care provider
compared to adults, infants are at increased risk for hypothermia due to
Right Ans - increased body surface area to weight ratio
accountability for surgical counts is a professional responsibility that rests
primarily on the Right Ans - scrub person & RN circulator
PNDS uses ____ domains to address the perioperative nursing process Right
Ans - 4
the nurse should place a specimen in a container with ___ when sending to
pathology for a frozen section Right Ans - Nothing
,specimens should be transferred from the sterile field to the appropriate
container using ___ precautions Right Ans - standard
34 year old female pt with a diagnosis of breast cancer is scheduled for a R
breast mastectomy. When performing the surgical skin prep, the nurse
Right Ans - uses a no touch technique during prepping
if the alimentary, respiratory & genitourinary tracts or oropharyngeal cavity
are entered under controlled conditions without significant spillage or
unusual contamination, the surgical wound is classified as which of the
following? Right Ans - clean contaminated wound
Rational: correct wound classification should be completed after conclusion of
the surgical procedures. Determination of any alteration related to spillage of
contaminated contents must be considered when applying the wound
classification. Any GI or GU tracts are considered clean contaminated unless
alterations occur.
During a subtotal thyroidectomy, both the R & L recurrent laryngeal nerves
are ligated. The perioperative nurse can anticipate the need for which of the
following interventions? Right Ans - obtaining an emergency tracheotomy
tray
a pt with a fractured anterior fossa of the skull may have an alteration in
which sense? Right Ans - smell
Rational: fractures of the anterior fossa of the skull may affect the olfactory
nerve, which is responsible for the sense of smell
the preferred incisional type for an exploratory laparotomy is Right Ans -
midline vertical
Rational: a midline vertical incision is preferred for an exploratory
laparotomy because it enables fast entry into the abdomen and excellent
exposure to the abdominal contents and because it can be closed securely and
rapidly
A ____ is a major cause of death during & immediately following a surgical
procedure that can result from blood pooling in low pressure areas Right
Ans - pulmonary embolism
,Rational: PE can be caused by blood clots or other debris like fat. Debris
blocks the pulmonary artery or one of the branches. A PE is most often caused
by stasis of blood in deep veins during extended proceedures.
in the absence of a sterile transfer device when dispensing medication to the
sterile field, the best option is to Right Ans - have the RN circulator draw up
the medication in syringe & transfer
Rational: The best option is to use a sterile transfer device. If one is not
available, the next best option is for the RN circulator to draw up the
medication in a syringe and remove the needle prior to dispensing on the field
most medication errors in pediatric care occur because this pt population
varies dramatically in Right Ans - weight
Rational: pediatric medication administration is based on the pt weight. An
accurate wt measurement upon admission in both pounds and kg is an
essential part of preventing medication errors.
determining whether re-anastomosis is possible after a low anterior resection
of the sigmoid colon depends on Right Ans - cancer free margin of the
distal rectum
Rational: the ability to reestablish continuity of the proximal sigmoid colon
and the rectum is contingent on whether the distal rectal margin is cancer free
and if there is sufficient length of the bowel to vreate a tension- free
anastomosis
what is the American Society of Anesthesiologists (ASA) classification of a pt
with severe hypertention? Right Ans - ASA Class 3
Rational: Class 3 defined as pt having severe systemic disease that limits
activity but does not completely incapacitate the pt.
the chemical indicator inside a wrapped instrument tray has not changed to
the appropriate color. The perioperative nurse should first Right Ans -
review the sterilizer print out Rational: the sterilizer print out should be
checked 1st to determine whether cycle parameters have been met. Physical
monitors can provide a rapid means of identification of sterilizer failure.
Subsequent actions are based on whether the reason for the failure is due to
operator or sterilizer causes
, using ___ after high level disinfection of flexible endoscopes may help dry the
lumen to prevent microorganisms from multiplying Right Ans - 70-90%
ethyl alcohol
Rational: flushing w/70-90% ethyl or isopropyl alcohol should be determined
by the interdisciplinary team at the organization. Flushing with alcohol may
not be necessary if the flexible endoscope is dried properly
pt is scheduled for burr holes to remove fluid accumulated secondary to blunt
head trauma. The best option for a drain that removes cerebral spinal fluid
while monitoring intracranial pressure is a Right Ans - ventriculostomy
Rational: A ventriculostomy provides the most accurate method of monitoring
intracranial pressure while providing the ability to drain cerebrospinal fluid
mcburney's incision is used by surgeons when performin an open Right
Ans - appendectomy
Rational: this method involved pressing on the R lower quadrant below the
umbilicus and medial to the anterior superior iliac spine. This is known as the
McBurney's point
the primary goal for moderate sedation/analgesia is for the pt to exhibit a
depression level of consciousness while Right Ans - being aroused with
tactile stimulation
Rational: goals of moderate sedation include independent maintenance of
airway and appropriate response to physical and verbal stimulation. Although
the pain threshold is elevated, all painfull sensation may NOT be eliminated
shoes worn by perioperative team members within the surgical suite should
have closed toes & backs, low heels, and non skid soles & must meet ___
requirements Right Ans - OSHA
pulse oximetry measures Right Ans - saturated hemoglobin in arterial
blood
local anesthesia injected during an epidural is diffused by the Right Ans -
rate of injection
Rational: the concentration, volume, and rate of injection determine the
spread and diffusion of medication during an epidural injection
