Zander CNOR Practice Exam
Questions with Correct Answers
The patient's desirable and measurable physiological and psychological responses to
nursing interventions are called: - ANSWER✔✔-Outcome standards
What the wound classification for vaginal hysterectomy? - ANSWER✔✔-Class 2
The CRNA is attempting to open the 25-year-old man's mouth for intubation but the
jaw is tight and she's having difficulty. Then the nurse notices that the patient's
capnograph is rising dramatically. As the CRNA continues to struggle to open the jaw
to intubate, the patient's heart rate and blood pressure are rising. What is the
appropriate response for the perioperative nurse? - ANSWER✔✔-These are early signs
of Malignant Hyperthermia. The perioperative nurse tells the CRNA what she's seeing.
The perioperative nurse calls the OR desk to ask for help and that the MH cart be
brought to the room.
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open Tib/Fib
fracture for ORIF. What wound class is it? - ANSWER✔✔-Class 3
,A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one that
is less than 4-6 hours old at the start of surgery.
Patients with one or more of Virchow's triad are at increased risk for - ANSWER✔✔-
Deep Vein thrombosis
The Spaulding classification system is used to determine: - ANSWER✔✔-Appropriate
methods to attain desired level of processing required for safety in patient care items.
When passing the knife to the surgeon the best practice would be... - ANSWER✔✔-To
place the knife into a designated tray and so the surgeon can pick it up
The ultimate responsibility for the nurse's competency is: - ANSWER✔✔-Nurse
During a bowel resection for malignancy the circulating nurse anticipates... -
ANSWER✔✔-Prepare for regowning and regloving of the entire surgical team at the
field
When positioning a patient in a left lateral decubitus position padding will be needed...
- ANSWER✔✔-Between the knees
What does a uniform pattern on the Bowie -Dick indicate? - ANSWER✔✔-The vacuum
cycle functioned properly
After the patient has signed the surgical consent she is given Midazolam and brought to
the surgical suite. She is then transferred to the OR table. She tells the CRNA 'I don't
,want to do it'. The patient is scheduled for an AV fistula so she can begin renal dialysis.
The CRNA asks "you don't want to have surgery?" The patient responds that she does
not. What should be the response of the surgical team? - ANSWER✔✔-The patient
should be taken back to the holding area and the surgeon notified of the patient's
decision
Counting sponges is a nursing action. The nurse is accountable. The belief that the
surgeon is responsible for all actions taken by staff in surgery, known as 'The Captain of
the Ship' is outdated and no longer legally valid. The nurse is legally responsible for the
surgical count. What type of law deals with injury to a person such as a retained object?
- ANSWER✔✔-Tort Law
A tort action law suit is filed when there is injury to a person caused by another person.
A retained object is tort claim.
What is the Perioperative Nursing Data Set (PNDS), and its function? - ANSWER✔✔-
The PNDS is a standardized vocabulary and care pathway in electronic documentation
that can be aggregated and analyzed. It's used to evaluate the effectiveness of nursing
care on patient outcomes
Mr S has tuberculosis and has just started a rifampin therapy this week. He was
admitted through the ED with active TB and acute Cholecystitis. The patient is stable
and being made comfortable on the med/surg floor. At 1pm the general surgeon tells
the charge nurse that surgery needs to be done within the next 24 hours. The surgeon
, and charge nurse collaborate to work the cholecystectomy patient into the schedule. It
would be best if this patient's case is: - ANSWER✔✔-scheduled at the end of the day
today
The case should be done at the end of the day when minimal personnel and patients are
present and there will be minimal traffic in the area.
The surgeon is preparing to place plaster cast on the patient after the ORIF. According
to rule of confine and contain what should happen next? How should the perioperative
nurse respond? - ANSWER✔✔-Ask the surgeon to remove his gown and gloves
To prevent blood from getting on the cast and irritation to the hands from the lime
content the surgeon should done non sterile disposable gloves.
Mr. S is coming to surgery for partial amputation of a foot because of gas gangrene in
the area after an injury. How should the perioperative nurse respond? - ANSWER✔✔-
Clean the room after the case as you would do for regular turn over cleaning
Which of the following uses cavitation? - ANSWER✔✔-Ultrasonic cleaning
Ultrasonic cleaning uses high frequency sound waves. Cleaning with the use of
ultrasonic energy is called cavitation. These sound waves generate tiny bubbles in the
solution to get into the crevices of the instruments that are impossible to clean by other
methods. The bubbles expand until they become unstable and collapse. This implosion
generates minute vacuum areas that dislodge soil.
Questions with Correct Answers
The patient's desirable and measurable physiological and psychological responses to
nursing interventions are called: - ANSWER✔✔-Outcome standards
What the wound classification for vaginal hysterectomy? - ANSWER✔✔-Class 2
The CRNA is attempting to open the 25-year-old man's mouth for intubation but the
jaw is tight and she's having difficulty. Then the nurse notices that the patient's
capnograph is rising dramatically. As the CRNA continues to struggle to open the jaw
to intubate, the patient's heart rate and blood pressure are rising. What is the
appropriate response for the perioperative nurse? - ANSWER✔✔-These are early signs
of Malignant Hyperthermia. The perioperative nurse tells the CRNA what she's seeing.
The perioperative nurse calls the OR desk to ask for help and that the MH cart be
brought to the room.
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open Tib/Fib
fracture for ORIF. What wound class is it? - ANSWER✔✔-Class 3
,A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one that
is less than 4-6 hours old at the start of surgery.
Patients with one or more of Virchow's triad are at increased risk for - ANSWER✔✔-
Deep Vein thrombosis
The Spaulding classification system is used to determine: - ANSWER✔✔-Appropriate
methods to attain desired level of processing required for safety in patient care items.
When passing the knife to the surgeon the best practice would be... - ANSWER✔✔-To
place the knife into a designated tray and so the surgeon can pick it up
The ultimate responsibility for the nurse's competency is: - ANSWER✔✔-Nurse
During a bowel resection for malignancy the circulating nurse anticipates... -
ANSWER✔✔-Prepare for regowning and regloving of the entire surgical team at the
field
When positioning a patient in a left lateral decubitus position padding will be needed...
- ANSWER✔✔-Between the knees
What does a uniform pattern on the Bowie -Dick indicate? - ANSWER✔✔-The vacuum
cycle functioned properly
After the patient has signed the surgical consent she is given Midazolam and brought to
the surgical suite. She is then transferred to the OR table. She tells the CRNA 'I don't
,want to do it'. The patient is scheduled for an AV fistula so she can begin renal dialysis.
The CRNA asks "you don't want to have surgery?" The patient responds that she does
not. What should be the response of the surgical team? - ANSWER✔✔-The patient
should be taken back to the holding area and the surgeon notified of the patient's
decision
Counting sponges is a nursing action. The nurse is accountable. The belief that the
surgeon is responsible for all actions taken by staff in surgery, known as 'The Captain of
the Ship' is outdated and no longer legally valid. The nurse is legally responsible for the
surgical count. What type of law deals with injury to a person such as a retained object?
- ANSWER✔✔-Tort Law
A tort action law suit is filed when there is injury to a person caused by another person.
A retained object is tort claim.
What is the Perioperative Nursing Data Set (PNDS), and its function? - ANSWER✔✔-
The PNDS is a standardized vocabulary and care pathway in electronic documentation
that can be aggregated and analyzed. It's used to evaluate the effectiveness of nursing
care on patient outcomes
Mr S has tuberculosis and has just started a rifampin therapy this week. He was
admitted through the ED with active TB and acute Cholecystitis. The patient is stable
and being made comfortable on the med/surg floor. At 1pm the general surgeon tells
the charge nurse that surgery needs to be done within the next 24 hours. The surgeon
, and charge nurse collaborate to work the cholecystectomy patient into the schedule. It
would be best if this patient's case is: - ANSWER✔✔-scheduled at the end of the day
today
The case should be done at the end of the day when minimal personnel and patients are
present and there will be minimal traffic in the area.
The surgeon is preparing to place plaster cast on the patient after the ORIF. According
to rule of confine and contain what should happen next? How should the perioperative
nurse respond? - ANSWER✔✔-Ask the surgeon to remove his gown and gloves
To prevent blood from getting on the cast and irritation to the hands from the lime
content the surgeon should done non sterile disposable gloves.
Mr. S is coming to surgery for partial amputation of a foot because of gas gangrene in
the area after an injury. How should the perioperative nurse respond? - ANSWER✔✔-
Clean the room after the case as you would do for regular turn over cleaning
Which of the following uses cavitation? - ANSWER✔✔-Ultrasonic cleaning
Ultrasonic cleaning uses high frequency sound waves. Cleaning with the use of
ultrasonic energy is called cavitation. These sound waves generate tiny bubbles in the
solution to get into the crevices of the instruments that are impossible to clean by other
methods. The bubbles expand until they become unstable and collapse. This implosion
generates minute vacuum areas that dislodge soil.
