CNOR Exam 2
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1. Several experimental studies have shown a significant decrease in SSI for
Class ______ procedures when using pulsed xenon ultraviolet light systems
A. I
B. II
C. III
D. IV: A. I
researchers have found that pulsed xenon UV light systems significantly decreased SSI rates in Class I procedures,
hospital-acquired vancomycin-resistant enterococci infection rates and contamination of high touch surfaces in the OR
2. improved communication and use of __________ is associated with a significant
reduction in post op complication rates and mortality
A. AORN tool kits
B. Surgical care improvement program (SCIP) measures
C. The Who surgical safety checklist (SSC)
D. hand-off tools: C. The WHO SSC
a valuable tool that has been associated with a significant reduction in the number of post op complications and should
be universally implemented in all surgical settings
3. Surgery of the liver requires incising the external covering, which is referred
to as the
A. Glisson capsule
B. Gerota fascia
C. porta hepatis
D. hepatic fascia: A. Glisson Capsule
4. When wearing a single dosimeter, the preoperative RN should place the
dosimeter
A. inside the lead apron along the neckline
B. inside the lead apron along the waistline
C. outside the lead apron along the neckline
D. outside the lead apron along the waistline: C. outside the lead apron along the neckline
dosimeters are used to measure radiation exposure.
5. Joey is a 4 year old scheduled to have surgery. during pre op teaching, the
preoperative nurse knows that Joey's age-specific needs can best be met by
, CNOR Exam 2
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A. allowing his parent or caregiver to explain what will happen
B. providing him with privacy whenever possible
C. allowing him to handle the oxygen mask and ride in the wagon to the OR
D. giving him a thorough explanation of everything that will happen: C. allowing him
the handle the oxygen mask and ride in the wagon to the OR
The preschooler needs to explore and interact with his environment. Allowing him to familiarize himself ahead of time
with some objects he may encounter can ease anxiety
6. flammable antiseptic solutions differ from combustible ones in that
A. flammable solutions have a flash point above 101.5 F
B. flammable solutions will not ignite
C. combustible solutions have a flash point above 100.0 F
D. Combustible solutions will not ignite: C. combustible solutions have a flash point above 100.0
The threshold between flammable and combustible solutions is the flash point of 100.0 F, with flammable ones being
below this temperature and combustible ones being above. all saturated flammable solutions should be removed prior
to draping the patient. Fumes from volatile or combustible solutions may ignite w/o a direct connection to the source
of ignition.
7. Which of the following is the most important action by the circulating nurse
to reduce specimen error?
A. seeking clarification from the surgeon about the specimen site and side
B. calling the lab to confirm the proper storage solution for the specimen
C. asking the scrub person to verify the specimen
D. paging the surgical assistant post op to identify the specimen: A. seek clarification
from the surgeon about the specimen site and side
8. using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification: D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved through nursing interventions
, CNOR Exam 2
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9. a hemostatic agent that may be used by a neurosurgeon to control bleeding
bone is
A. heparin
B. protamine sulfate
C. methylene blue
D. bone wax: D. Bone Wax
Bone Wax is a hemostatic agent used to control bleeding from open bone via the creation of a mechanical tamponade
barrier
10. When delegating a task, the circulating nurse should
A. verify that the task is with in the scope of practice of the designee
B. provide a minimum of instructions on how to complete the task
C. give feedback to the designee based on personal experience
D. assume the designee has the skills to perform the task: A. verify that the task in within
the scope of practice of the designee
11. A medication that should be administered for treatment of local anesthetic
systemic toxicity (LAST) crisis is
A. lidocaine
B. epinephrine
C. 20% lipid emulsion
D. propofol: C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
12. hospital policy should include the requirement of PPE for all personnel who
are likely to come in contact with blood or infectious material based on
A. OSHA regulations
B. TJC standards
C. AORN guidelines
D. CDC recommendations: A. OSHA regulations
hospital policy must comply with OSHA regulations
, CNOR Exam 2
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13. When double gloving, personnel should wear
A. gloves one size larger for the first layer
B. gloves one size smaller for the first layer
C. gloves that are the same size for both layers
D. hypoallergenic gloves for the outer layer: A. gloves one size large for the first layer
using an inner glove that is one size larger allows for an air pocket that will prevent constriction when the outer glove
is applied.
14. Which of the following core body temperatures would indicate post op
hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C: A. 36 C
post op hypothermia, which can prolong recovery time and contribute to post op morbidity, is defined as a core body
temp less than 36 C (96.9 F)
15. The power drill or saw used to divided bone with a side-to-side cutting action
is a/an
A. reciprocating saw
B. oscillating saw
C. drill
D. reamer: B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
16. Deviation from a standardized procedure that is hospital policy suggests the
need for
A. a root cause analysis
B. a verbal warning
C. an evaluation of the procedure or staff
D. better communication: C. an evaluation of the procedure or staff
Study online at https://quizlet.com/_bvcqo8
1. Several experimental studies have shown a significant decrease in SSI for
Class ______ procedures when using pulsed xenon ultraviolet light systems
A. I
B. II
C. III
D. IV: A. I
researchers have found that pulsed xenon UV light systems significantly decreased SSI rates in Class I procedures,
hospital-acquired vancomycin-resistant enterococci infection rates and contamination of high touch surfaces in the OR
2. improved communication and use of __________ is associated with a significant
reduction in post op complication rates and mortality
A. AORN tool kits
B. Surgical care improvement program (SCIP) measures
C. The Who surgical safety checklist (SSC)
D. hand-off tools: C. The WHO SSC
a valuable tool that has been associated with a significant reduction in the number of post op complications and should
be universally implemented in all surgical settings
3. Surgery of the liver requires incising the external covering, which is referred
to as the
A. Glisson capsule
B. Gerota fascia
C. porta hepatis
D. hepatic fascia: A. Glisson Capsule
4. When wearing a single dosimeter, the preoperative RN should place the
dosimeter
A. inside the lead apron along the neckline
B. inside the lead apron along the waistline
C. outside the lead apron along the neckline
D. outside the lead apron along the waistline: C. outside the lead apron along the neckline
dosimeters are used to measure radiation exposure.
5. Joey is a 4 year old scheduled to have surgery. during pre op teaching, the
preoperative nurse knows that Joey's age-specific needs can best be met by
, CNOR Exam 2
Study online at https://quizlet.com/_bvcqo8
A. allowing his parent or caregiver to explain what will happen
B. providing him with privacy whenever possible
C. allowing him to handle the oxygen mask and ride in the wagon to the OR
D. giving him a thorough explanation of everything that will happen: C. allowing him
the handle the oxygen mask and ride in the wagon to the OR
The preschooler needs to explore and interact with his environment. Allowing him to familiarize himself ahead of time
with some objects he may encounter can ease anxiety
6. flammable antiseptic solutions differ from combustible ones in that
A. flammable solutions have a flash point above 101.5 F
B. flammable solutions will not ignite
C. combustible solutions have a flash point above 100.0 F
D. Combustible solutions will not ignite: C. combustible solutions have a flash point above 100.0
The threshold between flammable and combustible solutions is the flash point of 100.0 F, with flammable ones being
below this temperature and combustible ones being above. all saturated flammable solutions should be removed prior
to draping the patient. Fumes from volatile or combustible solutions may ignite w/o a direct connection to the source
of ignition.
7. Which of the following is the most important action by the circulating nurse
to reduce specimen error?
A. seeking clarification from the surgeon about the specimen site and side
B. calling the lab to confirm the proper storage solution for the specimen
C. asking the scrub person to verify the specimen
D. paging the surgical assistant post op to identify the specimen: A. seek clarification
from the surgeon about the specimen site and side
8. using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification: D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved through nursing interventions
, CNOR Exam 2
Study online at https://quizlet.com/_bvcqo8
9. a hemostatic agent that may be used by a neurosurgeon to control bleeding
bone is
A. heparin
B. protamine sulfate
C. methylene blue
D. bone wax: D. Bone Wax
Bone Wax is a hemostatic agent used to control bleeding from open bone via the creation of a mechanical tamponade
barrier
10. When delegating a task, the circulating nurse should
A. verify that the task is with in the scope of practice of the designee
B. provide a minimum of instructions on how to complete the task
C. give feedback to the designee based on personal experience
D. assume the designee has the skills to perform the task: A. verify that the task in within
the scope of practice of the designee
11. A medication that should be administered for treatment of local anesthetic
systemic toxicity (LAST) crisis is
A. lidocaine
B. epinephrine
C. 20% lipid emulsion
D. propofol: C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
12. hospital policy should include the requirement of PPE for all personnel who
are likely to come in contact with blood or infectious material based on
A. OSHA regulations
B. TJC standards
C. AORN guidelines
D. CDC recommendations: A. OSHA regulations
hospital policy must comply with OSHA regulations
, CNOR Exam 2
Study online at https://quizlet.com/_bvcqo8
13. When double gloving, personnel should wear
A. gloves one size larger for the first layer
B. gloves one size smaller for the first layer
C. gloves that are the same size for both layers
D. hypoallergenic gloves for the outer layer: A. gloves one size large for the first layer
using an inner glove that is one size larger allows for an air pocket that will prevent constriction when the outer glove
is applied.
14. Which of the following core body temperatures would indicate post op
hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C: A. 36 C
post op hypothermia, which can prolong recovery time and contribute to post op morbidity, is defined as a core body
temp less than 36 C (96.9 F)
15. The power drill or saw used to divided bone with a side-to-side cutting action
is a/an
A. reciprocating saw
B. oscillating saw
C. drill
D. reamer: B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
16. Deviation from a standardized procedure that is hospital policy suggests the
need for
A. a root cause analysis
B. a verbal warning
C. an evaluation of the procedure or staff
D. better communication: C. an evaluation of the procedure or staff
