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Exam (elaborations)

Cnor Practice Exam- Zander Questions With Correct Detailed Answers

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CNOR PRACTICE EXAM- ZANDER QUESTIONS WITH CORRECT DETAILED ANSWERS

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The perioperative nurse risk of burns by considering the Fire Triangle requirements
during procedures and working with the surgical team to keep these components to
no more than necessary. Fire in all settings requires three components. They are:


Fuel, Fire and Oxygen
An ignition source, an oxidizer, and a flammable material
Fire, ignition and oxygen
Air, Flammable material and heat


Give this one a try later!

, An ignition source, an oxidizer, and a flammable material


Surgical fires in all settings require an ignition or heat source, an oxidizer
(like oxygen or nitrous) and fuel to burn (some flammable material)
Alexander's Care of the Patient in Surgery 16th ed. Ch. 2




A peer review...


Involves verification of data collection methods.
Appraises the overall quality of care provided.
Focuses on an individual practitioner's strengths and weaknesses.
Measures compliance with current policies and procedures.


Give this one a try later!


Focuses on an individual practitioner's strengths and weaknesses.

A peer review differs from other quality improvement programs in that it
looks at the strengths and weaknesses of an individual practitioner's
performance rather than appraises the quality of care rendered by a group
of professionals. An associate with the same role expectations and
performance description examines and evaluates the clinical practice of a
peer.
Berry and Kohn's Operating Room Technique 13th ed Ch 2




What ethical principle means doing no harm?


Nonmaleficence
Beneficence
Fidelity
Maleficence


Give this one a try later!

, Nonmaleficence

Nonmaleficence means non-harming or inflicting the least harm possible to
reach a beneficial outcome. Beneficence is a concept in research ethics
which states that researchers should have the welfare of the research
participant as a goal of any clinical trial or other research study. The
antonym of this term, maleficence, describes a practice which opposes the
welfare of the participant. Fidelity means loyalty.
Definitions you should know for the exam.




During the laparoscopic cholecystectomy the perioperative nurse keeps the CO2 at
less than 15 mmHg because increased CO2 pressures cause...


Tachycardia
Air embolism
Respiratory compromise
Increased bleeding


Give this one a try later!


Respiratory compromise


Over pressurization can force CO2 to diffuse into the blood resulting in
Hypercarbia. End tidal CO2 monitoring is crucial. Excess pressure also
increases diaphragmatic pressure and reduced intrathoracic space and thus
tidal volume.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 8




The mother of an infant coming in for a hypospadias repair is 16 years old. The mother
and baby reside with the mother's family. Who will sign consent for surgery?


Because the mother of the patient is a minor the consent is signed by the patient's
grandparent
The infant's mother can sign the surgical consent even though she is a minor

, A social worker will be assigned to the patient and will be the one to sign consent for
surgery
A minor may not sign consent for surgery so the baby's closest next of kin who is not
a minor must sign consent


Give this one a try later!


The infant's mother can sign the surgical consent even though she is a
minor

A minor who is the parent of an infant or child who is having a procedure
may sign for his or her own child.
Berry and Kohn's Operating Room Technique 13th ed Ch 3




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?


Class1
Class 2
Class 3
Class 4


Give this one a try later!


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.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9




The surgeon performed a biopsy during the bronchoscopy. The specimen is
appropriately prepared and transported to the lab. After the procedure the cutting
accessory and bronchoscope are processed. What level of processing is
recommended by the Spaulding Classification System?

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