CNOR Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf

CNOR Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf 1. Which of the following describes point-of-use cleaning of a surgical instrument? A. Prior to the procedure, the instrument is cleaned with a moist sponge B. During the procedure, the instrument is cleaned with a moist sponge after each use C. After the procedure, the instrument is cleaned with a moist sponge in the sterile processing area D. Continually clean the instrument with a sponge moistened with saline - Correct Answer: B. During the procedure, the instrument is cleaned with a moist sponge after each use. One type of point-of-use cleaning of a surgical instrument is when the instrument is cleaned with a sterile, water-soaked sponge after each use during the procedure. Point-of-use cleaning also occurs when an instrument is cleaned at the point of use immediately following the procedure. Saline should not be used for point-of-care cleaning. Cleaning at the point of use prevents bioburden from building up on the instrument and helps maintain the life of the instrument. 2. Venous air embolism is most likely to occur when the patient is in the ________ position. A. Supine B. Sitting C. Lithotomy D. Lateral - Correct Answer: B. Sitting Venous air embolism can occur when air or gas is drawn into the circulation by the veins above the level of the heart and is most likely to occur during neurosurgery or open shoulder surgery in the sitting or semi-sitting position. 3. A subjective sign of the existence and intensity of postoperative pain is the patient's: A. Self-report B. Change in blood pressure C. Facial expression D. Protective guarding behavior - Correct Answer: A. Self-report A subjective sign is what the patient states. Objective signs include results from physical assessment or observation. 4. A nursing diagnosis that considers a patient is at risk means the nursing interventions: A. Are directed at prevention B. Will not affect the patient's outcome C. Should be performed only as needed D. May put the patients at risk - Correct Answer: A. Are directed at prevention For perioperative patients, nursing diagnoses that consider a patient at risk for an outcome mean the problem has not yet occurred, and the interventions are directed at prevention. 5. Signs of a blood transfusion reaction include which of the following? A. Hypotension, hemoglobinuria, hyperthermia B. Weak pulse, hemoglobinuria, hypertension C. Hypothermia, weak pulse, tachycardia D. Hypothermia, hemoglobinuria, tachycardia - Correct Answer: A. Hypotension, hemoglobinuria, hyperthermia A blood transfusion reaction reflects vasomotor instability and is evidenced by hypotension, hemoglobinuria, and hyperthermia. Many common signs are not readily obvious when a patient is under anesthesia. 6. When performing time out, which of the following should be verified? A. Laboratory studies B. Instruments C. Suture D. Procedure - Correct Answer: D. Procedure Ensuring correct-site surgery requires affirmation of the following: correct patient, position, site, procedures, equipment, images, and implants (if required). 7. Pneumatic tourniquets should be deflated under the direction of: A. The surgeon and the scrub person B. The anesthesia professional and the circulating nurse C. The circulating nurse and the surgeon D. The surgeon and the anesthesia professional - Correct Answer: D. The surgeon and the anesthesia professional Hemodynamic changes may occur when the tourniquet is deflated. As the tourniquet cuff deflates, the anesthetic agent may be released into the circulatory system, causing systemic effects. Coordination among members of the perioperative team under the direction of the surgeon and the anesthesia professional can facilitate management of the patient's physiologic status during this period of rapid change. 8. Which organization should be consulted about a perioperative RN's scope of practice related to administration of medications for moderate sedation? A. Association of periOperative Registered Nurses B. The Joint Commission C. State Board of Nursing D. Centers for Medicare & Medicaid Services - Correct Answer: C. State Board of Nursing The professional registered nurse's scope of practice is defined by the individual state board of nursing. 9. A perioperative nurse is monitoring a patient under local anesthesia during a hernia repair when the patient reports a strange taste in the mouth. What is the most appropriate response by the perioperative nurse? A. Reassure the patient that it is a common sensation and will resolve soon after surgery B. Check the patient's hemoglobin and hematocrit C. Ask the patient to confirm nothing by mouth status D. Call for help - Correct Answer: D. Call for help The patient's symptom may represent a local anesthetic systemic toxicity (LAST), which would require urgent treatment under the direction of a qualified health care provider such as an anesthesia professional or a code team. In addition to altered taste (eg, metallic taste), other symptoms of LAST are consistent with neurologic (eg, numbness, confusion, seizures) and/or cardiovascular collapse (eg, bradycardia/hypotension). 10. A 47-year-old Spanish-speaking male presents with abdominal pain. He does not speak or understand English. How should the nurse communicate with the patient? A. Use a family member to interpret B. Use a trained medical interpreter C. Speak loudly and slowly to the patient D. Ask a bystander to interpret - Correct Answer: B. Use a trained medical interpreter Using a trained medical interpreter decreases errors and misunderstanding of the explanation of care. Using a family member may cause either the family member or patient to not be truthful to the care provider due to embarrassment. Using a bystander to interpret is a violation of HIPAA.