CNOR PRACTICE EXAM PREP BY CCI 2023-2024
ALL DONE SOLUTION
Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - D. Pediatric patients
The National Patient Safety Goals directed at improving staff communication review the need
for
A. ensuring important test results are communicated to the right person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting a daily huddle on the unit - A, ensuring important test results are communicated
to the right person on time
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - B. Whether any special equipment, devices or implants
will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include bleeding,
hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - B. Bradycardia
A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be
counselled to discontinue taking the medication _________ prior to surgery
A. 1 week
B. 2 weeks
,C. 3 weeks
D. 4 weeks - B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet - A. previous history of stroke
Actively warming surgical patients with forced air to prevent hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision - C. in the preoperative holding area
Which of the following indicators demonstrates a patient who is at increased risk of developing
a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status - D. Poor preoperative nutritional status
Based on data collected during the patient assessment, the perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions - B. formulates a nursing diagnosis
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following
criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed - C. Device must be aerated
During surgery the patients respirations become increasingly shallow, and the pupils become
smaller and smaller until they are pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan)
should be administered
D. Oxygen should be increased while anesthetic is decreased - C. The anesthetic should be
discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered
, NPO Guidelines:
Food and fluids as desired - Up to 8 hours
NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk) - Up to 6 hours
NPO Guidelines
Breast Milk - Up to 4 hours
NPO Guidelines
Clear liquids only, NO solid food or foods with fat content - Up to 2 hours
NPO Guidelines
No solids or liquids - During the 2 hours until surgical times
After a person with an airborne disease has been cared for in the OR, the OR should be closed
and not cleaned until.. - 99% of the airborne particles have been removed from the air (eg 15
air exchanges/hour for 28 minutes)
Airborne precautions are instated for pathogens that are how big? - Small, 5 micrometers or
less and can therefore can stay suspended in the air.
Which precaution has pathogens greater than 5 micrometers in size - Droplet
What diseases are present for Contact precautions - HIV
HEP B
HEP C
Staph aureus
C-Diff
What Herbs may increase bleeding - Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
What Herbs may cause liver Inflammation - Echinacea
Kava
What Herbs may elevate Blood Pressure - Goldenseal
Licorice
What Herbs may prolong the effects of anesthesia - Kava
ALL DONE SOLUTION
Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - D. Pediatric patients
The National Patient Safety Goals directed at improving staff communication review the need
for
A. ensuring important test results are communicated to the right person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting a daily huddle on the unit - A, ensuring important test results are communicated
to the right person on time
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - B. Whether any special equipment, devices or implants
will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include bleeding,
hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - B. Bradycardia
A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be
counselled to discontinue taking the medication _________ prior to surgery
A. 1 week
B. 2 weeks
,C. 3 weeks
D. 4 weeks - B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet - A. previous history of stroke
Actively warming surgical patients with forced air to prevent hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision - C. in the preoperative holding area
Which of the following indicators demonstrates a patient who is at increased risk of developing
a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status - D. Poor preoperative nutritional status
Based on data collected during the patient assessment, the perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions - B. formulates a nursing diagnosis
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following
criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed - C. Device must be aerated
During surgery the patients respirations become increasingly shallow, and the pupils become
smaller and smaller until they are pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan)
should be administered
D. Oxygen should be increased while anesthetic is decreased - C. The anesthetic should be
discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered
, NPO Guidelines:
Food and fluids as desired - Up to 8 hours
NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk) - Up to 6 hours
NPO Guidelines
Breast Milk - Up to 4 hours
NPO Guidelines
Clear liquids only, NO solid food or foods with fat content - Up to 2 hours
NPO Guidelines
No solids or liquids - During the 2 hours until surgical times
After a person with an airborne disease has been cared for in the OR, the OR should be closed
and not cleaned until.. - 99% of the airborne particles have been removed from the air (eg 15
air exchanges/hour for 28 minutes)
Airborne precautions are instated for pathogens that are how big? - Small, 5 micrometers or
less and can therefore can stay suspended in the air.
Which precaution has pathogens greater than 5 micrometers in size - Droplet
What diseases are present for Contact precautions - HIV
HEP B
HEP C
Staph aureus
C-Diff
What Herbs may increase bleeding - Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
What Herbs may cause liver Inflammation - Echinacea
Kava
What Herbs may elevate Blood Pressure - Goldenseal
Licorice
What Herbs may prolong the effects of anesthesia - Kava
