Zander CNOR Comprehensive Questions
(Frequently Tested) and Complete Solutions
Graded A+
The patient's desirable and measurable physiological and psychological responses to nursing
interventions are called: - Answer: Outcome standards;
The common goal of standards is quality patient care. Patient outcomes are an essential indicator of the
quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
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
Lateral decubitus position is synonymous to lateral position. The flexed knees may require padding to
prevent pressure and shearing force.
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 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
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
If a patient is hypoventilating post operatively what do you expect to happen to the patient's blood
gasses? - Answer: The PH will go down and the CO2 will go up
The surgeon has decided to perform a closed reduction of the patient's fractured radial and ulnar bones.
Why is this preferable over an open reduction that might more accurately align the broken ends? -
Answer: Closed reduction reduces the likelihood of infection
Which of the following patients is at the least risk for a surgical fire? - Answer: An intubated patient
with bipolar cauterization during a peripheral vascular procedure
The perioperative nurse is preparing the surgical site for a colostomy reversal and re-anastomosis of the
bowel. How should the prepare the stoma? - Answer: Isolate the stoma with a sterile barrier, prep from
incision to periphery, prep the stoma last and cover with a sponge
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is functioning
properly uses which kind of spore? - Answer: Geobacillus Stearothermophilus
The emancipated minor is a 16-year-old female accompanied by her infant daughter and her boyfriend.
The 16-year-old is having a hernia repair. The surgical consent is signed by whom? - Answer: The minor
is emancipated so she can sign consent
(Frequently Tested) and Complete Solutions
Graded A+
The patient's desirable and measurable physiological and psychological responses to nursing
interventions are called: - Answer: Outcome standards;
The common goal of standards is quality patient care. Patient outcomes are an essential indicator of the
quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
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
Lateral decubitus position is synonymous to lateral position. The flexed knees may require padding to
prevent pressure and shearing force.
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 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
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
If a patient is hypoventilating post operatively what do you expect to happen to the patient's blood
gasses? - Answer: The PH will go down and the CO2 will go up
The surgeon has decided to perform a closed reduction of the patient's fractured radial and ulnar bones.
Why is this preferable over an open reduction that might more accurately align the broken ends? -
Answer: Closed reduction reduces the likelihood of infection
Which of the following patients is at the least risk for a surgical fire? - Answer: An intubated patient
with bipolar cauterization during a peripheral vascular procedure
The perioperative nurse is preparing the surgical site for a colostomy reversal and re-anastomosis of the
bowel. How should the prepare the stoma? - Answer: Isolate the stoma with a sterile barrier, prep from
incision to periphery, prep the stoma last and cover with a sponge
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is functioning
properly uses which kind of spore? - Answer: Geobacillus Stearothermophilus
The emancipated minor is a 16-year-old female accompanied by her infant daughter and her boyfriend.
The 16-year-old is having a hernia repair. The surgical consent is signed by whom? - Answer: The minor
is emancipated so she can sign consent
