CNOR PREP EXAM WITH COMPLETE
SOLUTIONS
echinacea, kava - Correct Answers-2 herbal supplements that can cause liver damage
(green urine), especially if given with propofol
ginger, ginkgo, garlic, fever few, saw palmetto, some fish oils - Correct Answers-6
herbal supplements that can cause increased bleeding
goldenseal, milk thistle, licorice, ginseng, ephedra - Correct Answers-5 herbal
supplements that can cause arrhythmias/blood pressure changes (cardiac effects: incr
BP, incr HR, incr gastric secretions/heartburn), especially if given with anti-cholinergic
agents (i.e. glycopyrrolate, robinul, atropine)
ginkgo, st. john's wort, valerian - Correct Answers-3 herbal supplements that can cause
prolonged emergence
cocaine, procaine, tetracaine - Correct Answers-3 examples of esters
pseudocholinesterases - Correct Answers-esters are metabolized by ____ - process
releases para-aminobenzoic acid (PABA) - some people are allergic to PABA
bupivacaine, lidocaine, mepivacaine - Correct Answers-3 examples of amides
liver - Correct Answers-amides are metabolized in the ____ (less likely to create
histamine response)
1, 2, 3, stable, beards, dentures, sleep apnea - Correct Answers-RN can do moderate
sedation for ASA __, __, and __ as long as the patient is ____ - no ____, ____, or ____
(difficult mask ventilation)
5mg/kg/day - Correct Answers-max dose of 1% lidocaine
7mg/kg/day - Correct Answers-max dose of 1% lidocaine with epinephrine
interscalene, supraclavicular, infraclavicular, axillary - Correct Answers-4 injection sites
for brachial plexus block
Horner's Syndrome, phrenic nerve paresis (common) - Correct Answers-2 complications
of interscalene block
, miosis (constricted pupil), ptosis (droopy eyelid), anhydrosis (decreased sweating),
SAME - Correct Answers-3 signs of Horner's Syndrome - on ____ side as the block
pneumothorax, phrenic nerve paresis (less common) - Correct Answers-2 complications
of supraclavicular block
hematoma, accidental vascular injection (LAST) - Correct Answers-2 complications of
axillary block
initial, excitation, depression - Correct Answers-3 phases of S/S of LAST
metallic taste, numb tongue and lips, ringing in ears (tinnitus), lightheadedness,
agitation - Correct Answers-5 S/S of initial phase of LAST
shivering, slurred speech, confusion, seizures, tachycardia (caused by seizures, not
LAST), hypertension (caused by seizures, not LAST) - Correct Answers-6 S/S of
excitation phase of LAST
coma, bradycardia, hypotension, ventricular arrhythmias, respiratory/cardiac arrest -
Correct Answers-5 S/S of depression phase of LAST
20 lipid emulsion, 1-1.5mL/kg bolus over 1 minute, 3, 0.25mL/kg/minute - Correct
Answers-"reversal agent" for amides and esters? bolus dose/time? can repeat up to
__x, then give infusion - rate?
epidural, spinal - Correct Answers-2 types of neuraxial anesthesia
motor, sensory - Correct Answers-___ returns before ___ function after epidural/spinal
peridural, caudal - Correct Answers-2 other names for epidural
subdural, saddle - Correct Answers-2 other names for spinal
epidural space - Correct Answers-epidural: medication injected into ___ ___
spinal fluid - Correct Answers-spinal: medication injected into ___ ___
epidural - Correct Answers-can be used for postoperative pain - epidural or spinal?
epidural - Correct Answers-longer duration - epidural or spinal?
thoracic, lumbar - Correct Answers-2 regions of spine epidural placed in?
15-30 minutes - Correct Answers-epidural - onset?
2 hours - Correct Answers-spinal - duration?
SOLUTIONS
echinacea, kava - Correct Answers-2 herbal supplements that can cause liver damage
(green urine), especially if given with propofol
ginger, ginkgo, garlic, fever few, saw palmetto, some fish oils - Correct Answers-6
herbal supplements that can cause increased bleeding
goldenseal, milk thistle, licorice, ginseng, ephedra - Correct Answers-5 herbal
supplements that can cause arrhythmias/blood pressure changes (cardiac effects: incr
BP, incr HR, incr gastric secretions/heartburn), especially if given with anti-cholinergic
agents (i.e. glycopyrrolate, robinul, atropine)
ginkgo, st. john's wort, valerian - Correct Answers-3 herbal supplements that can cause
prolonged emergence
cocaine, procaine, tetracaine - Correct Answers-3 examples of esters
pseudocholinesterases - Correct Answers-esters are metabolized by ____ - process
releases para-aminobenzoic acid (PABA) - some people are allergic to PABA
bupivacaine, lidocaine, mepivacaine - Correct Answers-3 examples of amides
liver - Correct Answers-amides are metabolized in the ____ (less likely to create
histamine response)
1, 2, 3, stable, beards, dentures, sleep apnea - Correct Answers-RN can do moderate
sedation for ASA __, __, and __ as long as the patient is ____ - no ____, ____, or ____
(difficult mask ventilation)
5mg/kg/day - Correct Answers-max dose of 1% lidocaine
7mg/kg/day - Correct Answers-max dose of 1% lidocaine with epinephrine
interscalene, supraclavicular, infraclavicular, axillary - Correct Answers-4 injection sites
for brachial plexus block
Horner's Syndrome, phrenic nerve paresis (common) - Correct Answers-2 complications
of interscalene block
, miosis (constricted pupil), ptosis (droopy eyelid), anhydrosis (decreased sweating),
SAME - Correct Answers-3 signs of Horner's Syndrome - on ____ side as the block
pneumothorax, phrenic nerve paresis (less common) - Correct Answers-2 complications
of supraclavicular block
hematoma, accidental vascular injection (LAST) - Correct Answers-2 complications of
axillary block
initial, excitation, depression - Correct Answers-3 phases of S/S of LAST
metallic taste, numb tongue and lips, ringing in ears (tinnitus), lightheadedness,
agitation - Correct Answers-5 S/S of initial phase of LAST
shivering, slurred speech, confusion, seizures, tachycardia (caused by seizures, not
LAST), hypertension (caused by seizures, not LAST) - Correct Answers-6 S/S of
excitation phase of LAST
coma, bradycardia, hypotension, ventricular arrhythmias, respiratory/cardiac arrest -
Correct Answers-5 S/S of depression phase of LAST
20 lipid emulsion, 1-1.5mL/kg bolus over 1 minute, 3, 0.25mL/kg/minute - Correct
Answers-"reversal agent" for amides and esters? bolus dose/time? can repeat up to
__x, then give infusion - rate?
epidural, spinal - Correct Answers-2 types of neuraxial anesthesia
motor, sensory - Correct Answers-___ returns before ___ function after epidural/spinal
peridural, caudal - Correct Answers-2 other names for epidural
subdural, saddle - Correct Answers-2 other names for spinal
epidural space - Correct Answers-epidural: medication injected into ___ ___
spinal fluid - Correct Answers-spinal: medication injected into ___ ___
epidural - Correct Answers-can be used for postoperative pain - epidural or spinal?
epidural - Correct Answers-longer duration - epidural or spinal?
thoracic, lumbar - Correct Answers-2 regions of spine epidural placed in?
15-30 minutes - Correct Answers-epidural - onset?
2 hours - Correct Answers-spinal - duration?
