CNOR 2021 QUESTIONS WITH VERIFIED
ANSWERS
NPO Recommendations prior to surgery - ✔✔clear liquids >= 2 hours
breast milk >= 4 hours
infant formula & light meal >= 6 hours
fried, fatty foods, meat >= 8 hours
Allergic responses occur... - ✔✔within 1 hour of exposure
If this is not removed before surgery, it can increase risk for infection, pressure injury,
aspiration, altered tissued integrity, and burns. - ✔✔Jewelry of any kind
Two conditions indicated by family history noteworthy for surgery. - ✔✔Malignant
Hyperthermia and Sickle Cell Disease
Pain scale for a patient unable to communicate. - ✔✔Face Legs Activity Crying
Consolable (FLACC)
5 aspects of pain assessment: - ✔✔Location
Pattern
Intensity
Duration
Effect on Life
The best method to assess pain in the perioperative patient... - ✔✔Pain intensity,
interference with Enjoyment, interference with General activity (PEG pain scale)
T/F The circulating nurse witnesses the validity of the patient's signature not the
patient's understanding of the procedure. - ✔✔True. The surgeon confirms patient's
understanding of the procedure.
These herbal supplements may cause premature labor/miscarriage... - ✔✔Black
Cohosh
Dong quai
These herbal supplements can increase risk for bleeding... - ✔✔Feverfew
Garlic
Ginger
Ginko biloba
Ginseng
Vitamin E
, This can exacerbate hypertension & edema and affect insulin & electrolyte imbalance. -
✔✔Goldenseal
These herbal supplements can prolong anesthesia recovery time by potentiating
sedatives and hypnotics. - ✔✔Kava kava
Valerian root
This supplement can cause withdrawal if not tapered before surgery. - ✔✔Valerian root
This standardization by The Joint Commission and the World Health Organization
prevents wrong person, wrong procedure, and wrong site surgery. - ✔✔Universal
Protocol
What do the below components describe?
1. Confirm patient's identity with 2 identifiers & confirm procedure
2. Mark operative site
3. Time out before surgery - ✔✔Universal Protocol
The three components of radiation safety: - ✔✔Time
Distance
Shielding
The fire triangle: - ✔✔Oxygen, Ignition/Heat, Fuel
Methods to ensure fire safety: - ✔✔Prevent prep solutions from pooling
Allow skin preps to dry before draping
Water-based eye lubricant
Fluid on the back table
18 inches clearance of items from the ceiling
A bump under the right hip can assist... - ✔✔pregnant women to decrease pressure on
the vena cava and left-sided orthopedic surgery.
Can reverse benzodiazepines - ✔✔Flumazenil
Common benzodiazepine used before surgery - ✔✔Midazolam (Versed)
Depolarizing muscle relaxant - ✔✔Succinylcholine
Non-depolarizing muscle relaxant - ✔✔Rocuronium
Can reverse opioids - ✔✔Naloxone
ANSWERS
NPO Recommendations prior to surgery - ✔✔clear liquids >= 2 hours
breast milk >= 4 hours
infant formula & light meal >= 6 hours
fried, fatty foods, meat >= 8 hours
Allergic responses occur... - ✔✔within 1 hour of exposure
If this is not removed before surgery, it can increase risk for infection, pressure injury,
aspiration, altered tissued integrity, and burns. - ✔✔Jewelry of any kind
Two conditions indicated by family history noteworthy for surgery. - ✔✔Malignant
Hyperthermia and Sickle Cell Disease
Pain scale for a patient unable to communicate. - ✔✔Face Legs Activity Crying
Consolable (FLACC)
5 aspects of pain assessment: - ✔✔Location
Pattern
Intensity
Duration
Effect on Life
The best method to assess pain in the perioperative patient... - ✔✔Pain intensity,
interference with Enjoyment, interference with General activity (PEG pain scale)
T/F The circulating nurse witnesses the validity of the patient's signature not the
patient's understanding of the procedure. - ✔✔True. The surgeon confirms patient's
understanding of the procedure.
These herbal supplements may cause premature labor/miscarriage... - ✔✔Black
Cohosh
Dong quai
These herbal supplements can increase risk for bleeding... - ✔✔Feverfew
Garlic
Ginger
Ginko biloba
Ginseng
Vitamin E
, This can exacerbate hypertension & edema and affect insulin & electrolyte imbalance. -
✔✔Goldenseal
These herbal supplements can prolong anesthesia recovery time by potentiating
sedatives and hypnotics. - ✔✔Kava kava
Valerian root
This supplement can cause withdrawal if not tapered before surgery. - ✔✔Valerian root
This standardization by The Joint Commission and the World Health Organization
prevents wrong person, wrong procedure, and wrong site surgery. - ✔✔Universal
Protocol
What do the below components describe?
1. Confirm patient's identity with 2 identifiers & confirm procedure
2. Mark operative site
3. Time out before surgery - ✔✔Universal Protocol
The three components of radiation safety: - ✔✔Time
Distance
Shielding
The fire triangle: - ✔✔Oxygen, Ignition/Heat, Fuel
Methods to ensure fire safety: - ✔✔Prevent prep solutions from pooling
Allow skin preps to dry before draping
Water-based eye lubricant
Fluid on the back table
18 inches clearance of items from the ceiling
A bump under the right hip can assist... - ✔✔pregnant women to decrease pressure on
the vena cava and left-sided orthopedic surgery.
Can reverse benzodiazepines - ✔✔Flumazenil
Common benzodiazepine used before surgery - ✔✔Midazolam (Versed)
Depolarizing muscle relaxant - ✔✔Succinylcholine
Non-depolarizing muscle relaxant - ✔✔Rocuronium
Can reverse opioids - ✔✔Naloxone
