CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
1. Several experimental studies have shown a significant decrease in SSI for
Class procedures when using pulsed xenon ultraviolet light systems
A. I
B. II
C. III
D. IV: A. I
researchers have found that pulsed xenon UV light systems significantly decreased
SSI rates in Class I procedures, hospital-acquired vancomycin-resistant enterococci
infection rates and contamination of high touch surfaces in the OR
2. improved communication and use of is associated with a sig-
nificant reduction in post op complication rates and mortality
A. AORN tool kits
B. Surgical care improvement program (SCIP) measures
C. The Who surgical safety checklist (SSC)
D. hand-off tools: C. The WHO SSC
a valuable tool that has been associated with a significant reduction in the number of
post op complications and should be universally implemented in all surgical settings
3. Surgery of the liver requires incising the external covering, which is referred
to as the
A. Glisson capsule
B. Gerota fascia
C. porta hepatis
D. hepatic fascia: A. Glisson Capsule
4. When wearing a single dosimeter, the preoperative RN should place the
dosimeter
A. inside the lead apron along the neckline
B. inside the lead apron along the waistline
C. outside the lead apron along the neckline
D. outside the lead apron along the waistline: C. outside the lead apron along the
neckline
dosimeters are used to measure radiation exposure.
5. Joey is a 4 year old scheduled to have surgery. during pre op teaching, the
preoperative nurse knows that Joey's age-specific needs can best be met by
A. allowing his parent or caregiver to explain what will happen
B. providing him with privacy whenever possible
C. allowing him to handle the oxygen mask and ride in the wagon to the OR
D. giving him a thorough explanation of everything that will happen: C. allowing
him the handle the oxygen mask and ride in the wagon to the OR
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
The preschooler needs to explore and interact with his environment. Allowing him
to familiarize himself ahead of time with some objects he may encounter can ease
anxiety
6. flammable antiseptic solutions differ from combustible ones in that
A. flammable solutions have a flash point above 101.5 F
B. flammable solutions will not ignite
C. combustible solutions have a flash point above 100.0 F
D. Combustible solutions will not ignite: C. combustible solutions have a flash
point above 100.0
The threshold between flammable and combustible solutions is the flash point of
100.0 F, with flammable ones being below this temperature and combustible ones
being above. all saturated flammable solutions should be removed prior to draping
the patient. Fumes from volatile or combustible solutions may ignite w/o a direct
connection to the source of ignition.
7. Which of the following is the most important action by the circulating nurse
to reduce specimen error?
A. seeking clarification from the surgeon about the specimen site and side
B. calling the lab to confirm the proper storage solution for the specimen
C. asking the scrub person to verify the specimen
D. paging the surgical assistant post op to identify the specimen: A. seek
clarification from the surgeon about the specimen site and side
8. using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification: D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved
through nursing interventions
9. a hemostatic agent that may be used by a neurosurgeon to control bleeding
bone is
A. heparin
B. protamine sulfate
C. methylene blue
D. bone wax: D. Bone Wax
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
Bone Wax is a hemostatic agent used to control bleeding from open bone via the
creation of a mechanical tamponade barrier
10. When delegating a task, the circulating nurse should
A. verify that the task is with in the scope of practice of the designee
B. provide a minimum of instructions on how to complete the task
C. give feedback to the designee based on personal experience
D. assume the designee has the skills to perform the task: A. verify that the task
in within the scope of practice of the designee
11. A medication that should be administered for treatment of local anesthetic
systemic toxicity (LAST) crisis is
A. lidocaine
B. epinephrine
C. 20% lipid emulsion
D. propofol: C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
12. hospital policy should include the requirement of PPE for all personnel
who are likely to come in contact with blood or infectious material based on
A. OSHA regulations
B. TJC standards
C. AORN guidelines
D. CDC recommendations: A. OSHA regulations
hospital policy must comply with OSHA regulations
13. When double gloving, personnel should wear
A. gloves one size larger for the first layer
B. gloves one size smaller for the first layer
C. gloves that are the same size for both layers
D. hypoallergenic gloves for the outer layer: A. gloves one size large for the first
layer
using an inner glove that is one size larger allows for an air pocket that will prevent
constriction when the outer glove is applied.
14. Which of the following core body temperatures would indicate post op
hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C: A. 36 C
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
post op hypothermia, which can prolong recovery time and contribute to post op
morbidity, is defined as a core body temp less than 36 C (96.9 F)
15. The power drill or saw used to divided bone with a side-to-side cutting
action is a/an
A. reciprocating saw
B. oscillating saw
C. drill
D. reamer: B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
16. Deviation from a standardized procedure that is hospital policy suggests
the need for
A. a root cause analysis
B. a verbal warning
C. an evaluation of the procedure or staff
D. better communication: C. an evaluation of the procedure or staff
standardization of procedures help staff develop skill and efficiency. Policies and
procedures based on standards and guidelines help to incorporate evidence-based
practice into patient care. Deviation from those policies should lead to an evaluation
of the processes and staff involved to discover if the process needs to be improved.
17. A patient reports to the ambulatory surgery center for local anesthesia w/o
sedation and claims that the surgeon gave him permission to drive himself
home. The most appropriate actin for the peri op nurse is to
A. cancel the surgery and reschedule when the patient has a ride
B. contact the social worker to assist in finding transportation for the patient
C. check for an order stating that the patient may drive himself home
D. allow the patient to leave when his post op Aldrete score is 10: C. check for
an order stating that the patient may drive himself home
it may be permissible for the patient to drive himself home if the surgery was
performed under local anesthesia w/o sedation and if there is a physician's order
18. Which of the following are methods of sterilization?
A. Chemical, mechanical, biological
B. decontamination, disinfection, pasteurization
C. thermal, chemical, radiation
D. low-level disinfection, intermediate-level disinfection, high-level disinfec-
Study online at https://quizlet.com/_fz7zj8
1. Several experimental studies have shown a significant decrease in SSI for
Class procedures when using pulsed xenon ultraviolet light systems
A. I
B. II
C. III
D. IV: A. I
researchers have found that pulsed xenon UV light systems significantly decreased
SSI rates in Class I procedures, hospital-acquired vancomycin-resistant enterococci
infection rates and contamination of high touch surfaces in the OR
2. improved communication and use of is associated with a sig-
nificant reduction in post op complication rates and mortality
A. AORN tool kits
B. Surgical care improvement program (SCIP) measures
C. The Who surgical safety checklist (SSC)
D. hand-off tools: C. The WHO SSC
a valuable tool that has been associated with a significant reduction in the number of
post op complications and should be universally implemented in all surgical settings
3. Surgery of the liver requires incising the external covering, which is referred
to as the
A. Glisson capsule
B. Gerota fascia
C. porta hepatis
D. hepatic fascia: A. Glisson Capsule
4. When wearing a single dosimeter, the preoperative RN should place the
dosimeter
A. inside the lead apron along the neckline
B. inside the lead apron along the waistline
C. outside the lead apron along the neckline
D. outside the lead apron along the waistline: C. outside the lead apron along the
neckline
dosimeters are used to measure radiation exposure.
5. Joey is a 4 year old scheduled to have surgery. during pre op teaching, the
preoperative nurse knows that Joey's age-specific needs can best be met by
A. allowing his parent or caregiver to explain what will happen
B. providing him with privacy whenever possible
C. allowing him to handle the oxygen mask and ride in the wagon to the OR
D. giving him a thorough explanation of everything that will happen: C. allowing
him the handle the oxygen mask and ride in the wagon to the OR
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
The preschooler needs to explore and interact with his environment. Allowing him
to familiarize himself ahead of time with some objects he may encounter can ease
anxiety
6. flammable antiseptic solutions differ from combustible ones in that
A. flammable solutions have a flash point above 101.5 F
B. flammable solutions will not ignite
C. combustible solutions have a flash point above 100.0 F
D. Combustible solutions will not ignite: C. combustible solutions have a flash
point above 100.0
The threshold between flammable and combustible solutions is the flash point of
100.0 F, with flammable ones being below this temperature and combustible ones
being above. all saturated flammable solutions should be removed prior to draping
the patient. Fumes from volatile or combustible solutions may ignite w/o a direct
connection to the source of ignition.
7. Which of the following is the most important action by the circulating nurse
to reduce specimen error?
A. seeking clarification from the surgeon about the specimen site and side
B. calling the lab to confirm the proper storage solution for the specimen
C. asking the scrub person to verify the specimen
D. paging the surgical assistant post op to identify the specimen: A. seek
clarification from the surgeon about the specimen site and side
8. using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification: D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved
through nursing interventions
9. a hemostatic agent that may be used by a neurosurgeon to control bleeding
bone is
A. heparin
B. protamine sulfate
C. methylene blue
D. bone wax: D. Bone Wax
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
Bone Wax is a hemostatic agent used to control bleeding from open bone via the
creation of a mechanical tamponade barrier
10. When delegating a task, the circulating nurse should
A. verify that the task is with in the scope of practice of the designee
B. provide a minimum of instructions on how to complete the task
C. give feedback to the designee based on personal experience
D. assume the designee has the skills to perform the task: A. verify that the task
in within the scope of practice of the designee
11. A medication that should be administered for treatment of local anesthetic
systemic toxicity (LAST) crisis is
A. lidocaine
B. epinephrine
C. 20% lipid emulsion
D. propofol: C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
12. hospital policy should include the requirement of PPE for all personnel
who are likely to come in contact with blood or infectious material based on
A. OSHA regulations
B. TJC standards
C. AORN guidelines
D. CDC recommendations: A. OSHA regulations
hospital policy must comply with OSHA regulations
13. When double gloving, personnel should wear
A. gloves one size larger for the first layer
B. gloves one size smaller for the first layer
C. gloves that are the same size for both layers
D. hypoallergenic gloves for the outer layer: A. gloves one size large for the first
layer
using an inner glove that is one size larger allows for an air pocket that will prevent
constriction when the outer glove is applied.
14. Which of the following core body temperatures would indicate post op
hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C: A. 36 C
, CNOR Exam 2
Study online at https://quizlet.com/_fz7zj8
post op hypothermia, which can prolong recovery time and contribute to post op
morbidity, is defined as a core body temp less than 36 C (96.9 F)
15. The power drill or saw used to divided bone with a side-to-side cutting
action is a/an
A. reciprocating saw
B. oscillating saw
C. drill
D. reamer: B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
16. Deviation from a standardized procedure that is hospital policy suggests
the need for
A. a root cause analysis
B. a verbal warning
C. an evaluation of the procedure or staff
D. better communication: C. an evaluation of the procedure or staff
standardization of procedures help staff develop skill and efficiency. Policies and
procedures based on standards and guidelines help to incorporate evidence-based
practice into patient care. Deviation from those policies should lead to an evaluation
of the processes and staff involved to discover if the process needs to be improved.
17. A patient reports to the ambulatory surgery center for local anesthesia w/o
sedation and claims that the surgeon gave him permission to drive himself
home. The most appropriate actin for the peri op nurse is to
A. cancel the surgery and reschedule when the patient has a ride
B. contact the social worker to assist in finding transportation for the patient
C. check for an order stating that the patient may drive himself home
D. allow the patient to leave when his post op Aldrete score is 10: C. check for
an order stating that the patient may drive himself home
it may be permissible for the patient to drive himself home if the surgery was
performed under local anesthesia w/o sedation and if there is a physician's order
18. Which of the following are methods of sterilization?
A. Chemical, mechanical, biological
B. decontamination, disinfection, pasteurization
C. thermal, chemical, radiation
D. low-level disinfection, intermediate-level disinfection, high-level disinfec-
