Pearson Edexcel International
A+ Graded Paper
Zander-Based CNOR Question Review
Course- Final Exam – 100% Verified Q&A
for Success
Questions and Mark scheme
Version: Final
,what law does retained surgical item fall under? - ✔✔A tort action law suit is filed when there is injury to a
person caused by another person. A retained object is tort claim.
Packaging systems should ensure sterility and be labeled appropriately. How should wrapped items prepared in
sterile processing be labeled? - ✔✔The label is placed before sterilization with nontoxic indelible ink. The label
should include the contents, lot control number that identifies the date of sterilization, the sterilizer used, and the
cycle or load number.
tracking the packaging through the sterilization process may be necessary. For instance, if the infection rates are
under review, quality personnel. The content should be included but for tracking you'll also need lot control
number, sterilizer used and load number.
The perioperative nurse is preparing the surgical site for a colostomy reversal and re-anastomosis of the bowel.
How should the prepare the stoma? - ✔✔Isolate the stoma with a sterile barrier, prep from incision to periphery,
prep the stoma last and cover with a sponge
Intestinal stomas are contaminated. The stoma should be isolated with a sterile clear plastic adhesive dressing
and prepped last. It's covered with a dressing to prevent fecal material from entering the wound.
The perioperative nurse sees the patient is a DNR during the chart review. The perioperative nurse... -
✔✔Should talk to the surgeon and anesthesia
The preoperative patient received midazolam and subcutaneous lidocaine and for a right subclavian central line
and an arterial line placed. The patient begins to experience shortness of breath back and chest pain and
decrease O2 saturation. What is the most likely cause? - ✔✔Pneumothorax
Central venous access is commonly performed for a number of indications.
Immediate complications occur at the time of catheter insertion and include vascular, pulmonary, and placement
complications.
Pneumothorax is the only immediate complication offered here
The perioperative nurse is preparing the room for the upcoming procedure. The RN understands that a surgical
microscope is used with which of the following procedures? - ✔✔Vasovasotomy
Vasovasotomy is microsurgery performed under the magnification of the operating microscope.
what is a vasovasotomy? - ✔✔A vasovasostomy is a surgical procedure in which the effects of a vasectomy
(male sterilization) are reversed. During a vasectomy, the vasa deferentia, which are ducts that carry sperm from
the testicles to the seminal vesicles, are cut, tied, cauterized (burned or seared), or otherwise interrupted.
According to the AORN Guidelines, how should endoscopes be stored? - ✔✔In the storage area inside a
positive pressure drying cabinet
The perioperative nurse learns that the patient has an allergy to betadine prep solution. The nurse decides to use
, chlorhexidine gluconate instead. This is an example of what phase of the nursing process? - ✔✔planning
Planning requires the use of nursing knowledge and information about the patient and intended surgical
procedure to prepare the surgical environment and to plan patient care. When the nurse decides to use a
different skin prep, he or she is making a plan based on the information learned about the patient.
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The first response of
the surgical team would be to: - ✔✔First remove the ETT making sure that the entire tube comes out. Then
disconnect gas, pour saline or water in the airway, mask ventilate or reintubate, examine the airway, decide on
next course of action. We may be able to finish the procedure. We may have to cancel the intended procedure
and perform a tracheotomy. This depends on patient condition.
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The SECOND
response of the surgical team would be to: - ✔✔disconnect gas
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The THIRD response
of the surgical team would be to: - ✔✔pour saline or water in the airway,
early signs of MH CRISIS - ✔✔The most common presenting sign of MH is unexplained tachycardia, PVC's,
increased end tidal carbon dioxide, tachypnea, cyanosis, skin mottling and unstable blood pressure. Blood in the
surgical field may appear dark as a result of central venous desaturation.
Before transferring the patient to the OR for a femoropopliteal bypass what study should the perioperative nurse
have available? - ✔✔You'll need the angiogram + reports. The surgeon will need to see where the narrowing of
the artery is and where the most patent part is so he or she can determine where to place the graft. If there is
doubt about the patency of the popliteal artery or distal arterial tree, additional arteriograms might be performed
after the exploration of the popliteal artery during the procedure.
The Spaulding classification system is used to determine: - ✔✔Earle Spaulding, a microbiologist, developed a
classification system in 1968 to determine the appropriate method to attain the desired level of processing
required for safety in patient care items. This system was adopted and later modified by the CDC.
What can bigeminy be triggered by and treatment? - ✔✔Bigeminy can be triggered by Hyperthyriodism,
Hypokalemia, pericarditis, and sometimes congenital abnormalities. The ECG shows a PVC on every other
beat. It's treated with Calcium channel blockers or anti-arrhythmic drugs such as amiodarone. In severe cases
cardiac ablation is considered.
learning something is what part of the nursing process? - ✔✔Assessment is the collection and analysis of
relevant health data about the patient. It doesn't matter where the information comes from. If you are learning
some piece of information about the patient it is Assessment.
most effective way to control pain? - ✔✔The patient's self-report is the most reliable indicator of the existence
and intensity of pain. There is no set dose of opioid that is effective for all patients. Patient controlled analgesia
is most effective means of pain control.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is functioning properly
uses which kind of spore? - ✔✔Steam Sterilizers use the Geobacillus Stearothermophilus. The only two spores
A+ Graded Paper
Zander-Based CNOR Question Review
Course- Final Exam – 100% Verified Q&A
for Success
Questions and Mark scheme
Version: Final
,what law does retained surgical item fall under? - ✔✔A tort action law suit is filed when there is injury to a
person caused by another person. A retained object is tort claim.
Packaging systems should ensure sterility and be labeled appropriately. How should wrapped items prepared in
sterile processing be labeled? - ✔✔The label is placed before sterilization with nontoxic indelible ink. The label
should include the contents, lot control number that identifies the date of sterilization, the sterilizer used, and the
cycle or load number.
tracking the packaging through the sterilization process may be necessary. For instance, if the infection rates are
under review, quality personnel. The content should be included but for tracking you'll also need lot control
number, sterilizer used and load number.
The perioperative nurse is preparing the surgical site for a colostomy reversal and re-anastomosis of the bowel.
How should the prepare the stoma? - ✔✔Isolate the stoma with a sterile barrier, prep from incision to periphery,
prep the stoma last and cover with a sponge
Intestinal stomas are contaminated. The stoma should be isolated with a sterile clear plastic adhesive dressing
and prepped last. It's covered with a dressing to prevent fecal material from entering the wound.
The perioperative nurse sees the patient is a DNR during the chart review. The perioperative nurse... -
✔✔Should talk to the surgeon and anesthesia
The preoperative patient received midazolam and subcutaneous lidocaine and for a right subclavian central line
and an arterial line placed. The patient begins to experience shortness of breath back and chest pain and
decrease O2 saturation. What is the most likely cause? - ✔✔Pneumothorax
Central venous access is commonly performed for a number of indications.
Immediate complications occur at the time of catheter insertion and include vascular, pulmonary, and placement
complications.
Pneumothorax is the only immediate complication offered here
The perioperative nurse is preparing the room for the upcoming procedure. The RN understands that a surgical
microscope is used with which of the following procedures? - ✔✔Vasovasotomy
Vasovasotomy is microsurgery performed under the magnification of the operating microscope.
what is a vasovasotomy? - ✔✔A vasovasostomy is a surgical procedure in which the effects of a vasectomy
(male sterilization) are reversed. During a vasectomy, the vasa deferentia, which are ducts that carry sperm from
the testicles to the seminal vesicles, are cut, tied, cauterized (burned or seared), or otherwise interrupted.
According to the AORN Guidelines, how should endoscopes be stored? - ✔✔In the storage area inside a
positive pressure drying cabinet
The perioperative nurse learns that the patient has an allergy to betadine prep solution. The nurse decides to use
, chlorhexidine gluconate instead. This is an example of what phase of the nursing process? - ✔✔planning
Planning requires the use of nursing knowledge and information about the patient and intended surgical
procedure to prepare the surgical environment and to plan patient care. When the nurse decides to use a
different skin prep, he or she is making a plan based on the information learned about the patient.
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The first response of
the surgical team would be to: - ✔✔First remove the ETT making sure that the entire tube comes out. Then
disconnect gas, pour saline or water in the airway, mask ventilate or reintubate, examine the airway, decide on
next course of action. We may be able to finish the procedure. We may have to cancel the intended procedure
and perform a tracheotomy. This depends on patient condition.
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The SECOND
response of the surgical team would be to: - ✔✔disconnect gas
During the laser microlaryngoscopy the ET Tube is breached, and an airway fire occurs. The THIRD response
of the surgical team would be to: - ✔✔pour saline or water in the airway,
early signs of MH CRISIS - ✔✔The most common presenting sign of MH is unexplained tachycardia, PVC's,
increased end tidal carbon dioxide, tachypnea, cyanosis, skin mottling and unstable blood pressure. Blood in the
surgical field may appear dark as a result of central venous desaturation.
Before transferring the patient to the OR for a femoropopliteal bypass what study should the perioperative nurse
have available? - ✔✔You'll need the angiogram + reports. The surgeon will need to see where the narrowing of
the artery is and where the most patent part is so he or she can determine where to place the graft. If there is
doubt about the patency of the popliteal artery or distal arterial tree, additional arteriograms might be performed
after the exploration of the popliteal artery during the procedure.
The Spaulding classification system is used to determine: - ✔✔Earle Spaulding, a microbiologist, developed a
classification system in 1968 to determine the appropriate method to attain the desired level of processing
required for safety in patient care items. This system was adopted and later modified by the CDC.
What can bigeminy be triggered by and treatment? - ✔✔Bigeminy can be triggered by Hyperthyriodism,
Hypokalemia, pericarditis, and sometimes congenital abnormalities. The ECG shows a PVC on every other
beat. It's treated with Calcium channel blockers or anti-arrhythmic drugs such as amiodarone. In severe cases
cardiac ablation is considered.
learning something is what part of the nursing process? - ✔✔Assessment is the collection and analysis of
relevant health data about the patient. It doesn't matter where the information comes from. If you are learning
some piece of information about the patient it is Assessment.
most effective way to control pain? - ✔✔The patient's self-report is the most reliable indicator of the existence
and intensity of pain. There is no set dose of opioid that is effective for all patients. Patient controlled analgesia
is most effective means of pain control.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is functioning properly
uses which kind of spore? - ✔✔Steam Sterilizers use the Geobacillus Stearothermophilus. The only two spores
