CNOR Practice Review Test.

CNOR Practice Review Test. 1. An appendectomy performed for acute, unruptured appendicitis is classified as which type of wound? A. Class 1 (clean) B. Class 2 (clean contaminated) C. Class 3 (contaminated) D. Class 4 (dirty) C. Class 3 (contaminated) 2. During a laser procedure, the disposable paper drapes D. Class ABC ignite and begin to burn. What type of extinguisher should be used on this fire? A. Class BC B. Class B C. Class C D. Class ABC 3. Monica smith, 11 y/o, has just undergone a closed A. Check fingers for tem- reduction of her fracture radial and ulnar bones under perature and color general anesthesia. A plaster tubular cast is applied. What should the perioperative nurse do to prevent complications in the immediate postoperative period? A. Check fingers and temp and color B Keep arm at same ht as fingertips only C. Handle cast with fingertips only D. Keep arm covered with blanket to promote cast drying 4. A 49y/o firefighter with 60% second- and third- degree C. Potential for fluid and burns on his torso and lower extremities is undergoing electrolyte imbalance tangential excision and split thickness skin graft repair. Which nursing diagnosis is most important to this par- ticular patient during the intraoperative period? A. Potential for knowledge deficit B. Potential for compromise in skin integrity C. Potential for fluid and electrolyte imbalance D. Potential for elevated body temperature 5. 79 y/o pt undergoing lap chole is being induced un- der general anesthesia. The anesthesiologist notices an unexplained tachycardia, tachypnea, and jab tight- ness. The capnograph shows an elevated end tidal CO2. What is the immediate action the perioperative nurse should take to treat this suspected malignant hyperthermia incident? A. Call for the MH cart and Dantrolene B. Initiate cooling measures C. Administer sodium bicarbonate D. Change the soda lime cannister 6. Mr. Smith is undergoing a TURP. Which preoperative lab result is of most concern? A. Hematocrit 48% B. Platelets 300,000 C. Potassium 2.5 D. White blood cell count 8,000 7. Which incision would most probably be used for a splenectomy? A. McBurney B. Right subcostal C. Left subcostal D. Pfannenstiel A. Call for the MH cart and Dantrolene C. Potassium 2.5 C. Left subcostal 8. Which outcome standard applies specifically to the pe- D. All of the above diatric patient?