CNOR UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● Normal sodium levels:
Answer: 135-145
●● A pt with penicillin allergy should avoid what type of antibiotics?
Answer: Cephalosporin
●● When should a pt's medications be reviewed?
Answer: Preop & At every transition in care
●● What are the 4 Transfers of Care?
Answer: 1-Preoperative care provider to pre operative nurse
2-Preoperative nurse to intraoperative nurse
3-Intraoperative nurse to postoperative nurse
4-Postoperative nurse to patient & family/caregiver/OR other unit of
hospital care
●● The type of postoperative care required depends on what factors?
Answer: 1-The procedure
,2-Unique needs the patient
3-Type of anesthetic pt received
●● What is the Aldrete Scoring System?
Answer: A system used to assess a client's readiness for discharge from
pacu
- Scores the client on a scale of 1-10
- Clients scoring 8 or higher are fit for discharge
*5 parameters: activity, respiration, circulation, consciousness, and
oxygen saturation
●● When does discharge planning start?
Answer: When the decision for surgery is made
●● Who evaluates the effectiveness of discharge planning as one of their
requirements for hospital accreditation
Answer: The Joint Commission
●● What is the only difference between EHR & EMR
Answer: Same purpose EXCEPT the EHR is easily shared between
facilities & tracks a pt throughout their lifetimw
,●● Which procedures can never be classified as Class 1/Clean
wound/incision?
Answer: Appendectomy, cholecystectomy, Bile duct procedures, Liver
procedures, Pancreatic procedures, Bowel/rectal procedures, Vaginal
hysterectomy
●● What is the Rehabilitation Act of 1973?
Answer: -Healthcare facilities that accept federal funds must meet
standards requiring that they provide supplemental methods for meeting
the communication needs of individuals (who are impaired) or any type
of adjustments they need
●● What herb can prolong anesthesia & cause liver failure?
Answer: Kava
●● What is succinylcholine?
Answer: Depolarizing muscular relexant
-a trigger for MH
●● What is MH triggered by?
Answer: Inhalation agents (not nitrous oxide) (meds that ends in -ANE)
and Succinylcholine
●● Sx of MH?
, Answer: -1st-increased end-tidal CO2
-tachycardia. Muscle rigidity, dark saturated blood, molting of the skin,
colon colored, urine, hypertension, hyperkalemia, metabolic/respiratory
acidosis, ventricular arrhythmias
-Late sign: extreme rise in body temperature over 110F
●● How do you treat MH?
Answer: "SHS-Cool"
*Stop inhalant anesthesia & surgery
*Hyperventilate w/ 100% oxygen
*Start dantrolene (skeletal muscle relaxant)
*Cool the patient
●● What med do you you treat MH with?
Answer: Dantrolene
●● What is Local Anesthesia Systemic Toxicity (LAST)?
Answer: ~occurs when toxic amounts of local anesthesia agent enters
the bloodstream
-directly related to the patient's blood concentration of the drug!!!!
●● What are the risk factors for LAST?
Answer: -impaired renal or hepatic function
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● Normal sodium levels:
Answer: 135-145
●● A pt with penicillin allergy should avoid what type of antibiotics?
Answer: Cephalosporin
●● When should a pt's medications be reviewed?
Answer: Preop & At every transition in care
●● What are the 4 Transfers of Care?
Answer: 1-Preoperative care provider to pre operative nurse
2-Preoperative nurse to intraoperative nurse
3-Intraoperative nurse to postoperative nurse
4-Postoperative nurse to patient & family/caregiver/OR other unit of
hospital care
●● The type of postoperative care required depends on what factors?
Answer: 1-The procedure
,2-Unique needs the patient
3-Type of anesthetic pt received
●● What is the Aldrete Scoring System?
Answer: A system used to assess a client's readiness for discharge from
pacu
- Scores the client on a scale of 1-10
- Clients scoring 8 or higher are fit for discharge
*5 parameters: activity, respiration, circulation, consciousness, and
oxygen saturation
●● When does discharge planning start?
Answer: When the decision for surgery is made
●● Who evaluates the effectiveness of discharge planning as one of their
requirements for hospital accreditation
Answer: The Joint Commission
●● What is the only difference between EHR & EMR
Answer: Same purpose EXCEPT the EHR is easily shared between
facilities & tracks a pt throughout their lifetimw
,●● Which procedures can never be classified as Class 1/Clean
wound/incision?
Answer: Appendectomy, cholecystectomy, Bile duct procedures, Liver
procedures, Pancreatic procedures, Bowel/rectal procedures, Vaginal
hysterectomy
●● What is the Rehabilitation Act of 1973?
Answer: -Healthcare facilities that accept federal funds must meet
standards requiring that they provide supplemental methods for meeting
the communication needs of individuals (who are impaired) or any type
of adjustments they need
●● What herb can prolong anesthesia & cause liver failure?
Answer: Kava
●● What is succinylcholine?
Answer: Depolarizing muscular relexant
-a trigger for MH
●● What is MH triggered by?
Answer: Inhalation agents (not nitrous oxide) (meds that ends in -ANE)
and Succinylcholine
●● Sx of MH?
, Answer: -1st-increased end-tidal CO2
-tachycardia. Muscle rigidity, dark saturated blood, molting of the skin,
colon colored, urine, hypertension, hyperkalemia, metabolic/respiratory
acidosis, ventricular arrhythmias
-Late sign: extreme rise in body temperature over 110F
●● How do you treat MH?
Answer: "SHS-Cool"
*Stop inhalant anesthesia & surgery
*Hyperventilate w/ 100% oxygen
*Start dantrolene (skeletal muscle relaxant)
*Cool the patient
●● What med do you you treat MH with?
Answer: Dantrolene
●● What is Local Anesthesia Systemic Toxicity (LAST)?
Answer: ~occurs when toxic amounts of local anesthesia agent enters
the bloodstream
-directly related to the patient's blood concentration of the drug!!!!
●● What are the risk factors for LAST?
Answer: -impaired renal or hepatic function
