CNOR Exam 2 with Accurate Solutions
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 - Correct Answers-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
improved communication and use of __________ is associated with a significant
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 - Correct Answers-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
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 - Correct Answers-A. Glisson Capsule
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 - Correct Answers-C. outside the lead
apron along the neckline
dosimeters are used to measure radiation exposure.
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 - Correct Answers-
C. allowing him the handle the oxygen mask and ride in the wagon to the OR
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
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 - Correct Answers-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.
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 - Correct Answers-A.
seek clarification from the surgeon about the specimen site and side
using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification - Correct Answers-D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved
through nursing interventions
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 - Correct Answers-D. Bone Wax
Bone Wax is a hemostatic agent used to control bleeding from open bone via the
creation of a mechanical tamponade barrier
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 - Correct Answers-A. verify
that the task in within the scope of practice of the designee
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 - Correct Answers-C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
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 - Correct Answers-A. OSHA regulations
hospital policy must comply with OSHA regulations
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 - Correct Answers-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.
Which of the following core body temperatures would indicate post op hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C - Correct Answers-A. 36 C
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)
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 - Correct Answers-B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
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 - Correct Answers-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.
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 - Correct Answers-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
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 disinfection - Correct
Answers-C. thermal, chemical, radiation
sterilization processes are either physica (steam), chemical (ethylene oxide gas), or
radiation (XRAY)
a 36 year old male presents to the OR for reaper of a fractured right medial malleolus.
he weighs 85 kg, does not smoke, and takes no medications at home. which of the
following characteristics increases the patients risk for developing a venous
thromboembolism (VTE)
A. his age
B. his injury
C. his weight
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 - Correct Answers-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
improved communication and use of __________ is associated with a significant
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 - Correct Answers-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
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 - Correct Answers-A. Glisson Capsule
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 - Correct Answers-C. outside the lead
apron along the neckline
dosimeters are used to measure radiation exposure.
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 - Correct Answers-
C. allowing him the handle the oxygen mask and ride in the wagon to the OR
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
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 - Correct Answers-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.
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 - Correct Answers-A.
seek clarification from the surgeon about the specimen site and side
using the nursing process, nursing interventions lead to
A. planning
B. implementation
C. assessment
D. outcomes identification - Correct Answers-D. outcomes identification
outcomes identification describes the desired patient condition that can be achieved
through nursing interventions
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 - Correct Answers-D. Bone Wax
Bone Wax is a hemostatic agent used to control bleeding from open bone via the
creation of a mechanical tamponade barrier
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 - Correct Answers-A. verify
that the task in within the scope of practice of the designee
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 - Correct Answers-C. 20% lipid emulsion
The lipid emulsion is used to draw the local anesthetic out of the bloodstream
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 - Correct Answers-A. OSHA regulations
hospital policy must comply with OSHA regulations
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 - Correct Answers-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.
Which of the following core body temperatures would indicate post op hypothermia?
A. 36 C
B. 37 C
C. 38 C
D. 39 C - Correct Answers-A. 36 C
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)
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 - Correct Answers-B. Oscillating saw
reciprocating saw uses and in-and-out action
the drill and reamer both use a rotary action
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 - Correct Answers-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.
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 - Correct Answers-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
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 disinfection - Correct
Answers-C. thermal, chemical, radiation
sterilization processes are either physica (steam), chemical (ethylene oxide gas), or
radiation (XRAY)
a 36 year old male presents to the OR for reaper of a fractured right medial malleolus.
he weighs 85 kg, does not smoke, and takes no medications at home. which of the
following characteristics increases the patients risk for developing a venous
thromboembolism (VTE)
A. his age
B. his injury
C. his weight
