CNOR Practice Exam Questions and
Answers
When should assistive technology be used when transfering a patient? - ANSWER-
When one team member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) -
ANSWER-48 hours
Examples of clinical alarms - ANSWER-alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)
Universal Protocol - ANSWER-prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - ANSWER-air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - ANSWER-blunt
suture needles, safety scalpels, needless systems, alternate wound closures
Contact time - ANSWER-specific length of time disinfectants can remain in contact w/
microorganisms to achieve disinfection
For every time of equipment of supply used on or for patient, what document should
always be followed? - ANSWER-IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - ANSWER-hypotension,
cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - ANSWER-read back the order
,Symptoms of local anesthetic systemic toxicity - ANSWER-metallic taste, confusion,
dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - ANSWER-keep eye moist
during surgery
Effective meds to reduce postop N/V - ANSWER-Droperidol, Ondansetron,
Promethazine
Maximum number of meds prep RN should compound in periop suite - ANSWER-Three
What type of muscle cell is affected during MH? - ANSWER-Skeletal
Examples of research evidence - ANSWER-RCTs, systematic reviews, quasi-
experimental studies
Standardized language that reflects period nursing practices? - ANSWER-Perioperative
Nursing Data Set (PNDS)
Examples of non-absorbable suture materials - ANSWER-cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
ANSWER-Deep brain stimulator
What is Unique Device Identification? - ANSWER-FDA requirement; every device has a
number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - ANSWER-Braden Scale, Munro Scale, Scott
Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - ANSWER-pressure, shear, friction
Scatter radiation - ANSWER-reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
Leakage Radiation - ANSWER-emanates from X-ray tube housing (secondary radiation)
Remnant Radiation - ANSWER-exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - ANSWER-goal of achieving optimal tissue concentration
,& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - ANSWER-arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - ANSWER-using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuringthe patient's - ANSWER-limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
ANSWER-lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - ANSWER-intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - ANSWER-350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - ANSWER-proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - ANSWER-30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - ANSWER-high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as -
ANSWER-Class II (Clean-contaminated)
Bonewax is made of - ANSWER-beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - ANSWER-Cervical halo
Gardner-Wells tongs
, ***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - ANSWER-B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - ANSWER-
dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
ANSWER-indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
c. propofol (Diprivan).
d. thiopental (Pentothal). - ANSWER-cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - ANSWER-bipolar
The standard means of vascular access for long-term renal dialysis is - ANSWER-AV
fistula
Which modification of the supine position should be made for the OB patient? -
ANSWER-Insert a wedge under the patient's right pelvis orlumbar region
Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - ANSWER-Mitomycin
After a pneumoretinopexy to repair a tear in the retina near the macula, the patient
should be positioned in the ____________ position. - ANSWER-prone (for several
weeks)
Which medication commonly used in otologic surgery is an anti-inflammatory/antibiotic?
- ANSWER-cortisporin otic
Answers
When should assistive technology be used when transfering a patient? - ANSWER-
When one team member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) -
ANSWER-48 hours
Examples of clinical alarms - ANSWER-alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)
Universal Protocol - ANSWER-prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - ANSWER-air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - ANSWER-blunt
suture needles, safety scalpels, needless systems, alternate wound closures
Contact time - ANSWER-specific length of time disinfectants can remain in contact w/
microorganisms to achieve disinfection
For every time of equipment of supply used on or for patient, what document should
always be followed? - ANSWER-IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement) - ANSWER-hypotension,
cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - ANSWER-read back the order
,Symptoms of local anesthetic systemic toxicity - ANSWER-metallic taste, confusion,
dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - ANSWER-keep eye moist
during surgery
Effective meds to reduce postop N/V - ANSWER-Droperidol, Ondansetron,
Promethazine
Maximum number of meds prep RN should compound in periop suite - ANSWER-Three
What type of muscle cell is affected during MH? - ANSWER-Skeletal
Examples of research evidence - ANSWER-RCTs, systematic reviews, quasi-
experimental studies
Standardized language that reflects period nursing practices? - ANSWER-Perioperative
Nursing Data Set (PNDS)
Examples of non-absorbable suture materials - ANSWER-cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
ANSWER-Deep brain stimulator
What is Unique Device Identification? - ANSWER-FDA requirement; every device has a
number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - ANSWER-Braden Scale, Munro Scale, Scott
Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - ANSWER-pressure, shear, friction
Scatter radiation - ANSWER-reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
Leakage Radiation - ANSWER-emanates from X-ray tube housing (secondary radiation)
Remnant Radiation - ANSWER-exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - ANSWER-goal of achieving optimal tissue concentration
,& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - ANSWER-arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - ANSWER-using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuringthe patient's - ANSWER-limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
ANSWER-lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - ANSWER-intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - ANSWER-350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - ANSWER-proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - ANSWER-30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - ANSWER-high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as -
ANSWER-Class II (Clean-contaminated)
Bonewax is made of - ANSWER-beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - ANSWER-Cervical halo
Gardner-Wells tongs
, ***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - ANSWER-B- vasoconstrictor
It is a vasodilator that causes hypotension
Osteotomes, gouges, and chisels are what type of surgical instrument? - ANSWER-
dissecting
What injectable medication used in urologic surgery colorizes tissue and vessels? -
ANSWER-indigo carmine
Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
c. propofol (Diprivan).
d. thiopental (Pentothal). - ANSWER-cefazolin
To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - ANSWER-bipolar
The standard means of vascular access for long-term renal dialysis is - ANSWER-AV
fistula
Which modification of the supine position should be made for the OB patient? -
ANSWER-Insert a wedge under the patient's right pelvis orlumbar region
Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - ANSWER-Mitomycin
After a pneumoretinopexy to repair a tear in the retina near the macula, the patient
should be positioned in the ____________ position. - ANSWER-prone (for several
weeks)
Which medication commonly used in otologic surgery is an anti-inflammatory/antibiotic?
- ANSWER-cortisporin otic
