CNOR FINAL EXAM LATEST 2024/2025 QUESTIONS AND
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
How do you do self-gowning and gloving relief members for a surgical
team? - ANSWER Open sterile gown and gloves on a separate surface
using aseptic technique
Most effective way to reduce possibility of contamination of sterile field
during induction, positioning and prep of patient - ANSWER Surgical field
should be covered during high activity in the OR
Metal instruments stored with rubber protective tips need to be sterilized
with this method - ANSWER Remove the rubber tips and sterilize the
instruments for 3 min @ 270F
The bowie-dick test is used to determine the steam sterilizer for
their______ - ANSWER This is to check if the vacuum is working properly
A chemical indicator included in the instruments processed in a gravity
displacement steam sterilizer indicates that the instruments are -------- -
ANSWER Exposed to the sterilizing conditions
solution to flush before sterilization - ANSWER Distilled water
Type of sterilizer that must be tested with a Bowie-Dick chemical indicator
daily - ANSWER Dynamic air removal
How often should the OR be terminally cleaned regardless of whether or
not it was used? - ANSWER Once during each 24 hour period during the
regularly scheduled work week
The sterilization for immediate use parameters for metal or nonporous
instruments with no lumens in a gravity displacement sterilizer are 270 to
275 for___ - ANSWER 3 minutes
Type of extinguisher to be used if disposable paper drapes ignite -
ANSWER Class ABC
Improper deflation of a pneumatic antishock garment could result to this. -
ANSWER Hypovolemic shock
,Signs of adverse reaction to local anesthesia - ANSWER numbness around
the mouth
Normal value for potassium - ANSWER 3.5 - 5.0 mEq/L
Three main function of stomach - ANSWER motor, secretory and endocrine
Most important lab value to assess for patient taking
Hydrochlorothiazide(HCTZ) - ANSWER Potassium
sign to observe for patient being treated for cardiac tamponade - ANSWER
jugular vein distention
A standarlized approach to hand-off communication is a requirement of the
JC to ______ - ANSWER reduce the risk of error
Most common type of necrotizing fascitis - ANSWER type 2
In relation to transcultural needs of the patient, it is important to
include___needs in the nursing assessment - ANSWER spiritual
Best option for a patient to use needing long term dialysis - ANSWER
arteriovenous shunt
what does it mean if there is elevated white blood counts - ANSWER acute
infection
A preoperative nursing assessment should be conducted by RN at what
point? - ANSWER before the surgery
Have the greatest risk for developing intraoperative hypothermia -
ANSWER Older patients and those undergoing or major regional
anesthesia for longer than 1 hour
Causes patient to experience a phenomenon know as "tourniquet pain" -
ANSWER tourniquet inflation times between 30-60 minutes
Procedures of the head and neck area carry an increased risk of fire due to
this. - ANSWER presence of an oxygen-enriched environment
,A combination of LR, lidocaine, and epinephrine is routinely injected in fatty
areas prior to liposuction in order to achieve this. - ANSWER decrease fluid
volume shift
Blood type that is appropriate for emergency untyped/uncrossmatched
transfusions - ANSWER O negative
Tissue that will not undergo a sterilization process should be... - ANSWER
Aseptically prepared and transferred to a sterile storage container
potential intraoperative complication for patient with hyperthyroidism -
ANSWER Thyroid storm
is done to promote maximum independence - ANSWER Below the knee
amputation
When is discharge planning begins? - ANSWER Before the admission of
patient to surgery
Common incision made for hepatic resection - ANSWER right subcostal
Type of regional anesthesia involving a double-cuff tourniquet and injection
of local anesthesia - ANSWER Bier Block
Correct way to transport a specimen for frozen section - ANSWER dry
specimen container
Procedure performed to reduce gastric acid secretions - ANSWER
vagotomy
Midazolom (versed) is contraindicated in patients with.... - ANSWER
narrow-angle glaucoma
Most common adverse reactions associated with IV administrstion of
midazolam. - ANSWER Drowsiness, coughing, apnea and changes in vital
signs
has shorter half life than most benzodiazepines - ANSWER Fumazenil
(Romazicon)
, patient position ,most likely to compromise the respiratory system -
ANSWER trendelenburg
Periop RN should anticipate to perform this assessment for pt during an
abdominal aortic aneurysm repair - ANSWER An evaluation of peripheral
pulses
The antibiotic of choice to treat gram negative bacilli in the GI tract for
Salmonella and Shigella - ANSWER Ampicillin
When to administered antibiotics? - ANSWER Within 1 hour before skin
incision
What is added to heparin saline solution for its antispasmodic effect on the
wall of the vessel that is harvested for bypass? - ANSWER Papaverine
Hydrochloride
A surgical procedure to prevent habitual midtrimester spontaneous
miscarriage - ANSWER Cervical cerclage
Trade name for Midazolam - ANSWER Versed
Nursing interventions to reduce inadvertent hypothermia - ANSWER
Initiating force air warming, infusing warm IV, applying warm blankets
DNR order is rescinded during the immediate perioperative period by.... -
ANSWER pre-sedation discussion with patient
The minimum number of personnel that should be available to move an
anesthesized patient from a supine-to-prone position - ANSWER four
Items that come in contact with non-intact skin or mucous members
according to Spaulding's Level of Sterility - ANSWER semicritical items
A long-acting local anesthesia agent used for regional block - ANSWER
Marcaine (bupivacaine)
An adverse reaction related to using water as a distention media -
ANSWER Hemolysis
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
How do you do self-gowning and gloving relief members for a surgical
team? - ANSWER Open sterile gown and gloves on a separate surface
using aseptic technique
Most effective way to reduce possibility of contamination of sterile field
during induction, positioning and prep of patient - ANSWER Surgical field
should be covered during high activity in the OR
Metal instruments stored with rubber protective tips need to be sterilized
with this method - ANSWER Remove the rubber tips and sterilize the
instruments for 3 min @ 270F
The bowie-dick test is used to determine the steam sterilizer for
their______ - ANSWER This is to check if the vacuum is working properly
A chemical indicator included in the instruments processed in a gravity
displacement steam sterilizer indicates that the instruments are -------- -
ANSWER Exposed to the sterilizing conditions
solution to flush before sterilization - ANSWER Distilled water
Type of sterilizer that must be tested with a Bowie-Dick chemical indicator
daily - ANSWER Dynamic air removal
How often should the OR be terminally cleaned regardless of whether or
not it was used? - ANSWER Once during each 24 hour period during the
regularly scheduled work week
The sterilization for immediate use parameters for metal or nonporous
instruments with no lumens in a gravity displacement sterilizer are 270 to
275 for___ - ANSWER 3 minutes
Type of extinguisher to be used if disposable paper drapes ignite -
ANSWER Class ABC
Improper deflation of a pneumatic antishock garment could result to this. -
ANSWER Hypovolemic shock
,Signs of adverse reaction to local anesthesia - ANSWER numbness around
the mouth
Normal value for potassium - ANSWER 3.5 - 5.0 mEq/L
Three main function of stomach - ANSWER motor, secretory and endocrine
Most important lab value to assess for patient taking
Hydrochlorothiazide(HCTZ) - ANSWER Potassium
sign to observe for patient being treated for cardiac tamponade - ANSWER
jugular vein distention
A standarlized approach to hand-off communication is a requirement of the
JC to ______ - ANSWER reduce the risk of error
Most common type of necrotizing fascitis - ANSWER type 2
In relation to transcultural needs of the patient, it is important to
include___needs in the nursing assessment - ANSWER spiritual
Best option for a patient to use needing long term dialysis - ANSWER
arteriovenous shunt
what does it mean if there is elevated white blood counts - ANSWER acute
infection
A preoperative nursing assessment should be conducted by RN at what
point? - ANSWER before the surgery
Have the greatest risk for developing intraoperative hypothermia -
ANSWER Older patients and those undergoing or major regional
anesthesia for longer than 1 hour
Causes patient to experience a phenomenon know as "tourniquet pain" -
ANSWER tourniquet inflation times between 30-60 minutes
Procedures of the head and neck area carry an increased risk of fire due to
this. - ANSWER presence of an oxygen-enriched environment
,A combination of LR, lidocaine, and epinephrine is routinely injected in fatty
areas prior to liposuction in order to achieve this. - ANSWER decrease fluid
volume shift
Blood type that is appropriate for emergency untyped/uncrossmatched
transfusions - ANSWER O negative
Tissue that will not undergo a sterilization process should be... - ANSWER
Aseptically prepared and transferred to a sterile storage container
potential intraoperative complication for patient with hyperthyroidism -
ANSWER Thyroid storm
is done to promote maximum independence - ANSWER Below the knee
amputation
When is discharge planning begins? - ANSWER Before the admission of
patient to surgery
Common incision made for hepatic resection - ANSWER right subcostal
Type of regional anesthesia involving a double-cuff tourniquet and injection
of local anesthesia - ANSWER Bier Block
Correct way to transport a specimen for frozen section - ANSWER dry
specimen container
Procedure performed to reduce gastric acid secretions - ANSWER
vagotomy
Midazolom (versed) is contraindicated in patients with.... - ANSWER
narrow-angle glaucoma
Most common adverse reactions associated with IV administrstion of
midazolam. - ANSWER Drowsiness, coughing, apnea and changes in vital
signs
has shorter half life than most benzodiazepines - ANSWER Fumazenil
(Romazicon)
, patient position ,most likely to compromise the respiratory system -
ANSWER trendelenburg
Periop RN should anticipate to perform this assessment for pt during an
abdominal aortic aneurysm repair - ANSWER An evaluation of peripheral
pulses
The antibiotic of choice to treat gram negative bacilli in the GI tract for
Salmonella and Shigella - ANSWER Ampicillin
When to administered antibiotics? - ANSWER Within 1 hour before skin
incision
What is added to heparin saline solution for its antispasmodic effect on the
wall of the vessel that is harvested for bypass? - ANSWER Papaverine
Hydrochloride
A surgical procedure to prevent habitual midtrimester spontaneous
miscarriage - ANSWER Cervical cerclage
Trade name for Midazolam - ANSWER Versed
Nursing interventions to reduce inadvertent hypothermia - ANSWER
Initiating force air warming, infusing warm IV, applying warm blankets
DNR order is rescinded during the immediate perioperative period by.... -
ANSWER pre-sedation discussion with patient
The minimum number of personnel that should be available to move an
anesthesized patient from a supine-to-prone position - ANSWER four
Items that come in contact with non-intact skin or mucous members
according to Spaulding's Level of Sterility - ANSWER semicritical items
A long-acting local anesthesia agent used for regional block - ANSWER
Marcaine (bupivacaine)
An adverse reaction related to using water as a distention media -
ANSWER Hemolysis
