CNOR Exam Questions and answers. 100% Accurate, Latest Versions, rated A

CNOR Exam Questions and answers. 100% Accurate, Latest Versions, rated A Aseptic technique is also know as A. clean technique B. sterile technique C. sterilization D. decontamination - A. Clean technique aseptic technique refers to clean methods of containing microbial contamination in the environment. The environment can not be sterilized. An intrinsic factor that contributes to the development of a pressure injury is A. pressure B. hypothermia C. diabetes mellitus D. general anesthesia - C. diabetes mellitus an intrinsic factor is related to the health of the patient. DM is an intrinsic factor that contributes to the development of pressure injury. Which of the following helps determine a patient's discharge destination? A. written discharge instructions from anesthesiology and medical staff B. risk of post op complications C. standardized pain scoring D. general condition and readiness for discharge - B. risk of post op complications the choice of discharge site is based on the patient's acuity, access to follow up care, and the potential for post op complications. Central nervous system (CNS) s/s of local anesthetic systemic toxicity (LAST) include A. hypertension B. numbness of the lips and tongue C. respiratory depression D. elevated temperature - B. Numbness of lips and tongue CNS symptoms of LAST include circumoral and tongue numbness. All other options are not part of CNS. Autologus bone grafts should be stored at a temperature of A. 68 F (20 C) B. 32 F (0 C) C. -4 F (-20 C) D. -112 F (-80 C) - C. -4 F (-20 C) maintaining storage temperatures w/in recommended parameters helps ensure that autografts are maintained in optimal conditions for successful replantation. When providing patient education for a child, it is important to understand which learning characteristic of children? A. children are self directed B. children use intrinsic thought processes C. children respond to the use of activities that follow transitions of maturity D. children respond to a trial-and-error approach - D. Children respond to a trial-and-error approach child learners are task oriented, use extrinsic thought processes and value self esteem. Which of the following actions would decrease radiation exposure during fluoroscopy procedures? A. positioning the patient as close to the tube as possible B. positioning the patient as far from the image intensifier as possible C. Positioning the patient as far from the monitor as possible D. positioning the patient as close to the image intensifier as possible - D. positioning the patient as close to the image intensifier as possible The X-ray beams originate from the tube and are captures by the image intensifier. multiple studies have shown that positioning the patient closer to the image intensifier results in a significantly decreased dose of radiation. a preoperative nurse is assisting an anesthesia professional with rapid sequence intubation by providing cricoid pressure using the Sellick maneuver. Which of the following is the most appropriate description of the technique? A. exerting down and up pressure on the cricoid cartilage to compress the trachea B. palpating for the thyroid cartilage and exerting pressure on it with a dominant index finger and thumb to occlude the esophagus C. applying pressing to the cricoid cartilage to occlude the esophagus D. maintaining pressure on the thyroid cartilage until the anesthesia professional verifies placement - C. applying pressure to the cricoid cartilage to occlude the esophagus The sellback maneuver is used to prevent potential aspiration during induction of anesthesia A diagnostic procedure that relies on radio frequency waves to reproduce cross sectional images of the body w/o exposing the patient to ionizing radiation is A. ultrasonography B. Positron emission tomography C. computed tomography D. magnetic resonance imaging - D. MRI MRI stimulates diseqilibrium in the nuclei of hydrogen atoms and the water of body cells. As nuclei return to their original state, they emit radio frequency signals. Which of the following movements of a powered instrument is used to drill holes or insert screws, wires, and pins? A. reciprocating B. oscillating C. alternating D. rotating - D. rotating rotary movement is used to drill holes or to insert screws, wires, or pins. reciprocating and oscillating movements are used to cut or remove bone. Alternating movement should not be used. What is the most likely cause of a rapid decrease in blood pressure and heart rate for a pt. being infused when 1.5% glycine is used for irrigation? A. anaphylactic reaction B. myocardial infarction C. TUR syndrome D. pulmonary embolus - C. TUR syndrome The pt is most likely experiencing TUR syndrome from excessive glycine absorption preop teaching is most effective when pts have a readiness to learn and the preoperative nurse teaches them from_______ different levels. A. 2 B. 3 C. 4 D. 5 - B. 3 there are 3 different levels of preop teaching: information, psychosocial, and skill training. information should include explanations of procedure and what to expect throughout the phases or perioperative care. psychosocial support includes encouraging the patient to share their anxiety and supporting coping mechanisms. skill training allows the patient to learn the skills requires to function afer the procedure and provides confidence and understanding. When caring for a patient with sickle cell anemia, the preoperative nurse should A. raise the temperature in the OR to between 26.7 C (80 F) and 29.4 C (85 F) B. have relaxing music playing in the OR to avoid overstimulation C. administer a liter of NS prior to surgery to ensure the patient is well hydrated D. allow a family member or friend to sit with the patient in the pre op area and in the PACU - A. raise the temp in the OR patients with sickle cell anemia must be kept warm to prevent hypothermia and meet increase demands for oxygen. Which type of fire extinguisher should be used in the OR or procedure room? A. Wet chemical B. carbon dioxide C. halogen D. dry powder - B. carbon dioxide the national fire prevention association recommends using either water mist or a carbon dioxide extinguisher for extinguishing fires in the OR. _________ requires purposeful, outcomes-directed thought and is driven by patient need. A. critical thinking B. assessment C. diagnosis D. planning - A. critical thinking Critical thinking is a thought process that is important in the performance of preoperative nursing care vs being part of the nursing process. What is the normal range for hemoglobin level in adult women? A. 10 g/dl to 14 g/dl B. 12 g/dl to 16 g/dl C. 14 g/dl to 18 g/dl D. 16 g/dl to 20 g/dl - B. 12 g/dl to 16 g/dl normal hemoglobin levels for men are 14 g/dl to 18 g/dl What technique is the safest to use when securing the arms of a patient to the patient's sides? A. drawing a sheet under the arms and over the patient and hem using non penetrating clamps to secure the sheet to the opposite side B. drawing the sheet over the arms and the sliding the sheet between the mattress and bed C. drawing a sheet over the arms and then tucking the sheet between the patient and the mattress D. wrapping the patient's arms with padding and then securing them to the body with a safety belt - C. drawing a sheet over the arms and then tucking the sheet between the patient and the mattress Which of the following intra op medication orders would prompt a preoperative nurse to have a urinary catheter readily available? A. Levetiracetam 1gm IV after incision B. cefepime 2g/100ml IV infusion w/in 30minutes of incision C. ketorolac 20mg IV push before incision D. Mannitol 10% 10g/100ml after insicion - D. Mannitol 10% 10g/100ml after insicion hypertonic mannitol is a nonosmotic diuretic that is often used during brain surgery to promote diuresis and therefore decrease intracranial pressure. Which of the following is defined as the process of teaching adults? A. pedagogy B. andragogy C. cognition D. orientation - B Andragogy PPE that must be worn when mixing and inserting methyl methacrylate bone cement includes A. head coverings B. latex gloves C. goggles D. shoe covers - C. goggles Methyl methacrylate can penetrate many latex compounds. fumes may irritate the eyes; therefore eye protection must be worn when mixing and inserting methyl methacrylate bone cement. PPE may include gloves, aprons, chemical splash goggles and impervious clothing. Which of the following nursing actions would best support a positive outcome for a nursing diagnosis of potential for alteration in skin integrity?