CNOR Exam 2
A _____ is an surroundings where moves are analyzed to determine accountability and
reparations are enacted while appropriate
A. Just tradition
B. Way of life of responsibility
C. Subculture of conversation
D. Gaining knowledge of subculture - ANS-A. Just Culture
a just way of life allows for the dialogue of mistakes in an environment freed from worry of
punishment. Such dialogue consists of risk factors and tactics that may have contributed to
the recognized mistakes. A way of life of protection is while a facility promotes education and
sources for secure affected person care and includes the patient and family inside the
decision making manner.
A 28 yr vintage hispanic male is scheduled for repair of an incarcerated inguinal hernia. He
does no longer communicate English. The consent shape is simplest available in English.
The first-class way for the peri op nurse to make certain knowledgeable consent for this
patient is to
A. Witness the sufferers signature at the consent form
B. Set up for a scientific interpreter
C. Permit a member of the family to interpret for the medical professional
D. Arrange for a Spanish-speaking workforce member to interpret for the physician - ANS-B
set up for a scientific interpreter
the affected person must be furnished facts related to his surgical procedure via a medical
interpreter in terms that he can understand
a 36 yr vintage male presents to the OR for reaper of a fractured right medial malleolus. He
weighs eighty five kg, does no longer smoke, and takes no medications at home. Which of
the subsequent traits will increase the sufferers danger for developing a venous
thromboembolism (VTE)
A. His age
B. His harm
C. His weight
D. His smoking status - ANS-B. His injury
manner-related VTE threat factors include ankle fracture.
A frame mass index (BMI) same to or above ______ kg/m2 is considered overweight
A. 22
B. 28
C. 30
D. 40 - ANS-C. 30
A series of blood in a body cavity or space because of out of control bleeding or oozing is
called a
A. Hematoma
,B. Pseudoaneurysm
C. Varicosity
D. Contusion - ANS-A. Hematoma
the hematoma may reason ache and require drainage
A catastrophe preparedness plan consisting of using a command middle, triage middle,
staffing plan, documentation, and verbal exchange have to be a part of a drill at least
A. Each 3 months
B. Twice a 12 months
C. Yearly
D. Every 2 years - ANS-B. Two times a year
disaster drills must be held twice a 12 months to test the plans advanced through the making
plans committee and to train body of workers on their roles and the plans.
A fitness care enterprise representative have to
A. Now not participate in direct affected person care
B. Deliver additional system that changed into now not asked
C. Take a look at in with substances management
D. Open asked implants - ANS-A. Now not take part in direct patient care
income representatives need to by no means take part in direct affected person care and
have to no longer enter the sterile subject. Only the requested device is brought in and sales
reps ought to check in and out with the best sanatorium body of workers.
A hemostatic agent that may be used by a neurosurgeon to govern bleeding bone is
A. Heparin
B. Protamine sulfate
C. Methylene blue
D. Bone wax - ANS-D. Bone Wax
Bone Wax is a hemostatic agent used to manipulate bleeding from open bone through the
advent of a mechanical tamponade barrier
A medicinal drug that ought to be administered for remedy of neighborhood anesthetic
systemic toxicity (LAST) crisis is
A. Lidocaine
B. Epinephrine
C. 20% lipid emulsion
D. Propofol - ANS-C. 20% lipid emulsion
The lipid emulsion is used to attract the nearby anesthetic out of the bloodstream
A multidisciplinary crew has been convened to check numerous latest incidents wherein the
incorrect affected person become delivered from the clinical-surgical unit to the pre op
holding region. Which of the following actions could save you this from going on inside the
destiny?
A. Requiring an RN to accompany the patient to the pre op maintaining region
B. Reviewing with delivery employees the manner for confirming the perfect patients identity
C. Making sure that the OR price nurse calls the unit before the shipping of the affected
person
,D. Posting the surgical time table on the nurse's station on the clinical-surgical unit - ANS-B.
Reviewing with shipping personnel the manner for confirming an appropriate sufferers
identity
a multidisciplinary group is comparing a new brand of irrigation fluid. The empty box is
recyclable. Which of the following is affected if this product is selected?
A. The surroundings
B. Patient protection
C. End consumer pleasure
D. The organization shopping contract - ANS-A. The surroundings
the environmental impact of a product is influenced by using whether or not it may be
recycled
a new plastic medical professional has just joined the body of workers of an ambulatory
surgical operation center. The surgeon requests a line of suture that isn't carried by the
ability. How can the nurse high-quality respond in supplying reason for use of the facility's
present day emblem of suture?
A. Standardization of merchandise is one manner our surgeons can assist us manipulate
expenses
B. We do not have enough shelf area within the suture to deal with more packing containers
C. We do not have a settlement with that suture employer
D. The rest of our surgeons won't use that kind of suture - ANS-A. Standardization of
products is one manner our surgeons can help us control expenses
A package containing a chemical sterilant is inadvertently punctured, and the sterilant
splashes onto the arms of the peri op nurse as she prepares an endoscope for sterilization.
Information on a way to manage the spill is fine obtained from
A. The ability pharmacist
B. A poison control center
C. The peri op manager
D. The best protection information sheet (SDS) - ANS-D. The precise safety facts sheet
(SDS)
a current SDS have to be easily available fo all dangerous substances within the peri op
suite
A affected person has lost 750ml of blood intra op. Vital signs and symptoms are inside
ordinary limits. Which of the subsequent interventions ought to the circulating nurse
anticipate?
A. Send a blood specimen for a stat type and go-in shape
B. Set up an autologous blood transfusion unit
C. Ship an order for 2 gadgets of O-bad blood
D. Gain extra crystalloids - ANS-D. Acquire additional crystalloids
for patients with an EBL of much less than 1000ml, crystalloids are the endorsed fluid
alternative.
A patient is on long time ASA remedy. Pre op, the patient have to be cautioned to prevent
taking the drugs ________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
, D. 4 weeks - ANS-B. 2 weeks
A affected person is scheduled for a total knee alternative. Throughout the day trip, the scrub
nurse discovers that the incorrect implant is on the back table. The correct implant is
available but unsterile. The health care professional would really like to preserve with the
case. What's the high-quality path of movement?
A. Notify the medical professional that the suitable implant can be sterilized thru IUSS
method if organic and Class V signs are placed inside the load
B. Notify the general practitioner that the suitable implant mat be sterilized via the ethylene
oxide approach if the aeration period is aborted
C. Notify the doctor that a root purpose analysis may be initiated
D. Cancel and reschedule the technique - ANS-A. Notify the physician that the right implant
may be sterilized through IUSS technique if biological and Class V indicators are located in
the load
IUSS is reserved for times wherein there is insufficient time to manner by way of the favored
wrapped or field technique. Biological and Class V signs need to be run inside the load with
the implant
A patient is undergoing a manner to eliminate vocal cord polyps the usage of a carbon
dioxide (CO2) laser. During the method, the endotachial tube (ETT) ignites. Which of the
subsequent moves ought to be undertaken first?
A. Call for help
B. Remove the ETT
C. Pour saline into the patients airway
D. Flip off the CO2 laser - ANS-B. Do away with the ETT
for hearth within the airway or respiration circuit, the ETT must be removed immediately.
A affected person reviews to the ambulatory surgical procedure middle for nearby
anesthesia w/o sedation and claims that the surgeon gave him permission to power himself
home. The most suitable actin for the peri op nurse is to
A. Cancel the surgery and reschedule whilst the patient has a journey
B. Touch the social worker to help in finding transportation for the affected person
C. Check for an order mentioning that the patient may additionally pressure himself domestic
D. Permit the patient to depart while his put up op Aldrete rating is 10 - ANS-C. Test for an
order pointing out that the patient can also power himself home
it can be permissible for the affected person to drive himself home if the surgical treatment
changed into completed below neighborhood anesthesia w/o sedation and if there may be a
medical doctor's order
a affected person scheduled for a bronchoscopy states that he has had a continual cough
with blood tinged sputum, night time sweats, and loss of urge for food with sizable weight
loss during the last three months. Which movement ought to be taken?
A. Go away the portable HEPA filter unit on at the same time as the affected person is
intubated to supplement everyday room air exchanges
B. Time table the patient for the primary process of the day, whilst the contamination
preventionist is available
C. Provide the affected person with a NIOSH N-ninety five match-examined respirator to put
on throughout delivery
A _____ is an surroundings where moves are analyzed to determine accountability and
reparations are enacted while appropriate
A. Just tradition
B. Way of life of responsibility
C. Subculture of conversation
D. Gaining knowledge of subculture - ANS-A. Just Culture
a just way of life allows for the dialogue of mistakes in an environment freed from worry of
punishment. Such dialogue consists of risk factors and tactics that may have contributed to
the recognized mistakes. A way of life of protection is while a facility promotes education and
sources for secure affected person care and includes the patient and family inside the
decision making manner.
A 28 yr vintage hispanic male is scheduled for repair of an incarcerated inguinal hernia. He
does no longer communicate English. The consent shape is simplest available in English.
The first-class way for the peri op nurse to make certain knowledgeable consent for this
patient is to
A. Witness the sufferers signature at the consent form
B. Set up for a scientific interpreter
C. Permit a member of the family to interpret for the medical professional
D. Arrange for a Spanish-speaking workforce member to interpret for the physician - ANS-B
set up for a scientific interpreter
the affected person must be furnished facts related to his surgical procedure via a medical
interpreter in terms that he can understand
a 36 yr vintage male presents to the OR for reaper of a fractured right medial malleolus. He
weighs eighty five kg, does no longer smoke, and takes no medications at home. Which of
the subsequent traits will increase the sufferers danger for developing a venous
thromboembolism (VTE)
A. His age
B. His harm
C. His weight
D. His smoking status - ANS-B. His injury
manner-related VTE threat factors include ankle fracture.
A frame mass index (BMI) same to or above ______ kg/m2 is considered overweight
A. 22
B. 28
C. 30
D. 40 - ANS-C. 30
A series of blood in a body cavity or space because of out of control bleeding or oozing is
called a
A. Hematoma
,B. Pseudoaneurysm
C. Varicosity
D. Contusion - ANS-A. Hematoma
the hematoma may reason ache and require drainage
A catastrophe preparedness plan consisting of using a command middle, triage middle,
staffing plan, documentation, and verbal exchange have to be a part of a drill at least
A. Each 3 months
B. Twice a 12 months
C. Yearly
D. Every 2 years - ANS-B. Two times a year
disaster drills must be held twice a 12 months to test the plans advanced through the making
plans committee and to train body of workers on their roles and the plans.
A fitness care enterprise representative have to
A. Now not participate in direct affected person care
B. Deliver additional system that changed into now not asked
C. Take a look at in with substances management
D. Open asked implants - ANS-A. Now not take part in direct patient care
income representatives need to by no means take part in direct affected person care and
have to no longer enter the sterile subject. Only the requested device is brought in and sales
reps ought to check in and out with the best sanatorium body of workers.
A hemostatic agent that may be used by a neurosurgeon to govern bleeding bone is
A. Heparin
B. Protamine sulfate
C. Methylene blue
D. Bone wax - ANS-D. Bone Wax
Bone Wax is a hemostatic agent used to manipulate bleeding from open bone through the
advent of a mechanical tamponade barrier
A medicinal drug that ought to be administered for remedy of neighborhood anesthetic
systemic toxicity (LAST) crisis is
A. Lidocaine
B. Epinephrine
C. 20% lipid emulsion
D. Propofol - ANS-C. 20% lipid emulsion
The lipid emulsion is used to attract the nearby anesthetic out of the bloodstream
A multidisciplinary crew has been convened to check numerous latest incidents wherein the
incorrect affected person become delivered from the clinical-surgical unit to the pre op
holding region. Which of the following actions could save you this from going on inside the
destiny?
A. Requiring an RN to accompany the patient to the pre op maintaining region
B. Reviewing with delivery employees the manner for confirming the perfect patients identity
C. Making sure that the OR price nurse calls the unit before the shipping of the affected
person
,D. Posting the surgical time table on the nurse's station on the clinical-surgical unit - ANS-B.
Reviewing with shipping personnel the manner for confirming an appropriate sufferers
identity
a multidisciplinary group is comparing a new brand of irrigation fluid. The empty box is
recyclable. Which of the following is affected if this product is selected?
A. The surroundings
B. Patient protection
C. End consumer pleasure
D. The organization shopping contract - ANS-A. The surroundings
the environmental impact of a product is influenced by using whether or not it may be
recycled
a new plastic medical professional has just joined the body of workers of an ambulatory
surgical operation center. The surgeon requests a line of suture that isn't carried by the
ability. How can the nurse high-quality respond in supplying reason for use of the facility's
present day emblem of suture?
A. Standardization of merchandise is one manner our surgeons can assist us manipulate
expenses
B. We do not have enough shelf area within the suture to deal with more packing containers
C. We do not have a settlement with that suture employer
D. The rest of our surgeons won't use that kind of suture - ANS-A. Standardization of
products is one manner our surgeons can help us control expenses
A package containing a chemical sterilant is inadvertently punctured, and the sterilant
splashes onto the arms of the peri op nurse as she prepares an endoscope for sterilization.
Information on a way to manage the spill is fine obtained from
A. The ability pharmacist
B. A poison control center
C. The peri op manager
D. The best protection information sheet (SDS) - ANS-D. The precise safety facts sheet
(SDS)
a current SDS have to be easily available fo all dangerous substances within the peri op
suite
A affected person has lost 750ml of blood intra op. Vital signs and symptoms are inside
ordinary limits. Which of the subsequent interventions ought to the circulating nurse
anticipate?
A. Send a blood specimen for a stat type and go-in shape
B. Set up an autologous blood transfusion unit
C. Ship an order for 2 gadgets of O-bad blood
D. Gain extra crystalloids - ANS-D. Acquire additional crystalloids
for patients with an EBL of much less than 1000ml, crystalloids are the endorsed fluid
alternative.
A patient is on long time ASA remedy. Pre op, the patient have to be cautioned to prevent
taking the drugs ________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
, D. 4 weeks - ANS-B. 2 weeks
A affected person is scheduled for a total knee alternative. Throughout the day trip, the scrub
nurse discovers that the incorrect implant is on the back table. The correct implant is
available but unsterile. The health care professional would really like to preserve with the
case. What's the high-quality path of movement?
A. Notify the medical professional that the suitable implant can be sterilized thru IUSS
method if organic and Class V signs are placed inside the load
B. Notify the general practitioner that the suitable implant mat be sterilized via the ethylene
oxide approach if the aeration period is aborted
C. Notify the doctor that a root purpose analysis may be initiated
D. Cancel and reschedule the technique - ANS-A. Notify the physician that the right implant
may be sterilized through IUSS technique if biological and Class V indicators are located in
the load
IUSS is reserved for times wherein there is insufficient time to manner by way of the favored
wrapped or field technique. Biological and Class V signs need to be run inside the load with
the implant
A patient is undergoing a manner to eliminate vocal cord polyps the usage of a carbon
dioxide (CO2) laser. During the method, the endotachial tube (ETT) ignites. Which of the
subsequent moves ought to be undertaken first?
A. Call for help
B. Remove the ETT
C. Pour saline into the patients airway
D. Flip off the CO2 laser - ANS-B. Do away with the ETT
for hearth within the airway or respiration circuit, the ETT must be removed immediately.
A affected person reviews to the ambulatory surgical procedure middle for nearby
anesthesia w/o sedation and claims that the surgeon gave him permission to power himself
home. The most suitable actin for the peri op nurse is to
A. Cancel the surgery and reschedule whilst the patient has a journey
B. Touch the social worker to help in finding transportation for the affected person
C. Check for an order mentioning that the patient may additionally pressure himself domestic
D. Permit the patient to depart while his put up op Aldrete rating is 10 - ANS-C. Test for an
order pointing out that the patient can also power himself home
it can be permissible for the affected person to drive himself home if the surgical treatment
changed into completed below neighborhood anesthesia w/o sedation and if there may be a
medical doctor's order
a affected person scheduled for a bronchoscopy states that he has had a continual cough
with blood tinged sputum, night time sweats, and loss of urge for food with sizable weight
loss during the last three months. Which movement ought to be taken?
A. Go away the portable HEPA filter unit on at the same time as the affected person is
intubated to supplement everyday room air exchanges
B. Time table the patient for the primary process of the day, whilst the contamination
preventionist is available
C. Provide the affected person with a NIOSH N-ninety five match-examined respirator to put
on throughout delivery
