CNOR EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
Question 1
A nurse is encouraging a post-operative patient to cough and
take deep breaths. This nursing action is due to the understanding
by the nurse that retaining pulmonary secretions can lead to:
a) Atelectasis
b) Pneumonia
c) Pulmonary edema
d) Pneumothorax
Answer: b) Pneumonia
Rationale: Retained pulmonary secretions provide a medium for
bacterial growth, leading to pneumonia. Deep breathing and
coughing help mobilize secretions, preventing this common
postoperative complication. Atelectasis (collapse of alveoli) can
also occur from hypoventilation, but pneumonia is the direct
infectious consequence of retained secretions.
,Question 2
A patient with severe burns is scheduled for surgery for an
allograft of the right leg. What must be considered as the post-
operative plan of care for this patient?
a) Immediate weight-bearing on the right leg
b) Frequent blood pressure checks on the right leg
c) Immobilize and elevate the right leg
d) Application of dry, sterile gauze only
Answer: c) Immobilize and elevate the right leg
Rationale: Post-operative care for an allograft (skin graft) requires
immobilization and elevation to promote graft adherence and
prevent shearing forces that could disrupt the graft and
compromise healing. Weight-bearing would disrupt the graft; BP
checks on the graft site could cause trauma.
Question 3
When caring for a patient posted for surgery, the nurse finds that
the patient is not able to sign the consent form due to narcotic
analgesic administration. Who should sign the consent instead of
the patient?
a) The surgeon
b) The nurse manager
c) One family member can sign with two witnesses signatures
d) No surgery can be performed
,Answer: c) One family member can sign with two witnesses
signatures
Rationale: If a patient is under the influence of narcotics and
cannot give informed consent, a legally authorized representative
(typically a family member) must sign. Two witnesses are required
to validate the process. The surgeon cannot sign on behalf of an
incapacitated patient.
Question 4
An 88-year-old woman is posted for surgery. Which of the
following consent processes needs to be followed by a nurse in
this case?
a) Rush the consent process due to her age
b) Have the surgeon sign on her behalf
c) Provide adequate time for the patient to process the
information and sign
d) Assume she cannot consent due to age
Answer: c) Provide adequate time for the patient to process
the information and sign
Rationale: Age alone does not determine competency. Elderly
patients may require more time to process information. The nurse
must ensure the patient has adequate time to understand the
procedure and sign voluntarily. Rushing or assuming
incompetence based solely on age is inappropriate and unethical.
, Question 5
A nurse is caring for a patient with radical neck dissection. The
endotracheal tube was removed a few minutes ago. When
observing which of the following must the nurse call the
physician?
a) Snoring
b) Coughing
c) Stridor
d) Hoarseness
Answer: c) Stridor
Rationale: Stridor is a high-pitched, harsh sound indicating upper
airway obstruction. After a radical neck dissection, edema can
compromise the airway, and stridor is a medical emergency
requiring immediate intervention. Snoring may indicate partial
obstruction but is less emergent; hoarseness is expected post-
extubation.
Question 6
A patient reports using herbal supplements, including ginkgo
biloba, prior to surgery. The nurse is aware that this supplement
increases the risk of:
a) Hypertension
b) Hyperglycemia
c) Bleeding
d) Serotonin syndrome
Answer: c) Bleeding
TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
Question 1
A nurse is encouraging a post-operative patient to cough and
take deep breaths. This nursing action is due to the understanding
by the nurse that retaining pulmonary secretions can lead to:
a) Atelectasis
b) Pneumonia
c) Pulmonary edema
d) Pneumothorax
Answer: b) Pneumonia
Rationale: Retained pulmonary secretions provide a medium for
bacterial growth, leading to pneumonia. Deep breathing and
coughing help mobilize secretions, preventing this common
postoperative complication. Atelectasis (collapse of alveoli) can
also occur from hypoventilation, but pneumonia is the direct
infectious consequence of retained secretions.
,Question 2
A patient with severe burns is scheduled for surgery for an
allograft of the right leg. What must be considered as the post-
operative plan of care for this patient?
a) Immediate weight-bearing on the right leg
b) Frequent blood pressure checks on the right leg
c) Immobilize and elevate the right leg
d) Application of dry, sterile gauze only
Answer: c) Immobilize and elevate the right leg
Rationale: Post-operative care for an allograft (skin graft) requires
immobilization and elevation to promote graft adherence and
prevent shearing forces that could disrupt the graft and
compromise healing. Weight-bearing would disrupt the graft; BP
checks on the graft site could cause trauma.
Question 3
When caring for a patient posted for surgery, the nurse finds that
the patient is not able to sign the consent form due to narcotic
analgesic administration. Who should sign the consent instead of
the patient?
a) The surgeon
b) The nurse manager
c) One family member can sign with two witnesses signatures
d) No surgery can be performed
,Answer: c) One family member can sign with two witnesses
signatures
Rationale: If a patient is under the influence of narcotics and
cannot give informed consent, a legally authorized representative
(typically a family member) must sign. Two witnesses are required
to validate the process. The surgeon cannot sign on behalf of an
incapacitated patient.
Question 4
An 88-year-old woman is posted for surgery. Which of the
following consent processes needs to be followed by a nurse in
this case?
a) Rush the consent process due to her age
b) Have the surgeon sign on her behalf
c) Provide adequate time for the patient to process the
information and sign
d) Assume she cannot consent due to age
Answer: c) Provide adequate time for the patient to process
the information and sign
Rationale: Age alone does not determine competency. Elderly
patients may require more time to process information. The nurse
must ensure the patient has adequate time to understand the
procedure and sign voluntarily. Rushing or assuming
incompetence based solely on age is inappropriate and unethical.
, Question 5
A nurse is caring for a patient with radical neck dissection. The
endotracheal tube was removed a few minutes ago. When
observing which of the following must the nurse call the
physician?
a) Snoring
b) Coughing
c) Stridor
d) Hoarseness
Answer: c) Stridor
Rationale: Stridor is a high-pitched, harsh sound indicating upper
airway obstruction. After a radical neck dissection, edema can
compromise the airway, and stridor is a medical emergency
requiring immediate intervention. Snoring may indicate partial
obstruction but is less emergent; hoarseness is expected post-
extubation.
Question 6
A patient reports using herbal supplements, including ginkgo
biloba, prior to surgery. The nurse is aware that this supplement
increases the risk of:
a) Hypertension
b) Hyperglycemia
c) Bleeding
d) Serotonin syndrome
Answer: c) Bleeding
