CNOR PRACTICE EXAM- ZANDER
FULL TEST WITH CORRECT
ANSWERS
What the wound classification for vaginal hysterectomy?
Class 1
Class 2
Class 3
Class 4 - CORRECT ANSWER- Class 2
There is controlled entry into the genitourinary tract.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
The patient's desirable and measurable physiological and psychological
responses to nursing interventions are called:
Process Standards
Outcome Standards
Clinical Efficiency
Quality Improvement - CORRECT ANSWER- Outcome Standards
he common goal of standards is quality patient care. Patient outcomes
are an essential indicator of the quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
The 19-year-old patient arrives to the OR within 2 hours of a traumatic
open Tib/Fib fracture for ORIF. What wound class is it?
Class1
,Class 2
Class 3
Class 4 - CORRECT ANSWER- Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh
trauma is one that is less than 4-6 hours old at the start of surgery.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
Patients with one or more of Virchow's triad are at increased risk for
Deep vein thrombosis
Hemorrhage
Surgical site infection
Respiratory distress - CORRECT ANSWER- DVT
Virchow's triad describes the three broad categories of factors that are
thought to contribute to thrombosis. Hypercoagulability. Hemodynamic
changes (stasis, turbulence) Endothelial injury/dysfunction. DVT is at an
increased risk
Alexander's Care of the Patient in Surgery 16th ed. Ch. 24
The Spaulding classification system is used to determine:
Appropriate methods to attain desired level of processing required for
safety in patient care items.
Safety standards for safely administering and monitoring anesthesia
care
Post-operative discharge criteria
Ideal pressurization for rubberized spherical items - CORRECT
ANSWER- Appropriate methods to attain desired level of processing
required for safety in patient care items.
Earle Spaulding, a microbiologist, developed a classification system in
1968 to determine the appropriate method to attain the desired level of
processing required for safety in patient care items. This system was
adopted and later modified by the CDC.
Berry and Kohn's Operating Room Technique 13th ed Ch 17
,When passing the knife to the surgeon the best practice would be...
To place the knife into a designated tray and so the surgeon can pick it
up
To firmly place the blade handle into the surgeon's palm
Let the surgeon take what he wants from the mayo stand
With the use of a safety scalpel passing device - CORRECT
ANSWER- To place the knife into a designated tray and so the surgeon
can pick it up
The neutral zone is a sterile basin or tray or magnetic pad from which
the surgeon or assistant can retrieve them. When finished the surgeon
returns the item to the tray where the scrub person retrieves them. Hand
to hand passing of sharps increases the chance of accidental sharps
injury. Nobody but me gets to touch my mayo stand and I made up the
safety scalpel passing device.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 7
The ultimate responsibility for the nurse's competency is:
Nurse
Educator
Manager
Director - CORRECT ANSWER- Nurse
While education is often facilitated by the educator, manager or director
it's ultimately the individual nurse's responsibility to maintain his or her
own competency and nursing practice.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 3
During a bowel resection for malignancy the circulating nurse
anticipates...
Recounting sponges sharps and instruments after the GI tract is
clamped
Prepare for regowning and regloving of the entire surgical team at the
field
, The need for a separate surgical consent in addition to the bowel
resection
Antibiotic irrigation solution will be used - CORRECT ANSWER-
Prepare for regowning and regloving of the entire surgical team at the
field
Instruments used for a bowel resection are kept separate from the rest
of the sterile back table. After wound irrigation the entire surgical team
dons fresh gowns and gloves and switches to the closure set up of clean
instruments to prevent cross contamination of the abdomen with bowel
organisms
Alexander's Care of the Patient in Surgery 16th ed. Ch. 11
When positioning a patient in a left lateral decubitus position padding will
be needed...
Between the knees
Under the knees
Under the patella
On the lateral aspect of the right knee - CORRECT ANSWER-
Between the knees
Lateral decubitus position is synonymous to lateral position. The flexed
knees may require padding to prevent pressure and shearing force.
Berry and Kohn's Operating Room Technique 13th ed Ch 26
What does a uniform pattern on the Bowie -Dick indicate?
The vacuum cycle functioned properly
The sterilization parameters have been met
That the dynamic air removal sterilizer is ready to sterilize instruments
That the instruments are sterile - CORRECT ANSWER- The vacuum
cycle functioned properly
A uniform pattern on the Bowie-Dick card indicates that a vacuum was
created inside the chamber. It doesn't measure anything more than that
Alexander's Care of the Patient in Surgery 16th ed. Ch. 4
FULL TEST WITH CORRECT
ANSWERS
What the wound classification for vaginal hysterectomy?
Class 1
Class 2
Class 3
Class 4 - CORRECT ANSWER- Class 2
There is controlled entry into the genitourinary tract.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
The patient's desirable and measurable physiological and psychological
responses to nursing interventions are called:
Process Standards
Outcome Standards
Clinical Efficiency
Quality Improvement - CORRECT ANSWER- Outcome Standards
he common goal of standards is quality patient care. Patient outcomes
are an essential indicator of the quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
The 19-year-old patient arrives to the OR within 2 hours of a traumatic
open Tib/Fib fracture for ORIF. What wound class is it?
Class1
,Class 2
Class 3
Class 4 - CORRECT ANSWER- Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh
trauma is one that is less than 4-6 hours old at the start of surgery.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
Patients with one or more of Virchow's triad are at increased risk for
Deep vein thrombosis
Hemorrhage
Surgical site infection
Respiratory distress - CORRECT ANSWER- DVT
Virchow's triad describes the three broad categories of factors that are
thought to contribute to thrombosis. Hypercoagulability. Hemodynamic
changes (stasis, turbulence) Endothelial injury/dysfunction. DVT is at an
increased risk
Alexander's Care of the Patient in Surgery 16th ed. Ch. 24
The Spaulding classification system is used to determine:
Appropriate methods to attain desired level of processing required for
safety in patient care items.
Safety standards for safely administering and monitoring anesthesia
care
Post-operative discharge criteria
Ideal pressurization for rubberized spherical items - CORRECT
ANSWER- Appropriate methods to attain desired level of processing
required for safety in patient care items.
Earle Spaulding, a microbiologist, developed a classification system in
1968 to determine the appropriate method to attain the desired level of
processing required for safety in patient care items. This system was
adopted and later modified by the CDC.
Berry and Kohn's Operating Room Technique 13th ed Ch 17
,When passing the knife to the surgeon the best practice would be...
To place the knife into a designated tray and so the surgeon can pick it
up
To firmly place the blade handle into the surgeon's palm
Let the surgeon take what he wants from the mayo stand
With the use of a safety scalpel passing device - CORRECT
ANSWER- To place the knife into a designated tray and so the surgeon
can pick it up
The neutral zone is a sterile basin or tray or magnetic pad from which
the surgeon or assistant can retrieve them. When finished the surgeon
returns the item to the tray where the scrub person retrieves them. Hand
to hand passing of sharps increases the chance of accidental sharps
injury. Nobody but me gets to touch my mayo stand and I made up the
safety scalpel passing device.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 7
The ultimate responsibility for the nurse's competency is:
Nurse
Educator
Manager
Director - CORRECT ANSWER- Nurse
While education is often facilitated by the educator, manager or director
it's ultimately the individual nurse's responsibility to maintain his or her
own competency and nursing practice.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 3
During a bowel resection for malignancy the circulating nurse
anticipates...
Recounting sponges sharps and instruments after the GI tract is
clamped
Prepare for regowning and regloving of the entire surgical team at the
field
, The need for a separate surgical consent in addition to the bowel
resection
Antibiotic irrigation solution will be used - CORRECT ANSWER-
Prepare for regowning and regloving of the entire surgical team at the
field
Instruments used for a bowel resection are kept separate from the rest
of the sterile back table. After wound irrigation the entire surgical team
dons fresh gowns and gloves and switches to the closure set up of clean
instruments to prevent cross contamination of the abdomen with bowel
organisms
Alexander's Care of the Patient in Surgery 16th ed. Ch. 11
When positioning a patient in a left lateral decubitus position padding will
be needed...
Between the knees
Under the knees
Under the patella
On the lateral aspect of the right knee - CORRECT ANSWER-
Between the knees
Lateral decubitus position is synonymous to lateral position. The flexed
knees may require padding to prevent pressure and shearing force.
Berry and Kohn's Operating Room Technique 13th ed Ch 26
What does a uniform pattern on the Bowie -Dick indicate?
The vacuum cycle functioned properly
The sterilization parameters have been met
That the dynamic air removal sterilizer is ready to sterilize instruments
That the instruments are sterile - CORRECT ANSWER- The vacuum
cycle functioned properly
A uniform pattern on the Bowie-Dick card indicates that a vacuum was
created inside the chamber. It doesn't measure anything more than that
Alexander's Care of the Patient in Surgery 16th ed. Ch. 4
