CNOR PRACTICE QUESTIONS WITH ANSWERS NEW 2022 UPDATE
Most sensitive to dosage errors - pediatric patients
medication reconciliation - promote safe pt outcomes related to medication administration
contraindication to tourniquet use for carpal tunnel surgery - dialysis access device
part of surgical safety checklist - any special equipment, devices, or implants will be needed
organization responsible for accepted nursing diagnoses - NANDA
surgical site marking - surgeon before pt receives any sedation
Risk for DVT - hx of varicosities
active warming of patient with forced air should begin - preop holding area
increased risk for developing pressure ulcer - poor preoperative nutritional status
purpose of preoperative assessment - to develop pt's plan of care
preoperative hair removal - moisten the area to be prepped and use a disposable clipper
best time for SCDs - before induction of anesthesia
transferring 18 lb patient - lateral transfer device, one caregiver, one anesthesia
ionizing radiation puts pt at risk for - impaired skin integrity
importance of removing tongue ring prior to surgery - if piercing is dislodged while ET tube is
being placed, it could block airway or get pushed into lung
pt statement regarding total abdominal hysterectomy - "I'm having my uterus removed"
pt at increased risk for impaired tissue integrity - intermittent claudication
purpose of perioperative plan of care - assist pt in meeting desired outcomes
sx: persistent cough w/ blood tinged sputum, night sweats, loss of appetite w/ signification
weight loss - delay cleaning of the OR until the air exchange system has had time to remove
99% of particles, 28 minutes
hispanic pt, consent is only available in english - call medical interpreter
surgeon is anxious to get pt draped ASAP after prepping - remind surgeon that allowing prep
to dry will prevent volatile fumes from being trapped under drapes
, primary source of waste anesthesia gas - anesthesia professional's practice (intention overflow)
treatment for local anesthetic systemic toxicity - 20% lipid emulsion
supine with arms greater than 90 degrees causes - brachial plexus injury
correct time to label medications and solutions - at time when med is delivered to field
plan for right breast procedure but find wire in left breast - postone prepping until discrepancy
is resolved
potential harm from povidone-iodine - thyroid dysfunction
advanced breast cancer is spreading, pt is comatose and husband consents for bronchoscopy -
RN feels uncomfortable and should - call supervisor and ask for ethics consult
steep trendelenberg puts pt at risk for - decreased tidal volumes caused by pressure of
abdominal contents against diaphragm
unsterile person may perform a two-step skin prep using - sterile gloves donned int he open-
glove fashion
type of fire extinguisher used for electrical fire - halon extinguisher, doesn't leave any residue
on the equipment
PPE for risk of exposure to blood and body fluids - gloves, surgical masks, fluid-resistant
gowns, and eye protection
airflow pattern and temp for restricted areas - negative pressure, 68-75 degrees
stiff neck muscles, family hx of death in OR, elevated CO2 and HR, which med to give -
dantrolene
delay in case by 1 hour, what to do with sterile field - cover with sterile drape and remain in the
room
Cesarean section wound class with meconium released into abdominal cavity changes wound
class from - Class II to Class III
missing needle not found on x-ray, how should the nurse document the incident - document
that the count was incorrect or reconciled and describe the steps that were taken to rectify the
count
implant for knee replacement is unsterile, discovered at timeout, the best course of action is to -
the correct implant may be sterilized via the IUSS method if biological and class V indicators
are placed in the load
Most sensitive to dosage errors - pediatric patients
medication reconciliation - promote safe pt outcomes related to medication administration
contraindication to tourniquet use for carpal tunnel surgery - dialysis access device
part of surgical safety checklist - any special equipment, devices, or implants will be needed
organization responsible for accepted nursing diagnoses - NANDA
surgical site marking - surgeon before pt receives any sedation
Risk for DVT - hx of varicosities
active warming of patient with forced air should begin - preop holding area
increased risk for developing pressure ulcer - poor preoperative nutritional status
purpose of preoperative assessment - to develop pt's plan of care
preoperative hair removal - moisten the area to be prepped and use a disposable clipper
best time for SCDs - before induction of anesthesia
transferring 18 lb patient - lateral transfer device, one caregiver, one anesthesia
ionizing radiation puts pt at risk for - impaired skin integrity
importance of removing tongue ring prior to surgery - if piercing is dislodged while ET tube is
being placed, it could block airway or get pushed into lung
pt statement regarding total abdominal hysterectomy - "I'm having my uterus removed"
pt at increased risk for impaired tissue integrity - intermittent claudication
purpose of perioperative plan of care - assist pt in meeting desired outcomes
sx: persistent cough w/ blood tinged sputum, night sweats, loss of appetite w/ signification
weight loss - delay cleaning of the OR until the air exchange system has had time to remove
99% of particles, 28 minutes
hispanic pt, consent is only available in english - call medical interpreter
surgeon is anxious to get pt draped ASAP after prepping - remind surgeon that allowing prep
to dry will prevent volatile fumes from being trapped under drapes
, primary source of waste anesthesia gas - anesthesia professional's practice (intention overflow)
treatment for local anesthetic systemic toxicity - 20% lipid emulsion
supine with arms greater than 90 degrees causes - brachial plexus injury
correct time to label medications and solutions - at time when med is delivered to field
plan for right breast procedure but find wire in left breast - postone prepping until discrepancy
is resolved
potential harm from povidone-iodine - thyroid dysfunction
advanced breast cancer is spreading, pt is comatose and husband consents for bronchoscopy -
RN feels uncomfortable and should - call supervisor and ask for ethics consult
steep trendelenberg puts pt at risk for - decreased tidal volumes caused by pressure of
abdominal contents against diaphragm
unsterile person may perform a two-step skin prep using - sterile gloves donned int he open-
glove fashion
type of fire extinguisher used for electrical fire - halon extinguisher, doesn't leave any residue
on the equipment
PPE for risk of exposure to blood and body fluids - gloves, surgical masks, fluid-resistant
gowns, and eye protection
airflow pattern and temp for restricted areas - negative pressure, 68-75 degrees
stiff neck muscles, family hx of death in OR, elevated CO2 and HR, which med to give -
dantrolene
delay in case by 1 hour, what to do with sterile field - cover with sterile drape and remain in the
room
Cesarean section wound class with meconium released into abdominal cavity changes wound
class from - Class II to Class III
missing needle not found on x-ray, how should the nurse document the incident - document
that the count was incorrect or reconciled and describe the steps that were taken to rectify the
count
implant for knee replacement is unsterile, discovered at timeout, the best course of action is to -
the correct implant may be sterilized via the IUSS method if biological and class V indicators
are placed in the load
