CNOR EXAM PREPARATION FOR THE COMING EXAM 2022 NEW UPDATED
SOLUTION
Cholecystectomy incision needed - Krocher's incision
Gallbladder, Liver incision name - Midline incision
Appendicitis incsion - Mc Burney's Pont incision
Incision for GYN Pelvic Surgery and Prostatic Surgery - Pfannenstiel incision
Normal Hemoglobin levels for men - 13.5-17.5
Normal Hemoglobin for women - 12-16
Na+ normal level - 135-145
Normal Potassium Level - 3.5-5.0
Normal Ph level - 7.35-7.45
PaCO2 normal level - 35-45
PaO2 normal level - 80-100
HCO3 normal level - 22-28
Ammonia normal level - 9.5-49mcg/dl
ALT liver function normal level - 0-35
Albumin normal level - 4-6
Hct normal level for male - 39-49
Hct normal level for female - 35-45
What piece of equipment do you need for a vasvagotomy? - microscope
During a procedure under local anesthesia, the patient complains of circumoral numbness,
blurred vision and dizziness. What should be the immediate action of the preoperative nurse
monitoring this patient? - Ensure an airway
The circulating nurse reports that the needle count is incorrect. The surgeon continues to close
the wound stating "I know it is not in the wound and I am not going to stop to look for it". The
best plan of action is to : - inform the surgeon of the hospital policy and document subsequent
actions
,A new employee unknowingly dispensed an unsterile solution to the sterile field. The following
day the supervisor learns of the incident. The supervisors first action would be to: - Notify
surgeon of the break in technique
Where does decontamination begin? - Starts at the field, with wiping the instruments to keep
the bioburden down
How many air exchanges does Decontamination area have? - 6 air exchanges per hour
What temperature does decontamination area need to be set at? - 68-73 degrees
What is the humidity setting for decontamination area? - 30%-60%
What is TASS? - Toxic Anterior Segment Syndrome-from contaminates left on eye
instruments
What is the temperature kept at in the packaging area? - 64-73 degrees
What is the humidity settings kept at in the packaging area? - 35-70%
How do you reverse the effects of FFP? - Coumadin (Warfin)
Assault is defined as? - Threat to do harm
Which sterilizer forces air from the sterilizer chamber? - Gravity displacement
What must you have before putting in an A-Line? - Allen's Test
Which facial lines would a surgeon use to remove a lesion? - Langer Lines
Kraske Position is also known as? - Jack Knife
What is hematopoiesis? - The body making new blood cells
Causes of metabolic
Alkalosis? - -Anything that causes loss of acid loss in GI Tract-N/V
-Self induced by TUMS
What is FFP made up of? - -Clotting factors
-Plasma
What is Cryo used for? - To control bleeding
Where is a Swan Ganz catheter placed? - Internal Jugular
What 5 risks are pediatric patients in the OR at risk for? - -Displacing ET tube (short trachea)
-Hypothermia
-Hypovolemia (weigh sponges)
, -Peter Panning off table (moving around during induction)
-(+) Resp Rate causes (+) Heart Rate
Voluntary reporting that encourages self reporting without fear of retaliation? - Culture of
Safety from the
Patient Saftey and Quality Improvement Act 2005
S/S of Hypontremia (below 135) - -N/V
-Irritability
-Muscle cramping
-Muscle twitching
-HA
What time frame must I use FFP after being thawed? - 24 hours
Pudendal Block is used in what type of surgery? - GYN
Avoid an Epidural, Spinal, and General anesthesia with these type of patients? - Sickle cell
Pneumatic Tourniquet must have how much re-profussion time, before re-inflating it again? -
15 minutes
Pneumatic Tourniquet time limit for upper extremity in adults? - 60 minutes
Pneumatic Tourniquet time limit for a lower extremity in adults? - 90 minutes
Replace clotting factors after how many units of blood? - 4 units
Where does a Supra Ventricular Tachycardia originate from? - Atrial area (SA node)
How do you treat SVT? - 1-Vagal Stem-(unconscious ice carotids)
2-Adenosine
When is Esmarck not necessary with a pneumatic tourniquet? - -DVT
-Infection
-Dislocation/Fraction
-Malignancy
What type of anesthesia numbs nerves only in the area of surgery? - Regional anesthesia
Magnesium Level Normals - 1.5-2.5mg/dL
Other name of Sodium Hydroxide - Lye
Other name for Bleach - Sodium Hyochorite
Tertiary Healing of a wound - Wound left open and packed for delayed closure later
SOLUTION
Cholecystectomy incision needed - Krocher's incision
Gallbladder, Liver incision name - Midline incision
Appendicitis incsion - Mc Burney's Pont incision
Incision for GYN Pelvic Surgery and Prostatic Surgery - Pfannenstiel incision
Normal Hemoglobin levels for men - 13.5-17.5
Normal Hemoglobin for women - 12-16
Na+ normal level - 135-145
Normal Potassium Level - 3.5-5.0
Normal Ph level - 7.35-7.45
PaCO2 normal level - 35-45
PaO2 normal level - 80-100
HCO3 normal level - 22-28
Ammonia normal level - 9.5-49mcg/dl
ALT liver function normal level - 0-35
Albumin normal level - 4-6
Hct normal level for male - 39-49
Hct normal level for female - 35-45
What piece of equipment do you need for a vasvagotomy? - microscope
During a procedure under local anesthesia, the patient complains of circumoral numbness,
blurred vision and dizziness. What should be the immediate action of the preoperative nurse
monitoring this patient? - Ensure an airway
The circulating nurse reports that the needle count is incorrect. The surgeon continues to close
the wound stating "I know it is not in the wound and I am not going to stop to look for it". The
best plan of action is to : - inform the surgeon of the hospital policy and document subsequent
actions
,A new employee unknowingly dispensed an unsterile solution to the sterile field. The following
day the supervisor learns of the incident. The supervisors first action would be to: - Notify
surgeon of the break in technique
Where does decontamination begin? - Starts at the field, with wiping the instruments to keep
the bioburden down
How many air exchanges does Decontamination area have? - 6 air exchanges per hour
What temperature does decontamination area need to be set at? - 68-73 degrees
What is the humidity setting for decontamination area? - 30%-60%
What is TASS? - Toxic Anterior Segment Syndrome-from contaminates left on eye
instruments
What is the temperature kept at in the packaging area? - 64-73 degrees
What is the humidity settings kept at in the packaging area? - 35-70%
How do you reverse the effects of FFP? - Coumadin (Warfin)
Assault is defined as? - Threat to do harm
Which sterilizer forces air from the sterilizer chamber? - Gravity displacement
What must you have before putting in an A-Line? - Allen's Test
Which facial lines would a surgeon use to remove a lesion? - Langer Lines
Kraske Position is also known as? - Jack Knife
What is hematopoiesis? - The body making new blood cells
Causes of metabolic
Alkalosis? - -Anything that causes loss of acid loss in GI Tract-N/V
-Self induced by TUMS
What is FFP made up of? - -Clotting factors
-Plasma
What is Cryo used for? - To control bleeding
Where is a Swan Ganz catheter placed? - Internal Jugular
What 5 risks are pediatric patients in the OR at risk for? - -Displacing ET tube (short trachea)
-Hypothermia
-Hypovolemia (weigh sponges)
, -Peter Panning off table (moving around during induction)
-(+) Resp Rate causes (+) Heart Rate
Voluntary reporting that encourages self reporting without fear of retaliation? - Culture of
Safety from the
Patient Saftey and Quality Improvement Act 2005
S/S of Hypontremia (below 135) - -N/V
-Irritability
-Muscle cramping
-Muscle twitching
-HA
What time frame must I use FFP after being thawed? - 24 hours
Pudendal Block is used in what type of surgery? - GYN
Avoid an Epidural, Spinal, and General anesthesia with these type of patients? - Sickle cell
Pneumatic Tourniquet must have how much re-profussion time, before re-inflating it again? -
15 minutes
Pneumatic Tourniquet time limit for upper extremity in adults? - 60 minutes
Pneumatic Tourniquet time limit for a lower extremity in adults? - 90 minutes
Replace clotting factors after how many units of blood? - 4 units
Where does a Supra Ventricular Tachycardia originate from? - Atrial area (SA node)
How do you treat SVT? - 1-Vagal Stem-(unconscious ice carotids)
2-Adenosine
When is Esmarck not necessary with a pneumatic tourniquet? - -DVT
-Infection
-Dislocation/Fraction
-Malignancy
What type of anesthesia numbs nerves only in the area of surgery? - Regional anesthesia
Magnesium Level Normals - 1.5-2.5mg/dL
Other name of Sodium Hydroxide - Lye
Other name for Bleach - Sodium Hyochorite
Tertiary Healing of a wound - Wound left open and packed for delayed closure later
