CNOR PRACTICE EXAM PREP BY CCI NEW 2022 ACTUAL EXAM
QUESTIONS WITH ANSWERS GRADE A SOLUTION
Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - CORRECT ANSWER D. Pediatric patients
The National Patient Safety Goals directed at improving staff communication review the need
for
A. ensuring important test results are communicated to the right person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting a daily huddle on the unit - CORRECT ANSWER A, ensuring important test
results are communicated to the right person on time
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - CORRECT ANSWER C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - CORRECT ANSWER B. Whether any special
equipment, devices or implants will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include bleeding,
hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - CORRECT ANSWER B. Bradycardia
A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be
counselled to discontinue taking the medication _________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks - CORRECT ANSWER B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
,D. use of a pneumatic tourniquet - CORRECT ANSWER A. previous history of stroke
Actively warming surgical patients with forced air to prevent hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision - CORRECT ANSWER C. in the preoperative
holding area
Which of the following indicators demonstrates a patient who is at increased risk of developing
a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status - CORRECT ANSWER D. Poor preoperative
nutritional status
Based on data collected during the patient assessment, the perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions - CORRECT ANSWER B. formulates a nursing diagnosis
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following
criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed - CORRECT ANSWER C. Device must be aerated
During surgery the patients respirations become increasingly shallow, and the pupils become
smaller and smaller until they are pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan)
should be administered
D. Oxygen should be increased while anesthetic is decreased - CORRECT ANSWER C. The
anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should
be administered
NPO Guidelines:
Food and fluids as desired - CORRECT ANSWER Up to 8 hours
NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk) - CORRECT ANSWER Up to
6 hours
NPO Guidelines
, Breast Milk - CORRECT ANSWER Up to 4 hours
NPO Guidelines
Clear liquids only, NO solid food or foods with fat content - CORRECT ANSWER Up to 2
hours
NPO Guidelines
No solids or liquids - CORRECT ANSWER During the 2 hours until surgical times
After a person with an airborne disease has been cared for in the OR, the OR should be closed
and not cleaned until.. - CORRECT ANSWER 99% of the airborne particles have been
removed from the air (eg 15 air exchanges/hour for 28 minutes)
Airborne precautions are instated for pathogens that are how big? - CORRECT ANSWER
Small, 5 micrometers or less and can therefore can stay suspended in the air.
Which precaution has pathogens greater than 5 micrometers in size - CORRECT ANSWER
Droplet
What diseases are present for Contact precautions - CORRECT ANSWER HIV
HEP B
HEP C
Staph aureus
C-Diff
What Herbs may increase bleeding - CORRECT ANSWER Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
What Herbs may cause liver Inflammation - CORRECT ANSWER Echinacea
Kava
What Herbs may elevate Blood Pressure - CORRECT ANSWER Goldenseal
Licorice
What Herbs may prolong the effects of anesthesia - CORRECT ANSWER Kava
St. johns Wort
Valerian
What are the three tenets that radiation safety is based on - CORRECT ANSWER Time,
distance and sheilding
A patients life threatening injuries prevent required hair removal before transfer to the OR.
The best course of action for the perioperative nurse to follow is to
A. Leave the hair at the incision site and prep the patient
QUESTIONS WITH ANSWERS GRADE A SOLUTION
Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - CORRECT ANSWER D. Pediatric patients
The National Patient Safety Goals directed at improving staff communication review the need
for
A. ensuring important test results are communicated to the right person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting a daily huddle on the unit - CORRECT ANSWER A, ensuring important test
results are communicated to the right person on time
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - CORRECT ANSWER C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - CORRECT ANSWER B. Whether any special
equipment, devices or implants will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include bleeding,
hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - CORRECT ANSWER B. Bradycardia
A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be
counselled to discontinue taking the medication _________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks - CORRECT ANSWER B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
,D. use of a pneumatic tourniquet - CORRECT ANSWER A. previous history of stroke
Actively warming surgical patients with forced air to prevent hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision - CORRECT ANSWER C. in the preoperative
holding area
Which of the following indicators demonstrates a patient who is at increased risk of developing
a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status - CORRECT ANSWER D. Poor preoperative
nutritional status
Based on data collected during the patient assessment, the perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions - CORRECT ANSWER B. formulates a nursing diagnosis
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following
criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed - CORRECT ANSWER C. Device must be aerated
During surgery the patients respirations become increasingly shallow, and the pupils become
smaller and smaller until they are pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan)
should be administered
D. Oxygen should be increased while anesthetic is decreased - CORRECT ANSWER C. The
anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should
be administered
NPO Guidelines:
Food and fluids as desired - CORRECT ANSWER Up to 8 hours
NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk) - CORRECT ANSWER Up to
6 hours
NPO Guidelines
, Breast Milk - CORRECT ANSWER Up to 4 hours
NPO Guidelines
Clear liquids only, NO solid food or foods with fat content - CORRECT ANSWER Up to 2
hours
NPO Guidelines
No solids or liquids - CORRECT ANSWER During the 2 hours until surgical times
After a person with an airborne disease has been cared for in the OR, the OR should be closed
and not cleaned until.. - CORRECT ANSWER 99% of the airborne particles have been
removed from the air (eg 15 air exchanges/hour for 28 minutes)
Airborne precautions are instated for pathogens that are how big? - CORRECT ANSWER
Small, 5 micrometers or less and can therefore can stay suspended in the air.
Which precaution has pathogens greater than 5 micrometers in size - CORRECT ANSWER
Droplet
What diseases are present for Contact precautions - CORRECT ANSWER HIV
HEP B
HEP C
Staph aureus
C-Diff
What Herbs may increase bleeding - CORRECT ANSWER Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
What Herbs may cause liver Inflammation - CORRECT ANSWER Echinacea
Kava
What Herbs may elevate Blood Pressure - CORRECT ANSWER Goldenseal
Licorice
What Herbs may prolong the effects of anesthesia - CORRECT ANSWER Kava
St. johns Wort
Valerian
What are the three tenets that radiation safety is based on - CORRECT ANSWER Time,
distance and sheilding
A patients life threatening injuries prevent required hair removal before transfer to the OR.
The best course of action for the perioperative nurse to follow is to
A. Leave the hair at the incision site and prep the patient
