CNOR AORN ONLINE EXAM 2023
n n n n
Whatnisnthenleadingnandnmostncostlynoccupationalnhealthnproblemninnthenunitednstates?
- headache
- needlesticksnandnsharpsninjurynresultingninnexposuresntontransmissiblendiseases
- overexertionnleadingntonbacknstrainsnsandnsprain
- overworknleadingntonfatiguen-nANSWER
overexertionnleadingntonbacknstrainsnsandnsprainnwhennshouldnleakntestingnofnanflexiblenen
doscopenbenperformed?
- afternmanualncleaningnandnbeforenitnisnplacednintoncleaningnsolution
- afternmanualncleaningnandnbeingnplacednintoncleaningnsolutionnandnbeforendrying
- atnthenpointnofnusenduringnprecleaning
- beforenmanualncleaningnandnbeforenitnisnplacednintoncleaningn-nANSWER
beforenmanualncleaningnandnbeforenitnisnplacednintoncleaning.
annrnncirculatornhearsnannanesthesianprofessionalnasknannunlicensednassistivenpersonn(UAP)ntonpus
hnIV.nWhatnshouldnthenperioperativenrnnimmediatelyndo?
- helpnthenUAPnadministernthenIVnpushnmedication
- notifynthenchargenrnnthatnthenUAPnisnperformingnantasknthatnisnnotnwithinnhisnjobndescription
- offernassistancentonthenanesthesianprofessionalnsonthatnthenanesthesianprofessionalncann
administernthenmedicationnhimself
- tellnthenUAPntonstopnandnthenperioperativenrnnshouldnadministernthenmedicationnfornthenan
esthesianprofessional.n-nANSWER
offernassistancentonthenanesthesianprofessionalnsonthatnthenanesthesianprofessionalncannad
ministernthenmedicationnhimself
Afternanvaginalnhysterectomy,nanhealthyn47-yr-
oldnwomannisninnthenpostanesthesiancarenunit.nHernbodynmassnindexnisn22.nhernarterialnbloodnga
sntestnresultsnarenpHn7.52,nPaCO2n28,nHCO3n24.nthenpatient'snconditionnis
metabolicnacidosisn
metabolicnalkalosis
,respiratorynacidosis
respiratorynalkalosisn-nANSWER respiratorynalkalosis
annambulatorynsurgeryncentern(ASC)ndoesnnotnhavenanradiologyndepartmentnatnthenfacility.nWhe
nnsurgicalncountndiscrepanciesnoccur,nwhatnactionsnshouldnbentakenn1stnbynthenperioperativenrn
?
- arrangenfornthenptntonbenx-rayednfornthenmissingnitemnatnthenclosestnhospital
- documentnthenresultsnofnthensurgicalncount
- follownthenASC'snstandardizednprocessntonlocatenthenmissingnitem
- informnthenpt'snfamilynorncaregivernthatnthenprocedurenisntakingnlongernthannexpectednduentont
henmissingnitemn-nANSWER follownthenASC'snstandardizednprocessntonlocatenthenmissingnitem
thenperioperativenrnnshouldnbenrecognizednthatnthenmostncommonncomplicationnfornanptnwithnmul
tiplentraumaticninjuriesnis
fluidnandnelectrolytenimbalancen
hemorrhage
infection
shockn-nANSWER shock
innadditionntonthenpt'snidentity,nwhichnofnthenfollowingnshouldnbenconfirmedntonhelpndecreasenth
enrisknfornwrongnsitensurgery?
allergiesnmedicatio
nnhistory
previousnresponsesntongeneralnanesthesianprocedu
renandnsiten-nANSWER procedurenandnsite
whatnstatementnrelatedntonmedicationnmanagementninnannASCnisnTRUE?
- anpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonprovidenconsultativen
servicesnonnsitenornbyntelepharmacy.
- Annrnnornpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonproviden
pharmaceuticalnservices.
,- PharmaceuticalnservicesnmustnbenprovidednbynanpharmacistnwhonisnonnsitenatnthenASC.
- Physiciansnandnpharmacistsnarenthenonlynlicensednprofessionalnwhonmaynprovidenpharmaceu
ticalnservicesnatnannASCn-nANSWER
anpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonprovidenconsultativenserv
icesnonnsitenornbyntelepharmacy.
Mr.nwnisnan52-yr-
oldnmanninnthenemergencyndepartmentncomplainingnofnshortnessnofnbreathnandntinglingnfingers
.nHisnbreathingnisnshallownandnrapid.nHendeniesnthatnhenhasndiabetes,nandnhisnbloodnsugarnisnwithi
nnnormalnlimits.nTherenarennonelectrocardiogramnchanges.nHenhasnnonsignificantnrespiratorynornc
ardiacnhistory.nHentakesnseveralnanti-
anxietynmedications.nHensaysnhenhasnhadnanxietynattacksninnthenpast.nWhilenMr.nwnisnbeingnwor
kednupnfornchestnpain,nanbloodnspecimennisndrawnnforntestingnarterialnbloodngassesn(ABG).nWhat
ndonmr.nw'snABGnvaluesnindicate?
pHn7.48,nPaCO2n28,nHCO3n22
metabolicnacidosisn
metabolicnalkalosisn
respiratorynacidosis
respiratorynalkalosisn-nANSWERnnn respiratorynalkalosis
thenperioperativenrnnshouldnselectnanpneumaticntourniquetncuff
- basednonnthenpt'snagenandnbloodnpressure
- bynconsideringnthenaveragenlengthnofnthenplannednsurgicalnprocedure
- afternthenptnisnundernanesthesianandnpositionednonnthenORnbednandnthensurgeonnisninnthenOR
- thatnisnlongnenoughnsonthatnbladdernofnthentourniquetnoverlapsnsufficientlynonnthenlimb.n-
nANSWER
thatnisnlongnenoughnsonthatnbladdernofnthentourniquetnoverlapsnsufficientlynonnthenlimb.
Anptnisnonnanstretcherninnthenperioperativenreadynarea.nWhennhenarrivednatnthenfacility'snsurgeryn
admissionndesknthatnmorning,nhenappearedndishevelednandnincoherent.nLaboratorynbloodntestsn
indicatednanhighnlevelnofncocaineninnhisnsystem.nThenanesthesianprofessionalnwasnatnthenpt'snsiden
discussingnthenneedntonpostponenthensurgerynwithnthensurgeonnwhennthenptnbecamenbelligerentn
andnforcefullyngrabbednthenanesthesianprofessional'snneck.nThenptnwasnplacednintonrestraints.nInn
thisnsituation,nwhynwerenrestraintsnnecessary?
- thenptnwasnincoherent
, - thenptnposednanthreatntonhimself
- thenptnposednanthreatntonthenanesthesianprofessional
- thenptnwasnusingnillegalndrugsnbeforenhisnsurgeryn-nANSWER
thenptnposednanthreatntonthenanesthesianprofessional
anrootncausenanalysisnisnconductednafternitnisndiscoverednthatnanlaparotomynspongenwasnleftninnan
patient'snabdomennafternansurgicalnprocedure.nInnresponsentonthisnevent,nwhichnofnthenfollowin
gnactionsnwouldnbenconsistentnwithnconductingnanrootncausenanalysis?
- apologizenandndisclosenthenerrorntonthenpatient
- identifynandnanalyzeneachnstepnofnthensurgicalncountnprocessnthatnisninnplacenatnthenfacility.
- Identifyntheninvolvednperioperativenlearnnmembersnandninitiatendisciplinarynactions
- reportntheneventntonthendesignatednhospitalnaccreditationnorganizationn-nANSWER
identifynandnanalyzeneachnstepnofnthensurgicalncountnprocessnthatnisninnplacenatnthenfacility.
whennthenretractablenmagneticnresonancenimagingn(MRI)nscannernisninnuseninnanhybridnOR,nthenO
RnisnconsideredntonbenMRInzone
In I
In I
II
IVn-nANSWERnnn IV
ifnanptnexperiencesnancardiacnarrestninnanhybridnORnwhennthenmagneticnresonancenimagingn(MRI)ns
cannernisninnuse,nthenfirstnactionnthenperioperativenrnnshouldndontonassistnthenteamnis
- beginnbasicncardiopulmonarynresuscitationnandnretractnthenMRInscannernbacknintonthenholdingn
bay
- callnfornhelp,nbringninnthencodencartnandnresuscitatenthenpt.
- RemindnthenteamnthatnthenMRInscannernisninnusenandnfollownthenfacilitynprotocol
- turnnoffnthenMRInscannernbynpushingnthenquenchnbuttonn-nANSWER
beginnbasicncardiopulmonarynresuscitationnandnretractnthenMRInscannernbacknintonth
enholdingnbay
thenrolenofnthenhealthncarenindustrynrepresentativenincludesnallnofnthenfollowingnexcept
- openingnsterilenimplantsnandninstructingnthensurgeonnandnthenassistantsnhowntonimplantnthe
n n n n
Whatnisnthenleadingnandnmostncostlynoccupationalnhealthnproblemninnthenunitednstates?
- headache
- needlesticksnandnsharpsninjurynresultingninnexposuresntontransmissiblendiseases
- overexertionnleadingntonbacknstrainsnsandnsprain
- overworknleadingntonfatiguen-nANSWER
overexertionnleadingntonbacknstrainsnsandnsprainnwhennshouldnleakntestingnofnanflexiblenen
doscopenbenperformed?
- afternmanualncleaningnandnbeforenitnisnplacednintoncleaningnsolution
- afternmanualncleaningnandnbeingnplacednintoncleaningnsolutionnandnbeforendrying
- atnthenpointnofnusenduringnprecleaning
- beforenmanualncleaningnandnbeforenitnisnplacednintoncleaningn-nANSWER
beforenmanualncleaningnandnbeforenitnisnplacednintoncleaning.
annrnncirculatornhearsnannanesthesianprofessionalnasknannunlicensednassistivenpersonn(UAP)ntonpus
hnIV.nWhatnshouldnthenperioperativenrnnimmediatelyndo?
- helpnthenUAPnadministernthenIVnpushnmedication
- notifynthenchargenrnnthatnthenUAPnisnperformingnantasknthatnisnnotnwithinnhisnjobndescription
- offernassistancentonthenanesthesianprofessionalnsonthatnthenanesthesianprofessionalncann
administernthenmedicationnhimself
- tellnthenUAPntonstopnandnthenperioperativenrnnshouldnadministernthenmedicationnfornthenan
esthesianprofessional.n-nANSWER
offernassistancentonthenanesthesianprofessionalnsonthatnthenanesthesianprofessionalncannad
ministernthenmedicationnhimself
Afternanvaginalnhysterectomy,nanhealthyn47-yr-
oldnwomannisninnthenpostanesthesiancarenunit.nHernbodynmassnindexnisn22.nhernarterialnbloodnga
sntestnresultsnarenpHn7.52,nPaCO2n28,nHCO3n24.nthenpatient'snconditionnis
metabolicnacidosisn
metabolicnalkalosis
,respiratorynacidosis
respiratorynalkalosisn-nANSWER respiratorynalkalosis
annambulatorynsurgeryncentern(ASC)ndoesnnotnhavenanradiologyndepartmentnatnthenfacility.nWhe
nnsurgicalncountndiscrepanciesnoccur,nwhatnactionsnshouldnbentakenn1stnbynthenperioperativenrn
?
- arrangenfornthenptntonbenx-rayednfornthenmissingnitemnatnthenclosestnhospital
- documentnthenresultsnofnthensurgicalncount
- follownthenASC'snstandardizednprocessntonlocatenthenmissingnitem
- informnthenpt'snfamilynorncaregivernthatnthenprocedurenisntakingnlongernthannexpectednduentont
henmissingnitemn-nANSWER follownthenASC'snstandardizednprocessntonlocatenthenmissingnitem
thenperioperativenrnnshouldnbenrecognizednthatnthenmostncommonncomplicationnfornanptnwithnmul
tiplentraumaticninjuriesnis
fluidnandnelectrolytenimbalancen
hemorrhage
infection
shockn-nANSWER shock
innadditionntonthenpt'snidentity,nwhichnofnthenfollowingnshouldnbenconfirmedntonhelpndecreasenth
enrisknfornwrongnsitensurgery?
allergiesnmedicatio
nnhistory
previousnresponsesntongeneralnanesthesianprocedu
renandnsiten-nANSWER procedurenandnsite
whatnstatementnrelatedntonmedicationnmanagementninnannASCnisnTRUE?
- anpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonprovidenconsultativen
servicesnonnsitenornbyntelepharmacy.
- Annrnnornpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonproviden
pharmaceuticalnservices.
,- PharmaceuticalnservicesnmustnbenprovidednbynanpharmacistnwhonisnonnsitenatnthenASC.
- Physiciansnandnpharmacistsnarenthenonlynlicensednprofessionalnwhonmaynprovidenpharmaceu
ticalnservicesnatnannASCn-nANSWER
anpharmacistnmaynbencontractednbynthenhealthncarenorganizationntonprovidenconsultativenserv
icesnonnsitenornbyntelepharmacy.
Mr.nwnisnan52-yr-
oldnmanninnthenemergencyndepartmentncomplainingnofnshortnessnofnbreathnandntinglingnfingers
.nHisnbreathingnisnshallownandnrapid.nHendeniesnthatnhenhasndiabetes,nandnhisnbloodnsugarnisnwithi
nnnormalnlimits.nTherenarennonelectrocardiogramnchanges.nHenhasnnonsignificantnrespiratorynornc
ardiacnhistory.nHentakesnseveralnanti-
anxietynmedications.nHensaysnhenhasnhadnanxietynattacksninnthenpast.nWhilenMr.nwnisnbeingnwor
kednupnfornchestnpain,nanbloodnspecimennisndrawnnforntestingnarterialnbloodngassesn(ABG).nWhat
ndonmr.nw'snABGnvaluesnindicate?
pHn7.48,nPaCO2n28,nHCO3n22
metabolicnacidosisn
metabolicnalkalosisn
respiratorynacidosis
respiratorynalkalosisn-nANSWERnnn respiratorynalkalosis
thenperioperativenrnnshouldnselectnanpneumaticntourniquetncuff
- basednonnthenpt'snagenandnbloodnpressure
- bynconsideringnthenaveragenlengthnofnthenplannednsurgicalnprocedure
- afternthenptnisnundernanesthesianandnpositionednonnthenORnbednandnthensurgeonnisninnthenOR
- thatnisnlongnenoughnsonthatnbladdernofnthentourniquetnoverlapsnsufficientlynonnthenlimb.n-
nANSWER
thatnisnlongnenoughnsonthatnbladdernofnthentourniquetnoverlapsnsufficientlynonnthenlimb.
Anptnisnonnanstretcherninnthenperioperativenreadynarea.nWhennhenarrivednatnthenfacility'snsurgeryn
admissionndesknthatnmorning,nhenappearedndishevelednandnincoherent.nLaboratorynbloodntestsn
indicatednanhighnlevelnofncocaineninnhisnsystem.nThenanesthesianprofessionalnwasnatnthenpt'snsiden
discussingnthenneedntonpostponenthensurgerynwithnthensurgeonnwhennthenptnbecamenbelligerentn
andnforcefullyngrabbednthenanesthesianprofessional'snneck.nThenptnwasnplacednintonrestraints.nInn
thisnsituation,nwhynwerenrestraintsnnecessary?
- thenptnwasnincoherent
, - thenptnposednanthreatntonhimself
- thenptnposednanthreatntonthenanesthesianprofessional
- thenptnwasnusingnillegalndrugsnbeforenhisnsurgeryn-nANSWER
thenptnposednanthreatntonthenanesthesianprofessional
anrootncausenanalysisnisnconductednafternitnisndiscoverednthatnanlaparotomynspongenwasnleftninnan
patient'snabdomennafternansurgicalnprocedure.nInnresponsentonthisnevent,nwhichnofnthenfollowin
gnactionsnwouldnbenconsistentnwithnconductingnanrootncausenanalysis?
- apologizenandndisclosenthenerrorntonthenpatient
- identifynandnanalyzeneachnstepnofnthensurgicalncountnprocessnthatnisninnplacenatnthenfacility.
- Identifyntheninvolvednperioperativenlearnnmembersnandninitiatendisciplinarynactions
- reportntheneventntonthendesignatednhospitalnaccreditationnorganizationn-nANSWER
identifynandnanalyzeneachnstepnofnthensurgicalncountnprocessnthatnisninnplacenatnthenfacility.
whennthenretractablenmagneticnresonancenimagingn(MRI)nscannernisninnuseninnanhybridnOR,nthenO
RnisnconsideredntonbenMRInzone
In I
In I
II
IVn-nANSWERnnn IV
ifnanptnexperiencesnancardiacnarrestninnanhybridnORnwhennthenmagneticnresonancenimagingn(MRI)ns
cannernisninnuse,nthenfirstnactionnthenperioperativenrnnshouldndontonassistnthenteamnis
- beginnbasicncardiopulmonarynresuscitationnandnretractnthenMRInscannernbacknintonthenholdingn
bay
- callnfornhelp,nbringninnthencodencartnandnresuscitatenthenpt.
- RemindnthenteamnthatnthenMRInscannernisninnusenandnfollownthenfacilitynprotocol
- turnnoffnthenMRInscannernbynpushingnthenquenchnbuttonn-nANSWER
beginnbasicncardiopulmonarynresuscitationnandnretractnthenMRInscannernbacknintonth
enholdingnbay
thenrolenofnthenhealthncarenindustrynrepresentativenincludesnallnofnthenfollowingnexcept
- openingnsterilenimplantsnandninstructingnthensurgeonnandnthenassistantsnhowntonimplantnthe