CNOR ACTUAL UPDATED EXAM WITH EXP l l l l l
ERTLY AND CORRECTLY ANSWERED l l l
QUESTIONS|ACE YOUR GRADES!!! l l l
In diabetes insipidus, there is not enough
l l l l l l
hormone. These pat l l
ients can diurese very quickly so KEEP AN EYE ON THE FOLEY BAG.These p
l l l l l l l l l l l l l l
atients are given *vasopressin* (which is this hormone which also clamps down
l l l l l l l l l l l l
blood vessels to increase blood pressure), or DDAVP. Pts receiving this NEED
l l l l l l l l l l l l
A CENTRAL LINE! - Correct Answer-ADH
l l l l l
It is recommended to patients to
l l smoking 7- l l l l
8 weeks beforesurgery for ciliary function to return - Correct Answer-stop
l l l l l l l l l l l
A sign of
l l
high blood pressure would be a patient getting head l l l l l l l l
aches (during anesthesia, the goal is to have a STEADY blood pressure on t
l l l l l l l l l l l l l
he low side of baseline; NOT up and down up and down) -Correct Answer-
l l l l l l l l l l l l l l
symptomatic
l
is a hereditary disease where blood does not coagulate tosto l l l l l l l l l l
p bleeding (*factor VIII deficiency*).
l l l l
FACTOR VIII (8) IS STARTED PROPHYLACTICALLY IN PRE-OP AREA
l l l l l l l l
EVEN WITH NORMAL LEVELS and continues throughout surgery -
l l l l l l l l
Correct Answer-hemophilia
l l
,In a pregnant patient >
l l l l
weeks, a fetal heart monitor should be in the ORat th l l l l l l l l l l l
e time during surgery. (Pregnant patients are going to come out of surgery havi
l l l l l l l l l l l l l
ng braxton hicks due to irritability: WATCH FOR increasing severity and LOSS
l l l l l l l l l l l l
OF MUCOUS PLUG) - Correct Answer-20
l l l l l
True or false? l l
CHF patients should stay out of surgery because they're prone to fluid overload a
l l l l l l l l l l l l l
nd have an exaggerated vasodilation response. We make these pts NPO and tel
l l l l l l l l l l l l
l them not to take their diuretic, but then fluid overload themwhile giving them ane
l l l l l l l l l l l l l l l
sthesia, leading them to need aggressive diuresis post op - Correct Answer-true
l l l l l l l l l l l
Morbid obesity is classified as a BMI > - Correct Answer-40
l l l l l l l lll l l
The most difficult position for ventilation is exaggerated
l l l l l l l
orhigh l
. This INCREASES the work of breathing and the tidalvol l l l l l l l l l l
ume DECREASES. - Correct Answer-lithotomy
l l l l
In asthmatic patients, we have them bring their
l l l l l l l
to preop andt l l l
ake a few puffs before going to OR. These patients require a *deeper sedation f
l l l l l l l l l l l l l l
or intubation* because they have reactive airways. - Correct Answer-inhalers
l l l l l l l l l
,For anesthesia, COPD patients require
l sedation with l l l l
*supplemental oxygen* usually via a nasal cannula at 2L oxygen (30% oxygen). l l l l l l l l l l l l
In COPD patients, low oxygen stimulates breathing, NOT HIGH CO2 because t
l l l l l l l l l l l
hey're so used to living with a high CO2 level. The hypothalamus doesn't increas
l l l l l l l l l l l l l
e respiratory drive with a high CO2 level like in a normal person because they alw
l l l l l l l l l l l l l l l
ays have high CO2. - Correct Answer-moderate
l l l l l l l
The goal for oxygen saturation during anesthesia for a patient with COPDis
l l l l l l l l l l l l
- % - Correct Answer-88-92 l l l
True or false? l l
In a patient with Rheumatoid Arthritis, they need a pre-
l l l l l l l l l
op H&H before going into the OR and under anesthesia because RA causes AN
l l l l l l l l l l l l l
EMIA. Steroid coverage puts these patients at a risk for *hypo-
l l l l l l l l l l
adrenal crisis* which is a hyper stress response and looks like circulatory collap
l l l l l l l l l l l l
se/shock -Correct Answer-true l l l
The five things that can cause a
l l l l l l include:
1. Hypothermia
2. Hypotension
3. Hypovolemia
, 4. Hypoglycemia
5. Hypoxia
TIVA/nerve blocks are preferred for these patients over generalan
l l l l l l l l l
esthesia/spinals/epidurals to avoid the dip in blood pressure l l l l l l l
It is recommended for these patients to have clear liquids WITH CALORIE
l l l l l l l l l l l
S for up to 2 hours before surgery to prevent hypoglycemia -
l l l l l l l l l l l
Correct Answer-sickle cell crisis
l l l l
Pediatric considerations: l
Infant, toddler, preschooler, school age, or adolescent?
l l l l l l
-sooth with pacifier l l
-hold and rock - Correct Answer-infant
l l l l l
Pediatric considerations: l
Infant, toddler, preschooler, school age, or adolescent?
l l l l l l
-separation anxiety l
-communicate with simple sentences l l l
-sooth with distraction and familiar objects
l l l l l
-once they're mad, it's over, just do what you need to do - Correct Answer-
l l l l l l l l l l l l l l
toddler
l
ERTLY AND CORRECTLY ANSWERED l l l
QUESTIONS|ACE YOUR GRADES!!! l l l
In diabetes insipidus, there is not enough
l l l l l l
hormone. These pat l l
ients can diurese very quickly so KEEP AN EYE ON THE FOLEY BAG.These p
l l l l l l l l l l l l l l
atients are given *vasopressin* (which is this hormone which also clamps down
l l l l l l l l l l l l
blood vessels to increase blood pressure), or DDAVP. Pts receiving this NEED
l l l l l l l l l l l l
A CENTRAL LINE! - Correct Answer-ADH
l l l l l
It is recommended to patients to
l l smoking 7- l l l l
8 weeks beforesurgery for ciliary function to return - Correct Answer-stop
l l l l l l l l l l l
A sign of
l l
high blood pressure would be a patient getting head l l l l l l l l
aches (during anesthesia, the goal is to have a STEADY blood pressure on t
l l l l l l l l l l l l l
he low side of baseline; NOT up and down up and down) -Correct Answer-
l l l l l l l l l l l l l l
symptomatic
l
is a hereditary disease where blood does not coagulate tosto l l l l l l l l l l
p bleeding (*factor VIII deficiency*).
l l l l
FACTOR VIII (8) IS STARTED PROPHYLACTICALLY IN PRE-OP AREA
l l l l l l l l
EVEN WITH NORMAL LEVELS and continues throughout surgery -
l l l l l l l l
Correct Answer-hemophilia
l l
,In a pregnant patient >
l l l l
weeks, a fetal heart monitor should be in the ORat th l l l l l l l l l l l
e time during surgery. (Pregnant patients are going to come out of surgery havi
l l l l l l l l l l l l l
ng braxton hicks due to irritability: WATCH FOR increasing severity and LOSS
l l l l l l l l l l l l
OF MUCOUS PLUG) - Correct Answer-20
l l l l l
True or false? l l
CHF patients should stay out of surgery because they're prone to fluid overload a
l l l l l l l l l l l l l
nd have an exaggerated vasodilation response. We make these pts NPO and tel
l l l l l l l l l l l l
l them not to take their diuretic, but then fluid overload themwhile giving them ane
l l l l l l l l l l l l l l l
sthesia, leading them to need aggressive diuresis post op - Correct Answer-true
l l l l l l l l l l l
Morbid obesity is classified as a BMI > - Correct Answer-40
l l l l l l l lll l l
The most difficult position for ventilation is exaggerated
l l l l l l l
orhigh l
. This INCREASES the work of breathing and the tidalvol l l l l l l l l l l
ume DECREASES. - Correct Answer-lithotomy
l l l l
In asthmatic patients, we have them bring their
l l l l l l l
to preop andt l l l
ake a few puffs before going to OR. These patients require a *deeper sedation f
l l l l l l l l l l l l l l
or intubation* because they have reactive airways. - Correct Answer-inhalers
l l l l l l l l l
,For anesthesia, COPD patients require
l sedation with l l l l
*supplemental oxygen* usually via a nasal cannula at 2L oxygen (30% oxygen). l l l l l l l l l l l l
In COPD patients, low oxygen stimulates breathing, NOT HIGH CO2 because t
l l l l l l l l l l l
hey're so used to living with a high CO2 level. The hypothalamus doesn't increas
l l l l l l l l l l l l l
e respiratory drive with a high CO2 level like in a normal person because they alw
l l l l l l l l l l l l l l l
ays have high CO2. - Correct Answer-moderate
l l l l l l l
The goal for oxygen saturation during anesthesia for a patient with COPDis
l l l l l l l l l l l l
- % - Correct Answer-88-92 l l l
True or false? l l
In a patient with Rheumatoid Arthritis, they need a pre-
l l l l l l l l l
op H&H before going into the OR and under anesthesia because RA causes AN
l l l l l l l l l l l l l
EMIA. Steroid coverage puts these patients at a risk for *hypo-
l l l l l l l l l l
adrenal crisis* which is a hyper stress response and looks like circulatory collap
l l l l l l l l l l l l
se/shock -Correct Answer-true l l l
The five things that can cause a
l l l l l l include:
1. Hypothermia
2. Hypotension
3. Hypovolemia
, 4. Hypoglycemia
5. Hypoxia
TIVA/nerve blocks are preferred for these patients over generalan
l l l l l l l l l
esthesia/spinals/epidurals to avoid the dip in blood pressure l l l l l l l
It is recommended for these patients to have clear liquids WITH CALORIE
l l l l l l l l l l l
S for up to 2 hours before surgery to prevent hypoglycemia -
l l l l l l l l l l l
Correct Answer-sickle cell crisis
l l l l
Pediatric considerations: l
Infant, toddler, preschooler, school age, or adolescent?
l l l l l l
-sooth with pacifier l l
-hold and rock - Correct Answer-infant
l l l l l
Pediatric considerations: l
Infant, toddler, preschooler, school age, or adolescent?
l l l l l l
-separation anxiety l
-communicate with simple sentences l l l
-sooth with distraction and familiar objects
l l l l l
-once they're mad, it's over, just do what you need to do - Correct Answer-
l l l l l l l l l l l l l l
toddler
l
