CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
1. What is the leading and most costly occupational health problem in the
united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible dis-
eases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue: overexertion leading to back strains sand sprain
2. when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before
drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning: before manual
cleaning and before it is placed into cleaning.
3. an rn circulator hears an anesthesia professional ask an unlicensed assis-
tive person (UAP) to push IV. What should the perioperative rn immediately
do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his
job description
- offer assistance to the anesthesia professional so that the anesthesia pro-
fessional can administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medica-
tion for the anesthesia professional.: offer assistance to the anesthesia profes-
sional so that the anesthesia professional can administer the medication himself
4. After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanes-
thesia care unit. Her body mass index is 22. her arterial blood gas test results
are pH 7.52, PaCO2 28, HCO3 24. the patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis: respiratory alkalosis
5. an ambulatory surgery center (ASC) does not have a radiology department
at the facility. When surgical count discrepancies occur, what actions should
be taken 1st by the perioperative rn?
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than
expected due to the missing item: follow the ASC's standardized process to locate
the missing item
6. the perioperative rn should be recognized that the most common compli-
cation for a pt with multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock: shock
7. in addition to the pt's identity, which of the following should be confirmed
to help decrease the risk for wrong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site: procedure and site
8. what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide
consultative services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to
provide pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at
the ASC.
- Physicians and pharmacists are the only licensed professional who may
provide pharmaceutical services at an ASC: a pharmacist may be contracted
by the health care organization to provide consultative services on site or by
telepharmacy.
9. Mr. w is a 52-yr-old man in the emergency department complaining of
shortness of breath and tingling fingers. His breathing is shallow and rapid.
He denies that he has diabetes, and his blood sugar is within normal limits.
There are no electrocardiogram changes. He has no significant respiratory or
cardiac history. He takes several anti-anxiety medications. He says he has had
anxiety attacks in the past. While Mr. w is being worked up for chest pain, a
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
blood specimen is drawn for testing arterial blood gasses (ABG). What do mr.
w's ABG values indicate?
pH 7.48, PaCO2 28, HCO3 22
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis: respiratory alkalosis
10. the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the
surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on
the limb.: that is long enough so that bladder of the tourniquet overlaps sufficiently
on the limb.
11. A pt is on a stretcher in the perioperative ready area. When he arrived at
the facility's surgery admission desk that morning, he appeared disheveled
and incoherent. Laboratory blood tests indicated a high level of cocaine in his
system. The anesthesia professional was at the pt's side discussing the need
to postpone the surgery with the surgeon when the pt became belligerent and
forcefully grabbed the anesthesia professional's neck. The pt was placed into
restraints. In this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery: the pt posed a threat to the
anesthesia professional
12. a root cause analysis is conducted after it is discovered that a laparotomy
sponge was left in a patient's abdomen after a surgical procedure. In response
to this event, which of the following actions would be consistent with conduct-
ing a root cause analysis?
- apologize and disclose the error to the patient
- identify and analyze each step of the surgical count process that is in place
at the facility.
- Identify the involved perioperative learn members and initiate disciplinary
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
actions
- report the event to the designated hospital accreditation organization: identi-
fy and analyze each step of the surgical count process that is in place at the facility.
13. when the retractable magnetic resonance imaging (MRI) scanner is in use
in a hybrid OR, the OR is considered to be MRI zone
I
II
III
IV: IV
14. if a pt experiences a cardiac arrest in a hybrid OR when the magnetic
resonance imaging (MRI) scanner is in use, the first action the perioperative
rn should do to assist the team is
- begin basic cardiopulmonary resuscitation and retract the MRI scanner back
into the holding bay
- call for help, bring in the code cart and resuscitate the pt.
- Remind the team that the MRI scanner is in use and follow the facility
protocol
- turn off the MRI scanner by pushing the quench button: begin basic cardiopul-
monary resuscitation and retract the MRI scanner back into the holding bay
15. the role of the health care industry representative includes all of the
following except
- opening sterile implants and instructing the surgeon and the assistants how
to implant the medical devices
- providing one-on-one instruction for the perioperative team related to the
medical device.
- Providing technical support according to the health care organization's
policies and local, state, and federal regulations
- teaching in-service programs to the perioperative team related to the medical
device: opening sterile implants and instructing the surgeon and the assistants how
to implant the medical devices
16. what should the water temperature be for hand hygiene?
- 60 F (15.6C) or lower
- between 60 F and 100 F (15.6c to 37.8C)
- between 70 F and 80F (21.1C and 26.7C)
- 80F (26.7C) or higher: between 70 F and 80F (21.1C and 26.7C)
Study online at https://quizlet.com/_6rtikp
1. What is the leading and most costly occupational health problem in the
united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible dis-
eases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue: overexertion leading to back strains sand sprain
2. when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before
drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning: before manual
cleaning and before it is placed into cleaning.
3. an rn circulator hears an anesthesia professional ask an unlicensed assis-
tive person (UAP) to push IV. What should the perioperative rn immediately
do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his
job description
- offer assistance to the anesthesia professional so that the anesthesia pro-
fessional can administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medica-
tion for the anesthesia professional.: offer assistance to the anesthesia profes-
sional so that the anesthesia professional can administer the medication himself
4. After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanes-
thesia care unit. Her body mass index is 22. her arterial blood gas test results
are pH 7.52, PaCO2 28, HCO3 24. the patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis: respiratory alkalosis
5. an ambulatory surgery center (ASC) does not have a radiology department
at the facility. When surgical count discrepancies occur, what actions should
be taken 1st by the perioperative rn?
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than
expected due to the missing item: follow the ASC's standardized process to locate
the missing item
6. the perioperative rn should be recognized that the most common compli-
cation for a pt with multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock: shock
7. in addition to the pt's identity, which of the following should be confirmed
to help decrease the risk for wrong site surgery?
allergies
medication history
previous responses to general anesthesia
procedure and site: procedure and site
8. what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide
consultative services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to
provide pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at
the ASC.
- Physicians and pharmacists are the only licensed professional who may
provide pharmaceutical services at an ASC: a pharmacist may be contracted
by the health care organization to provide consultative services on site or by
telepharmacy.
9. Mr. w is a 52-yr-old man in the emergency department complaining of
shortness of breath and tingling fingers. His breathing is shallow and rapid.
He denies that he has diabetes, and his blood sugar is within normal limits.
There are no electrocardiogram changes. He has no significant respiratory or
cardiac history. He takes several anti-anxiety medications. He says he has had
anxiety attacks in the past. While Mr. w is being worked up for chest pain, a
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
blood specimen is drawn for testing arterial blood gasses (ABG). What do mr.
w's ABG values indicate?
pH 7.48, PaCO2 28, HCO3 22
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis: respiratory alkalosis
10. the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the
surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on
the limb.: that is long enough so that bladder of the tourniquet overlaps sufficiently
on the limb.
11. A pt is on a stretcher in the perioperative ready area. When he arrived at
the facility's surgery admission desk that morning, he appeared disheveled
and incoherent. Laboratory blood tests indicated a high level of cocaine in his
system. The anesthesia professional was at the pt's side discussing the need
to postpone the surgery with the surgeon when the pt became belligerent and
forcefully grabbed the anesthesia professional's neck. The pt was placed into
restraints. In this situation, why were restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery: the pt posed a threat to the
anesthesia professional
12. a root cause analysis is conducted after it is discovered that a laparotomy
sponge was left in a patient's abdomen after a surgical procedure. In response
to this event, which of the following actions would be consistent with conduct-
ing a root cause analysis?
- apologize and disclose the error to the patient
- identify and analyze each step of the surgical count process that is in place
at the facility.
- Identify the involved perioperative learn members and initiate disciplinary
, CNOR AORN online test
Study online at https://quizlet.com/_6rtikp
actions
- report the event to the designated hospital accreditation organization: identi-
fy and analyze each step of the surgical count process that is in place at the facility.
13. when the retractable magnetic resonance imaging (MRI) scanner is in use
in a hybrid OR, the OR is considered to be MRI zone
I
II
III
IV: IV
14. if a pt experiences a cardiac arrest in a hybrid OR when the magnetic
resonance imaging (MRI) scanner is in use, the first action the perioperative
rn should do to assist the team is
- begin basic cardiopulmonary resuscitation and retract the MRI scanner back
into the holding bay
- call for help, bring in the code cart and resuscitate the pt.
- Remind the team that the MRI scanner is in use and follow the facility
protocol
- turn off the MRI scanner by pushing the quench button: begin basic cardiopul-
monary resuscitation and retract the MRI scanner back into the holding bay
15. the role of the health care industry representative includes all of the
following except
- opening sterile implants and instructing the surgeon and the assistants how
to implant the medical devices
- providing one-on-one instruction for the perioperative team related to the
medical device.
- Providing technical support according to the health care organization's
policies and local, state, and federal regulations
- teaching in-service programs to the perioperative team related to the medical
device: opening sterile implants and instructing the surgeon and the assistants how
to implant the medical devices
16. what should the water temperature be for hand hygiene?
- 60 F (15.6C) or lower
- between 60 F and 100 F (15.6c to 37.8C)
- between 70 F and 80F (21.1C and 26.7C)
- 80F (26.7C) or higher: between 70 F and 80F (21.1C and 26.7C)
