CNOR AORN online test
17. what nursing activity can a perioperative RN delegate to an unlicensed assistive person?
- assessment of the pt's skin
- evaluation of nursing care
- organization of supplies
- planning the pt's care - ANS-organization of supplies
18. a surveyor comments to the perioperative director that one team member is not following
the AORN guidelines related to surgical attire. Which team member is he referring to?
- RN circulator who is wearing a long-sleeved scrub shirt while performing preoperative skin
antisepsis for a surgical pt in the OR
- sterile processing team member who is wearing a short-sleeved scrub top while preparing
and packaging items in the clean assembly area of the sterile processing department
- scrubbed RN who is wearing protective eyewear during an orthopedic trauma procedure
surgeon who is wearing a hood as a head cover, goggles, and a surgical mask - ANS-sterile
processing team member who is wearing a short-sleeved scrub top while preparing and
packaging items in the clean assembly area of the sterile processing department
19. to prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the perioperative RN
should
- ask the OR charge RN to assign an additional scrub person to help with the procedure
- notify the pt of all of the special precautions that are being taken to ensure the staff
member's safety
- open the standard reusable brain biopsy tray with all of the extra instruments that may be
needed.
- Use a disposable brain biopsy set, linens, drapes, and equipment - ANS-Use a disposable
brain biopsy set, linens, drapes, and equipment
22. recent studies have identified that a _________has been linked to an increase in pt care
errors and worker injuries (eg, needle-stick injuries, musculoskeletal injuries)?
4 hr shift
8 hr shift
10 hr shift
12 hr shift - ANS-12 hr shift
23. perioperative team members should maintain short, natural fingernails; fingernail tips
should be no longer than
2 mm (0.08")
6mm (0.25")
1.25mm (0.5")
2.5mm (1") - ANS-2 mm (0.08")
,24. a primary concern for an RN preparing a premature infant for surgery is to initiate
measure to
- ensure that all supplies are assembled before the pt arrives
- ensure that the anesthesia professional is standing by
- maintain proper body alignment
- prevent loss of body heat - ANS-prevent loss of body heat
25. a perioperative RN's documentation for postoperative pt, "the pt is free from pain or
numbness associated with surgical positioning," is an example of a nursing
assessment
diagnosis
intervention
outcome statement - ANS-outcome statement
30. according to the AORN guidelines, a sterile field
- should be covered when there are no staff monitoring an empty procedure room that has
been set up with sterile supplies for a procedure that has been delayed.
- should never covered because there is no practical way to remove the cover without
contaminating the sterile setup
- may be covered in manner that allows the covering drape to be removed without bringing
the part of the covering drape that falls below the sterile field above the sterile field
- may be covered by two persons in sterile attire using sterile technique, to ensure there is
no contamination of the cover. - ANS-should never covered because there is no practical
way to remove the cover without contaminating the sterile setup
32. where should the hand washing station be placed in a single-room endoscopy
processing area?
- clean work area
- decontamination area
- center of the room
- outside the entrance to the room - ANS-decontamination area
33. when providing care for a pt who is suspended to be infected or colonized with rubeola
or varicella zoster, the perioperative RN should follow what type of precautions in addition to
standard precautions?
- airborne precautions
- contact precautions
- droplet precautions
= no other precautions are necessary - ANS-airborne precautions
47-yr-old man who was struck by a car 2 days ago has returned to surgery for the removal of
the therapeutic abdominal packing left inside the wound from the previous surgery. What
should the perioperative RN do after the packing material is removed from the wound?
- isolate the packing material and not include it in the counts for the removal procedure.
- Isolate the packing material to a defined area on the back table
- reconcile the surgical count and include the packing material in the count.
,- Send the packing material to the pathology lab. - ANS-isolate the packing material and not
include it in the counts for the removal procedure.
a 2013 safety communication issued by the US food and drug administration related to the
antiseptic products for preoperative skin preparation requested manufacturers to
- label these products as hazardous materials with specified disposal requirements.
- Label these products as sterile products for use only for preoperative skin antisepsis
- package these products in labeled, multi-use containers or single-use containers.
- Package these products in single-use containers to be used only one time for one pt. -
ANS-Package these products in single-use containers to be used only one time for one pt
a 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment, the
perioperative RN review the recent arterial blood gases report.
The results are pH 7.2, PaCO2 50, and HCO3 26. what is the perioperative RN's most likely
action regarding the test results?
- administer additional pain medications that were ordered preoperatively and ask the
physicians for an order for supplemental oxygen
- call the code arrest team
- closely monitor the vital signs for changes and notify the physician of abnormal findings
- encourage the pt to take deep breaths, contact the physicians, and request ab oxygen from
the anesthesia professional - ANS-call the code arrest team
a 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment, the
perioperative RN reviews current lab test results for arterial blood gases (ABG). What do the
ABG test results indicate?
The results are pH 7.2 PaCO2 50, HCO3 26
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS-respiratory acidosis
a 50-yr-old woman is awake and alert in the postanesthesia care unit after left knee
arthroplasty. What is the best measure that the perioperative RN should use to assess the
pt's pain intensity?
- discussion of the pt's pain with a close family member
- facial expression, behaviors, and ability to achieve functional goals for each day after
surgery.
- Self-report on a standardized pain scale
- vital sign changes. - ANS-Self-report on a standardized pain scale
a cultural assessment of a surgical pt's needs performed by the perioperative RN can
include.
- arranging for the hospital's outreach program coordinator to meet with the pt
postoperatively
- asking the pt what is his or her preferred language.
, - Conversing with the pt in the pt's preferred language.
- Discussing a convenient time for the pt's spiritual advisor to see the pt. - ANS-asking the pt
what is his or her preferred language.
a free standing ambulatory surgery center is open for pt care Monday through friday. New
policies are being instituted for the terminal cleaning schedule for each OR. OR number 2 is
used only for eye surgeries. How often should terminal cleaning occur in this OR?
- monday through friday
- once a month
- once a week
- sunday through saturday - ANS-monday through friday
a higher incidence of bacterial contamination compared to shoes worn only in the surgical
suite. - ANS-
a major earthquake has occurred 10 miles from the community hospital. The OR charge RN
is notified there are at least 10 people who were critically injured and will be transported
shortly to emergency department (ED). What should the charge RN do first?
- cancel all of the scheduled surgeries
- implement the emergency response plan for the OR
- instruct the unit assistant to start using the telephone tree to alert OR team members to
come to the hospital as soon as possible
- walk over to the ED and speak directly to the ED manager to coordinate pt care plans. -
ANS-implement the emergency response plan for the OR
a malignant hyperthermia crisis is a biochemical chain reaction response affecting what type
of muscle?
cardiac
flaccid
skeletal
smooth - ANS-skeletal
a nurse manager is interviewing and experienced perioperative RN and is interested in how
the RN makes pt care decisions. Select from the following a statement that could help the
nurse manager elicit information about the RN's critical thinking skills for pt care.
- tell me about a time when you were successful in learning about and using a complicated
piece of medical equipment safely.
- Tell me how precious colleagues in the work setting would describe your skills and abilities
- tell me about a difficult work conversation and your actions related to this conversation
- tell me about a clinical situation where you anticipated a problem with a pt and your actions
related to the problem - ANS-tell me about a clinical situation where you anticipated a
problem with a pt and your actions related to the problem
a perioperative RN assesses an adult female pt who is scheduled for a breast biopsy and
local anesthesia. She learns that the pt has a past history of myocardial infarction. What
should the perioperative RN do?
- cancel the surgery
- consult with the surgeon to determine the plan of care.
- Notify the supervisor
17. what nursing activity can a perioperative RN delegate to an unlicensed assistive person?
- assessment of the pt's skin
- evaluation of nursing care
- organization of supplies
- planning the pt's care - ANS-organization of supplies
18. a surveyor comments to the perioperative director that one team member is not following
the AORN guidelines related to surgical attire. Which team member is he referring to?
- RN circulator who is wearing a long-sleeved scrub shirt while performing preoperative skin
antisepsis for a surgical pt in the OR
- sterile processing team member who is wearing a short-sleeved scrub top while preparing
and packaging items in the clean assembly area of the sterile processing department
- scrubbed RN who is wearing protective eyewear during an orthopedic trauma procedure
surgeon who is wearing a hood as a head cover, goggles, and a surgical mask - ANS-sterile
processing team member who is wearing a short-sleeved scrub top while preparing and
packaging items in the clean assembly area of the sterile processing department
19. to prepare for a brain biopsy to rule out Creutzfeldt-Jakob disease, the perioperative RN
should
- ask the OR charge RN to assign an additional scrub person to help with the procedure
- notify the pt of all of the special precautions that are being taken to ensure the staff
member's safety
- open the standard reusable brain biopsy tray with all of the extra instruments that may be
needed.
- Use a disposable brain biopsy set, linens, drapes, and equipment - ANS-Use a disposable
brain biopsy set, linens, drapes, and equipment
22. recent studies have identified that a _________has been linked to an increase in pt care
errors and worker injuries (eg, needle-stick injuries, musculoskeletal injuries)?
4 hr shift
8 hr shift
10 hr shift
12 hr shift - ANS-12 hr shift
23. perioperative team members should maintain short, natural fingernails; fingernail tips
should be no longer than
2 mm (0.08")
6mm (0.25")
1.25mm (0.5")
2.5mm (1") - ANS-2 mm (0.08")
,24. a primary concern for an RN preparing a premature infant for surgery is to initiate
measure to
- ensure that all supplies are assembled before the pt arrives
- ensure that the anesthesia professional is standing by
- maintain proper body alignment
- prevent loss of body heat - ANS-prevent loss of body heat
25. a perioperative RN's documentation for postoperative pt, "the pt is free from pain or
numbness associated with surgical positioning," is an example of a nursing
assessment
diagnosis
intervention
outcome statement - ANS-outcome statement
30. according to the AORN guidelines, a sterile field
- should be covered when there are no staff monitoring an empty procedure room that has
been set up with sterile supplies for a procedure that has been delayed.
- should never covered because there is no practical way to remove the cover without
contaminating the sterile setup
- may be covered in manner that allows the covering drape to be removed without bringing
the part of the covering drape that falls below the sterile field above the sterile field
- may be covered by two persons in sterile attire using sterile technique, to ensure there is
no contamination of the cover. - ANS-should never covered because there is no practical
way to remove the cover without contaminating the sterile setup
32. where should the hand washing station be placed in a single-room endoscopy
processing area?
- clean work area
- decontamination area
- center of the room
- outside the entrance to the room - ANS-decontamination area
33. when providing care for a pt who is suspended to be infected or colonized with rubeola
or varicella zoster, the perioperative RN should follow what type of precautions in addition to
standard precautions?
- airborne precautions
- contact precautions
- droplet precautions
= no other precautions are necessary - ANS-airborne precautions
47-yr-old man who was struck by a car 2 days ago has returned to surgery for the removal of
the therapeutic abdominal packing left inside the wound from the previous surgery. What
should the perioperative RN do after the packing material is removed from the wound?
- isolate the packing material and not include it in the counts for the removal procedure.
- Isolate the packing material to a defined area on the back table
- reconcile the surgical count and include the packing material in the count.
,- Send the packing material to the pathology lab. - ANS-isolate the packing material and not
include it in the counts for the removal procedure.
a 2013 safety communication issued by the US food and drug administration related to the
antiseptic products for preoperative skin preparation requested manufacturers to
- label these products as hazardous materials with specified disposal requirements.
- Label these products as sterile products for use only for preoperative skin antisepsis
- package these products in labeled, multi-use containers or single-use containers.
- Package these products in single-use containers to be used only one time for one pt. -
ANS-Package these products in single-use containers to be used only one time for one pt
a 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment, the
perioperative RN review the recent arterial blood gases report.
The results are pH 7.2, PaCO2 50, and HCO3 26. what is the perioperative RN's most likely
action regarding the test results?
- administer additional pain medications that were ordered preoperatively and ask the
physicians for an order for supplemental oxygen
- call the code arrest team
- closely monitor the vital signs for changes and notify the physician of abnormal findings
- encourage the pt to take deep breaths, contact the physicians, and request ab oxygen from
the anesthesia professional - ANS-call the code arrest team
a 25-yr-old man is scheduled for surgery to place a venous access port to be used for
administration of his chemotherapy medication. During the preoperative assessment, the
perioperative RN reviews current lab test results for arterial blood gases (ABG). What do the
ABG test results indicate?
The results are pH 7.2 PaCO2 50, HCO3 26
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis - ANS-respiratory acidosis
a 50-yr-old woman is awake and alert in the postanesthesia care unit after left knee
arthroplasty. What is the best measure that the perioperative RN should use to assess the
pt's pain intensity?
- discussion of the pt's pain with a close family member
- facial expression, behaviors, and ability to achieve functional goals for each day after
surgery.
- Self-report on a standardized pain scale
- vital sign changes. - ANS-Self-report on a standardized pain scale
a cultural assessment of a surgical pt's needs performed by the perioperative RN can
include.
- arranging for the hospital's outreach program coordinator to meet with the pt
postoperatively
- asking the pt what is his or her preferred language.
, - Conversing with the pt in the pt's preferred language.
- Discussing a convenient time for the pt's spiritual advisor to see the pt. - ANS-asking the pt
what is his or her preferred language.
a free standing ambulatory surgery center is open for pt care Monday through friday. New
policies are being instituted for the terminal cleaning schedule for each OR. OR number 2 is
used only for eye surgeries. How often should terminal cleaning occur in this OR?
- monday through friday
- once a month
- once a week
- sunday through saturday - ANS-monday through friday
a higher incidence of bacterial contamination compared to shoes worn only in the surgical
suite. - ANS-
a major earthquake has occurred 10 miles from the community hospital. The OR charge RN
is notified there are at least 10 people who were critically injured and will be transported
shortly to emergency department (ED). What should the charge RN do first?
- cancel all of the scheduled surgeries
- implement the emergency response plan for the OR
- instruct the unit assistant to start using the telephone tree to alert OR team members to
come to the hospital as soon as possible
- walk over to the ED and speak directly to the ED manager to coordinate pt care plans. -
ANS-implement the emergency response plan for the OR
a malignant hyperthermia crisis is a biochemical chain reaction response affecting what type
of muscle?
cardiac
flaccid
skeletal
smooth - ANS-skeletal
a nurse manager is interviewing and experienced perioperative RN and is interested in how
the RN makes pt care decisions. Select from the following a statement that could help the
nurse manager elicit information about the RN's critical thinking skills for pt care.
- tell me about a time when you were successful in learning about and using a complicated
piece of medical equipment safely.
- Tell me how precious colleagues in the work setting would describe your skills and abilities
- tell me about a difficult work conversation and your actions related to this conversation
- tell me about a clinical situation where you anticipated a problem with a pt and your actions
related to the problem - ANS-tell me about a clinical situation where you anticipated a
problem with a pt and your actions related to the problem
a perioperative RN assesses an adult female pt who is scheduled for a breast biopsy and
local anesthesia. She learns that the pt has a past history of myocardial infarction. What
should the perioperative RN do?
- cancel the surgery
- consult with the surgeon to determine the plan of care.
- Notify the supervisor
