CNOR Practice Quiz Questions and answers

An appendectomy performed for acute, unruptured appendicitis is classified as which type of wound? A. Class 1 (clean) B. Class 2 (clean contaminated) C. Class 3 (contaminated) D. Class 4 (dirty) C. Class 3 (contaminated) During a laser procedure, the disposable paper drapes ignite and begin to burn. What type of extinguisher should be used on this fire? A. Class BC B. Class B C. Class C D. Class ABC D. Class ABC Monica smith, 11 y/o, has just undergone a closed reduction of her fracture radial and ulnar bones under general anesthesia. A plaster tubular cast is applied. What should the perioperative nurse do to prevent complications in the immediate postoperative period? A. Check fingers and temp and color B Keep arm at same ht as fingertips only C. Handle cast with fingertips only D. Keep arm covered with blanket to promote cast drying A. Check fingers for temperature and color A 49y/o firefighter with 60% second- and third- degree burns on his torso and lower extremities is undergoing tangential excision and split thickness skin graft repair. Which nursing diagnosis is most important to this particular patient during the intraoperative period? A. Potential for knowledge deficit B. Potential for compromise in skin integrity C. Potential for fluid and electrolyte imbalance D. Potential for elevated body temperature C. Potential for fluid and electrolyte imbalance 79 y/o pt undergoing lap chole is being induced under general anesthesia. The anesthesiologist notices an unexplained tachycardia, tachypnea, and jab tightness. The capnograph shows an elevated end tidal CO2. What is the immediate action the perioperative nurse should take to treat this suspected malignant hyperthermia incident? A. Call for the MH cart and Dantrolene B. Initiate cooling measures C. Administer sodium bicarbonate D. Change the soda lime cannister A. Call for the MH cart and Dantrolene Mr. Smith is undergoing a TURP. Which preoperative lab result is of most concern? A. Hematocrit 48% B. Platelets 300,000 C. Potassium 2.5 D. White blood cell count 8,000 C. Potassium 2.5 Which incision would most probably be used for a splenectomy? A. McBurney B. Right subcostal C. Left subcostal D. Pfannenstiel C. Left subcostal Which outcome standard applies specifically to the pediatric patient? A. Patient maintains normothermia B. Patient maintains fluid balance C. Patient maintains normal oxygenation D. All of the above D. All of the above Which is NOT an anesthetic inhalation agent? A. Halothane B. Enflurane C. Nitric oxide D. Succinylcholine D. Succinylcholine Pressure applied to the cricoid cartilage to occlude the esophagus and prevent vomiting is called the: A. Juxta maneuver B. Sellick's maneuver C. Harman's maneuver D. Heimlich maneuver B. Sellick's maneuver A patient undergoing a hernia repair using 1% Lido for local anesthesia is being monitored by the perioperative nurse. The nurse should remember that the recommended total amount of lidocaine should not exceed: A. 100mg B. 1g C. 500mg D. 350mg D. 350mg 70k x 5mg/k per day