Zander CNOR Questions And Answers
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The patient's desirable and measurable physiological and psychological responses
to nursing interventions are called: - ANSWER✔✔ Outcome standards;
The common goal of standards is quality patient care. Patient outcomes are an
essential indicator of the quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
What the wound classification for vaginal hysterectomy? - ANSWER✔✔ Class 2
The CRNA is attempting to open the 25-year-old man's mouth for intubation but
the jaw is tight and she's having difficulty. Then the nurse notices that the
patient's capnograph is rising dramatically. As the CRNA continues to struggle to
open the jaw to intubate, the patient's heart rate and blood pressure are rising.
What is the appropriate response for the perioperative nurse? - ANSWER✔✔
These are early signs of Malignant Hyperthermia. The perioperative nurse tells
the CRNA what she's seeing. The perioperative nurse calls the OR desk to ask for
help and that the MH cart be brought to the room.
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open
Tib/Fib fracture for ORIF. What wound class is it? - ANSWER✔✔ Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is one
that is less than 4-6 hours old at the start of surgery.
Patients with one or more of Virchow's triad are at increased risk for -
ANSWER✔✔ Deep vein thrombosis
,The Spaulding classification system is used to determine: - ANSWER✔✔
Appropriate methods to attain desired level of processing required for safety in
patient care items.
When passing the knife to the surgeon the best practice would be... -
ANSWER✔✔ To place the knife into a designated tray and so the surgeon can pick
it up
The ultimate responsibility for the nurse's competency is: - ANSWER✔✔ Nurse
During a bowel resection for malignancy the circulating nurse anticipates... -
ANSWER✔✔ Prepare for regowning and regloving of the entire surgical team at
the field
When positioning a patient in a left lateral decubitus position padding will be
needed... - ANSWER✔✔ Between the knees
Lateral decubitus position is synonymous to lateral position. The flexed knees may
require padding to prevent pressure and shearing force.
What does a uniform pattern on the Bowie -Dick indicate? - ANSWER✔✔ The
vacuum cycle functioned properly
After the patient has signed the surgical consent she is given Midazolam and
brought to the surgical suite. She is then transferred to the OR table. She tells the
CRNA 'I don't want to do it'. The patient is scheduled for an AV fistula so she can
begin renal dialysis. The CRNA asks "you don't want to have surgery?" The patient
responds that she does not. What should be the response of the surgical team? -
,ANSWER✔✔ The patient should be taken back to the holding area and the
surgeon notified of the patient's decision
Counting sponges is a nursing action. The nurse is accountable. The belief that the
surgeon is responsible for all actions taken by staff in surgery, known as 'The
Captain of the Ship' is outdated and no longer legally valid. The nurse is legally
responsible for the surgical count. What type of law deals with injury to a person
such as a retained object? - ANSWER✔✔ Tort law
A tort action law suit is filed when there is injury to a person caused by another
person. A retained object is tort claim.
What is the Perioperative Nursing Data Set (PNDS), and its function? -
ANSWER✔✔ The PNDS is a standardized vocabulary and care pathway in
electronic documentation that can be aggregated and analyzed. It's used to
evaluate the effectiveness of nursing care on patient outcomes
Mr S has tuberculosis and has just started a rifampin therapy this week. He was
admitted through the ED with active TB and acute Cholecystitis. The patient is
stable and being made comfortable on the med/surg floor. At 1pm the general
surgeon tells the charge nurse that surgery needs to be done within the next 24
hours. The surgeon and charge nurse collaborate to work the cholecystectomy
patient into the schedule. It would be best if this patient's case is: - ANSWER✔✔
scheduled at the end of the day today
The surgeon is preparing to place plaster cast on the patient after the ORIF.
According to rule of confine and contain what should happen next? How should
the perioperative nurse respond? - ANSWER✔✔ Ask the surgeon to remove his
gown and gloves
, Mr. S is coming to surgery for partial amputation of a foot because of gas
gangrene in the area after an injury. How should the perioperative nurse
respond? - ANSWER✔✔ Clean the room after the case as you would do for
regular turn over cleaning
Which of the following uses cavitation? - ANSWER✔✔ Ultrasonic cleaning
If a patient is hypoventilating post operatively what do you expect to happen to
the patient's blood gasses? - ANSWER✔✔ The PH will go down and the CO2 will
go up
The surgeon has decided to perform a closed reduction of the patient's fractured
radial and ulnar bones. Why is this preferable over an open reduction that might
more accurately align the broken ends? - ANSWER✔✔ Closed reduction reduces
the likelihood of infection
Which of the following patients is at the least risk for a surgical fire? -
ANSWER✔✔ An intubated patient with bipolar cauterization during a peripheral
vascular procedure
The perioperative nurse is preparing the surgical site for a colostomy reversal and
re-anastomosis of the bowel. How should the prepare the stoma? - ANSWER✔✔
Isolate the stoma with a sterile barrier, prep from incision to periphery, prep the
stoma last and cover with a sponge
A biological indicator used to confirm that the Steam Gravity Displacement
Sterilizer is functioning properly uses which kind of spore? - ANSWER✔✔
Geobacillus Stearothermophilus
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