Exam (elaborations)
CCI First Edition CNOR Exam Prep Chapters 1-9 Questions And Answers 100% Verified.
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CCI First Edition CNOR
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CCI First Edition CNOR
CCI First Edition CNOR Exam Prep Chapters 1-9 Questions And Answers 100% Verified.
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1 which patient population is more sensitive to d
2 the goal of medication reconciliation is to a
3 a perioperative nurse is assessing a patient pr
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CCI First Edition CNOR Exam Prep
Chapters 1-9 Questions And Answers
100% Verified.
1. .Which .patient .population .is .more .sensitive .to .dosage .errors?
A. .Male .patients .ages .25-40
B. .Bariatric .patients
C. .A .patient .with .a .history .of .polypharmacy
D. .Pediatric .patients .- .correct .answer. . . . .D. .Pediatric .patients
Rationale: .Pediatric .patients .are .at .higher .risk .of .medication .errors .related .to .dosing .for
.body .size. .Patient .weight .should .always .be .recorded .in .kilograms .for .medication .dosage
.calculations. .Other .populations .at .high .risk .including .geriatric .patients .and .those .patient
.with .impaired .body .systems.
2. .The .goal .of .medication .reconciliation .is .to:
A. .inform .the .patient .of .anesthetic .medication .administered .intraoperatively. .
B. .save .the .surgeon .from .having .to .look .up .medications .later. .
C. .promote .safe .patient .outcomes .related .to .medication .administration
D. .save .the .floor .nurse .work .when .admitting .the .patient .- .correct .answer. . . . .C. .promote
.safe .patient .outcomes .related .to .medication .administration
Rationale: .Medication .reconciliation .is .done .to .promote .safe .patient .outcomes. .It .is .a
.process .of .comparing .the .medications .that .a .patient .is .currently .using .at .home .with
.medications .that .are .ordered .for .him .or .her .by .the .current .health .care .provider.
3. .A .perioperative .nurse .is .assessing .a .patient .preoperatively .for .carpal .tunnel .surgery.
.Which .of .the .following .would .be .a .possible .contraindication .to .using .a .tourniquet .on .the
.operative .side?
A. .the .patient .is .wearing .a .wedding .ring .on .the .operative .side
B. .The .patient .drank .coffee .with .milk .five .hours .ago
C. .the .patient .has .a .dialysis .access .device .on .the .operative .side
D. .the .patient's .dominant .hand .is .the .same .as .the .operative .side .- .correct .answer. . . . .C.
.The .patient .has .a .dialysis .access .device .on .the .operative .side
Rationale: .The .perioperative .nursing .assessment .should .include .any .medication
.conditions .that .may .be .contraindicated .during .the .preparation .and .care .of .the .patient
.undergoing .surgery. .Tourniquet .use .is .contraindicated .on .limbs .with .a .dialysis .access
.device .present .because .use .of .the .tourniquet .on .that .limb .will .diminish .blood .flow .to .the
.fistula, .increasing .the .risk .for .clot .formation .in .the .fistula.
,4. .Which .of .the .following .is .part .of .the .surgical .safety .checklist?
A. .When .the .patient .last .ate .food .or .drank .liquids
B. .Whether .any .special .equipment, .devices, .or .implants .will .be .needed
C. .Whom .the .surgeon .should .talk .to .after .surgery
D. .What .pharmacy .the .patient .uses .- .correct .answer. . . . .B. .Whether .any .special
.equipment, .devices, .or .implants .will .be .needed
Rationale: .The .comprehensive .surgical .checklist .is .part .of .the .Universal .Protocol .that .is
.supported .and .endorsed .by .both .the .World .Health .Organization .and .The .Joint
.Commission. .Identifying .if .there .are .any .special .equipment, .devices, .or .implants .needed
.for .the .surgical .procedure .is .part .of .the .preoperative .check-in.
5. .Which .of .the .following .authoritative .organizations .is .responsible .for .delineating .the
.accepted .list .of .nursing .diagnosis?
A. .NANDA .International
B. .American .Nurses .Association
C. .AORN
D. .The .Joint .Commission .- .correct .answer. . . . .A. .NANDA .International
Rationale: .NANDA .International .is .the .organization .responsible .for .creating .and .updating
.the .current .list .of .nursing .diagnoses. .NANDA .classifies .human .response .patterns .and
.standardizes .the .terminology .for .all .nursing .diagnoses.
6. .Surgical .site .marking .should .be .performed .by .the:
A. .patient .before .coming .to .the .hospital
B. .surgeon .after .the .site .and .side .(if .applicable) .have .been .surgically .prepped .and
.draped. .
C. .nurse .doing .the .patient .preoperative .assessment
D. .surgeon .before .the .patient .receives .any .sedatives .- .correct .answer. . . . .D. .Surgeon
.before .the .patient .receives .any .sedatives
Rationale: .Surgical .site .marking .should .be .performed .by .the .surgeon .before .the .patient
.receives .any .sedatives. .The .nurse .performing .the .perioperative .assessment .verifies .the
.site .and .side .(if .applicable) .and .this .site .verification .is .performed .again .with .the .surgical
.team .before .the .incision .is .made.
7. .What .part .of .the .preoperative .assessment .indicates .that .a .patient .is .at .risk .for
.postoperative .deep .vein .thrombosis .(DVT)?
A. .History .of .varicosities
B. .History .of .alcohol .abuse
C. .Recent .upper .respiratory .infection
D. .Body .mass .index .greater .than .26 .- .correct .answer. . . . .A. .History .of .varicosities
Rationale: .During .the .preoperative .assessment, .the .nurse .should .assess .the .patient .for
.conditions .that .may .suggest .an .increased .risk .of .DVT .development. .These .risks .include
.a .personal .or .family .history .of .thrombosis, .coagulopathy, .blood .clots, .blood-clotting
, .disorders, .previous .deep .vein .thrombosis .or .pulmonary .embolism, .varicosities .or .leg
.swelling, .smoking, .or .living .sedentary .or .nonambulatory .lifestyle .for .more .than .72 .hours.
8. .Actively .warming .surgical .patients .with .forced .air .to .prevent .hypothermia .should .begin:
.
A. .as .soon .as .the .patient .enters .the .OR .or .procedure .room
B. .in .the .recovery .room
C. .in .the .preoperative .holding .area
D. .just .before .the .surgeon .makes .the .incision .- .correct .answer. . . . .C. .in .the .preoperative
.holding .area
Rationale: .Research .has .shown .that, .to .be .most .effective, .forced .air .warming .should .be
.initiated .in .the .preoperative .holding .area .and .continued .intraoperatively. .Preoperatively
.warming .the .patient .with .forced .air .warming .before .induction .of .anesthesia .minimizes
.heat .loss .more .effectively .than .use .of .warmed .cotton .blankets .alone.
9. .Which .of .the .following .indicators .demonstrates .a .patient .who .is .at .increased .risk .of
.developing .a .pressure .ulcer .during .a .surgical .procedure? .
A. .Aged .50 .or .older
B. .History .of .recent .gallbladder .surgery
C. .Female .patient
D. .Poor .preoperative .nutritional .status .- .correct .answer. . . . .D. .Poor .preoperative .nutritional
.status
Rationale: .The .perioperative .nurse .should .take .additional .precautions .to .decrease .the
.risk .of .developing .a .pressure .ulcer .in .patients .who .are .older .than .70 .years .of .age; .who
.require .vascular .procedures .or .any .procedure .lasting .longer .than .four .hours; .who .are
.thin, .small .in .stature, .or .have .poor .preoperative .nutritional .status; .who .are .diabetic .or
.have .vascular .disease; .or .who .have .a .preoperative .Braden .score .that .is .less .than .20.
10. .The .perioperative .nurse .performs .a .preoperative .assessment .on .a .surgical .patient .to
.aid .in .the .development .of:
A. .the .complete .medical .record
B. .the .patient's .plan .of .care
C. .the .surgeon's .postoperative .note
D. .future .research .in .perioperative .nursing .- .correct .answer. . . . .B. .the .patient's .plan .of .care
Rationale: .The .perioperative .nurse .must .complete .a .preoperative .assessment .on .his .or
.her .patient .to .facilitate .identification .of .the .appropriate .nursing .diagnosis, .development .of
.a .plan .for .the .appropriate .interventions .and .care, .and .achievement .of .the .desired
.surgical .outcomes.
1. .A .patient's .life-threatening .injuries .prevent .required .hair .removal .before .transfer .to .the
.OR. .The .best .course .of .action .for .the .perioperative .nurse .to .follow .is .to:
A. .leave .the .hair .at .the .incision .site .and .prep .the .patient
B. .use .a .razor .and .3" .cloth .tape .to .remove .the .hair
C. .moisten .the .area .to .be .prepped .and .use .a .disposable .clipper