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CNOR PRACTICE EXAM PREP BY CCI
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CNOR PRACTICE EXAM PREP BY CCI
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CNOR PRACTICE EXAM PREP BY CCIWhich patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - Answers -D. Pediatric patients
The National Patient Safety Goals directed at improving staff communication review the
need for
A. ensuring important test results are communicated to the right person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting a daily huddle on the unit - Answers -A, ensuring important test results
are communicated to the right person on time
Which of the following is a potential contraindication to the use of a pneumatic
tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - Answers -C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
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 - Answers -B. Whether any special equipment,
devices or implants will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include
bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - Answers -B. Bradycardia
A patient is on long term acetyl salicylic acid therapy. Preoperatively, the pt should be
counselled to discontinue taking the medication _________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks - Answers -B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
,B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet - Answers -A. previous history of stroke
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 - Answers -C. in the preoperative holding
area
When prescribed, intermittent pneumatic compression devices should be applied and
functioning
A. after the administration of regional or gen anesthesia
B. before the admin of regional or gen anesthesia
C. before the patient arrives in the operating or procedure room
D. after the patient arrives in the operating or procedure room - Answers -B. before the
admin of regional or gen anesthesia
In planning for the transfer of an 18 pound child to the gurney after bilateral
myringotomies with insertion of ear tubes, the perioperative nurse plans for which of the
following patient transfer aides
A. A lateral transfer device, one caregiver, and the anesthesia professional
B. A lateral transfer device, two caregivers, and the anesthesia professional
C. A lateral transfer device, three caregivers, and the anesthesia professional
D. A mechanical list device, three caregivers and the anesthesia professional - Answers
-A. A lateral transfer device, one caregiver, and the anesthesia professional
( any patient under 52 pounds)
Lead shielding used to minimize the patients exposure to ionizing radiation should be
placed
A. between the patient and the source of radiation, but not within the path of the beam
that originates from the x-ray tube
B. between the patient and the source of radiation and within the path of the beam that
originates from the x-ray tube
C. between the patient and the image intensifier of the fluoroscopic unit, but not within
the path of the beam that originates from the x-ray tube
D. between the patient and the image intensifier side of the fluoroscopic unit, and within
the path of the beam that originates from the x-ray tube. - Answers -A. between the
patient and the source of radiation, but not within the path of the beam that originates
from the x-ray tube
An 18 year old pt is hesitant to remove her acrylic tongue piercing before and ex-lap for
a possible ruptured ovarian cyst. The most appropriate verbal response for the
perioperative RN to provide is
A. You can always get another piercing if the opening for this one closes
, B. If the piercing is dislodged while the breathing tube is put in, it could block your
airway or be pushed into your lung
C. It is our policy that all jewelry be removed prior to surgery
D. Your tongue could be burned if your jewelry serves as an alternate ground for the
electrocautery - Answers -B. If the piercing is dislodged while the breathing tube is put
in, it could block your airway or be pushed into your lung
Which of the following statements reflects a female paitents accurate understanding of
her scheduled total abdominal hysterectomy
A. I'm having all my female parts removed
B. I'm having a TAH
C. I'm having my uterus removed
D. I'm having my uterus removed through my vagina - Answers -C. I'm having my uterus
removed
The plan of care for an obese patient in the supine position may include
A. using 2 chest supports that extend from the clavicle to the iliac crest
B. placing an axillary roll under the patients dependent thorax
C. elevating the head 25 degrees
D. the use of foam heal padding - Answers -C. elevating the head 25 degrees
Assessing the surgical patients psychosocial state allows the RN to contribute to the
plan of care by
A. suggesting modifications to the patients position
B. communicating effectively with other members of the team
C. ensuring the requisite supplies and equipment are readily available
D. Providing explanation, comfort and emotional support - Answers -D. Providing
explanation, comfort and emotional support
A pt scheduled for a bronchoscopy states he has had a persistent cough with blood-
tinged sputum, night sweats and a loss of appetite with significant weight loss over the
past three months. Which action should be taken
A. Leave the portable HEPA filter unit "on" while the patient is intubated to supplement
normal room air exchanges.
B. Schedule the patient for the first procedure of the day, when the infection prevention
specialist is available
C. Provide the patient with N-95 fit tested respirator to wear during transport
D. Notify environmental services to delay cleaning the OR until the air exchange system
has had time to remove 99% of airborne particles - Answers -D. Notify environmental
services to delay cleaning the OR until the air exchange system has had time to remove
99% of airborne particles
A 28 y/o Hispanic male is scheduled for repair of an incarcerated inguinal hernia. He
does not speak English. The consent form is only available in English. The best way for
the nurse to ensure informed consent for this patient is to
A. witness the pts signature on the consent form
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