CNOR EXAM NEWEST 2024 ACTUAL EXAM
TEST BANK COMPLETE 700 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of the
perioperative nurse monitoring this patient?
a. Recheck the dose of local anesthesia given
b. Ensure an airway
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to the room - ✔✔ANSW✔✔..b
The circulating nurse reports that the needle count is incorrect. The surgeon continues
to close the wound, stating, "I know it is not in the wound and I am not going to stop to
look for it." The best plan of action is to:
a. Accept the surgeon's response without comment and fill out an incident report
b. Inform the surgeon of hospital policy and document subsequent actions
c. Order X-rays regardless of the surgeon's wishes
d. Notify the OR supervisor and ask for advice - ✔✔ANSW✔✔..b
A new employee unknowingly dispensed an unsterile solution to the sterile field. The
following day, the supervisor learns of the incident. The supervisor's first action would
be to:
a. Initiate an incident report
b. Instruct the employee on the technique of reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in technique - ✔✔ANSW✔✔..d
Due to an emergency, the perioperative nurse is unable to conduct the sponge, sharps,
and instrument counts. At the conclusion of the surgery, the nurse should:
,a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count record - ✔✔ANSW✔✔..c
Potential adverse effects of the supine position include:
A. Skin breakdown at the heels, sacrum and elbows
B. Vasoconstriction in the lower extremities
C. Increased mean arterial pressure
D. Retinal detachment or cerebral edema - ✔✔ANSW✔✔..a
In the positioning of a patient in the prone position, the primary reason for using chest
rolls is to provide for:
A. Better exposure of the operative site
B. Adequate circulation
C. Unrestricted respiratory exchange - ✔✔ANSW✔✔..c
What do you do to protect the patient in supine position?
A. Place a small roll in the lumbar area
B. Provide padding under the lower extremities allowing the heels to float
C. Place a folded pillow under the knees
D. Place the arms at the sides, palms down - ✔✔ANSW✔✔..b
Just before the transfer of a patient with a fractured femur, the surgeon is called to the
telephone. In response to this situation, the circulating nurse should:
A. Wait for the surgeon to return to assign responsibility for supporting the fracture
B. Call the supervisor to request assistance with the transfer
C. Take responsibility for supporting the fracture
D. Call for another person and proceed to transfer the patient - ✔✔ANSW✔✔..a
The proper way to tuck the patient's arms at his or her sides is to place the upper flaps
of the draw sheet up over the arms and tuck it under the:
A. Mattress
B. Bed Frame
C. Patient
D. Sled - ✔✔ANSW✔✔..c
Which patient is most at risk for inadvertent hypothermia during surgery?
A. An 86 year old bowel resection patient with cancer
,B. An 18 month old bronchoscopy for removal of a foreign object
C. 55 year old female for AV fistula for dialysis
D. 15 year old male for left knee arthroscopy - ✔✔ANSW✔✔..a
For a very obese patient undergoing vaginal hysterectomy, additional padding will be
needed at the lateral aspect of the knee to prevent compression injury to which nerve?
A. Sciatic
B. Peroneal
C. Obturator
D. Saphenous - ✔✔ANSW✔✔..b
After transfer of a tonsillectomy patient to the transportation vehicle, in which of the
following positions should the patient be placed to facilitate drainage?
A. Trendelenburg
B. Prone
C. Modified Fowler's
D. Semiprone - ✔✔ANSW✔✔..d
An 8-year-old boy is being prepared for a bilateral inguinal herniorrhaphy. As the
anesthesia provider is about to start the IV, the boy begins to cry. The most appropriate
action at this point would be to:
A. give the patient psychological support through tactile contact and verbal reassurance
B. impress upon the patient how important it is to be brave and not to cry
C. distract the patient's attention from the venipuncture by asking him if he has a pet or
a hobby
D. turn the patient's head to the side so that he cannot see the venipuncture -
✔✔ANSW✔✔..a
A 49-year-old 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 - ✔✔ANSW✔✔..c
When gas cylinders are used during a patient transport, recommendations include...
A. securing them to the transport cart or bed in holders designed for this purpose
B. placing the gas cylinder horizontally to one side of the patient in the stretcher
C. the transporter carrying the gas cylinder
, D. placing the cylinder between the patient's legs on the stretcher - ✔✔ANSW✔✔..a
In the instruction of an 8 year old child, reasonable grasp of the information can often be
ensured by the use of
A. Audiovisual equipment
B. Group lectures
C. Reading material
D. Preparing the parents and they will instruct their child - ✔✔ANSW✔✔..a
The patient has a Swan-Ganz catheter inserted prior to induction of anesthesia. The
perioperative nurse is especially careful to ensure that all electrical safeguards have
been met, because this situation represents an increased potential for:
A. Microshock
B. Thermal burn
C. Macroshock
D. Electrical burn - ✔✔ANSW✔✔..a
Criteria for the care of surgical patients with a latex allergy may include:
A. Elastic adhesive and tape
B. Egg crate padding on arm boards
C. Paper tape to secure the post op dressing
D. A bouffant cap to cover the patient's hair - ✔✔ANSW✔✔..c
When positioning a patient's arm on an arm board, it is important to prevent abduction
ofthe arm at an angle greater than _________ degrees to prevent injury to
the__________________.
A. 60; ulnar nerve
B. 90; brachial plexus
C. 90; peroneal nerve
D. 45; brachial plexus - ✔✔ANSW✔✔..b
Your patient is under general anesthesia. The purpose of lowering the legs slowly from
the lithotomy to the supine position is to:
A. promote cerebral flow
B. prevent hypotension
C. provide privacy
D. prevent circulatory overload - ✔✔ANSW✔✔..b
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