CNOR EXAM NEWEST 2024 ACTUAL EXAM
TEST BANK COMPLETE 240 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+
Critical item (spaulding class system) - ✔✔ANSW✔✔..Must be a sterile item (ex:
instrumentsw, catheters, needles)
Enters the tissue/vascular system
Semi-critical item (spaulding class system) - ✔✔ANSW✔✔..Sterile but high level
disinfectant used sometimes
Contacts broken sterile/mucous membrane
Ex: GI scopes, bronchoscopes
We prefer to be sterilized
Non critical items (spaulding class system) - ✔✔ANSW✔✔..Immediate to low level
disinfectant/cleaning
Ex: skin contact
Ex: furniture, OR equipment, linens, tourniquets
Work flow of the OR? - ✔✔ANSW✔✔..One way
Decontam- prep to packaging - sterile/sterilizing- clean distribution to storage
MAC - ✔✔ANSW✔✔..Can be done by RN if ASA 1-3
ASA stages - ✔✔ANSW✔✔..1 - normal
2- mild systemic
3- systemic issues
4- systemic w constant threat to life
5- near death
6- organ harvest
Herbal drugs that cause liver damage - ✔✔ANSW✔✔..Echinachea, kava
,W propofol
Herbal drugs that cause increase bleeding - ✔✔ANSW✔✔..Ginger, ginkgo, garlic, fever
few, fish oil, saw palmetto
Herbal drugs that cause arrythmias/HTN - ✔✔ANSW✔✔..Goldenseal, milk thistle,
licorice, ginseng, fish oil, epehdra
Herbal drugs that cause prolonged emergence - ✔✔ANSW✔✔..Gingko, st johns wart,
valerian
Dose of narcan - ✔✔ANSW✔✔..0.1-0.2 mg at 2-3 min intervals
Reversal for benzos - ✔✔ANSW✔✔..Flumazenil (Romazicon)
The only depolarizing muscle relaxant in clinical use is: - ✔✔ANSW✔✔..Succ
Inhalation gas contra to tourniquet - ✔✔ANSW✔✔..Isoflurane
reversal for non depolarizing agents - ✔✔ANSW✔✔..Which are roc or vercuronium
Sugammadex
MH dose of dantrolene - ✔✔ANSW✔✔..2.5 mg/kilo
Local anesthesia that are -esters - ✔✔ANSW✔✔..Cocaine, procaine, tetracaine,
Local anesthesia that are -amides - ✔✔ANSW✔✔..Bupivicaine, lidocaine
LAST (local anesthetic systemic toxicity) - ✔✔ANSW✔✔..Inital phase- metallic taste,
numbness, ringing in ears
Excitement phase- shivering, slurred speech, confusion, seizures, tachy, HTN
Depression- coma, brady, hypotension
Max dose lido 1% - ✔✔ANSW✔✔..5 mg/kg/day
Lido w epi max dose - ✔✔ANSW✔✔..5-7 mg/kg/day
Complications of interscalne block/brachial plexus - ✔✔ANSW✔✔..Horners syndrome
(cant breathe easily- phrenic nerve paresis), sweaty, drooply eyelid and constricted
pupls
How to treat LAST - ✔✔ANSW✔✔..20% lipid emulsions
, 1-1.5 ml/kg over a min up to 3x then an infusion 0.25 ml/kg/min
Complications of supraclavicular block - ✔✔ANSW✔✔..Controls thumb to middle finger
Pneumothorax, less common phrenic nerve paresis
infraclavicular block - ✔✔ANSW✔✔..To numb hand
No bad complications
Axillary block - ✔✔ANSW✔✔..For elbow and down to be numb
Complications- hematoma, accidental vascular injury
Bier block anesthesia - ✔✔ANSW✔✔..regional limb anesthesia provided by local
anesthesia and an extremity tourniquet
A then b (elbow to hand)
Proximal cuff up then distal cuff up then proximal down then distal down
Must be up at least 15 mins
For hand cases
Complications of spinal/epidurals - ✔✔ANSW✔✔..Resp depression, bladder distention,
motor function returns before sensory function, hypotensiona
Aldrete score - ✔✔ANSW✔✔..Pacu scale to discharge, want a high #
Mrs. M is a 50-year-old female with a history of hypertension scheduled for a left total
knee arthroplasty under epidural anesthesia. Because this is an epidural, you would
expect the anesthesiologist to administer _________ than would be given if the case
were done as a spinal.
A. More local anesthetic
B. Less local anesthetic
C. Lidocaine
D. The same amount of local anesthetic - ✔✔ANSW✔✔..A
All of the following are absolute contraindications to spinal anesthesia except:
A. Patient refusal
B. Infected insertion site
C. Increased intracranial pressure
D. Previous spinal cord surgery - ✔✔ANSW✔✔..D
Decontaminiation of instruments - ✔✔ANSW✔✔..-pre treat with instrument spray
-disassemble anything with a lumen
