CCI First Edition CNOR Exam Prep Chapters 1-9 Questions & Answers. 100% Accurate.
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 - D. Pediatric patients
R...
cci first edition cnor exam prep chapters 1 9 questions amp answers 100 accurate 1 which patient population is more sensitive to dosage errors a male patients ages 25 40 b bariatric patient
CCI First Edition CNOR Exam Prep
Chapters 1-9 Questions & Answers.
100% Accurate.
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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
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