CNOR Questions
___ is an ideal complementary therapy to decrease pt anxiety during the intraoperative
period, as there is no contact between the practitioner's hand and the pt - correct
answer-therapeutic touch
___ is the mneumonic used when performing a secondary assessment of a pt after all life
threatening issues have been treated - correct answer-FGHI
R/ when appropriate, the pt will receive a secondary assessment using the FGHI mnemonic:
Full set of vitals, Give comfort measures, perform a Complete history, and Inspect the
posterior areas of the body
____ protected types of mobile hospital tents and containers are used in areas where
nuclear, chemical or biological terrorism threat exists - correct answer-chemically
R/in critical areas where a mobile hospital must be established, then tents and containers
are chemically treated to protect those inside from dangerous threats of terrorism
) the perioperative nurse brings a completed case's contaminated instruments to the
decontamination area. He notes that the personal protective equipment )PPE) for workers in
this area consists of gloves and shoe coverings. Which of the following is the correct
response to this observation? - correct answer-in addition to current PPE, workers whould
be wearing a fluid resistant gown with sleeves, masks & eye protection
R/use of PPE should be based on expected exposure to suspected or confirmed infectious
agents. The risk for splashes, splatters, and skin contact of potentially infectious materials is
high for personnel handling contaminated instruments
34 year old female pt with a diagnosis of breast cancer is scheduled for a R breast
mastectomy. When performing the surgical skin prep, the nurse - correct answer-uses a no
touch technique during prepping
a ___ involves removal of the entire breast along with axillary lymph nodes, the pectoral
muscles, and all adjacent tissues - correct answer-radical mastectomy
Rational: tissues that have been identified as having malignancy should be removed in their
entirety to prevent further spread of the cancer cells. A radical mastectomy will remove the
breast and all surrounding tissues
A ____ is a major cause of death during & immediately following a surgical procedure that
can result from blood pooling in low pressure areas - correct answer-pulmonary embolism
Rational: PE can be caused by blood clots or other debris like fat. Debris blocks the
pulmonary artery or one of the branches. A PE is most often caused by stasis of blood in
deep veins during extended proceedures.
a 12 year old boy is scheduled for srgery to repair a fracture to the knee involving the
epiphyseal plate. The perioperative nurse recognizes the primary complication resulting from
the injury is - correct answer-impaired growth to the affected leg
,a child is at risk of blunt intestinal trauma from - correct answer-seatbelt in a motor vehicle
accident
R/the location of a seatbelt on a child is over the abdomen. In the event of a motor vehicle
accident, the seatbelt ca nhave a forceful direct pressure on the intestines and cause injury
a complementary therapy that could be utilized during the perioperative period to help
reduce anxiety is - correct answer-music therapy
a coup-contracoup brain injury is due to - correct answer-acceleration/deceleration forces
R/ coup-contracoup injury is a result of an acceleration force to one area of the brain and
deceleration force to the opposite side
a form of standardized language in the perioperative setting is reinforced by the use of which
documentation format? - correct answer-PNDS
a nurse assists the anesthesiologist with placement of a spinal anesthetic. The nurse notices
the physicians sterile gloves brush againstteh OR table. Which of the following actions
demonstrates professional conduct by the nurse? - correct answer-inform the md of the
break in sterile technique & provide new sterile gloves
Rational: pt safety should be maintained through effective communication of a break in
sterile technique. It's the nurse's responsibility to speak up and protect the pt
a perioperative nurse is made aware of the impaired practice of another team member.
According to the American nurses association's code of wthics, the perioperative nurse
should - correct answer-act to ensure the impaired person receives assistance
R/the perioperative nurse;s primary commitment is to the health, well being and safety of the
pt. perioperative nursing ethical principals require the reporting of any behavior that could
pose a threat to pt safetywww.aorn.org/guidelines/clinical-resources/code -of-ethics , pg 19
a potential complication of epidural anesthesia caused by a/an ____ is complete paralysis
requiring intubation and systemic support until the block is resolved - correct
answer-subarachnoid injection
R/ Subarachnoid injection caused by the initial needle or an epidural catheter that moves
and punctures the subarachnoid space may result in total paralysis. Injection of medications
should be done with a test dose1st followed by injections of up to 5 mL at a time to ensure
proper placement
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory surgery
center. During the preoperative telephone interview, the mother asks the preoperative nurse
if her daughter will be able to take her favorite stuffed animal into the OR. Which of the
following is the best response based on the child's developmental level - correct answer-we
will make sure the toy stays with your daughter until the anesthetic takes effect
a pt aged 72 is scheduled for a R modification mastectomy. The L breast is removed in error,
which is discovered in the postanesthesia care unit (PACU). The correct breast is removed 3
days later. According to the Centers for medicare & Medicaid services (CMS), submitted
claims will pay for - correct answer-neither surgery
, R/ CMS will NOT reimburse claims related to wrong site surgeries. The facility must bear the
cost for uninsurable events
a pt arrives in the OR with a metal post impaled through his L thigh from a fall suffered at a
construction site. In preparing the site for surgery, the perioperative nurse's most appropriate
response is to - correct answer-prep the post and the surrounding area R/impaled objects
should NOT be removed until the needed supplies & instruments area available, as they
provide a tamponade effect that limits blood loss
a pt involved in an explosion presents with a mediastinal shift. The perioperative nurse
anticipates obtaining which of the following supplies? - correct answer-chest drainage
system
R/chest tubes are inserted to correct the positive pressure building up in a pleural space.
Enogh pressure can shift the pleural contents
a pt is at risk for burns from an improperly placed grounding pad when the ____ is altered -
correct answer-Current
R/ current is the rate of flow through a conductor, such as a body. A grounding pad is the
location the return current should follow. If the grounding pad is not placed properly with
adequate contact to the body, the current will follow an alternate path and cause a burn
a pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question
related to NPO status, the pt states she had a sip of water with her usual dose of
metoprolol/hydrochlorothiazide at 0700. The perioperative nurse's next response is to: -
correct answer-proceed with the case as scheduled
a pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of
12 seconds. The best action of the RN circulator is to - correct answer-inform the surgical
team and transport the patient to the OR suite
a pt suffers a cardiac arrest following the injection of bupivacaine 0.5% w/ epi 1:200,000 25
mL as a peripheral nerve block for L knee arthroscopy. The perioperative nurse can
anticipate obtaining which of the following drugs for the anesthesia care provider? - correct
answer-20% lipid emulsion
A pt who has just received a local anesthetic block is beginning to demonstrate decreased
breathing rate & depth, tremors, and muscle twitching, the nurse should suspect a/an -
correct answer-toxic reaction to the local anesthesia
a pt who receives a score of 3 using the Glasgow coma scale for eye opening is able to
open his/her eyes - correct answer-in response to verbal stimuli
Rational: a score of 3 on the eye opening portion of the scale signifies a response to speech
a pt with a fractured anterior fossa of the skull may have an alteration in which sense? -
correct answer-smell
Rational: fractures of the anterior fossa of the skull may affect the olfactory nerve, which is
responsible for the sense of smell
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
