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CNOR AORN ONLINE TEST QUESTIONS
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CNOR AORN ONLINE TEST QUESTIONS
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CNOR AORN ONLINE TEST QUESTIONSWhat is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue - Answers -overexertion leading to back strains sand
sprain
When should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning - Answers -before manual
cleaning and before it is placed into cleaning.
An rn circulator hears an anesthesia professional ask an unlicensed assistive person
(UAP) to push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job
description
- offer assistance to the anesthesia professional so that the anesthesia professional can
administer the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. - Answers -offer assistance to the anesthesia professional so
that the anesthesia professional can administer the medication himself
After a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care
unit. Her body mass index is 22. Her arterial blood gas test results are ph 7.52, paco2
28, HCO3 24. The patient's condition is
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis - Answers -respiratory alkalosis
An ambulatory surgery center (ASC) does not have a radiology department at the
facility. When surgical count discrepancies occur, what actions should be taken 1st by
the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
,- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected
due to the missing item - Answers -follow the ASC's standardized process to locate the
missing item
The perioperative rn should be recognized that the most common complication for a pt
with multiple traumatic injuries is
Fluid and electrolyte imbalance
Hemorrhage
Infection
Shock - Answers -shock
In addition to the pt's identity, which of the following should be confirmed to help
decrease the risk for wrong site surgery?
Allergies
Medication history
Previous responses to general anesthesia
Procedure and site - Answers -procedure and site
What statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide
consultative services on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide
pharmaceutical services at an ASC - Answers -a pharmacist may be contracted by the
health care organization to provide consultative services on site or by telepharmacy.
Mr. W is a 52-yr-old man in the emergency department complaining of shortness of
breath and tingling fingers. His breathing is shallow and rapid. He denies that he has
diabetes, and his blood sugar is within normal limits. There are no electrocardiogram
changes. He has no significant respiratory or cardiac history. He takes several anti-
anxiety medications. He says he has had anxiety attacks in the past. While Mr. W is
being worked up for chest pain, a blood specimen is drawn for testing arterial blood
gasses (ABG). What do mr. W's ABG values indicate?
Ph 7.48, paco2 28, HCO3 22
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis - Answers -respiratory alkalosis
,The perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure
- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in
the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. -
Answers -that is long enough so that bladder of the tourniquet overlaps sufficiently on
the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's
surgery admission desk that morning, he appeared disheveled and incoherent.
Laboratory blood tests indicated a high level of cocaine in his system. The anesthesia
professional was at the pt's side discussing the need to postpone the surgery with the
surgeon when the pt became belligerent and forcefully grabbed the anesthesia
professional's neck. The pt was placed into restraints. In this situation, why were
restraints necessary?
- the pt was incoherent
- the pt posed a threat to himself
- the pt posed a threat to the anesthesia professional
- the pt was using illegal drugs before his surgery - Answers -the pt posed a threat to
the anesthesia professional
A root cause analysis is conducted after it is discovered that a laparotomy sponge was
left in a patient's abdomen after a surgical procedure. In response to this event, which of
the following actions would be consistent with conducting a root cause analysis?
- apologize and disclose the error to the patient
- identify and analyze each step of the surgical count process that is in place at the
facility.
- Identify the involved perioperative learn members and initiate disciplinary actions
- report the event to the designated hospital accreditation organization - Answers -
identify and analyze each step of the surgical count process that is in place at the
facility.
When the retractable magnetic resonance imaging (MRI) scanner is in use in a hybrid
OR, the OR is considered to be MRI zone
I
II
III
IV - Answers -IV
, If a pt experiences a cardiac arrest in a hybrid OR when the magnetic resonance
imaging (MRI) scanner is in use, the first action the perioperative rn should do to assist
the team is
- begin basic cardiopulmonary resuscitation and retract the MRI scanner back into the
holding bay
- call for help, bring in the code cart and resuscitate the pt.
- Remind the team that the MRI scanner is in use and follow the facility protocol
- turn off the MRI scanner by pushing the quench button - Answers -begin basic
cardiopulmonary resuscitation and retract the MRI scanner back into the holding bay
The role of the health care industry representative includes all of the following except
- opening sterile implants and instructing the surgeon and the assistants how to implant
the medical devices
- providing one-on-one instruction for the perioperative team related to the medical
device.
- Providing technical support according to the health care organization's policies and
local, state, and federal regulations
- teaching in-service programs to the perioperative team related to the medical device -
Answers -opening sterile implants and instructing the surgeon and the assistants how to
implant the medical devices
What should the water temperature be for hand hygiene?
- 60 F (15.6C) or lower
- between 60 F and 100 F (15.6c to 37.8C)
- between 70 F and 80F (21.1C and 26.7C)
- 80F (26.7C) or higher - Answers -between 70 F and 80F (21.1C and 26.7C)
17. What nursing activity can a perioperative RN delegate to an unlicensed assistive
person?
- assessment of the pt's skin
- evaluation of nursing care
- organization of supplies
- planning the pt's care - Answers -organization of supplies
18. A surveyor comments to the perioperative director that one team member is not
following the AORN guidelines related to surgical attire. Which team member is he
referring to?
- RN circulator who is wearing a long-sleeved scrub shirt while performing preoperative
skin antisepsis for a surgical pt in the OR
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