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CNOR PRACTICE EXAM PREP BY CCI
UPDATE ACTUAL EXAM ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) 100%
PASS SOLUTION /ALREADY GRADED
A+
Which patient population is more sensitive to dosage errors A. Male patients 25 - 40 B. Bariatric patients C. A patient with A history of polypharmacy D. Pediatric patients - ANSWER-D. Pediatric patients The National Patient Safety Goals directed At improving staff communication review the need for A. ensuring important test results Are communicated to the right person on time B. transferring patients to the correct next level of care C. completing perioperative charting prior to transfer to the postanesthesia care unit
D. Conducting A daily huddle on the unit - ANSWER-A, ensuring important test results Are communicated to the right person on time Which of the following is A potential contraindication to the use of A pneumatic tourniquet? A. Pt has undergone prev joint replacement surgery B. Pt is older than 80 years old
A patient is on long term Acetyl salicylic Acid therapy. Preoperatively, the pt should be counselled to discontinue taking the medication prior to surgery A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks - ANSWER-B. 2 weeks A pt-specific risk factor for venous thromboembolism (VTE) is B. A previously history of stroke C. duration of surgery D. intraoperative position E. use of A pneumatic tourniquet - ANSWER-B. previous history of stroke 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 - ANSWER-C. in the preoperative holding Area 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. Hx of recent gallbladder surgery C. Female D. Poor preoperative nutritional status - ANSWER-D. Poor preoperative nutritional status Based on data collected during the patient Assessment, the perioperative RN A. identifies An outcome B. Formulates A nursing diagnosis C. develops A plan of care D. performs nursing interventions - ANSWER-B. formulates A nursing diagnosis
NPO Guidelines Light meal (toast, clear liquids, infant formula, non human milk) - ANSWER-Up to 6 hours NPO Guidelines Breast Milk - ANSWER-Up to 4 hours NPO Guidelines Clear liquids only, NO solid food or foods with fat content - ANSWER-Up to 2 hours NPO Guidelines No solids or liquids - ANSWER-During the 2 hours until surgical times After A person with An Airborne disease has been cared for in the OR, the OR should be closed And not cleaned until.. - ANSWER-99% of the Airborne particles have been removed from the Air (eg 15 Air exchanges/hour for 28 minutes)
Airborne precautions Are instated for pathogens that Are how big? - ANSWER-Small, 5 micrometers or less And can therefore can stay suspended in the Air. Which precaution has pathogens greater than 5 micrometers in size - ANSWER-Droplet What diseases Are present for Contact precautions - ANSWER-HIV HEP B HEP C Staph Aureus C-Diff What Herbs may increase bleeding - ANSWER-Feverfew Garlic Ginger Ginko Biloba Ginseng Vitamin E
C. moisten the Area to be prepped And use A disposable clipper D. use A depilatory cream on the surgical site - ANSWER-C. moisten the Area to be prepped And use A disposable clipper When prescribed, intermittent pneumatic compression devices should be Applied And functioning A. After the Administration of regional or gen Anesthesia B. before the Admin of regional or gen Anesthesia C. before the patient Arrives in the operating or procedure room D. After the patient Arrives in the operating or procedure room - ANSWER-B. before the Admin of regional or gen Anesthesia In planning for the transfer of An 18 pound child to the gurney After bilateral myringotomies with insertion of ear tubes, the perioperative nurse plans for which of the following patient transfer Aides A. A lateral transfer device, one caregiver, And the Anesthesia professional B. A lateral transfer device, two caregivers, And the Anesthesia professional C. A lateral transfer device, three caregivers, And the Anesthesia professional
D. A mechanical list device, three caregivers And the Anesthesia professional - ANSWER-A. A lateral transfer device, one caregiver, And the Anesthesia professional ( Any patient under 52 pounds) Lead shielding used to minimize the patients exposure to ionizing radiation should be placed A. between the patient And the source of radiation, but not within the path of the beam that originates from the x-ray tube B. between the patient And the source of radiation And within the path of the beam that originates from the x-ray tube C. between the patient And the image intensifier of the fluoroscopic unit, but not within the path of the beam that originates from the x-ray tube D. between the patient And the image intensifier side of the fluoroscopic unit, And within the path of the beam that originates from the x-ray tube. - ANSWER-A. between the patient And the source of radiation, but not within the path of the beam that originates from the x-ray tube
A. using 2 chest supports that extend from the clavicle to the iliac crest B. placing An Axillary roll under the patients dependent thorax C. elevating the head 25 degrees D. the use of foam heal padding - ANSWER-C. elevating the head 25 degrees Assessing the surgical patients psychosocial state Allows the RN to contribute to the plan of care by A. suggesting modifications to the patients position B. communicating effectively with other members of the team C. ensuring the requisite supplies And equipment Are readily Available D. Providing explanation, comfort And emotional support - ANSWER-D. Providing explanation, comfort And emotional support A pt scheduled for A bronchoscopy states he has had A persistent cough with blood-tinged sputum, night sweats And A loss of Appetite with significant weight loss over the past three months. Which Action should be taken A. Leave the portable HEPA filter unit "on" while the patient is intubated to supplement normal room Air exchanges.
B. Schedule the patient for the first procedure of the day, when the infection prevention specialist is Available C. Provide the patient with N- 95 fit tested respirator to wear during transport D. Notify environmental services to delay cleaning the OR until the Air exchange system has had time to remove 99% of Airborne particles - ANSWER-D. Notify environmental services to delay cleaning the OR until the Air exchange system has had time to remove 99% of Airborne particles A 28 y/o Hispanic male is scheduled for repair of An incarcerated inguinal hernia. He does not speak English. The consent form is only Available in English. The best way for the nurse to ensure informed consent for this patient is to A. witness the pts signature on the consent form B. Arrange for A medical interpreter C. Allow A family member to interpret for the surgeon D. Arrange for A Spanish speaking staff member to interpret for the surgeon. - ANSWER-B. Arrange for A medical interpreter
When performing preoperative skin Antisepsis, the perioperative RN should A. Shave the Area to be prepped immediately before Applying the Antiseptic B. Apply the Antiseptic in concentric circles moving from the outer perimeter toward the incision site. C. Clean the Area to be prepped with 70% isopropyl Alcohol before Applying the Antiseptic. D. Allow the Antiseptic solution to dry for the full time recommended in the manufacturers instructions for use before the surgical drapes Are Applied - ANSWER-D. Allow the Antiseptic solution to dry for the full time recommended in the manufacturers instructions for use before the surgical drapes Are Applied A must be used to remove waste Anesthesia gases from the operating room A. Ventilation system B. Anesthesia delivery system C. Scavenging system D. Air sampling system - ANSWER-C. Scavenging system
Local Anesthetic systemic toxicity is treated by Administering A. 10% lipid emulsion B. 15% hetastarch C. 20% lipid emulsion D. 25% hetastarch - ANSWER-C. 20% lipid emulsion Placing the patient on the OR bed in the supine position with Arms extended on Armboards At greater that 90 degrees may cause injury to the A. Axillary Nerve B. Brachial Nerve C. Median Nerve D. Radial Nerve - ANSWER-B. Brachial Nerve The correct time to label containers designated for medications or solutions is A. When setting up the sterile field but before the medications Are delivered to the field B. When there Are more than two medications being used on the sterile field
A specific directive, written by A physician, About end of life decisions is A/an A. DNR order B. AND order C. Advance Directive D. Required reconsideration - ANSWER-B. AND order When performing preop patient skin Antisepsis, the RN should A. Perform A surgical hand scrub And wear A sterile gown B. Perform A surgical hand scrub And wear short sleeved scrub Attire C. Perform hand hygiene And wear A sterile gown D. perform hand hygiene And wear long sleeved scrub Attire - ANSWER- D. perform hand hygiene And wear long sleeved scrub Attire Patients placed in the steep trendelenberg position may be At risk for A. increased tidal volume B. decreased tidal volume C. decreased intracranial pressure D. increased stroke volume - ANSWER-B. decreased tidal volume
due to the pressure of Abdominal contents Against the diaphragm What type of extinguisher should be used in An electrical fire - ANSWER-Halon because it will not leave A residue on the equipment When risk for exposure to blood And body fluids exists, the following types of PPE should be worn - ANSWER-gloves, surgical masks, fluid resistant gown, eye protection What Airflow pressures And total Air exchanges per hour is the most Appropriate for sterile storage Areas - ANSWER-positive Airflow pressure with A min of 4 total Air exchanges per hour What incision should be used for A C-Section of A baby in breech position? A. Kerr B. Kronig C. Low transverse D. Classic uterine incision - ANSWER-B. Kronig
