CNOR EXAM PREPARATION QUESTIONS WITH CORRECT ANSWERS 2024/2025, Exams of Community Corrections

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CNOR EXAM PREPARATION

QUESTIONS WITH CORRECT

ANSWERS

Cholecystectomy incision needed - CORRECT ANSWER- Krocher's incision Gallbladder, Liver incision name - CORRECT ANSWER- Midline incision Appendicitis incsion - CORRECT ANSWER-Mc Burney's Pont incision Incision for GYN Pelvic Surgery and Prostatic Surgery - CORRECT ANSWER-Pfannenstiel incision Normal Hemoglobin levels for men - CORRECT ANSWER- 13.5-17. Normal Hemoglobin for women - CORRECT ANSWER- 12 - 16 Na+ normal level - CORRECT ANSWER- 135 - 145 Normal Potassium Level - CORRECT ANSWER-3.5-5. Normal Ph level - CORRECT ANSWER-7.35-7. PaCO2 normal level - CORRECT ANSWER- 35 - 45 PaO2 normal level - CORRECT ANSWER- 80 - 100 HCO3 normal level - CORRECT ANSWER- 22 - 28

Ammonia normal level - CORRECT ANSWER-9.5-49mcg/dl ALT liver function normal level - CORRECT ANSWER- 0 - 35 Albumin normal level - CORRECT ANSWER- 4 - 6 Hct normal level for male - CORRECT ANSWER- 39 - 49 Hct normal level for female - CORRECT ANSWER- 35 - 45 What piece of equipment do you need for a vasvagotomy? - CORRECT ANSWER-microscope During a procedure under local anesthesia, the patient complains of circumoral numbness, blurred vision and dizziness. What should be the immediate action of the preoperative nurse monitoring this patient? - CORRECT ANSWER-Ensure an airway The circulating nurse reports that the needle count is incorrect. The surgeon continues to close the wound stating "I know it is not in the wound and I am not going to stop to look for it". The best plan of action is to : - CORRECT ANSWER-inform the surgeon of the hospital policy and document subsequent actions A new employee unknowingly dispensed an unsterile solution to the sterile field. The following day the supervisor learns of the incident. The supervisors first action would be to: - CORRECT ANSWER-Notify surgeon of the break in technique Where does decontamination begin? - CORRECT ANSWER- Starts at the field, with wiping the instruments to keep the bioburden down How many air exchanges does Decontamination area have? - CORRECT ANSWER-6 air exchanges per hour

Causes of metabolic Alkalosis? - CORRECT ANSWER--Anything that causes loss of acid loss in GI Tract-N/V

• Self induced by TUMS What is FFP made up of? - CORRECT ANSWER--Clotting factors
• Plasma What is Cryo used for? - CORRECT ANSWER-To control bleeding Where is a Swan Ganz catheter placed? - CORRECT ANSWER-Internal Jugular What 5 risks are pediatric patients in the OR at risk for? - CORRECT ANSWER--Displacing ET tube (short trachea)
• Hypothermia
• Hypovolemia (weigh sponges)
• Peter Panning off table (moving around during induction)
• (+) Resp Rate causes (+) Heart Rate Voluntary reporting that encourages self reporting without fear of retaliation? - CORRECT ANSWER-Culture of Safety from the Patient Saftey and Quality Improvement Act 2005 S/S of Hypontremia (below 135) - CORRECT ANSWER--N/V
• Irritability
• Muscle cramping
• Muscle twitching
• HA What time frame must I use FFP after being thawed? - CORRECT ANSWER-24 hours

Pudendal Block is used in what type of surgery? - CORRECT ANSWER-GYN Avoid an Epidural, Spinal, and General anesthesia with these type of patients? - CORRECT ANSWER-Sickle cell Pneumatic Tourniquet must have how much re-profussion time, before re-inflating it again? - CORRECT ANSWER-15 minutes Pneumatic Tourniquet time limit for upper extremity in adults? - CORRECT ANSWER-60 minutes Pneumatic Tourniquet time limit for a lower extremity in adults?

• CORRECT ANSWER-90 minutes Replace clotting factors after how many units of blood? - CORRECT ANSWER-4 units Where does a Supra Ventricular Tachycardia originate from? - CORRECT ANSWER-Atrial area (SA node) How do you treat SVT? - CORRECT ANSWER- 1 - Vagal Stem- (unconscious ice carotids) 2 - Adenosine When is Esmarck not necessary with a pneumatic tourniquet? - CORRECT ANSWER--DVT
• Infection
• Dislocation/Fraction
• Malignancy What type of anesthesia numbs nerves only in the area of surgery? - CORRECT ANSWER-Regional anesthesia Magnesium Level Normals - CORRECT ANSWER-1.5- 2.5mg/dL

What is the limited exposure time a person can have with Ethylene Oxide? - CORRECT ANSWER-1 ppm in 8 hours Causes of Metabolic Acidosis - CORRECT ANSWER--Renal Failure

• Sepsis
• Keto-acidosis
• Cardiac Arrest What risk is possible with a Swan-Ganz Cath? - CORRECT ANSWER-Micro Shock-electrical current to myocardium causing arrhthymias What does an A-Line measure? - CORRECT ANSWER-Blood Pressure Best recovery position for oral procedures? - CORRECT ANSWER-Semi Prone What is the best position for recovery for most postoperative patients? - CORRECT ANSWER-Lateral (In case of N/V) What is the most critical step to prevent infection? - CORRECT ANSWER-Cleaning Injection of anesthesia to Inferior Globe of the eye - CORRECT ANSWER-Retrobulbar Block What do you give to a hemophiliac before surgery? - CORRECT ANSWER-Factor 8 in the PREOP How long does it take Latex allergens to leave the OR suite? - CORRECT ANSWER-22 minutes Age groups with highest risk of heat loss - CORRECT ANSWER-1st 4-6wk

2nd Elderly 3rd 18 months 4th Adult What do you need to do to PLts once in the room? - CORRECT ANSWER-frequently and gentle agitate What does nursing staff need to have in the room for anesthesia to administer PRBC's? - CORRECT ANSWER- Blood warmer What temperature does PRBC's need to be stored at? - CORRECT ANSWER-4 degrees How do you treat Respiratory Alkalosis? - CORRECT ANSWER--Decrease Ventilations

• Sedation What causes Respiratory Alkalosis? - CORRECT ANSWER- Over Ventilaton Hypoparathyroidism causes what type of electrolyte imbalance? - CORRECT ANSWER-Hypo Calcemia What causes respiratory acidosis? - CORRECT ANSWER- Decreased ventilation How do you treat Respiratory Acidosis? - CORRECT ANSWER-Increase Ventilation A burn patient has what type of fluid shift in first 48 hours? - CORRECT ANSWER-Inter vascular to interstitial (watch for Hypo Volemia) What happens to body temperature after induction? - CORRECT ANSWER-Drops 2.7 degrees in the first hour

What is the weight limit on trays to be sure they are sterilized properly? - CORRECT ANSWER-25 lbs Bowie Dick Test is done to test what - CORRECT ANSWER- The proper function of the Dynamic sterilizer Where is the best place to place a Biological indicator in the sterilizer for the best out come? - CORRECT ANSWER-In front of the vacuum plug on the bottom Looking over medical record and validating findings with a patient. This is what part of the nursing process? - CORRECT ANSWER-Assessment 5 Rights of Delegation of a task - CORRECT ANSWER--Right task

• Right Circumstance
• Right Person
• Right Communication
• Right Supervision What temperature do you store Cryo at? - CORRECT ANSWER-22 degree What temperature do Plts need to be kept at? - CORRECT ANSWER-22 degree What temperature should the OR suite be below so as to keep things sterile? - CORRECT ANSWER-75 degree (only exception is Rheumatoid Arthritis patient.And only for the duration of the case) What is Methyl Methacrylate also known as - CORRECT ANSWER-Bone Cement (dangerous for pregnant women and those wherein contacts)

Normal CVP - CORRECT ANSWER- 4 - 8mm Hg If CVP is below 4 mm Hg what could that indicate? - CORRECT ANSWER--Hemorrhage

• Venous Pooling Treatment for Paroxysmal Supra ventricular Tachycardia? - CORRECT ANSWER-Valsalva maneuver Cardioversion Adenosine What does a Swan-Ganz Catheter measure? 5things - CORRECT ANSWER--Cardiac output
• Core temperature
• PA pressure
• RA pressure
• Wedge Pressure Anesthesia that has a Hypnotic, Narcotic, and muscle relaxant is called what? - CORRECT ANSWER-Balanced What is the air flow in decontamination? - CORRECT ANSWER-Negative airflow What is the temperature set at in decontamination? - CORRECT ANSWER- 60 - 65 degrees What do you do for Arterial sided air embolism? - CORRECT ANSWER-anticoagulants and bypass to remove it What maneuver do you do for venous air embolism? - CORRECT ANSWER-Durants Maneuver (place patient in left lateral position) Which procedure has common complication of venous sided air embolism? - CORRECT ANSWER-TURP

Spaulding Classification System

• Anesthesia Circuits
• Thermometers
• GI Scopes
• Laryngoscopes - CORRECT ANSWER-Semi-critical Items (contact with mucous membranes but do not penetrate mucous membranes or vascular system) Spaulding Classification System
• Surgical Instruments
• Needles
• Implants - CORRECT ANSWER-Critical Items (enter sterile tissue or vascular system) Spaulding Classification System
• BP cuff
• Bed pan
• Linens
• Utensils - CORRECT ANSWER-Non-Critical (Items that come into contact only skin) Functional workflow area from potentially high contamination areas to clean areas (5 Areas) - CORRECT ANSWER-- Decontamination area
• Pre and Package area
• Sterilization Process
• Sterile storage
• Clean distribution How do we treat metabolic acidosis? - CORRECT ANSWER- Bicarb What part of the nursing process do we understand data, and give NANDA approved diagnosis. Critical thinking. - CORRECT ANSWER-Nursing Diagnosis

Failure to use reasonable care is called what? - CORRECT ANSWER-Negligence Doing something you shouldn't do or doing something you should but beyond scope of practice is called what? - CORRECT ANSWER-Malpractice Which class of chemical indicate should be placed inside every tray? (example-Indicator and Integrator) - CORRECT ANSWER-Class 5 and 6 (measures time, temp, pressure) Why should we not place count sheets in trays? - CORRECT ANSWER-Studies have shown ink to be harmful to patients What type of sterilizing chemical is used in a streris? - CORRECT ANSWER-Peracetic Acid Steam Pre-Vac temperature? - CORRECT ANSWER- 270 - 274 F DART TEST - CORRECT ANSWER-Steam Sterilizer test for implants. A biological test Which two sterilizers test for Bacillus Atropheus? - CORRECT ANSWER-Dry Heat and Ethylene Oxide A patient's lab report shows slightly elevated total white blood cell count with equal elevations of all types of white blood cells, an elevated hemoglobin and hematocrit, normal creatine but elevated blood urea nitrogen (BUN) increased urine Specific gravity and increased serum sodium. The most likely nursing diagnoses is? A. Risk of infection B. Deficient fluid volume C. Excess Fluid volume

A. Counting backwards from 100 by 7's B. Copying a picture of interlocking shapes C. Following simple 3-part directions D. Drawing the face of a clock with hands including a specific time - CORRECT ANSWER-D. Draw a clock with 12 numbers and the hands During a transurethral prostatectomy performed with regional anesthesia, the patient's abdominal becomes rigid and swollen, the patient complains of nausea and abdominal pain and becomes hypotensive and the nurse notes a decrease in bladder irrigation solution. The most likely cause is: A. Transurethral prostatectomy syndrome B. Bladder perforation C. Internal hemorrhage - CORRECT ANSWER-B. Bladder perforation Desflurane is contradicted for induction for infants and children because of : A. Increased risk of anesthesia-related hepatitis B. Decreased cerebral metabolism C. Decreased cardiac output D. Upper airway complications - CORRECT ANSWER-D. Upper airway complications If a metal plate is composed of stainless steel, the screws should be: A. Stainless steel or cobalt-chromium B. Stainless steel or titanium-vanadium aluminum C. Stainless steel, cobalt-chromium or titanium aluminum D. Stainless steel only - CORRECT ANSWER-D. Stainless steel only The purpose of diluting ethylene oxide with inert gases (such as CO2) and hydrochlorofluorocarbon (HCFC) is to : A. Reduce flammability B. Destroy spores

C. Increase bactericidal activity D. Decreased carcinogenicity - CORRECT ANSWER-A. Decrease carcinogenicity When administering or handling open containers of chemotherapeutic agents the nurse should: A. Wear double gloves and then remove the outer gloves upon completion B. Wear single gloves and then change to new gloves upon completion C. Wear single gloves and then change then use alcohol hand wash before changing to new gloves D. Wear single gloves with no added precaution necessary - CORRECT ANSWER-A. Wear double gloves and then remove the outer gloves upon completion Open shelves used for storage of sterile packages require all of the following except: A. Lowest shelf 8 to 10 inches from the floor B. Highest shelf 8 to 10 inches from ceiling C. Good ventilation with temperature and humidity control D. Shelves 2 inches away from outside walls - CORRECT ANSWER-B. Highest shelf 8- 10 inches from ceiling The following medication is contraindicated for treatment of MH: A. Dantrolene sodium B. Regular insulin in 50% glucose solution C. Calcium channel blocker - CORRECT ANSWER-D. Calcium channel blocker The agent least likely to be responsible for anaphylaxis during surgery: A. Isosulfan blue 1% B. Anesthetic agents C. Latex

B. Recurrent hernia C. Indirect inguinal hernia dilated internal inguinal ring with posterior inguinal wall intact D. Posterior wall defects-direct inguinal hernia - CORRECT ANSWER- Changes that indicate early manifestations of local anesthetic systemic toxicity include alterations in cardiac rhythm and rate, blood pressure and ........ - CORRECT ANSWER-Mental status Identifying interventions that reflect the rights and desires of the patient are what part of the nursing process - CORRECT ANSWER-Implementation What is the name of the procedure that allows better movement of the stomach contents in to the duodenum? - CORRECT ANSWER-Pyloroplasty What type of laser causes patient or worker corneal damage and immediate pain when not protected with safety goggles? - CORRECT ANSWER-CO Each utterer wall is composed of mucous membranes, longitudinal, and ______________muscles, as well as an outer layer of fibrous and elastic tissue - CORRECT ANSWER- circular The correct definition of a scleral buckling procedure is the? - CORRECT ANSWER-Implantation of a wedge of silicone episclerally or intrasclerally Autologous tissue must be documented appropriately by the preoperative nurse. The ability to track autologous tissue is a regulatory requirement and a ____________ standard - CORRECT ANSWER-AATB

Which of the following are examples of multifilament surgical nylon suture? - CORRECT ANSWER-Surgilon and Nurioon If the surgeon performs a CBDE, what type of drain can the circulator expect to have ready for portion into the common bile duct? - CORRECT ANSWER-T-tube The normal skin flora on the hands includes transient and resident microorganisms. These microorganisms are acquired by: - CORRECT ANSWER-contact with contaminated surfaces where patients reside What type of muscle tissue is smooth and has involuntary movement? - CORRECT ANSWER-Visceral Which of the following is an example of a behavioral control to support an ergonomically safe environment? - CORRECT ANSWER-Wearing non-skid shoes Class 2 chemical indicator tests what? - CORRECT ANSWER- (Bowie Dick test )Checks air leaks on the Dynamic air-removal sterilizer (Pre vac) 5 hypo's for sickle cell crisis to start - CORRECT ANSWER- hypoglycemia hypovolemia hypotension hypopoxia hypothermia How do you clean critical items? - CORRECT ANSWER-Steam pre-vac (Dynamic sterilization) or Gravity sterilization How long does it take to sterilize non porous with Dynamic (Pre-vac) - CORRECT ANSWER-3 min