CNOR Review Points: Practice Exam Questions and Answers 2024-2025, Exams of Health sciences

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CNOR Review Points: CNOR Practice Exam

2024-2025. Questions and Correct, Verified

Answers. Graded A

-4 (-20 degrees C) – ANS autologous bone grafts should be stored at a temperature of ___ degrees F 1,000 – ANS for patients with an estimated blood loss of less than ___ mL, crystalloids are the recommended fluid replacement 10, 24, 3, 1 – ANS massive transfusion is defined as the replacement of ___ unit(s) of red blood cells within a ___-hour period, or ___ unit(s) over ___ hour(s) 100.0, flammable, combustible – ANS the threshold between flammable and combustible solutions (e.g., antiseptic solutions) is the flash point of ___ degrees F, with ___ solutions being below this temperature and ___ ones being above 2 – ANS class ___ chemical indicators are used as sterilizer test packs and are used to test for air removal during the cycle 2 weeks – ANS patients should stop taking aspirin ___ before surgery 21 - ANSan oxygen-enriched environment is present when the oxygen concentration in the OR is greater than ___%

36 (96.8 F) – ANS hypothermia is defined as core body temperature less than ___ degrees C 48 – ANS most complications occur within the first ___ hours after surgery 65; female – ANS patient-related risk factors for hypothermia:

• age > ___ y/o
• ___ sex
• low body surface area or weight
• pre-existing medical conditions (e.g., malnourishment) 99 – ANS When preparing a room for the next patient after use by a confirmed TB patient, in addition to performing routine environmental decontamination, the air exchanges should be ___% complete. absorbable gelatin (gelatin pads) - ANS- hemostatic agent that should NOT be used in the presence of infection or in small close spaces, such as the spinal canal
• pads absorb in 20-40 days after placement
• absorbs 40 times its weight absorbable/microfibrillar collagen – ANS handle ___ (hemostatic agent) with dry gloves and dry instruments and keep away from the skin incision, as it will form a barrier to wound healing

blood transfusion reaction - ANS___ reflects vasomotor instability and is evidenced by hypotension, hemoglobinuria, and hyperthermia bone wax – ANS hemostatic agent used to control bleeding from open bone via the creation of a mechanical tamponade barrier Bowie-Dick - ANS___ process indicator is used to detect air leaks in dynamic air removal sterilizer chambers (prevacuum) brady, bleeding, hypo - ANSpotential complications of ginger include ___cardia, ___, and ___tension broad, fast, prolonged - ANSantimicrobial skin cleansing agents should be ___- spectrum, ___-acting, and have a ___ action burns - ANSinstruments that have not completed the aeration cycle (EO) can cause ___ to staff and patients c, b, e, a, d - ANSput the following in order according to workflow traffic pattern for instrument processing: a) sterile storage b) set assembly room c) decontamination area d) case cart packing room e) sterile processing area

certification - ANSdocumented verification of an individual's professional achievement of knowledge and skill in identified standards collaboration - ANS___ is an effort by the nurse and members of the interdisciplinary health care team to reach a common goal as evidenced by mutual trust, recognition, and respect among all health care team members in a shared decision-making process critical thinking - ANS___ requires purposeful, outcomes-directed thought and is driven by patient need crystalloids - ANSÞ For patients with an estimated blood loss of less than 1, mL, ___ are the recommended fluid replacement CT scan - ANSdiagnostic imaging tool that has the ability to be most specific when identifying a traumatic injury CT scan - ANSWhich type of diagnostic imaging?:

• involves ionizing radiation
• x-rays that produce signals that are processed to generate cross-sectional images of the body
• has the ability to be most specific when identifying a traumatic injury
• indications are often related to trauma
• can be completed on specific organs depending on the mechanism of injury

discharge destination - ANSchoice of ___ is based on patient acuity, access to follow-up care, and the potential for postoperative complications droplet - ANSstandard plus ___ precautions for yersinia pestis (plague) EBP - ANS- systematic, thorough process to identify a clinical issue, collect and evaluate evidence, design and implement a change, and evaluate the process. It uses research to guide practice, utilizing scientific evidence rather than opinions to implement practice changes

• the collection and evaluation of information to assess current processes education - ANS___ is a standard of perioperative nursing that is represented by completing an individualized orientation based on identified learning needs and seeking experience to maintain skills and competency elevating the head and neck - ANSpatients who are obese may have difficulty breathing in a recumbent position (supine), so ___ helps establish a patent airway, ease intubation, decrease ventilator pressure, and prevent aspiration enhanced - ANS___ environmental cleaning practices extending beyond routine cleaning practices to all high-touch objects should be implemented to prevent the spread of MDROs evaluate - ANSthere should be a process in place to ___ the efficacy of electronic documentation

female; non-smoking; PONV/motion sickness; opioid; 60 - ANSrisk factors for PONV:

• ___ sex
• ___ status
• hx of ___
• post-op ___ use for pain control
• surgery lasting longer than ___ minutes fidelity - ANS___ refers to keeping one's promises, along with loyalty and faithfulness geobacillus stearothermophilus - ANStype of biological indicator that is used for basically every sterilizer/sterilization method except dry heat and ethylene oxide Glisson capsule - ANSsurgery of the liver requires incising the external covering, which is referred to as the ___ halon - ANS___ fire extinguisher should be used for an electrical fire in the OR because it will smother an electrical fire without leaving a residue on the equipment Health Information Technology for Economic and Clinical Health (HITECH) - ANSthe ___ act addresses the use of electronic health information technology to improve health care quality

• ___ --> explanation of procedure and what to expect throughout the phases of perioperative care
• ___ --> encouraging the patient to share their anxiety and supporting coping mechanisms
• ___ --> allows the patient to learn skills required to function after the procedure and provides confidence and understanding initials, yes, line - ANS___, a "", or a(n) ___ at or near the incision site are all acceptable examples of unambiguous site markings inner, outer - ANSif hypoallergenic gloves are worn, they should be donned as the ___ pair, with generic sterile gloves worn as the ___ pair intrinsic - ANS factor is related to the health of the patient iodine - ANSan allergic response to an iodine-based antiseptic is not related to the

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Joint Commission - ANSthe Center for Transforming Healthcare is part of , which is dedicated to encouraging a culture of safety for patients and personnel just - ANS culture:

• an environment where actions are analyzed to determine accountability and reparations are enacted when appropriate
• allows for the discussion of errors in an environment free of fear of punishment

• such discussion includes risk factors and processes that may have contributed to the identified error Kronig - ANS___ incision, a vertical incision made in the lower uterine segment after the bladder is separated and retracted, should be used for a cesarean section of a baby in the breech position larger - ANSwhen double gloving, personnel should wear gloves one size ___ for the first layer MRI - ANSWhich type of diagnostic imaging?:
• relies on radiofrequency waves to reproduce cross-sectional images of the body without exposing the patient to ionizing radiation
• radiation is not involved
• highly detailed pictures of soft tissues, nerves, blood vessels, cartilage, tendons, ligaments, and muscles
• useful for musculoskeletal injuries/conditions neck, outside - ANSwhen wearing a single dosimeter, the dosimeter should be placed along the ___line on the ___ of the lead apron NPSGs - ANSaccording to Joint Commission's ___, test results are critical to maintaining patient safety and must be communicated in a timely manner to the appropriate personnel

PET scan - ANSWhich type of diagnostic imaging?:

• uses a special dye containing radioactive tracers that are either swallowed, inhaled, or injected into a vein
• evaluates organ and tissue functioning
• can measure blood flow, oxygen intake, and metabolism of the organs and tissues
• show problems at the cellular level
• used to detect cancer, heart problems, and brain disorders, including problems with the central nervous system phenol and alcohol - ANS- hemostatic agent that cauterizes tissue by coagulating proteins
• can cause severe burns physical, chemical, radiation - ANSsterilization processes are either ___ (e.g., steam), ___ (e.g., EO), or ___ (e.g., x-ray) plastic - ANSwhen placing one peel pouch inside another, the inner pouch should be placed with its ___ side facing the plastic side of the outer pouch point-of-use cleaning - ANS- occurs during the procedure and involves cleaning the instrument with a moist sponge after each use
• can also occur immediately following the procedure
• prevents bioburden from building up on the instrument and helps maintain the life of the instrument

• saline should NOT be used post-op phone call - ANSthe goal of the ___ is to confirm the patient's understanding of and compliance with instructions primary - ANS___ blast injury:
• shock wave on the body
• lungs, stomach, intestines, tympanic membrane, large blood vessels purulent, skin, subcutaneous, 30 - ANSsuperficial incisional SSI = an infection with ___ incisional drainage involving only ___ or incisional ___ tissue that occurs within ___ days of the surgical procedure quality improvement - ANS- framework used to systematically improve ways care is delivered to patients
• helps change practice based on the best evidence available quaternary - ANS___ blast injury:
• complications from original blast injuries rapid - ANSexcess epinephrine can be absorbed systemically, causing a ___ heart rate

• shrapnel penetration sickle cell anemia - ANSpatients with ___:
• must be kept warm to prevent hypothermia and meet increased demands for oxygen
• pneumatic tourniquets are contraindicated silver nitrate - ANS- hemostatic agent used to treat burns or other moist wounds
• used to seal areas of previous surgical incisions that are left open to heal by secondary intention
• should not be used on the face because it may cause discoloration of the skin
• staining darkens to black in the presence of light situation - ANSPatient name and surgery performed are part of which component of SBAR? standard - ANS___ precautions for anthrax and botulism standardized - ANSthe greatest value of a(n) ___ process for transferring patient information is that it improves the accuracy, reliability, and quality of information surgeon - ANSThe ___ is the person/contact with the most accurate information about the side/side of the specimen, how the specimen should be handled (e.g., specific storage solution), and what kinds of tests should be requested of the pathology department. Therefore, seeking clarification from this person/contact

about the specimen is the most important action by the circulating nurse to reduce specimen error. surgeon - ANSWhich personnel should remain in the room until a lost countable item is found or determined not to be in the patient? teach-back - ANS___ method is the most effective way to determine a patient's understanding of instructions tertiary - ANS___ blast injury:

• wind from the blast
• moving the injured and debris test results - ANSthe goal to get important ___ to the right person on time is proposed by Joint Commission (NPSGs) the moment the patient agrees to undergo the procedure - ANSWhen does education begin? thrombin - ANS- hemostatic agent that is contraindicated for use in sites with active bleeding
• contraindicated for patients with bovine allergies
• human recombinant product may contain viral or prion contamination

• uses high-frequency sound waves to produce images of structures within the body uterus and cervix - ANStotal abdominal hysterectomy involves removal of the ___ and ___ ventricullar fibrillation - ANStotal disorganization of ventricular activity water mist (A), carbon dioxide (B) - ANSNational Fire Protection Association recommends using either ___ or ___ fire extinguishers for extinguishing fires in the OR wet - ANSif hair removal must occur in the OR, prevention of hair dispersal for hair removed in the OR may be accomplished by ___ clipping wound infections - ANSthe importance of educating patients and family members about the prevention of ___ postoperatively is part of JC's NPSGs xenon UV light - ANSpulsed ___ systems significantly decrease SSI rates for class I procedures, hospital-acquired vancomycin-resistant enterococci infection rates, and contamination of high-touch surfaces in the OR