CNOR PRACTICE QUIZ FOR THE COMING EXAM ACTUAL TEST SOLUTION

CNOR PRACTICE QUIZ FOR THE COMING EXAM ACTUAL TEST SOLUTION

An appendectomy performed for acute, unruptured appendicitis is classified as which type of wound?

• Class 1 (clean)
• Class 2 (clean contaminated)
• Class 3 (contaminated)
• Class 4 (dirty) - ANS IS C. Class 3 (contaminated)

During a laser procedure, the disposable paper drapes ignite and begin to burn. What type of extinguisher should be used on this fire?

• Class BC
• Class B
• Class C
• Class ABC - ANS IS D. Class ABC

Monica smith, 11 y/o, has just undergone a closed reduction of her fracture radial and ulnar bones under general anesthesia. A plaster tubular cast is applied. What should the perioperative nurse do to prevent complications in the immediate postoperative period?

• Check fingers and temp and color

B Keep arm at same ht as fingertips only

• Handle cast with fingertips only
• Keep arm covered with blanket to promote cast drying - ANS IS A. Check fingers for

temperature and color

A 49y/o firefighter with 60% second- and third- degree burns on his torso and lower extremities is undergoing tangential excision and split thickness skin graft repair. Which nursing diagnosis is most important to this particular patient during the intraoperative period?

• Potential for knowledge deficit
• Potential for compromise in skin integrity
• Potential for fluid and electrolyte imbalance
• Potential for elevated body temperature - ANS IS C. Potential for fluid and electrolyte

imbalance

79 y/o pt undergoing lap chole is being induced under general anesthesia. The anesthesiologist notices an unexplained tachycardia, tachypnea, and jab tightness. The capnograph shows an elevated end tidal CO2. What is the immediate action the perioperative nurse should take to treat this suspected malignant hyperthermia incident?

• Call for the MH cart and Dantrolene
• Initiate cooling measures
• Administer sodium bicarbonate
• Change the soda lime cannister - ANS IS A. Call for the MH cart and Dantrolene

Mr. Smith is undergoing a TURP. Which preoperative lab result is of most concern?

• Hematocrit 48%
• Platelets 300,000
• Potassium 2.5

• White blood cell count 8,000 - ANS IS C. Potassium 2.5

Which incision would most probably be used for a splenectomy?

• McBurney
• Right subcostal
• Left subcostal
• Pfannenstiel - ANS IS C. Left subcostal

Which outcome standard applies specifically to the pediatric patient?

• Patient maintains normothermia
• Patient maintains fluid balance
• Patient maintains normal oxygenation
• All of the above - ANS IS D. All of the above

Which is NOT an anesthetic inhalation agent?

• Halothane
• Enflurane
• Nitric oxide
• Succinylcholine - ANS IS D. Succinylcholine

Pressure applied to the cricoid cartilage to occlude the esophagus and prevent vomiting is

called the:

• Juxta maneuver
• Sellick's maneuver
• Harman's maneuver
• Heimlich maneuver - ANS IS B. Sellick's maneuver

A patient undergoing a hernia repair using 1% Lido for local anesthesia is being monitored by the perioperative nurse. The nurse should remember that the recommended total amount of

lidocaine should not exceed:

• 100mg
• 1g
• 500mg
• 350mg - ANS IS D. 350mg

70k x 5mg/k per day

When positioning a patient's arm on an armboard, it is important to prevent abduction of the arm at an angle greater than ____ degrees to prevent the injury to the ____.

• 60; ulner nerve
• 90; brachial plexus
• 90; peroneal nerve

D. 45: brachial plexus - ANS IS B. 90; brachial plexus

Your pt is under general anesthesia. The purpose is lowering the legs slowly from the

lithotomy to the supine position is to:

A. - ANS IS ...