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CNOR : CCI Certified Nurse Operating Room Exam
Nursing CNOR Questions & Answers
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CCI Certified Nurse Operating Room
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Question: 660
Identify the areas of expertise essential for the perioperative nurse:
ndotracheal tube insertion and internal physical landmarks. urgical procedures, instruments and equipment.
natomy.
Anatomy" and "Surgical procedures, instruments and equipment". wer: D
anation: The perioperative nurse must understand anatomy, surgical edures, instruments and O.R. equipment. The anesthesiologist or nurs hetist performs endotracheal tube insertion. The perioperative nurse a ntubation, but is not responsible for identifying internal physical marks to ensure tube placement is correct.
stion: 661
ch of the following is a potential complication of inadequate airway agement during anesthesia?
E S A " Ans Expl proc e anest ssists with i land Whi man Hypovolemia Hyperglycemia Hypoxemia Hyperkalemia Answer: C is the best practice for disposing of chemotherapy drugs? lushing them down the toilet isposing of them in regular waste ollowing facility protocols for hazardous waste disposal eturning them to the pharmacy wer: C anation: The best practice for disposing of chemotherapy drugs is to f ty protocols for hazardous waste disposal, which ensures compliance ations and safety for all personnel. is a primary pathophysiological change associated with chronic What F D F R Ans Expl ollow facili with regul What obstructive pulmonary disease (COPD)? Increased lung elasticity Airway inflammation and obstruction Decreased respiratory rate Enhanced gas exchange Explanation: COPD is characterized by airway inflammation and obstruction, leading to difficulty in breathing and impaired gas exchange over time. Which is an important aspect of informed consent in the surgical setting? btaining consent without explaining risks nsuring the patient understands the procedure and its risks elying solely on family members for consent gnoring the patient's questions wer: B anation: Ensuring that the patient understands the procedure, includin and benefits, is essential for obtaining valid informed consent, which ects the patient's autonomy and decision-making rights. ch of the following is a correct guideline for hand hygiene in the oper ? se an alcohol-based hand sanitizer before and after each surgical edure. O E R I Ans Expl g its risks resp Whi ating room U proc Wash hands with soap and water for at least 10 seconds. Perform hand hygiene only when hands are visibly soiled. Remove jewelry from hands and wrists before performing hand hygiene. Answer: D Explanation: The correct guideline for hand hygiene in the operating room is to remove jewelry from hands and wrists before performing hand hygiene. Jewelry can harbor microorganisms and interfere with proper hand hygiene practices. Hand hygiene should be performed with soap and water, using an appropriate technique, for at least 20 seconds. Alcohol-based hand sanitizers are not a substitute for handwashing and should be used when hands are not visibly soiled. Hand hygiene should be performed before and after each surgical procedure, regardless of visible soiling. ch age-specific consideration is most critical when planning surgery fo tric patients? ncreased metabolic rate igher risk of postoperative complications reference for general anesthesia ecreased need for pain management wer: B anation: Geriatric patients are at a higher risk for postoperative plications due to age-related physiological changes, comorbidities, an ntial polypharmacy, necessitating careful planning and monitoring dur erioperative period. should a nurse do if the EHR system is down during a patient’s Que Whi r geria I H P D Ans Expl com d pote ing the p What admission? Wait until the system is back online to document Use downtime forms to record patient information Document in a notebook without further action Ignore the incident Explanation: The nurse should use downtime forms to record patient information during an EHR system outage, ensuring that accurate documentation is maintained until the system is restored. hetic agents into the cerebrospinal fluid? eneral anesthesia egional anesthesia ocal anesthesia pidural anesthesia wer: D anation: Epidural anesthesia involves the injection of local anesthetic ts into the epidural space, which is outside the spinal cord and brospinal fluid. This type of anesthesia provides pain relief and can be arious surgical procedures. should perioperative nurses respond to a violation of safety protocols perating room? Which of the following types of anesthesia involves the injection of local anest G R L E Ans Expl agen cere used for v How in the o Ignore the violation to avoid conflict Report the violation to a supervisor immediately Discuss the violation only with peers Document the incident in the patient’s chart only Answer: B Explanation: Perioperative nurses should report any violation of safety protocols to a supervisor immediately to ensure patient safety and compliance with established guidelines. hest X-ray lectrocardiogram (ECG) oronary angiography chocardiogram wer: C anation: Coronary angiography is the gold standard for diagnosing nary artery disease, allowing visualization of blood vessels and assess ockages. is the primary focus of the NANDA International Nursing Diagnose hysical health only olistic patient care nancial status of the patient Which diagnostic procedure is most effective for evaluating coronary artery disease? C E C E Ans Expl coro ment of bl What s? P H Fi Institutional policies Answer: B Explanation: NANDA International emphasizes holistic patient care by providing a standardized language for nursing diagnoses that encompass physical, emotional, social, and spiritual health aspects, guiding comprehensive care planning. The following medications can be used prior to endoscopic sinus procedures or other nasal procedures to reduce bleeding. pinephrine, Neomycin, hydorcortison. xymetaxoline Hydrochloride, cocaine or epinephrine. olymyxin B, oxymetazoline hydrochloride, Wydase. wer: C anation: Oxymetaxoline Hydrochloride is the generic name for nasal s as Afrin. Cocaine and ephrine can also be introduced into the nares on a cotton pledget. ch of the following is a potential risk of surgical smoke during rocautery procedures? ypothermia. ypertension. Gentian Violet, Hydrogen Peroxide, Silver Nitrate. E O P Ans Expl pray such Epin Whi elect H H Inhalation of toxic substances. Increased risk of bleeding. Answer: C Explanation: Surgical smoke generated during electrocautery procedures can contain toxic substances, including carcinogens and bioaerosols. Inhaling this smoke can pose health risks to the surgical team and should be minimized through proper smoke evacuation systems. If a patient refuses a recommended surgical procedure, what is the nurse's responsibility? document the refusal and inform the physician ignore the patient's wishes proceed with the surgery anyway wer: B anation: If a patient refuses a recommended procedure, the nurse's onsibility is to document the refusal clearly and inform the physician, ring that the patient's autonomy is respected and that appropriate follo rs. ch of the following is a potential complication of inadequate surgical h ene? ypernatremia ypoglycemia To persuade the patient to change their mind To To To Ans Expl resp ensu w-up occu Whi and hygi H H Sepsis Hypovolemia Answer: C Explanation: Inadequate surgical hand hygiene can lead to sepsis, which is a severe infection that can spread throughout the body. Proper hand hygiene, including thorough handwashing or the use of antiseptic solutions, is critical to prevent the transmission of microorganisms from the hands of healthcare providers to the surgical site. Sepsis can have life-threatening consequences and requires prompt recognition and treatment. gnore the incident olitely ask the individual to leave the sterile field onfront the individual aggressively ocument the incident without action wer: B anation: The surgical team should politely ask the individual to leave e field to maintain sterility and prevent infection, ensuring patient saf itized. is the most important principle of nursing documentation? should be done after the patient is discharged. must be accurate, concise, and timely. How should the surgical team handle a situation where a non-OR personnel enters the sterile field? I P C D Ans Expl the steril ety is prior Que What It It It is only necessary for legal purposes. It can be completed by anyone on the team. Answer: B Explanation: Accurate, concise, and timely documentation is essential for ensuring continuity of care, legal protection, and effective communication among healthcare providers. What patient education resource is most effective for enhancing postoperative recovery? General pamphlets on surgery formational videos without discussion ischarge instructions only wer: B anation: One-on-one teaching sessions are most effective for enhancin rstanding and retention of information, allowing for personalized ussion and clarification of any questions the patient may have. is a critical aspect of postoperative communication that must be mented? he patient’s social media accounts ny complications or unexpected events during the procedure ersonal opinions about the surgical team he patient's favorite foods In D Ans Expl g unde disc T A P T Answer: B Explanation: Documenting any complications or unexpected events during the procedure is critical for postoperative communication, as it provides essential information for ongoing patient care and evaluation. During a surgical procedure, the surgeon requests a specific suture material for wound closure. The nurse is unable to locate the requested suture in the sterile field. What should the nurse do? Inform the surgeon about the missing suture material. Proceed with an alternative suture material. elay the procedure until the suture material is found. wer: A anation: In the event of a missing requested suture material, the nurse ld inform the surgeon immediately. The surgeon will decide whether t eed with an alternative suture material, delay the procedure, or take an necessary action. should a nurse do if they suspect that a patient is being abused? onfront the suspected abuser ocument their observations and report to the appropriate authorities nore the signs and focus only on medical care iscuss the situation with the patient's family wer: B D Ans Expl shou o proc y other What C D Ig D Ans Explanation: The nurse should document their observations and report them to the appropriate authorities, as mandated reporting laws require healthcare professionals to report suspected abuse to protect the patient.
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