CNOR Practice Exam Prep by CCI 151 Questions with Verified Answers
Which patient population is more sensitive to dosage errors
A. Male patients
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B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients - CORRECT 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 - CORRECT 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
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved - CORRECT ANSWER C. Sickle cell anemia
Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses - CORRECT ANSWER B. Whether any special equipment, devices or implants will be needed
A pt taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction - CORRECT ANSWER B. Bradycardia
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 - CORRECT ANSWER B. 2 weeks
A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet - CORRECT ANSWER A. 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER B. formulates a nursing diagnosis
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed - CORRECT ANSWER C. Device must be aerated
During surgery the patients respirations become increasingly shallow, and the pupils become smaller and smaller until they are pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered
D. Oxygen should be increased while anesthetic is decreased - CORRECT ANSWER C. The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered
NPO Guidelines:
Food and fluids as desired - CORRECT ANSWER Up to 8 hours
NPO Guidelines
Light meal (toast, clear liquids, infant formula, non human milk) - CORRECT ANSWER Up to 6 hours
NPO Guidelines
Breast Milk - CORRECT ANSWER Up to 4 hours
NPO Guidelines
Clear liquids only, NO solid food or foods with fat content - CORRECT ANSWER Up to 2 hours
NPO Guidelines
No solids or liquids - CORRECT 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.. - CORRECT 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? - CORRECT 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 - CORRECT ANSWER Droplet
What diseases are present for Contact precautions - CORRECT ANSWER HIV
HEP B
HEP C
Staph aureus
C-Diff
What Herbs may increase bleeding - CORRECT ANSWER Feverfew
Garlic
Ginger
Ginko Biloba
Ginseng
Vitamin E
What Herbs may cause liver Inflammation - CORRECT ANSWER Echinacea
Kava
What Herbs may elevate Blood Pressure - CORRECT ANSWER Goldenseal
Licorice
What Herbs may prolong the effects of anesthesia - CORRECT ANSWER Kava
St. johns Wort
Valerian
What are the three tenets that radiation safety is based on - CORRECT ANSWER Time, distance and sheilding
A patients life threatening injuries prevent required hair removal before transfer to the OR. The best course of action for the perioperative nurse to follow is to
A. Leave the hair at the incision site and prep the patient
B. use a razor and 3" cloth tape to remove the hair
C. moisten the area to be prepped and use a disposable clipper
D. use a depilatory cream on the surgical site - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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
An 18 year old pt is hesitant to remove her acrylic tongue piercing before and ex-lap for a possible ruptured ovarian cyst. The most appropriate verbal response for the perioperative RN to provide is
A. You can always get another piercing if the opening for this one closes
B. If the piercing is dislodged while the breathing tube is put in, it could block your airway or be pushed into your lung
C. It is our policy that all jewelry be removed prior to surgery
D. Your tongue could be burned if your jewelry serves as an alternate ground for the electrocautery - CORRECT ANSWER B. If the piercing is dislodged while the breathing tube is put in, it could block your airway or be pushed into your lung
Which of the following statements reflects a female paitents accurate understanding of her scheduled total abdominal hysterectomy
A. I'm having all my female parts removed
B. I'm having a TAH
C. I'm having my uterus removed
D. I'm having my uterus removed through my vagina - CORRECT ANSWER C. I'm having my uterus removed
The plan of care for an obese patient in the supine position may include
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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT ANSWER B. arrange for a medical interpreter
If all members of the surgical team are present when the patients enters the room, can the sign in a time out process be performed? - CORRECT ANSWER yes
What are the three elements of the fire triangle - CORRECT ANSWER fuel, ignition, oxidizers
What is the "nominal hazard zone" in Laser safety - CORRECT ANSWER The space in which the level of direct, reflected, or scattered radiation used during normal laser operation exceeds the applicable max permissible exposure
How should a patient weighing more that 157 pounds be transferred to the OR bed - CORRECT ANSWER Mechanical lifting device by 3 caregivers plus anesthesia
When placing the patient in steep Trendelenberg, where should the patients knees be on the bed - CORRECT ANSWER over the distal break to allow for bending the knees and to secure the pt, and to protect from undue shear during the procedure
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
C. At the time the medication is delivered to the sterile field
D. Just before using the medication on the patient - CORRECT ANSWER C. At the time the medication is delivered to the sterile field
A periop nurse is preparing to perform a skin prep for a patient scheduled for a right breast biopsy with needle localization. When the nurse removes the patients gown, she discovers a wire inserted into the left breast. What is the appropriate action
A. Leave the wire in place and prep the left breast
B. Remove the wire and prep the right breast
C. Call the radiologist and tell him of the error
D. Postpone prepping until the discrepancy is resolved - CORRECT ANSWER D. Postpone prepping until the discrepancy is resolved
Potential harm from the use of povidone-iodine antiseptics include
A. deafness
B. thyroid dysfunction
C. neurotoxicity
D. allergic response to iodine - CORRECT ANSWER B. thyroid dysfunction
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER B. Kronig
What is a Kronig incision - CORRECT ANSWER An 8cm vertical incision made in the lower uterine segment after the bladder is separated and retracted away
A Sterile field has been prepared for a vaginal hyst. The surgeon has been called away for an emergency C-Section, delaying the scheduled case by at least 1 hour. the appropriate method for maintaining the sterile field for a delayed case is to
A. Tape the door closed
B. Cover the sterile field with a sterile drape and leave the room
C. Cover the sterile field with a sterile drape and remain in the room
D. Wait for an hour and the tear down the back table - CORRECT ANSWER C. Cover the sterile field with a sterile drape and remain in the room
A pt has lost 750mL of blood intraop. Vitals are WNL. Which of the following interventions sould the nurse anticipate.
A. Send a blood specimen for a stat type and cross
B. Set up autologous blood transfusion unit
C. Send an order for 2 units of O-neg
D. Obtain additional crystalloids - CORRECT ANSWER D. Obtain additional crystalloids
The RN completing the final count for a knee arthroscopy discovers that an atraumatic needle is missing. After an exhaustive search, an X-Ray is ordered. The results are negative and the surgeon closes the wound. How does the RN document the incident
A. Document that the count was incorrect or unreconciled and describe the steps that were taken to rectify the count
B. Document that the count was correct because the x-ray was negative
C. Notify the supervisor and document what he or she instructs according to policy
D. Inform the patient that a needle may have been left in the wound - CORRECT ANSWER A. Document that the count was incorrect or unreconciled and describe the steps that were taken to rectify the count
A pt is scheduled for a total knee. During time out the scrub discovers that the incorrect implant is on the back table. The correct implant is available, but unsterile. The surgeon would like to continue with the case. What is the best course of action.
A. Notify the surgeon that the correct implant may be sterilized via the immediate-use steam sterilization method if biological and class V indicators are placed in the load
B. Notify the surgeon that the correct implant may be sterilized via the ethylene oxide method if the aeration period is aborted
C. Notify the surgeon that a root cause analysis will be initiated
D. Cancel and reschedule the procedure - CORRECT ANSWER A. Notify the surgeon that the correct implant may be sterilized via the immediate-use steam sterilization method if biological and class V indicators are placed in the load
An 18 y/o pt is scheduled for surgery to have cochlear implants placed, The patient refuses to have the implants tracked even after the team has informed her of the possible implications of a recall or adverse event. What is the next course of action
A. Cancel the procedure and it rescheduled at a different facility
B. Notify the surgeon and let them decide what to do
C. Proceed with the surgery and document in the perioperative notes that the patient has refused to allow tracking of the medical device
D. Report the incident to the US food and Drug admin - CORRECT ANSWER C. Proceed with the surgery and document in the perioperative notes that the patient has refused to allow tracking of the medical device
When should the scrub person transfer specimens from the sterile field to the RN
A. At the end of the procedure
B. When it's convenient for the scrub person
C. ASAP
D. Never, specimens should not be passed off the sterile field - CORRECT ANSWER C. ASAP
In the OR humidity should be maintained between - CORRECT ANSWER 20%-60%
In the OR temperature should be maintained between - CORRECT ANSWER 68 and 75
What is a late sign of Malignant Hyperthermia? - CORRECT ANSWER Increased Temperature
malignant hyperthermia is a life threatening condition triggered by - CORRECT ANSWER medications used in anesthesia; inhaled anesthetics, succinylcholine
Symptoms of MH - CORRECT ANSWER hypercarbia, tachypnea, tachycardia, metabolic and resp acidosis, cardiac dysrhythmias, and temp elevation
What is an early indication of MH - CORRECT ANSWER rigidity of the jaw, identified during intubation
What is the treatment for MH - CORRECT ANSWER Dantrolene 2.5mg/KG
What is the one medication used as a preoperative anxiolytic? - CORRECT ANSWER Midazolam
Hetastarch - CORRECT ANSWER A substitute for blood plasma and has oxygen carrying capabilities
What are the three primary methods of hand hygiene? - CORRECT ANSWER Washing with soap and water
performing surgical hand scrub
using surgical hand rubs
What is the ONLY way to prevent the transfer of Clostridium difficile? - CORRECT ANSWER Hand washing with Soap and Water
How long is the Surgical hand scrub with a brush - CORRECT ANSWER Three to five minutes
Wound classification parameters: Clean - CORRECT ANSWER Wound is not infected or inflammed
The procedure was free from entry into the resp, alimentary or genitourinary tract
Was the wound primarily closed or drained with closed drainage
Wound classification: Was the respiratory, alimentary, or genitourinary tract entered under controlled conditions without:
Evidence of infection or contamination or
major break in technique ie spillage - CORRECT ANSWER Clean Contaminated II
Wound Classification: Is the wound
Fresh, open or accidental; or
is there gross (ie visible) spillage from the GI tract; or
is there acute non purulent inflammation present?
Was there a major break in sterile tech during the procedure - CORRECT ANSWER Class III Contaminated
Wound Classification: Is the wound
An old wound with retained, devitalized tissue (gangrene, necrosis) or
a wound with existing clinical infection (purulence), or
a perforated viscera - CORRECT ANSWER Class IV Dirty infected
What wound class would a lap appy be - CORRECT ANSWER Contaminated
hemostatic agent, Absorbable gelatin should not be used on what part of the body - CORRECT ANSWER in small closed spaces, such as the spinal canal
The three primary phases of wound healing are - CORRECT ANSWER inflammatory
proliferative
remodeling
Primary intention wound healing is - CORRECT ANSWER wounds are created with aseptic tech and then are closed as soon as possible with suture, staples, tape or adhesives
Secondary intention wound healing is - CORRECT ANSWER for wounds with tissue loss and the inability to proximate edges. Wounds are typically left open so the can heal from the inside out
Delayed primary closure or third intention wound healing is - CORRECT ANSWER wounds that require debridement first and then later require primary or secondary closure
Supine position with head up is - CORRECT ANSWER Reverse Trendelenberg
Which of the following is a common root cause of sentinel events
A. Failure to use written communication tools
B. Breakdown in communication
C. Absence of or failure to follow policies and procedures
D. Fear of reprisal for speaking up - CORRECT ANSWER B. Breakdown in communication
When communicating patient information to other team members, perioperative RNs should
A. speak loudly and slowly
B. Avoid using body language
C. use the read-back method
D. provide the information in writing - CORRECT ANSWER C. use the read-back method
What is the greatest value of a standardized process for transferring patient information
A. Improves accuracy, reliability, and quality of info
B. shortens the time it takes to transfer info from one caregiver to another
C. Ensures that the same information is transferred for every patient
D. Ensures that the transfer process adheres to facility policy - CORRECT ANSWER A. Improves accuracy, reliability, and quality of info
Structure and processes for transfer of patient information should be developed by whom? - CORRECT ANSWER a multidisciplinary team comprising caregivers who participated in the transfer of pt info
During a hand off between scrubs before a change in personnel using the SBAR, the information under Situation includes pertinent procedural information, name of the procedure and
A. Patient allergies
B. Name of the Patient
C. Names of the surgical team
D. Medication on the back table - CORRECT ANSWER B. Name of the Patient
Post-op teaching for a male patient after inguinal hernia repair should include the application of ice packs 3-4 times per day to the scrotal area to prevent edema for the first
A. 2 days
B. 4 days
C. 6 days
D. 7 days - CORRECT ANSWER A. 2 days
There should be a process in place to ________ the efficacy of standardized formats
A. identify
B. determine
C. evaluate
D. share - CORRECT ANSWER C. evaluate
Effective communication skills are best demonstrated when the caregivers body language is
A. consistent with the spoken word
B. viewed as more important than the spoken word
C. kept to a minimum of avoided
D. animated - CORRECT ANSWER A. consistent with the spoken word
If corrections are made to the medical record, the correction should
A. be initialed
B. start over on a new page
C. be covered with correction fluid
D. Include date, time, and initials - CORRECT ANSWER D. Include date, time, and initials
The Health Information Technology for Economic and Clinical (HITECH) Act
A. guarantees the privacy of individuals receiving health services and the confidentiality of identifiable health information
B. addresses the use of electronic health information technology to improve health care quality
C. Enhances the ability of the US government to monitor and detect activities that indicate support for terrorism
D. gives citizens some control over the information collected about them by the federal govt and its agencies - CORRECT ANSWER B. addresses the use of electronic health information technology to improve health care quality
A multidisciplinary team has been convened to review several recent incidents where the wrong patient has been brought from the med-surg unit to the pre-op holding area. Which of the following actions would prevent this incident from occurring in the future.
A. Requiring an RN to accompany the patient to the pre-op area
B. Reviewing with transport the process for confirming the correct pt's identity.
C. Ensuring that the OR charge calls the unit before transport of the patient
D. Posting the surgical schedule at the nurses station on the med-surg unit - CORRECT ANSWER B. Reviewing with transport the process for confirming the correct pt's identity.
The importance of educating patients and family members about prevention of wound infections post-op is part of the
A. National patient safety Goals
B. Surgical Care Improvement Project
C. AORN
D. Centers for Disease Control and Prevention - CORRECT ANSWER A. National patient safety Goals
Documentation of transfer of care communication should be
A. done by each member of the peri-op team participating in the handover
B. presented in SBAR format to ensure the consistency of hand-over documentation
C. Approved by all personnel involved in the hand over
D. done using a standardized documentation format - CORRECT ANSWER D. done using a standardized documentation form
Policies and procedures related to transfer of patient information should be
A. reviewed annually
B. Available in the practice setting
C. written by a registered nurse
D. Written using SBAR format - CORRECT ANSWER B. Available in the practice setting
The peri-op pts transition phase 1 to phase II level of care is based on
A. length of time the pt has been in phase I
B. the nurses assessment of the pt
C. The pts blood pressure measurement
D. the pts oxygen saturation - CORRECT ANSWER B. the nurses assessment of the pt
The goal to "improve the effectiveness of communication among caregivers" is proposed by
A. Centers for Medicare and Medicaid Services
B. the Occupational Safety and Health Administration
C. the United States Department of Health and Human Services
D. The Joint Commission's National Patient Safety Goals - CORRECT ANSWER D. The Joint Commission's National Patient Safety Goals
Discharge education should include adverse effects of opioid pain medications, including constipation, vomiting, and
A. respiratory depression
B. hypotension
C. hypertension
D. diarrhea - CORRECT ANSWER A. respiratory depression
The goal of performing a follow-up telephone call within 48-72 hours of the pts discharge is to
A. monitor the pts heart rhythm
B. confirm pts understanding of and compliance with instructions
C. finalize paperwork for submission to the pts ins provider
D. schedule follow-up appts. - CORRECT ANSWER B. confirm pts understanding of and compliance with instructions
Which teaching method has been shown to improve communication and teamwork
A. Role-playing
B. Case Studies
C. Online modules
D. Simulation - CORRECT ANSWER D. Simulation
What can compromise the accuracy of the nurses transfer of pt care
A. Interruptions
B. Pt acuity
C. Pt diagnosis
D. Paper charting - CORRECT ANSWER A. Interruptions
What items can be sterilized with Saturated Steam - CORRECT ANSWER stainless steel, glass, towels. Power, Ortho and neuro instruments
What areas of the OR require POSITIVE AIRFLOW? - CORRECT ANSWER Sterilizer loading and unloading, prep and packaging, textile packaging room, clean/sterile storage
Ethylene oxide (EO) sterilization is - CORRECT ANSWER low-temperature sterilization used for moisture and heat sensitive items
What molecules that Ethylene oxide kills are - CORRECT ANSWER proteins and DNA
Why does Ethylene oxide need to be aerated in a mechanical aerator? - CORRECT ANSWER To remove (EO) at the end of a cycle because it is a carcinogen.
What does Ozone sterilization use for sterilization? - CORRECT ANSWER oxygen and water
what is a low-temp steriliant that should be used for devices that are heat sensitive, can be immersed, needs to be used immediately after sterilization. - CORRECT ANSWER Peracetic acid liquid
Class I (CI) - CORRECT ANSWER process indicator show whether the item has been exposed to the sterilization processed and should be placed EXTERNALLY ie Tape
Class II (CI) - CORRECT ANSWER specialty indicator. tests for the presence of air in the sterilizer chamber
Class III CI - CORRECT ANSWER single parameter indicator. react to one of the critical process parameters ie. Time, pressure
Class IV CI - CORRECT ANSWER multiparameter indicator. are accurate than class III because they react to 2 or more of the critical process parameters
Class V CI - CORRECT ANSWER integrating indicators. react to all critical parameters of sterilization and should be placed internally. Multilayered trays may require more than 1 indicator
Class VI CI - CORRECT ANSWER emulating indicators. react to all the critical parameters of a specialized sterilization cycle
What is a Bowie Dick test - CORRECT ANSWER indicator II, run in an empty chamber at the beginning of each day. Test if all the air was removed in the chamber and whether residual air is present during the cycle
Storage for sterilized instruments and supplies parameters. Temperature, total air exchanges per hour and humidity - CORRECT ANSWER Temp not to exceed 75F (24C)
4 total air exchanges per hour
humidity between 20%-60% but no higher than 70%
Malignant Hyperthermia onset actions - CORRECT ANSWER STOP inhalant anesthesia
STOP surgery
HYPERventilate with 100% O2
START Dantrolene
COOL the patient (if greater than 102, once 100.4 stop cooling)
The _______ is an algoriithm that guides EMS personnel through the following four decision points physiological parameters, anatomic parameters, mechanisms of injury, and other special considerations
A. Triage Tree
B. Medical Plan
C. Decision Scheme
D. Trauma Protocol - CORRECT ANSWER C. Decision Scheme
Massive Hemorrhage is treated by transfusion that is equal to replacing ______% of the patients estimated blood volume in three hours or less
A. 15%
B. 50%
C. 25%
D. 70% - CORRECT ANSWER B. 50%
Which of the following diagnostic procedures has the ability to be most specific when identifying a traumatic injury
A. Diagnostic Peritoneal Lavage
B. CT Scan
C. Chest X-Ray
D. Focused Assessment with Sonography in Trauma (FAST) - CORRECT ANSWER B. CT Scan
A disaster prepardness plan including the use of a command center, triage center, staffing plan, documentation and communication should be held at least
A. every three months
B. Twice a year
C. Yearly
D. every 2 years - CORRECT ANSWER B. Twice a year
Management of a patient infected with anthrax includes using __________ precautions
A. droplet
B. standard
C. airborne
D. contact - CORRECT ANSWER B. standard
What component if the fire triangle does prepping solution represent
A. Oxidizer
B. Liquid ignition
C. Fuel
D. ignition source - CORRECT ANSWER C. Fuel
Penetrating trauma is the result of _________ blast injuries common in explosions.
A. initial
B. tertiary
C. primary
C. secondary - CORRECT ANSWER C. secondary
The best way to preserve potential evidence in a trauma victims hands is to
A. place hands in plastic bags and tie at elbow
B. wash hands and keep rinsed fluid in a sterile specimen container
C. cover hands with paper bags and tape at wrists
D. have law enforcement conduct examination - CORRECT ANSWER C. cover hands with paper bags and tape at wrists
A 12 year old child with a history of asthma is emerging from general anesthesia following a tonsillectomy. Upon extubation the child begins wheezing, which rapidly progresses to stridor. The peri-op nurse can anticipate assisting the anesthesia professional with which of the following actions first?
A. Suctioning the airway
B. Setting up an aerosol mask with 2.5% racemic epi
C. Administering Solu-Medrol 2mg/kg IV
D. reintubating the child - CORRECT ANSWER A. Suctioning the airway
A patient is undergoing a procedure to remove vocal cord polyps using a carbon dioxide laser. During the procedure, the ET tube ignites. Which of the following actions should be undertaken first
A. call for assistance
B. Remove the ETT
C. Pour saline into the patients airway
D. turn off the CO2 laser - CORRECT ANSWER B. Remove the ETT
A facility has a shortage of surgical techs and is considering allowing radiology techs to serve in the scrub role for interventional radiology procedures. What is the first step in determining the feasibility of this new role
A. Consult the states standards of practice for radiology techs.
B. Determine if the radiology technicians educational program includes training on surgical scrub details
C. Ask the peri-op nurse educator to develop an orientation plan
D. Develop a job description for the new role. - CORRECT ANSWER A. Consult the states standards of practice for radiology techs.
Which of the following products should be used for disinfecting environmental surfaces in the peri-op setting
A. Liquid chemical sterilants
B. Hospital grade Environmental Protection Agency registered disinfectants
C. High level disinfectants
D. Commercial grade bleach - CORRECT ANSWER B. Hospital grade Environmental Protection Agency registered disinfectants
The appropriate method for cleaning an OR after a procedure includes
A. disinfecting the back table and mayo stand while the pt emerges from anesthesia to cute down on turnover time
B. Starting at the center of the room and working toward the perimeter
C. Starting at the top and working toward the bottom
D. Flooding horizontal surfaces with alcohol - CORRECT ANSWER C. Starting at the top and working toward the bottom
Which of the following actions are appropriate for a health care industry rep who is present in the OR during a procedure
A. Providing technical support
B. Assisting with positioning
C. Opening sterile supplies on to the back table
D. Scrubbing to assist the surgical team - CORRECT ANSWER A. Providing technical support
When delegating a task to unlicensed assistive personnel, the peri-op nurse retains _________ for that delegated task
A. responsibility
B. accountability
C. authority
D. administration - CORRECT ANSWER B. accountability
The person responsible for granting permission for a parent to accompany a child to the OR is the
A. peri-op dept manager
B. circulating nurse
C. anesthesia professional
D. child life specialist - CORRECT ANSWER C. anesthesia professional
A new plastic surgeon has just joined the staff of an ambulatory surgery center. The surgeon requests a line of suture that is not carried by the facility. how can the nurse best respond in providing rationale for use of the facilities current brand of suture
A. Standardization of products is one way our surgeons can help us control costs
B. We dont have enough shelf space in the suture room to accomodate more boxes
C. We dont have a contract with that suture company
D. The rest of our surgeons wont use that type of suture - CORRECT ANSWER A. Standardization of products is one way our surgeons can help us control costs
A split-thickness skin graft is obtained for autotransplantation to occur in one week at the same facility. The best way to preserve the graft is to
A. place the tissue in balanced salt solution
B. refrigerate the tissue in NS
C. sterilize the skin using ethylene oxide (ETO)
D. Sterilize the skin using steam sterilization - CORRECT ANSWER B. refrigerate the tissue in NS
A peri-op nurse is assigned to care for a pt with MRSA Which of the following cleaning practices can be anticipated to be required after the procedure
A. Closing the room for 28 minutes to allow for an adequate air exchange
B. Incinerating all disposable instruments
C. incorporating enhanced environmental cleaning procedures
D. incorporating routine environmental cleaning procedures. - CORRECT ANSWER C. incorporating enhanced environmental cleaning procedures
A multidisciplinary team is evaluating a new brand of irrigation fluid. The empty container is recyclable. Which of the following will be affected if this product is chosen.
A. The environment
B. Patient safety
C. End-user satisfaction
D. Group purchasing contract - CORRECT ANSWER A. The environment
A ____ is an environment where actions are analyzed to determine accountability and reparations are enacted when appropriate
A. Just Culture
B. culture of Accountability
C. Culture of communications
D. Learning culture - CORRECT ANSWER A. Just Culture
Collecting and evaluating information to assess current processes are known as
A. research utilization
B. change implementation
C. EBP
D. quality improvement - CORRECT ANSWER C. EBP
The Joint Commission has provided guidance on _______ processes to address unexpected occurrences that have resulted or may result in pt injury or death
A. root cause analysis
B. sentinel event
C. error identification
D. process analysis - CORRECT ANSWER B. sentinel event
The "standards of professional peri-op professional practice" identifies key behaviors of a professional that include maintaining competency and current knowledge on the peri-op specialty and
A. pursuit of lifelong learning
B. an understanding of legislative matters
C. a commitment to precepting
D. an ability to identify pt outcomes - CORRECT ANSWER A. pursuit of lifelong learning
The purpose of the ______ is that it contains statements related to ethical obligations, duties, standards, and a nurses commitment to society.
A. Guidelines for peri-op practice
B. Standards of Peri-op nursing
C. The Future of Nursing: Leading change, advancing health
D. Code of Ethics for Nurses with Interpretive Statements - CORRECT ANSWER D. Code of Ethics for Nurses with Interpretive Statements
What professional nursing behavior is evidenced by mutual trust, recognition, and respect among all members of the health care team in a shared decision-making process?
A. Conflict resolution
B. Just culture
C. Collaboration
D. Advocacy - CORRECT ANSWER C. Collaboration
Which standard of peri-op nursing is represented by completing an individualized orientation based on identified learning needs and seeking experiences to maintain skills and competency?
A. Quality of practice
B. Professional practice evaluation
C. Education
D. Evaluation - CORRECT ANSWER C. Education
What type of research involves evaluating the link among pt characteristics, nursing care delivery, and the results of that care
A. Process
B. Outcomes
C. Implementation
D. Results - CORRECT ANSWER B. Outcomes
What trait of professionalism is used to describe telling the truth and keeping promises
A. Honesty
B. Veracity
C. Fidelity
D. Excellence - CORRECT ANSWER C. Fidelity
The center for Transforming Healthcare is part of _____, which is dedicated to encouraging cultures of safety for patients and personnel
A. The World Health Organization
B. The Joint Commission
C. CDC
D. Institute of Medicine - CORRECT ANSWER B. The Joint Commission [Show Less]