CNOR Free Practice Quiz

1. Question

The lowest postoperative infection rates are associated with cases where the hair was:

Removed using clippers
Not removed
Removed using a depilatory cream
Shaved

2. Question

What is the Nursing Practice Act?

A Federal Law that is designed to protect the public from incompetent nursing caregivers
A detailed list of activities carried out by nurses during their daily work.
is charged with tracking and investigating public health trends
It is a body of State law that mandates the State Nursing Board to set out the scope of practice and responsibilities for RNs in that state.

3. Question

The limit for exposure to eythlene oxide are _____________of airborne ethylene oxide expressed as a time weighted average for an eight hour work shift in a 40 hour work week.

0.5 parts per million
5 parts per million
1 parts per million
1.5 parts per million

4. Question

Under what circumstance is it permissible to remove the rubber stopper from medication?

It’s never okay
After cleaning the stopper with alcohol
Using sterile gloves and a sterile clamp
It’s okay as long as you don’t push the stopper down into the bottle

5. Question

The perioperative nurse must perform Immediate Use Steam Sterilization for a small instrument set with metal instruments that includes a Yankauer Suction and a small powered instrument. What cycle should be used?

121.1°C (250°F) for 10 minutes
Follow the manufacturer’s instructions for the set and container
132.2°C (270°F) for 4 minutes
Follow the OSHA standards

6. Question

The safest option for drapes during a laser procedure are?

Moistened woven materials such as towels
Standard Surgical Drapes
Moistened surgical drapes
Clear, adhesive drapes

7. Question

How long can the sterile supplies in an unused room be open before it must be discarded?

2 Hours
1 Hour
4 Hours
There is no specific amount of time

8. Question

The perioperative nurse is preparing the room for a Femoropopliteal Bybass. All of the following supplies and equipment should be available except:

Grafts of multiple sizes and shapes
Hemoclips and applicators
Fogarty catheters
Mobile X-ray equipment

9. Question

You are assisting the pediatric orthopedic surgeon in the application of a Spica cast. You take special care to diminish pressure to the fibular head because valgus molding here can cause:

Peroneal nerve palsy
Obturator nerve damage
Mid diaphyseal femoral fractures
Pelvic or hip injury

10. Question

The most common source of pathogens in the surgical suite is:

Ambient Air
Patient
Surgical Staff
Contaminated Equipment

11. Question

An OR Manager notices a circulating nurse removing her jacket to perform the surgical skin prep for them patient. The manager requests that the circulator put the jacket back on and snap it closed to prepare the patient’s skin. This request is made because:

Normally, bare arms would be okay but today there is a wound on the circulator’s arm
To prevent contamination of the prep area by the circulator caused by shedding
The circulator wore the scrub shirt and pants to a meeting prior to the case and so should be covered to return to patient care
The room the circulator was assigned was cold

12. Question

During a bilateral lower extremity debridement and skin graft the surgeon requests that the drapes be repositioned farther apart to achieve better surgical access. According to the AORN standards the scrub nurse’s most appropriate response is:

Move the drapes to best accommodate the surgeon’s access
Tell the surgeon that the drapes should not be repositioned
Re-drape the patient with a new laparotomy drape
Use sterile towels to cover the edges of the original drape

13. Question

Name that position: It is also known as the Trendelenburg position with legs apart. The basic angle is a 30-degree Trendelenburg with the hips flexed at 15 degrees; this can be adjusted with leg supports.

Lloyd-Davies position
Sims' position
Fowler's position
Knee-chest position

14. Question

The patient is scheduled for a Radical perineal prostatectomy for prostate cancer. In what position would the patient be placed for surgery?

High lithotomy
Low lithotomy
Lateral
Kraske's

15. Question

When witnessing the patient signature, you are verifying what?

The patient understands the procedure, possible complications and alternatives to surgery
The signature was made by the person whose name is written
The patient agrees to the procedure written on the consent form
The patient is under contract with the surgeon to undergo the procedure

16. Question

What gives the patient the right to choose not to be treated for an emergent event precipitated in response to normal anesthesia during surgery?

Advance Directives
Patient Bill of Rights
HIPAA
Self Determination Act

17. Question

Trauma patient is unconscious and needs emergent surgery. The family is 2 hours away but on the way. The circulating nurse should:

Have the surgeon and anesthesiologist sign the consent together
Have the surgeon document the case is emergent and proceed with the set up
Have the family sign the consent for surgery once they arrive
Complete the consent form and write Not Applicable on the line for patient signature

18. Question

An 9-year-old boy is on a preoperative tour of the area to prepare for his surgery. His parents state that he is fearful of having a urinary catheter post op....

Tell the parents not to mention the catheter in the boy’s presence to minimize anticipatory anxiety
Show the boy a urinary catheter and explain what he can expect
Take the boy to witness the insertion of a urinary catheter and explain the procedure
Tell the boy to be brave and not to worry

19. Question

The following patient is at risk for latex allergy and should not have latex products used in their care:

A 24-year-old mother during the vaginal delivery of her first child
A 40-year-old appendectomy patient who reports that she has worked in healthcare for 17 years
A 13-year-old boy who is having his tonsils removed after several infections over the last two years
All patients should have latex free supplies during surgery since a history is not always possible

20. Question

Which of the following medications is a trigger for Malignant Hyperthermia (MH):

Propofol
Nitrous Oxide
Vecuronium
Halothane

21. Question

After your 56 year old female patient is induced under general anesthesia for her abdominal hysterectomy you assist anesthesia personnel in padding the elbows and placing a pillow under the lower extremities allowing the heals to float. Padding the elbows protects the ______ nerve.

Brachial
Ulnar
Radial
Popliteal

22. Question

When using bipolar delivery of electrical current, the nurse should remember that.....

The dispersive pad is used to return the current to the generator
The dispersive pad should be placed as close to the surgical site as possible
one side of the bipolar forceps returns the current to the generator.
the dispersive electrode should be placed after positioning of the patient is complete

23. Question

The circulator observes the scrub nurse as she picks up a disposable scalpel blade with gloved fingers and is attempting to attach it to the reusable scalpel handle. How should the circulator respond?

No response is required. Fingers are more dexterous allowing the blade to be easily fitted onto the handle
Suggest the scrub nurse lay the blade on the Mayo stand and slide the handle onto the blade.
Tell the scrub nurse to hold the blade in a clamp or needle holder and advance it onto the handle.
Say nothing to disrupt the scrub nurse but use this example to reinforce to the OR manager the need for only disposable scalpels.

24. Question

Your 87 year old patient reports that she lives independently, works part time and takes public transportation to work as she stopped driving a year ago. She uses bilateral hearing aides and glasses. She is being prepared for a lumpectomy and node dissection under general anesthesia. Her daughter is her medical power of attorney and is with her in the preoperative area. It is most appropriate to:

Explain all that will happen in surgery before her hearing aides and glasses are stored safely in a locker to prevent loss or damage.
Allow her to keep her glasses and hearing aides on until immediately before she is anesthetized.
Leave her glasses and hearing aides in place throughout the perioperative process. There is no need to remove them.
Give the patient’s hearing aides and glasses to her daughter and then allow her daughter to stay with her until she is anesthetized to answer any questions for her mother.

25. Question

Which of the following statements is true for the health care provider treating a patient who requires contact isolation?

Wear an isolation gown, gloves, and N95 respirator.
Wear an isolation gown, gloves, and mask.
Wear an isolation gown and gloves for all patient contact.
Wear an isolation gown and gloves only if contact with body fluids is expected.