CNOR Preoperative Patient Assessment 3

Question 1

A patient's preoperative ECG shows new ST-segment changes that were not present 6 months ago. The perioperative nurse should:

Accepted Answer

Notify the anesthesia provider and surgeon before proceeding

Answer

New ECG changes may indicate acute cardiac pathology and must be reported immediately to determine surgical safety.

Question 2

When documenting informed consent during the preoperative phase, the perioperative nurse's role is to:

Accepted Answer

Witness the patient's signature after confirming the surgeon explained the procedure

Answer

The nurse's role in informed consent is to witness the signature after verifying that the surgeon has provided the explanation; obtaining consent is the surgeon's responsibility.

Question 3

A 68-year-old patient reports occasional confusion and memory lapses. Which preoperative assessment tool is most appropriate to screen for cognitive baseline?

Accepted Answer

Mini-Mental State Examination (MMSE)

Answer

The MMSE is a validated tool for assessing cognitive function and establishing a baseline to monitor for postoperative delirium.

Question 4

During preoperative assessment, a patient discloses recreational marijuana use. What is the most important implication for anesthesia?

Accepted Answer

It may alter anesthetic requirements and interact with sedatives

Answer

Marijuana use can affect anesthetic depth requirements, cause drug interactions, and increase airway reactivity.

Question 5

Which preoperative finding in a diabetic patient scheduled for morning surgery requires the most immediate follow-up?

Accepted Answer

Blood glucose of 320 mg/dL

Answer

A blood glucose of 320 mg/dL indicates poor glycemic control and increases risks for infection, poor wound healing, and hyperosmolar crisis.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Preoperative Patient Assessment 3