CNOR Preoperative Patient Assessment 4

Question 1

A patient who is a Jehovah's Witness is scheduled for a procedure with anticipated blood loss. The preoperative nurse's priority is to:

Accepted Answer

Document the patient's wishes regarding blood transfusion and notify the surgical team

Answer

Respecting patient autonomy requires documenting refusal of blood products and communicating this to all team members to plan accordingly.

Question 2

During preoperative assessment, the nurse identifies that the patient has an implanted cardiac pacemaker. The most critical action is to:

Accepted Answer

Notify the surgeon and determine if electrosurgery requires pacemaker management

Answer

Electrosurgical units can interfere with pacemaker function, requiring pre-planned management strategies before surgery begins.

Question 3

A patient scheduled for outpatient surgery under general anesthesia has a BMI of 42. Which preoperative assessment is most critical?

Accepted Answer

Airway assessment and respiratory function

Answer

Morbid obesity significantly increases the risk of difficult intubation and respiratory complications requiring thorough airway and pulmonary assessment.

Question 4

Which question is most important when assessing fall risk during the preoperative period?

Accepted Answer

Do you use any assistive devices for ambulation?

Answer

Use of assistive devices indicates impaired mobility and balance, which are key indicators of fall risk in the perioperative setting.

Question 5

A patient reports a previous anesthetic complication where they experienced a very high fever and muscle rigidity during surgery. The nurse should prioritize communicating this history because it suggests:

Accepted Answer

Malignant hyperthermia susceptibility

Answer

Malignant hyperthermia is a life-threatening pharmacogenetic disorder triggered by certain anesthetic agents, requiring specific preparation and alternative agents.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Preoperative Patient Assessment 4