CNOR Preoperative Patient Assessment 5

Question 1

During the preoperative nursing assessment, a patient reports a previous adverse reaction to anesthesia involving prolonged paralysis after receiving succinylcholine. This history most likely indicates:

Accepted Answer

Pseudocholinesterase deficiency

Answer

Pseudocholinesterase deficiency impairs the metabolism of succinylcholine, leading to prolonged neuromuscular blockade.

Question 2

A pediatric patient is brought to the preoperative area accompanied by both parents and a stepparent. Which individual(s) can legally provide informed consent?

Accepted Answer

The biological or legal guardian with legal custody

Answer

Informed consent for a minor must be obtained from the individual with legal custody or legal guardianship.

Question 3

A patient is NPO but has been taking oral medications as prescribed. Which medication should be held before surgery?

Accepted Answer

Oral hypoglycemic agent for Type 2 diabetes

Answer

Oral hypoglycemics should typically be held preoperatively to prevent hypoglycemia during the fasting and surgical period.

Question 4

During preoperative assessment, a patient rates their pain as 8/10 at rest. The nurse's best action is to:

Accepted Answer

Notify the surgeon and anesthesia provider, as uncontrolled pain may indicate a new or worsening condition

Answer

Severe uncontrolled preoperative pain at rest may signal a change in condition or complication that could affect the surgical plan.

Question 5

The nurse is reviewing a preoperative checklist and notes the surgical site has not been marked. What is the correct action?

Accepted Answer

Notify the surgeon to mark the site before the patient enters the OR

Answer

Per AORN guidelines and Universal Protocol, the surgeon (or licensed independent practitioner performing the procedure) is responsible for marking the surgical site.

CNOR - Certification Exam Practice Test

CNOR - Certification Exam Practice Test

CNOR Preoperative Patient Assessment 5