CCI CNAMB Exam Questions

121.

What is a typical awake heart rate range for a healthy preschool-age child (3–5 years)? 

• 80–120 beats per minute

• 120–140 beats per minute

• 100–120 beats per minute

• 60–100 beats per minute

122.

According to the National Fire Protection Association 10 (NFP 10), which type of fire extinguisher is recommended for use in the operating room? 

• Carbon dioxide fire extinguishers

• Wet chemical fire extinguishers

• Dry powder fire extinguishers

• ABC fire extinguishers

123.

A 38-year-old female patient is undergoing a laparoscopic left oophorectomy and cyst removal. Immediately after insufflation of the abdomen with CO2 begins, her vital signs deteriorate rapidly and her end-tidal CO2 decreases. What should the nurse prepare to do at the surgeon's and anesthesia provider's direction? 

• Shut off the insufflation and assist in tilting the patient to their left side, then hyperventilate with 100% oxygen

• Shut off the insufflator, grab the crash cart, hold cricoid pressure, then give a breathing treatment

• Turn down the pressure of the insufflation, and give dantrolene and calcium chloride

• Turn off the gas, grab a tracheostomy tray, then hyperventilate with 100% oxygen

124.

A registered nurse should have, at minimum, which of the following certifications in order to give and monitor a patient receiving moderate sedation/conscious sedation?  

• Advanced Cardiac Life Support (ACLS)

• Certified Operating Room Nurse (CNOR)

• Certified Registered Nurse Anesthetist (CRNA)

• Certified Care Registered Nurse (CCRN)

125.

All of these are disadvantages of hydrogen peroxide plasma sterilization except which one? 

• Aeration is necessary

• You can't use metal trays

• Hydrogen peroxide and cellulose are incompatible 

• Hydrogen peroxide sterilization cannot be used on flexible endoscopes with lumens in the United States

126.

A patient is scheduled for a laparoscopic cholecystectomy with intraoperative cholangiograms. All of these are things the nurse needs to do to ready the OR, except which one? 

• Have a flexible endoscope in the room and ready 

• Notify radiology to bring a c-arm

• Have contrast dye available in the room 

• Turn the OR table to have x-ray access under the abdomen 

127.

A 9-year-old female patient is waking up from general anesthesia after a myringoplasty and fat graft. She begins to cough and wheeze. The wheezing progresses to stridor and her oxygen saturation starts to drop rapidly. What is the first thing the nurse would assist the anesthesia provider with? 

• Suctioning the airway

• Give a duoneb via nebulizer

• Give succinylcholine and reintubate as quickly as possible

• Give propofol IV and supplemental oxygen with positive pressure

128.

Each instrument set should be labeled, at minimum, with the following items:

• Name of the set, date sterilized, and the batch lot number

• Name of the set, how many instruments it has, and what time it was wrapped 

• Name of the set, who wrapped it, and what type of metal the instruments are

• Name of the set, expiration date, and the batch lot number 

129.

A patient is being assessed preoperatively for an endoscopic carpal tunnel release. The patient also has AV graft dialysis access on the operative arm. What will this affect in surgery? 

• A tourniquet will not be able to be used

• The blood pressure cuff will have to be placed on a leg

• The surgeon won't be able to use local anesthesia

• The surgeon won't be able to do the surgery endoscopically

130.

When is the best time to apply sequential compression devices? 

• In the pre-op holding area

• Right before anesthesia is induced

• In the PACU

• After prepping the patient

131.

There are 5 instances where surgical counts should always be done or reconciled. Which of these includes every instance? 

• Prior to the procedure, when new items are opened to the sterile field, when the first layer of closure begins and each cavity closure, before permanent relief of either the scrub or circulator, and when the instrument sets are put back together before sterilization

• Right after the first incision, when the first body cavity is closed, at the end of the procedure, while the back table is being cleared before the trash is taken out, and when instrument sets are put back together before sterilization

• Prior to the procedure, when new items are added to the sterile field, at the end of the procedure, when clearing the back table and readying instruments for decontamination, and before the scrub or circulator is permanently relieved

• Prior to the procedure, when the first layer of closure begins, after each cavity closure, whenever more laps are opened to the sterile field, and at the end of the procedure 

132.

A 50-year-old male patient being discharged the same day after a total joint surgery would benefit from a referral to what service? 

• Physical therapy

• A nursing home

• A pulmonary specialist

• Licensed clinical social worker

133.

Observational Teamwork Assessment for Surgery (OATS) is a tool for studying non-technical skills in the perioperative setting. These non-technical skills affect team communications and have been extensively studied in aviation and implemented in pilot training. Which of these are non-technical skills that have been observed to increase team communication in the OR? 

• Situational awareness and decision making

• Civility and compassion

• Safety and emergency situation training

• Assertiveness and directness

134.

Before passing off a sterile supply to the scrub person, all of these should be checked except which one? 

• The manufacture date

• Package integrity

• The correct size and type of item

• The expiration date

135.

A 35-year-old patient is undergoing a left temporal artery biopsy. What should be done to decrease fire risk? 

• Place a water soluble lubricant in the patient's hair near the surgical site

• Use chloraprep to prep the surgical site

• Tent the drapes around the patient's airway to keep oxygen under the drapes and away from the sterile field

• Place the grounding pad far away from the surgical site to draw the current away from the airway 

136.

Endotrachial tubes for children less than 8-years-old are usually uncuffed. Why is this? 

• Because pediatric patients' larynxes sit higher than adults' and soft tissue at the level of the cricoid cartilage forms a loose seal; cuffs can cause damage and edema in this soft tissue

• Because the amount of inhalation anesthetics used for children is not high enough to worry about waste anesthesia gases and it decreases trauma to the tissues of the larynx

• Because of the risk of dislocation of the tube into the esophagus

• Because pediatric airways are so small, a cuff could occlude the esophagus and erode into the thryoid

137.

Glycopyrrolate is used to help with the side effects of which other medication? 

• Physostigmine

• Morphine

• Ketamine

• Precedex

138.

Using the best available and most current scientific research and implementing it into an evolving nursing practice is known as what? 

• Evidence-based practice

• Fact-based practice

• Ethically sourced nursing practice

• Root-cause practice

139.

Temperatures in the OR are recommended to be maintained within which range? 

• 68°F–75°F

• 60°F–75°F

• 70°F–79°F

• 58°F–73°F

140.

Near the end of a hysteroscopy and uterine polyp removal, the circulating nurse is comparing the amount of saline used with the amount in the suction container. They find that there is a discrepancy and 1600 milliliters of fluid are unaccounted for in the container. What should the nurse do? 

• Notify the surgeon as the uterus may be perforated

• Nothing, it is probably on the floor or in the drapes 

• Turn the suction up to return more of the fluid from the uterus 

• Notify the anesthesia provider as they may want to insert a nasogastric tube