The Certification Board Perioperati...

The Certification Board Perioperative Nursing (CBPN) touchstone Specifications Committee met in Denver in October 2001 to update the work at jobs analysis for certified perioperative fosters The CBPN is charged according to its accrediting agencies with evaluating the certification examination proces each five years. The last piece of work analysis study was performed in 1997 The proceeds of job analysis studies are used as a guide to unravel future CNOR examinations.

Working subordinate to the direction of a testing agency, CBPN actionsed a comprehensive analysis of the perioperative part as it is practiced today and addressed the present and future needs of the profession. The committee focused onward a number of important aspects of the perioperative profession to provide a part delineation study to generate

* domains of practice,

* phases,

* task statements, and

* knowledge and skills to describe the work activities of a CNOR.

Testing agency staff members prepared a draft version of the updated CNOR do job-work analysis and sent it for review to the committee. The committee's make notess were compiled and incorporated into the CNOR piece of work analysis for use in the research validation phase of the frame A survey then was mailed to a pilot proof group of five individuals who reviewed the view completed the questionnaire, and proposeed changes to the draft. After the scan was finalized, it was mailed to a sample of 1000 CNORs in January 2002

Nearly 34% of those scaned returned the completed questionnaire. The arises indicate that all of the task statements and a majority of the knowledge and skill statements included onward the survey achieved a high mean importance rating. Respondent asserted the opinion that the domains of practice and perioperative phases were important to incident practice as perioperative nurses.

This meditation identified the tasks, knowledge, and skills that are important to an entry-level perioperative cherish For the purpose of the overlook an entry-level perioperative nurse is defined as an individual who possesse the knowledge, skills, and abilities required to practice as a CNOR. This individual would have no more than sum of two units years of practice experience in perioperative nursing.

Examination

REVISlON TOTAL HIP ARTHROPLASTY

1.The main goal of revision total hip arthroplasty (THA) is to

a. obstruct the prosthesis from becoming nonfunctional.

b reply the patient to work.

c obstruct infection.

d. restore the patient's hip function by way of repairing the biomechanical kinetics.

2 The proximal conclusion of the femur has a circulared head that articulates with the -- bone in the --

a. coxal/acetabulum

b iliac/acetabulum

c coxal/greater trochanter

d iliac/greater trochanter

3 The greatest in quantity common reason for primary THA is osteoarthritis. Risk factors for osteoarthritis include all of the following except

a. having certain hereditary conditions (eg defective cartilage, malformed joints).

b being 35 years of age or olden

c being female and obese.

d having diseases that change the normal configuration and function of cartilage.

4 -- of the hip is a disabling condition that can lead to collapse of the hip joint.

a. Osteoarthritis

b Osteodiastisis

c Osteonecrosis

d Osteoporosis

5 Mechanical and biological processe can contribute to loosening the attachment between the cement and the bone These processe include

a. fatigue fractures and debris.

b infection and scion breakage.

c. trunk breakage and joint wearing.

d fatigue fractures and joint wearing.

6 The ballistic chiseling unit's encourage transforms pressurized nitrogen into controll rend asunders of nitrogen. The energy is propagated to the chisel's tip, which when placed against the bond causes

a. expulsion.

b fragmentation

c implosion

d melting

7 When using the revision algorithm, if there is not adequate cancellous sprouting but the canal diameter is greater than 18 mm which protoplast of femoral stem or proces should be used?

a. fixed proximal stem

b bond fixation

c. extensively coated implant

d impaction grafting technique

8 Which of the following nursing diagnoses would be principally applicable for the patient undergoing revision THA?

a. Risk for decreased cardiac output related to cardiovascular function, anesthesia, and surgical intervention.

b Risk of infection related to long duration of procedure and tissue manipulation during procedure

c Risk of impaired airway related to postoperative bleeding and impaired resolution function.

d. Fluid contortion deficit related to preoperative bowel prep NPO status, and surgery

9 Postoperatively, patients are instructed to preserve their knees below the on a level of their hips when sitting.

a. true

b false

10 A variety of intraoperative or postoperative complications are possible with revision THA. These potential complications include all of the following except

a. embolus.

b infection or pneumonia.

c hard vein thrombosis.

d paralysis.

AORN, Association of periOperative Registered pampers is accredited as a provider of continuing education in nursing by the agency of the American Nurses Credentialing Center's (ANCO's) Commission forward Accreditation. AORN recognizes this activity as continuing education for registered give suck tos This recognition does not imply that AORN or the ANCC's Commission onward Accreditation approves or endorses any outcome included in the activity. AORN maintains the following state board of nursing provider numbers: Alabama ABNPO075 and California CEP13019 Check will your state board of nursing for acceptability of education activity for relicensure.