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CFPN Exam Questions with Accurate Answers, Exams of Nursing

West Virginia University (WVU)Nursing

CFPN Exam Questions with Accurate Answers

Typology: Exams

2024/2025

Available from 07/14/2025

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CFPN Exam Questions with Accurate
Answers
air changes/hour (ACH) correct answer - # of times air is replaced
- dilutes and removes airborne microorganisms
allergies correct answer - food: kiwi, banana, milk products, eggs
- culture specific issues (pork/beef)
- document type and timing of reaction, method to treat, arm band or notice on
chart
anaphylaxis - nursing assessment for intra-op correct answer - time out
- known allergies
- discuss prevent/protect/treatment
anaphylaxis - nursing assessment for pre-op correct answer - assessment
- history allergies/reaction
- history of sensitivities
- facility-specific emergency preparedness plan
anesthesia role in an emergency correct answer - maintain airway
- give direction to shut off medication gases
ASA 1 correct answer - normal healthy patient
- no smoking, minimal or no alcohol use
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CFPN Exam Questions with Accurate

Answers

air changes/hour (ACH) correct answer - # of times air is replaced

  • dilutes and removes airborne microorganisms allergies correct answer - food: kiwi, banana, milk products, eggs
  • culture specific issues (pork/beef)
  • document type and timing of reaction, method to treat, arm band or notice on chart anaphylaxis - nursing assessment for intra-op correct answer - time out
  • known allergies
  • discuss prevent/protect/treatment anaphylaxis - nursing assessment for pre-op correct answer - assessment
  • history allergies/reaction
  • history of sensitivities
  • facility-specific emergency preparedness plan anesthesia role in an emergency correct answer - maintain airway
  • give direction to shut off medication gases ASA 1 correct answer - normal healthy patient
  • no smoking, minimal or no alcohol use
  • no physiologic, psychologic, biochemical, or organic disturbance ASA 2 correct answer - mild systemic disease, no functional limits
  • current smoker, BMI 30-40, well controlled DM/HTN
  • asthma ASA 3 correct answer - severe systemic disease, cardiac or pulmonary limiting activities
  • BMI > 40, poorly controlled DM/HTN, COPD, pacemaker
  • renal failure, dialysis ASA 4 correct answer - severe systemic disease, threat to life, severely low EF
  • sepsis, DIC, ESRD - no dialysis, cardiac ischemia, valve disease ASA 5 correct answer - not expected to survive without surgery within 24 hrs
  • cerebral trauma, ruptured, aneurysm, multiple organ failure, large PE ASA 6 correct answer - declared brain dead
  • organ procurement blood alcohol level (BAL) effects correct answer - increased bleeding
  • inaccurate neuro assessment briefing correct answer - make it standard
  • introductions
  • LAST syndrome catastrophic hemorrhage classification correct answer >2250mL chemical indicators - class 1 correct answer external, striped tape chemical indicators - class 2 correct answer - autoclave test pack
  • bowie-dick chemical indicators - class 3 correct answer - checks single variable
  • time or temp or pressure chemical indicators - class 4 correct answer - strip checks multivariable
  • dry heat chemical indicators - class 5 correct answer - reacts to multiple parameters
  • time, temp, pressure chemical indicators - class 6 correct answer - emulating process challenge pack
  • does not replace biological circulator's role in an emergency correct answer - patient safety
  • direct help
  • assist anesthesia
  • know emergency preparedness plan
  • knowledge of evacuation routes cleaning practices contributing to toxic anterior segment syndrome (TASS) correct answer - contaminated instruments/ultrasonic
  • using detergents at wrong concentration
  • using enzymatic cleaners
  • detergent residue
  • inadequate rinsing
  • contaminated steam
  • glutaraldehyde
  • inadequately dried lumens
  • endotoxin residues Creutzfeldt-Jakob disease (CJD) - high risk tissue cleaning correct answer - remove gross soil
  • clean with detergent
  • disinfect with 1:5 - 1:10 dilution sodium hypochlorite or sodium hydroxide, dwell time 30-60 min
  • soak up solution and discard
  • rinse treated areas with water critical water correct answer treated to remove microorganisms and material to meet quality parameters debriefing correct answer - counts
  • results of cleaning, testing audits/equipment
  • share results of SSI's with SPD documentation for transfusion reaction correct answer - time/date
  • type/amount of blood administered
  • time start/stop
  • s/s in chronological order
  • VS
  • labs
  • treatment/pt response
  • suspected transfusion reaction report sent to blood bank documentation of sterile supplies correct answer - every package labeled with load/autoclave #
  • every load/cycle has met parameters: physical, chemical, biologic dry heat correct answer - only for high temp items
  • used for oils/powders, dental instruments, burrs
  • only designated packaging
  • do NOT use tape
  • smallest container
  • high risk for burns dynamic air removal correct answer - air sucked out of chamber
  • drain closes when air is gone
  • porous contents/have lumens - 4 min
  • non-porous contents/no lumens - 3 min
  • 3 successful consecutive cycles with bowie-dick and BI process challenge device early signs/symptoms of MH correct answer - jaw tightening
  • increase CO
  • hypermetabolic state
  • overall muscle rigidity
  • increased HR/BP
  • metabolic acidosis ethylene oxide correct answer - used for moisture/heat sensitive instruments
  • heavily regulated by EPA
  • extremely hazardous: flammable, carcinogen, CNS damage, eye/tissue irritant
  • sterilize/aerate in single chamber - do not open/use instruments unto 6-12 hr aeration complete
  • special exposure monitoring for staff fentanyl correct answer - dose: 25mcg up to 2mcg/kg
  • use with caution in head injuries, bradycardia, CNS depressants
  • adverse reactions: respiratory depression, arrest, laryngospasm,
  • reversal: narcan, 0.4-2mg IV Q 2-3 min PRN flexible scope cleaning documentation correct answer - date/time
  • type of disinfectant/lot #
  • 3 successful consecutive cycles with BI process challenge device HDL safety considerations correct answer - min 10 ACH
  • local exhaust/self-contained hood/respirator hemorrhage contraindications correct answer - bone cement
  • amniotic fluid
  • bowel contents
  • clotting agents
  • anything not not wanted to enter the bloodstream hemorrhage nursing interventions correct answer - consent for blood
  • possible central line and foley
  • obtain order for type/cross (only good for 72hrs)
  • supplies: y-tubing, blood warmer, saline herbal/complimentary medication interactions correct answer - bleeding
  • HTN
  • immune suppression
  • early labor
  • palpitations
  • prolong anesthesia
  • hallucinations

high level disinfection (HDL) correct answer - effective against hep B/C and HIV

  • ineffective against large # of spores and prions (CJD) high temp sterilization correct answer - steam sterilization
  • dry heat how many air exchanges/hour when patient positive for TB? correct answer 15 air exchanges/hr for 28 min humidity - resrticted correct answer 20% - 60% humidity - semi-restricted correct answer sterile storage: max - 60% humidity - unrestricted correct answer 20% - 60% hydrogen peroxide (sterrad) correct answer - use for moisture/heat sensitive instruments
  • limited length/diameter of lumen
  • items must be dry before packaging
  • packaging containing cellulose CANNOT be used hyperthermia risks correct answer - heating devices
  • malignant hyperthermia (general anesthesia + triggering agents, family hx, duchenne MD)

intermediate level disinfection (IDL) correct answer - effective against most viruses, mycobacterium tuberculosis, most fungi, and vegetative bacteria

  • ineffective against bacterial spores intra-op practices contributing to toxic anterior segment syndrome (TASS) correct answer - inadequately flushing hand pieces
  • adding antibiotics to balanced salt solutions
  • use of epi with preservatives
  • incorrect use of skin antispetics
  • reusing single-use products IUSS documentatioin correct answer - item
  • pt name
  • cycle used
  • temp achieved
  • cycle length
  • monitoring results
  • date/title
  • name/title of person
  • indication laminar air pressure correct answer - type of positive pressure
  • unidirectional, controlled from cleanest to less clean area of room
  • may be horizontal or vertical
  • use for high-risk procedures

laser documentation correct answer - type of laser

  • laser ID
  • wavelength
  • total laser activation time
  • total energy used
  • patient safety measures
  • head and neck procedures - on/off times laser safety correct answer - awake pt needs goggles
  • sedated pt - wet gauze on closed lid/goggles
  • laser around eye: water soluble lube, corneal eye shields
  • stop O
  • instruments should be dull, ebonized, anodized, matte finish
  • near anus, saline soaked gauze packing
  • laser safe ETT tube, balloon filled with methylene blue LAST complications correct answer - extremely high levels of anesthetic in blood stream
  • inadvertent injection
  • can lead to respiratory/cardiac arrest LAST risk correct answer any disease process that prevents the body from clearing local anesthetic (liver failure, renal disease, etc.)

long-term exposure to waste anesthesia gases (WAG) correct answer - spontaneous abortion

  • birth defects
  • infertility
  • premature birth
  • cancer
  • kidney/liver disease low level disinfection (LDL) correct answer - effective against vegetative forms of bacteria, lipid viruses, some fungi
  • ineffective against mycobacterium endospores and non-lipid viruses low temp sterilization correct answer - paracetic acid
  • hydrogen peroxide
  • ethylene oxide maintaining normothermia correct answer - increase OR temp
  • active/passive warming
  • limit exposure (prep, surgery length, fluids)
  • temp > 96.8 within 15 min of arrival to PACU major hemorrhage classification correct answer 1500-2250mL

malignant hyperthermia (MH) correct answer biochemical chain reaction response, triggered by common general anesthetics and paralyzing agent succinylcholine, within skeletal muscles of susceptible individuals manual cleaning correct answer - reserved for instruments that cannot withstand mechanical

  • rinse in cool water prior
  • scrub under water mechanical cleaning correct answer - preferred method unless specified by manufacturer
  • improves cleaning effectiveness
  • increases efficiency
  • easier to monitor for quality/consistency
  • includes ultrasonic cleaner and washer/sterilizers methyl methacrylate correct answer - bone cement
  • liquid highly volatile
  • closed bowl for mixing
  • symptoms: dizziness, difficulty breathing, nausea, vomiting, severe eye irritation, crosses placental/fetal circulation MH cart drugs correct answer - dantrium/revonto 720mg (36 vials)
  • ryanodex 750mg (3 vials) MH prevention correct answer - thorough history
  • apply ice
  • insert foley: 3-way
  • bair hugger off
  • CPR/ALCS PRN nursing interventions for trauma correct answer - prepare for procedures
  • counts
  • positioning
  • skin antisepsis: sternal notch to mid-thigh panic values correct answer - glucose: < 40 mg/dL, > 400 mg/dL
  • potassium: < 2.5mmol/L, > 6mmol/L
  • positive cultures paracetic acid (steris) correct answer - broad spectrum antimicrobial
  • breaks down into vinegar
  • use on immersible items
  • requires correct adapters and connectors for lumens
  • immediate use only
  • contents rinsed in cycle with filtered tap water
  • no biological indicator patient related VTE risk factors correct answer - 40 years
  • obesity
  • immobilization > 3 days
  • hx VTE/stroke
  • varicose veins
  • dehydration
  • pregnancy
  • smoking
  • blood transfusion
  • o neg blood
  • OSA primary closure correct answer - closure of skin level during original surgery
  • wound closed by some means (suture, staples, etc.) procedure related VTE risk factors correct answer - surgery > 90 min
  • lower limb surgery > 60 min
  • position
  • bariatric
  • major foot/ankle
  • c-section
  • implants
  • major plastic plastic surgery
  • pneumatic tourniquet rapid sequence induction (RSI) correct answer - 100% O2 - preoxygenate