CCI Certified Ambulatory Surgery Nurse Practice Test

CNAMB Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

- Perioperative Patient Assessment and Diagnosis
- Informed consent or waivers
- surgical
- anesthesia
- blood
- photographs
- visitors

- Collect, analyze, and prioritize patient data
- vital signs
- pain assessment
- allergies
- lab values
- other medical conditions
- medical conditions for which they would need clearance
- previous relevant surgical management
- chart review
- NPO status
- family history of anesthesia problems

- Use age and sociocultural appropriate health assessment techniques to evaluate patient status
- interview
- observation
- communication barriers
- Conduct medication reconciliation
- preoperative meds
- home meds
- alternative/herbal meds
- medical marijuana
- alcohol use
- recreational drug use

- Conduct physical assessment
- skin integrity
- mobility
- body piercings
- implants/foreign objects
- Antibiotic stewardship
- Pain management
- ERAS
- multi-modal
- regional blocks

- Advance directives ( DNR, AND (Allow Natural Death) processes)
- Selection criteria
- BMI
- ASA
- sleep apnea
- infectious disease
- age

- Pre-surgery risk assessment
- medications
- previoussurgeries
- special needs
- comorbidities
- preop instructions

- Discharge needs
- home care
- durable medical equipment
- transportation
- care giver
- medications
- rehab
- Approved nursing diagnoses
- North American Nursing Diagnosis Administration [NANDA]
- Perioperative Nursing Data Set [PNDS]

- Preoperative Plan of Care
- Physiologic responses: Risk of infection
- Physiologic responses: Altered tissue perfusion
- Physiologic responses: Thermal regulation
- Behavioral responses

- Transcultural nursing theory
- cultural and ethnic influences
- family patterns
- spirituality and related practices
- Identify and plan for expected patient outcomes/postoperative needs
- responsible supervision
- transportation
- sleep apnea

- Community networking and institutional resources
- supplies
- equipment
- patient transfer agreements
- courierservice
- emergency services
- Conduct site preparation
- hair removal
- skin antisepsis
- Preoperative patient preparation
- IV
- removal of jewelry
- hair removal

- Intraoperative Care
- Optimize physiological responses of the patient
- Normothermia
- Infection prevention/control
- Perfusion
- Surgical procedure
- Wound healing
- Monitor and maintain patient and personnel safety
- Maintain the dignity, modesty, and privacy of the patient

- Utilize ergonomics and proper body mechanics in performing patient care.
- Chemical
- Fire
- Hazardous materials
- Radiation
- Smoke plume
- Energy generating devices
- Positioning
- Potential complications
- Patient/personnel safety
- Ergonomics/body mechanics

- Optimize patient care based on behavioral responses
- comfort
- anxiety
- pain management
- sociocultural and/or ethical issues
- Select procedure-specific protective materials and equipment
- lead aprons
- laser goggles
- smoke evacuators
- extinguishers

- Identify and control environment factors
- humidity
- noise
- temperature
- traffic
- Maintain a sterile field using aseptic technique
- Ensure the sterility of surgical products and instrumentation
- expiration date
- package integrity
- Aseptic technique
- Wound classifications

- Verify and document specimens with surgical team
- Prepare, label, and transport specimens
- Confirm, present, and prepare implants
- Prepare explants for final disposition
- Monitor and evaluate the effects of pharmacological and anesthetic agents
- Assist with anesthesia management
- induction
- airway protection
- extubation
- cricoid pressure

- Adhere to Universal Protocol
- time out
- WHO checklist
- National Patient Safety Goals (NPSGs)
- Manage patient hemodynamic needs
- fluid replacement
- Prepare, label, and administer moderate and local sedation/analgesia with appropriate monitoring
- capnography
- pulse oximeter

- Communicate patientstatus and changes to interdisciplinary healthcare providers
- Utilize effective communication for continuity of patient care
- hand-off
- debrief
- Methods and requirements for reporting to interdisciplinary healthcare providers
- critical lab values
- medical condition
- medications
- allergies
- implants/implantable devices
- read back orders

- Information technology
- software applications
- security
- HIPAA
- Barriersto communication
- patient
- family
- team
- chain of command

- Interdisciplinary services for care coordination
- nutrition
- wound care
- social work
- referrals
- transportation
- convalescent center
- physical therapy
- Evaluate patient status to facilitate transfer to the next level of care
- PACU
- home
- rehab facility
- hospital
- 23-hour observation

- Document patient care
- Provide and document post-discharge follow-up communication according to regulatory guidelines
- Assist with management of:
- airway
- pain
- hemodynamic monitoring
- Pain management
- ERAS
- multi-modal
- regional blocks

- Select appropriate methods and products for processing
cleaning
disinfecting
packaging
sterilizing
transportation
storage
- Cleaning products and techniques
- manual washing
- ultrasonic
- Packaging techniques
- crates
- peel packs
- wraps

- Transportation of equipment, instruments, and supplies
- Perform and document disinfection procedures
- high-level disinfection
- decontamination
- Handle and dispose of hazardous materials
- chemo drugs
- radioactive materials
- Handle and dispose of biohazard materials
- blood
- tissue

- Perform and document sterilization procedures including biological and chemical monitoring
- load parameters
- steam sterilization
- low- temperature sterilization
- Perform and document immediate use steam sterilization (IUSS)
- Quality assurance testing
- washer-disinfector
- sterilizer
- Perform nursing interventions based on age-specific needs
- Coordinate members of the interdisciplinary healthcare team during internal/external emergency situations

- Preparation for and management of medical emergencies:
- Malignant Hyperthermia (MH)
- Preparation for and management of medical emergencies:
- Anaphylaxis
- Cardiac arrest
- Hemorrhage
- Roles ofthe interdisciplinary healthcare team during internal/external emergency situations
- triage
- FEMA
- EMS
- community resources

- Preparations for and management of environmental hazards and natural disasters
- fire
- toxic fumes
- natural disasters
- terrorism
- power outage
- active shooter

- Acquire equipment, supplies, and personnel
- Coordinate and document preventive maintenance of equipment
- Monitor availability and sterility of supplies
- Perioperative resource management
- equipment
- supplies
- staffing
- Supervise, educate, and mentor healthcare team members
- Delegate perioperative tasks to appropriate personnel within their scope of practice

- Supervise non-OR personnel
- vendors
- students
- visitors
- family
- Adjunct roles, assigned staff, and responsibilities
- medication safety
- laser safety
- employee health
- Privacy officer
- Facility officer
- Risk manager
- infection prevention

- Role of non-perioperative personnel
- vendor
- students
- visitors
- family
- medical records
- admissions
- Scope of practice for the interdisciplinary team per regulatory agencies: Nurse Practice Act
- Monitor and assist with implementation of cost-containment measures
- Implement environmental sustainability practices
- reprocessing
- recycling
- Waste management
- reprocessing to include single-use devices
- supply standardization

- Ensure use of Personal Protective Equipment (PPE)
- Oversee environmental cleaning
- spills
- room turnover
- terminal cleaning
- physical plant
- Track biological implants
- order
- reconstitute
- storage
- use/waste
- Radiation safety
- dosimetry badges
- time
- distance
- shielding
- lead protection

- Protect patient confidentiality
- Advocate for and protect patients’ rights
- Report unanticipated events and good catches
- Perform functions within scope of practice
- Comply with regulatory and accreditation guidelines
- life safety
- Local
- state
- federal regulatory requirements
- FDA
- CDC
- CMS
- OSHA
- DEA

- Demonstrate competency in perioperative nursing practice
- Acknowledge personal bias and limitations and seek assistance as needed
- Utilize standards and recommended practices
- AORN
- APIC
- AAMI
- IAHCSSM
- ASPAN
- Demonstrate evidence-based practice
- hand hygiene
- safe injection practices
- surgical attire

- Accreditation standards and organization guidelines
- AORN Guidelines for Perioperative Nursing
- Perioperative
- Explications for the ANA Code of Ethics for:
- Nurses
- ASPAN
- APIC
- AAMI
- EBP
- Hand hygiene
- Safe injection practices
- Surgical attire

- Identify and take appropriate action regarding behaviors that undermine a culture ofsafety
- disruptive behavior
- Participate in professional development activities
- shared governance
- staff education
- committees
- certifications
- advanced degrees
- professional Organizations

- Risk management
- eventreporting
- good catch
- disclosure of unanticipated events
- recalls
- Safe Medical Device Act
- Quality improvement processes
- research
- data collection
- evidence-based practice
- performance improvement
- CMS quality measure
- reimbursements

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CNAMB PDF Sample Questions

CNAMB Sample Questions

Question: 1
In the context of ambulatory surgery, what is the primary purpose of supply management?
A. Communicating with vendors and suppliers
B. Managing the financial aspects of the ambulatory surgery center
C. Coordinating the scheduling of surgical procedures
D. Ensuring an adequate inventory of surgical supplies and equipment
Answer: D
Explanation: The primary purpose of supply management in the context of ambulatory surgery is to ensure an adequate inventory ofsurgical supplies and equipment. This includes monitoring supply levels, placing orders, receiving and inspecting deliveries, and organizing storage to ensure that the necessary supplies and equipment are available for surgical procedures and patient care.
Question: 2
Which of the following is the primary purpose of preoperative patient assessment and diagnosis?
A. To establish the surgical schedule
B. To determine the patient's insurance coverage
C. To identify potential surgical complications
D. To obtain informed consent from the patient
Answer: C
Explanation: The primary purpose of preoperative patient assessment and diagnosis is to identify potential surgical complications. This assessment helps in evaluating the patient's overall health, identifying any pre-existing conditions or risk factors that may affect the surgical outcome, and determining the appropriate surgical approach.
Question: 3
Which of the following is a key consideration during the postoperative/transfer of care phase for an ambulatory surgery nurse?
A. Administering postoperative pain medication as ordered.
B. Initiating physical therapy exercises immediately after surgery.
C. Discharging the patient home without further assessment.
D. Providing detailed postoperative instructions and education.
Answer: D
Explanation: Providing detailed postoperative instructions and education is a key consideration during the postoperative/transfer of care phase for an ambulatory surgery nurse. After surgery, the nurse plays a crucial role in ensuring that the patient receives appropriate postoperative care and understands the necessary self-care instructions. This includes providing information on wound care, medication management, activity restrictions, signs and symptoms of complications, and follow-up appointments. By providing clear instructions and education, the nurse promotes patient safety, facilitates recovery, and empowers the patient to actively participate in their own care.
Question: 4
Which of the following components should be included in the preoperative plan of care for an ambulatory surgery patient?
A. Determining the patient's financial responsibility
B. Scheduling the surgery at the patient's convenience
C. Administering preoperative medications
D. Documenting the patient's insurance information
Answer: C
Explanation: Administering preoperative medications is an essential component of the preoperative plan of care. These medications may include preoperative antibiotics, sedatives, and other medications prescribed by the surgeon to prepare the patient for surgery.
Question: 5
Which of the following is a key responsibility of the ambulatory surgery nurse during the intraoperative care phase?
A. Monitoring and maintaining the patient's airway.
B. Assisting the surgeon with surgical procedures.
C. Administering anesthesia to the patient.
D. Documenting intraoperative findings and interventions.
Answer: B
Explanation: Assisting the surgeon with surgical procedures is a key responsibility of the ambulatory surgery nurse during the intraoperative care phase. The nurse works closely with the surgical team, providing support and assistance during the surgical procedure. This may involve tasks such as handing instruments to the surgeon, positioning the patient, managing surgical specimens, and ensuring the availability and proper functioning of equipment and supplies. By actively participating in the surgical procedure, the ambulatory surgery nurse contributes to the smooth flow of the operation and helps maintain patient safety and surgical efficiency.
Question: 6
Which of the following is a critical step in instrument processing and supply management?
A. Maintaining an inventory of surgical instruments
B. Performing routine maintenance on surgical instruments
C. Displaying instruments for easy identification
D. Storing instruments in a clean and dry environment
Answer: D
Explanation: Storing instruments in a clean and dry environment is a critical step in instrument processing and supply management. Proper storage helps prevent contamination, corrosion, and damage to surgical instruments, ensuring their readiness and usability for future procedures.
Question: 7
Which of the following is a fundamental aspect of instrument processing and supply management in the ambulatory surgery setting?
A. Reusing single-use instruments to reduce costs.
B. Implementing a system for proper instrument tracking anddocumentation.
C. Sterilizing instruments at a temperature below the recommended guidelines.
D. Storing instruments in an unorganized manner for easy accessibility.
Answer: B
Explanation: Implementing a system for proper instrument tracking and documentation is a fundamental aspect of instrument processing and supply management in the ambulatory surgery setting. This involves establishing protocols and procedures to track the usage, sterilization, and maintenance of surgical instruments. By implementing an organized system, the ambulatory surgery nurse ensures that instruments are readily available when needed, reduces the risk of errors or contamination, and promotes efficient workflow. Proper tracking and documentation also contribute to regulatory compliance and quality assurance in the ambulatory surgery center.
Question: 8
After an ambulatory surgery procedure, when should the nurse initiate the transfer of care for the patient?
A. Immediately upon completion of the surgery
B. After the patient has regained consciousness
C. Once the postoperative pain is adequately managed
D. Before the patient is ready for discharge
Answer: B
Explanation: The transfer of care for an ambulatory surgery patient should be initiated after the patient has regained consciousness. This ensures that the patient is stable, awake, and able to participate in the transfer process, including receiving necessary postoperative instructions and understanding the plan for ongoing care.
Question: 9
Which of the following communication methods is most effective for conveying critical information during an ambulatory surgery procedure?
A. Written communication
B. Verbal communication
C. Electronic communication
D. Non-verbal communication
Answer: B
Explanation: Verbal communication is the most effective method for conveying critical information during an ambulatory surgery procedure. Direct verbal communication allows for immediate clarification, feedback, and the ability to address any questions or concerns in real-time, ensuring accurate and timely communication among the healthcare team.
Question: 10
Which of the following is an essential aspect of effective communication in the ambulatory surgery setting?
A. Using medical jargon and technical terms to ensure accuracy.
B. Providing detailed written instructions to patients.
C. Relying solely on electronic communication methods.
D. Active listening and clear verbal communication.
Answer: D
Explanation: Active listening and clear verbal communication are essential aspects of effective communication in the ambulatory surgery setting. The ambulatory surgery nurse needs to listen attentively to patients, colleagues, and other healthcare professionals to ensure accurate understanding of information and instructions. Clear verbal communication involves using plain language, speaking clearly and concisely, and providing explanations or instructions in a manner that can be easily understood by the recipient. Effective communication promotes patient safety, minimizes misunderstandings or errors, and fosters a collaborative and efficient healthcare environment.
Question: 11
Which of the following is an essential aspect of personnel management in an ambulatory surgery setting?
A. Scheduling staff vacations and time off
B. Managing the patient's medical records
C. Ordering surgical supplies and equipment
D. Conducting performance evaluations
Answer: D
Explanation: Conducting performance evaluations is an essential aspect of personnel management in an ambulatory surgery setting. Performance evaluations help assess staff competency, identify areas for improvement or additional training, and recognize and reward high-performing individuals, contributing to the overall quality and effectiveness of the healthcare team.
Question: 12
During an emergency situation in an ambulatory surgery setting, what is the nurse's primary responsibility?
A. Notifying the surgeon and other members of the healthcare team
B. Administering emergency medications to the patient
C. Evacuating the ambulatory surgery center
D. Initiating cardiopulmonary resuscitation (CPR)
Answer: A Explanation: The nurse's primary responsibility during an emergency situation in an ambulatory surgery setting is to notify the surgeon and other members of the healthcare team. Prompt communication is crucial to ensure a coordinated response to the emergency, mobilize necessary resources, and provide appropriate care to the patient.
Question: 13
During an ambulatory surgery procedure, which of the following is the nurse's primary responsibility?
A. Documenting the surgical steps
B. Assisting the surgeon with the procedure
C. Monitoring the patient's vital signs
D. Preparing the operating room equipment
Answer: C
Explanation: The nurse's primary responsibility during an ambulatory surgery procedure is to monitor the patient's vital signs. This includes monitoring the patient's heart rate, blood pressure, oxygen saturation, and respiratory rate to ensure the patient's safety and detect any changes that may require immediate intervention.
Question: 14
Which of the following is an example of a closed-loop communication strategy in the ambulatory surgery setting?
A. Informing the surgeon about a critical lab result during surgery.
B. Writing a note in the patient's medical record for future reference.
C. Sending an email to the nursing staff about a change in the surgical schedule.
D. Discussing the patient's care plan during a team huddle.
Answer: A
Explanation: Informing the surgeon about a critical lab result during surgery is an example of a closed-loop communication strategy in the ambulatory surgery setting. Closed-loop communication involves a sender transmitting information, the receiver acknowledging receipt and understanding of the information, and providing a response or confirmation to ensure accurate and complete communication. In this example, the nurse communicates the critical lab result to the surgeon, who acknowledges and responds to the information. This closed-loop communication helps prevent miscommunication or oversight, promotes patient safety, and facilitates timely decision-making and appropriate interventions during surgery.
Question: 15
In the context of emergency situations, which of the following best describes the role of the ambulatory surgery nurse?
A. Directly performing emergency surgical procedures.
B. Documenting the emergency situation and interventions.
C. Contacting the patient's family or emergency contacts.
D. Initiating and coordinating the emergency response.
Answer: D
Explanation: Initiating and coordinating the emergency response is the role of the ambulatory surgery nurse in emergency situations. The nurse is responsible for recognizing and responding to emergent or life-threatening situations promptly and effectively. This may involve initiating appropriate emergency protocols, activating the emergency response team, and coordinating the efforts of healthcare providers involved in the emergency. While the nurse may assist in emergency procedures, the primary role is to ensure the timely and coordinated management of the emergency situation, prioritizing patient safety and facilitating optimal patient outcomes.
Question: 16
Which of the following is a key responsibility of the ambulatory surgery nurse in the management of personnel, services, and materials?
A. Performing routine maintenance of surgical equipment.
B. Managing the facility's financial operations.
C. Developing marketing strategies for the ambulatory surgery center.
D. Ensuring compliance with legal and regulatory requirements.
Answer: D
Explanation: Ensuring compliance with legal and regulatory requirements is a key responsibility of the ambulatory surgery nurse in the management of personnel, services, and materials. The nurse plays a vital role in maintaining a safe and compliant healthcare environment by staying updated with current regulations, policies, and guidelines related to ambulatory surgery practices. This includes overseeing staff adherence to infection control protocols, maintaining accurate documentation, and implementing measures to protect patient privacy and confidentiality. Compliance with legal and regulatory requirements promotes patient safety, mitigates risks, and ensures the delivery of high-quality care in the ambulatory surgery center.
Question: 17
When it comes to the management of materials in an ambulatory surgery setting, what is the nurse's primary responsibility?
A. Documenting inventory levels
B. Sterilizing surgical instruments
C. Ordering and restocking medical supplies
D. Disposing of hazardous waste
Answer: C
Explanation: The nurse's primary responsibility in the management of materials in an ambulatory surgery setting is ordering and restocking medical supplies. This involves assessing supply needs, placing orders, monitoring inventory levels, and ensuring that essential medical supplies are available, contributing to the smooth operation of the ambulatory surgery center and the delivery of safe patient care.
Question: 18
Which of the following is an important component of the preoperative patient assessment and diagnosis process?
A. Assessing the patient's medical history and comorbidities.
B. Administering preoperative medications.
C. Obtaining informed consent from the patient.
D. Providing preoperative education to the patient.
Answer: A
Explanation: Assessing the patient's medical history and comorbidities is an important component of the preoperative patient assessment and diagnosis process. This involves gathering information about the patient's past medical conditions, current medications, allergies, and any other relevant health factors. By assessing the patient's medical history and comorbidities, the surgical team can identify any potential risks or complications that may arise during the surgical procedure. This information helps in developing an appropriate plan of care and making informed decisions to ensure patient safety and optimal surgical outcomes.

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