Certification board reviews CNOR job analysis

AORN Journal,  Sept, 2002  

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The Certification Board Perioperative Nursing (CBPN) Test Specifications Committee met in Denver in October 2001 to update the job analysis for certified perioperative nurses. The CBPN is charged by its accrediting agencies with evaluating the certification examination process every five years. The last job analysis study was performed in 1997. The results of job analysis studies are used as a guide to develop future CNOR examinations.

Working under the direction of a testing agency, CBPN conducted a comprehensive analysis of the perioperative role as it is practiced today and addressed the current and future needs of the profession. The committee focused on a number of important aspects of the perioperative profession to provide a role 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 job analysis and sent it for review to the committee. The committee's comments were compiled and incorporated into the CNOR job analysis for use in the study validation phase of the project. A survey then was mailed to a pilot test group of five individuals who reviewed the survey, completed the questionnaire, and suggested changes to the draft. After the survey was finalized, it was mailed to a sample of 1,000 CNORs in January 2002.

Nearly 34% of those surveyed returned the completed questionnaire. The results indicate that all of the task statements and a majority of the knowledge and skill statements included on the survey achieved a high mean importance rating. Respondents expressed the opinion that the domains of practice and perioperative phases were important to competent practice as perioperative nurses.

This study identified the tasks, knowledge, and skills that are important to an entry-level perioperative nurse. For the purpose of the survey, an entry-level perioperative nurse is defined as an individual who possesses the knowledge, skills, and abilities required to practice as a CNOR. This individual would have no more than two 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. prevent the prosthesis from becoming nonfunctional.

b. return the patient to work.

c. prevent infection.

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

2. The proximal end of the femur has a rounded head that articulates with the -- bone in the --.

a. coxal/acetabulum

b. iliac/acetabulum

c. coxal/greater trochanter

d. iliac/greater trochanter

3. The most 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 structure 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 processes can contribute to loosening the bond between the cement and the bone. These processes include

a. fatigue fractures and debris.

b. infection and stem breakage.

c. stem breakage and joint wearing.

d. fatigue fractures and joint wearing.

6. The ballistic chiseling unit's console transforms pressurized nitrogen into controlled bursts of nitrogen. The energy is propagated to the chisel's tip, which when placed against the cement causes

a. expulsion.

b. fragmentation

c. implosion

d. melting

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

a. fixed proximal stem

b. cement fixation

c. extensively coated implant

d. impaction grafting technique

8. Which of the following nursing diagnoses would be most 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 length of procedure and tissue manipulation during procedure.

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

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

9. Postoperatively, patients are instructed to keep their knees below the 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. deep vein thrombosis.

d. paralysis.

AORN, Association of periOperative Registered Nurses, is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's (ANCO's) Commission on Accreditation. AORN recognizes this activity as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC's Commission on Accreditation approves or endorses any product 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.