Certified Foundational Perioperative Nurse (CFPN) Exam
Practice Test

Sterile surgical instruments need to be stored in an area:

In a perioperative setting, who is primarily responsible for communicating potential postoperative risks to a patient to obtain informed consent?

Which of the following teams is best suited for developing a new protocol for managing intraoperative emergencies?

In a code blue situation in the operating room, the perioperative nurse is assisting with airway management. When should the nurse adjust or cease airway support? Time Audio Action to be Taken 0:00 Call for additional help 0:30 Start chest compressions 1:00 Provide positive pressure ventilation; ensure airway support. 2:00 If no response, prepare for advanced airway management 2:30 Anesthesia provider confirms airway secured

A patient in the mental health unit experiences a sudden and severe psychiatric emergency that threatens their life. The patient is unable to give consent, and their family is unavailable. What is the most appropriate action the nurse should take regarding consent for immediate intervention?

In addition to hypotension and difficulty breathing, which of the following are primary signs of anaphylaxis during a surgical procedure?

A patient with a cochlear implant is scheduled for a lithotripsy procedure to treat kidney stones. What precaution should the surgical team take to avoid complications related to the cochlear implant?

In perioperative nursing, evaluating the success of an intervention is crucial. Based on the table below, which intervention showed a more effective outcome for patient mobility recovery?

A 50-year-old patient with controlled asthma who occasionally uses a rescue inhaler is scheduled for an elective knee surgery. Based on the ASA classification, what would be the most appropriate classification for this patient?

Which of the following is a potential intraoperative complication for a patient with pheochromocytoma?

A patient with severe allergies is scheduled for a minor surgery. As part of the individualized plan of care, what should the perioperative nurse prioritize to ensure the patient's safety?

Which of the following patient outcomes would be appropriate in the nursing plan of care for a patient undergoing their first hip replacement surgery?

During an appendectomy, what actions should the perioperative nurse take to manage the appendiceal specimen while ensuring patient sensitivity?

A patient undergoing cataract surgery with conscious sedation suddenly begins to exhibit abnormal vital signs. Which of the following changes should alert the perioperative nurse to the possibility of an adverse reaction to the sedative?

A perioperative nurse is assessing surgical instruments for reuse in upcoming procedures at the hospital. The nurse must ensure certain contaminants have not compromised the instruments. Which of the following contaminants would require special disposal due to potential risk? Contaminant Type Description Requires Special Disposal Biological Derived from body fluids or tissues Yes Chemical From disinfectants or cleaning agents No Physical Caused by mechanical defects or corrosion No

Before surgery, the patient's laboratory results show a fasting blood glucose level of 120 mg/dL. Which of the following is a possible explanation for this elevated level?

What is the recommended emergency medication to treat malignant hyperthermia during an intraoperative crisis?

Which of the following factors does not increase a patient's risk of developing hypothermia during surgery?

A patient undergoing thoracic surgery is placed in the lateral decubitus position. To prevent neurovascular compression, the axillary roll should be positioned:

Which type of benign breast lump rarely develops into a cancerous condition? Type of Breast Lump Characteristics Likelihood of Becoming Cancerous Fibroadenoma Benign; solid; typically round and mobile Rarely Cyst Fluid-filled; can be tender Rarely Fat Necrosis Damaged fatty breast tissue due to injury Rarely Hyperplasia Overgrowth of cells; may be atypical Can become cancerous

A nurse in the post-anesthesia care unit is evaluating a patient's laboratory results. Analyze the following electrolyte levels: Electrolyte Measured Level (mmol/L) Potassium 3.2 Sodium 140 What do these findings indicate about the patient's postoperative condition?

In the context of perioperative care, establishing a climate where surgical team members can freely communicate safety concerns without fear of retribution is integral to team performance. This approach is known as:

Considering the following surgical scenarios and instrument uses, identify the expected Spaulding Classification for a laparoscope used in abdominal surgery. Surgical Procedure Instrument Use Expected Spaulding Classification Cardiac Surgery Directly entering the bloodstream Critical Dental Cleaning Touching mucous membranes Semicritical Skin incision Contact with intact skin Noncritical Endoscopy Touch mucosal linings Semicritical

Which of the following best describes the primary goal of using surgical smoke evacuation devices during operative procedures?

During the preparation of a tray for cardiac surgery, the perioperative nurse should consider several factors for proper sterilization of instruments. Which of the following is an incorrect practice?

During the setup of a sterile field, the perioperative nurse notices a surgical technician is wearing a wristwatch. In accordance with the hospital's policy on minimizing contamination, the nurse should

In the maintenance of perioperative hand hygiene, what is the preferred frequency for testing the effectiveness of surgical scrub solutions?

A perioperative nurse must ensure the correct handling and disposal of surgical waste. All of the following items are considered regulated medical waste except:

Based on the Spaulding classification system, how should an endoscope used in gastrointestinal procedures be classified in terms of infection risk?

In ensuring proper air quality control within an operating room, which method most effectively reduces the risk of infection transmission?