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PSNCB Certified Plastic Surgical Nurse Practice Test

PSNCB-CPSN exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

The CPSN exam is a computer-based test consisting of 175 multiple-choice questions. Candidates are given 3 hours to complete the exam. The questions are divided into the following categories:

Core Knowledge (25% of the exam):
Anatomy and physiology
Wound healing and tissue repair
Pharmacology related to plastic surgery
Anesthesia and pain management

Preoperative Care (20% of the exam):
Patient assessment and education
Preoperative planning and preparation
Informed consent and ethical considerations

Intraoperative Care (20% of the exam):
Surgical procedures and techniques
Sterilization and infection control
Operating room safety and protocols

Postoperative Care (25% of the exam):
Postoperative assessment and monitoring
Complication management
Patient education and discharge planning

Professional Issues (10% of the exam):
Legal and ethical issues in plastic surgical nursing
Scope of practice and professional standards
Patient advocacy and communication

Details:

- Patient Assessment and Care Planning
- Preoperative assessment
- medical history
- physical examination
- risk factors
- Psychosocial assessment
- patient expectations
- body image
- mental health

- Development of individualized care plans.
- Patient education and informed consent.
- Informed consent
- risk assessment
- body dysmorphic disorder (BDD)
- comorbidities

- Intraoperative Care
- Roles and responsibilities of the plastic surgical nurse in the operating room.
- Sterile techniques and infection control.
- Surgical instrumentation and equipment.
- Anesthesia monitoring and patient positioning.
- Aseptic technique
- surgical draping
- electrosurgery
- tourniquet
- deep vein thrombosis (DVT) prophylaxis

- Postoperative Care
- Immediate postoperative care
- monitoring
- pain management
- wound care
- Management of postoperative complications
- infection
- hematoma
- seroma

- Long-term follow-up and patient education.
- Scar management and rehabilitation.
- Hematoma
- seroma
- dehiscence
- necrosis
- compression garments
- negative pressure wound therapy (NPWT)

- Reconstructive Procedures
- Principles of reconstructive surgery
- grafts
- flaps
- microsurgery
- Common reconstructive procedures
- breast reconstruction
- facial reconstruction
- burn reconstruction

- Postoperative care for reconstructive patients.
- Autograft
- allograft
- free flap
- pedicle flap
- tissue expansion
- skin graft

- Cosmetic Procedures
- Principles of cosmetic surgery
- facial rejuvenation
- body contouring
- non-surgical procedures
- Common cosmetic procedures
- rhinoplasty
- liposuction
- breast augmentation

- Postoperative care for cosmetic patients.
- Botox
- dermal fillers
- laser resurfacing
- abdominoplasty
- blepharoplasty
- liposuction
- Phases of wound healing
- inflammatory
- proliferative
- remodeling

- Types of wound closure (primary, secondary, tertiary intention).
- Wound care products
- hydrocolloids
- hydrogels
- alginates
- Pharmacological and non-pharmacological pain management techniques.
- Patient-controlled analgesia (PCA).
- Assessment tools
- visual analog scale
- numeric rating scale

- Infection Control
- Surgical site infections (SSI).
- Antibiotic prophylaxis.
- Hand hygiene and sterilization techniques.
- Ethical and Legal Considerations
- Patient confidentiality (HIPAA compliance).
- Ethical dilemmas in plastic surgery (e.g., cosmetic surgery for minors).

- Legal issues
- malpractice
- informed consent
- Patient Education and Support
- Preoperative and postoperative instructions.
- Emotional support and counseling.
- Lifestyle modifications
- smoking cessation
- weight management

- Head and neck
- Disease process - Cranial-facial congenital anomalies - cleft lip & palate; Vascular malformations - hemangiomas, Port wine stain, Arteriovenous malformation; cancers, skin lesions
- Trauma - facial fractures, Le Forte fx, mandibular fractures, burns, soft tissue trauma, animal bites

- Breast
- Disease process - cancer, benign tumors, congenital Poland syndrome, asymmetry, nipple deformity (e.g., inversion)
- Trauma - soft tissue injury, burns, necrosis, abscesses (pressure ulcers)

- Extremities
- Disease process - cancers, ulcers, amputation, contractures, benign tumors (ganglion, mucocysts, epidermoid inclusion cyst)
- Trauma - amputation, burns, lacerations, fractures, gamekeeper’s injury, dislocation of digits, brachial plexus injury, vascular injury (replantation, revascularization), animal bites

- Abdomen & trunk
- Disease process - cancers, benign tumors, post-bariatric surgeries, vaginal reconstruction
- Trauma - burns, soft tissue injuries, gunshot wounds, avulsion injuries, genital injury.

- Cosmetic/Aesthetic
- Surgical
- Head and neck - rhinoplasty, blepharoplasty, cheek augmentation, chin augmentation, ears, face lift, brow lift, hair transplant, neck lift, suctionassisted liposuction (SAL).
- Breast - augmentation, reduction, revision, mastopexy, malegynecomastia, SAL.
- Extremities - arm lift, SAL, thigh lift.
- Abdomen & trunk - Body contouring: buttock augmentation, SAL, lower body lift, tummy tuck, labiaplasty, vaginaplasty.

- Nonsurgical/Aesthetic
- Aesthetic injectables.
- Laser, light, & energy therapies.
- Clinical skin care.

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PSNCB Certified Plastic Surgical Nurse
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Question: 1
What type of trauma can cause soft tissue injuries, burns, and necrosis in the extremities?
1. Soft tissue injury
2. Fractures
urns wer: D
anation: Trauma to the extremities can result in soft tissue injuries, ding burns. Burns can cause tissue damage, necrosis, and related plications in the affected extremity.
stion: 2
type of trauma can cause burns, soft tissue injuries, gunshot wounds, sion injuries in the abdomen and trunk area?
urns
oft tissue injuries vulsion injuries unshot wounds
Necrosis
3. B
Ans Expl
inclu com
Que
What and
avul
1. B
2. S
3. A
4. G
Answer: D
Explanation: Trauma to the abdomen and trunk can result from various causes, including gunshot wounds, which can cause burns, soft tissue injuries, and avulsion injuries.
Which cosmetic/aesthetic procedure involves the surgical removal of excess fat and skin from the eyelids?
1. Blepharoplasty
2. Rhinoplasty
3. Cheek augmentation
wer: A
anation: Blepharoplasty is a cosmetic/aesthetic procedure that involve cal removal of excess fat and skin from the eyelids. It is commonly ormed to rejuvenate the appearance of the eyes.
stion: 4
ch disease process commonly affects the abdomen and trunk and invol bnormal growth of malignant cells?
aginal reconstruction enign tumors
ost-bariatric surgeries ancer
Chin augmentation
Ans
Expl s the
surgi perf
Que
Whi ves
the a
1. V
2. B
3. P
4. C
Answer: D
Explanation: Cancer can affect the abdomen and trunk, leading to the abnormal growth of malignant cells. Various types of abdominal and trunk cancers can occur.
Which cosmetic/aesthetic procedure involves the surgical reshaping of the nose?
1. Cheek augmentation
2. Blepharoplasty
3. Rhinoplasty
wer: C
anation: Rhinoplasty is a surgical procedure that focuses on reshaping often to Improve its appearance or correct functional abnormalities.
stion: 6
ch cosmetic/aesthetic procedure involves the surgical reshaping, sitioning, or augmentation of the breasts to Improve their size, shape, o metry?
astopexy reast reduction reast revision
reast augmentation
Chin augmentation
Ans
Expl the
nose,
Que
Whi
repo r
sym
1. M
2. B
3. B
4. B
Answer: D
Explanation: Breast augmentation is a cosmetic/aesthetic procedure that aims to enhance the size, shape, or symmetry of the breasts. It involves the surgical placement of implants or the transfer of fat to achieve the desired outcome.
Question: 7
What type of trauma can result in soft tissue injury, burns, necrosis, and abscesses in the breast area?
1. Soft tissue injury
2. Abscesses (pressure ulcers)
urns wer: B
anation: Trauma to the breast can lead to various complications, inclu evelopment of abscesses or pressure ulcers. These can result in soft ti y, burns, necrosis, and related issues.
stion: 8
ch of the following cranial-facial congenital anomalies involves a ration or opening in the upper lip?
ort wine stain left palate left lip
rteriovenous malformation
Necrosis
3. B
Ans
Expl ding
the d ssue
injur
Que
Whi sepa
1. P
2. C
3. C
4. A
Answer: C
Explanation: Cleft lip refers to a separation or opening in the upper lip, which can extend to the nose. It is a common cranial-facial congenital anomaly.
What type of trauma can result in soft tissue injuries, burns, and necrosis in the breast area?
1. Soft tissue injury
2. Burns
3. Necrosis
wer: B
anation: Trauma to the breast can cause soft tissue injuries, including s, which can result in tissue damage, necrosis, and related complicatio
stion: 10
ch disease process commonly affects the abdomen and trunk and invol urgical removal of excess skin and fat after significant weight loss?
ancer
enign tumors
aginal reconstruction ost-bariatric surgeries
wer: D
Abscesses (pressure ulcers)
Ans Expl
burn ns.
Que
Whi ves
the s
1. C
2. B
3. V
4. P
Ans
Explanation: Post-bariatric surgeries refer to procedures performed on individuals who have undergone significant weight loss, often through bariatric surgery. These surgeries involve the removal of excess skin and fat from the abdomen and trunk.
Which disease process can involve body contouring procedures such as buttock augmentation, suction-assisted liposuction (SAL), and lower body lift?
1. Cancer
2. Benign tumors
3. Tummy tuck
wer: D
anation: Body contouring procedures, such as buttock augmentation, on-assisted liposuction (SAL), and lower body lift, are commonly ormed as part of the treatment for patients undergoing body contouring
These procedures aim to reshape and enhance the appearance of various b
stion: 12
ch disease process commonly affects the breast and involves the abnor th of malignant cells?
enign tumors ancer
ongenital Poland syndrome ipple deformity
Body contouring Ans
Expl sucti
perf .
ody
areas.
Que
Whi mal
grow
1. B
2. C
3. C
4. N
Answer: B
Explanation: Cancer is a disease process that frequently affects the breast. It involves the uncontrolled growth and spread of malignant cells, which can lead to various types of breast cancer.
Which type of trauma involves fractures of the facial bones, specifically the upper jaw and cheekbones?
1. Soft tissue trauma
Forte fx nimal bites
wer: C
anation: Le Forte fractures refer to fractures of the facial bones, cularly the upper jaw and cheekbones. These fractures are classified i rent types based on the location and severity of the injury.
stion: 14
ch cosmetic/aesthetic procedure involves the surgical removal of exce kin from the upper arms?
hinoplasty
uction-assisted liposuction (SAL) high lift
Mandibular fractures
2. Le
3. A
Ans Expl
parti nto
diffe
Que
Whi ss fat
and s
1. R
2. S
3. T
4. Arm lift Answer: D
Explanation: An arm lift is a cosmetic/aesthetic procedure that aims to remove excess fat and skin from the upper arms. It is typically performed to achieve a more toned and contoured arm appearance.
What type of trauma may lead to amputation, burns, lacerations, fractures, and dislocation of digits in the extremities?
1. Amputation
acerations ractures
wer: A
anation: Trauma to the extremities can result in severe injuries such a utation, burns, lacerations, fractures, and dislocation of digits.
stion: 16
ch disease process involves ulcers, amputation, contractures, and beni rs in the extremities?
enign tumors lcers mputation ancers
Burns
2. L
3. F
Ans
Expl s
amp
Que
Whi gn
tumo
1. B
2. U
3. A
4. C
Answer: D
Explanation: Extremities can be affected by various disease processes, including cancers. These can manifest as ulcers, amputation, contractures, or the presence of benign tumors.
Question: 17
What type of vascular malformation presents as a birthmark characterized by a red or purple discoloration on the skin?
1. Hemangiomas
2. Arteriovenous malformation
kin lesions
wer: C
anation: A port wine stain is a type of vascular malformation that app ed or purple birthmark on the skin. It is caused by abnormal blood ve he surface of the skin.
stion: 18
ch cosmetic/aesthetic procedure involves the surgical removal of exce kin from the thighs?
high lift
uction-assisted liposuction (SAL) rm lift
hinoplasty
Port wine stain
3. S
Ans
Expl ears
as a r ssels
near t
Que
Whi ss fat
and s
1. T
2. S
3. A
4. R
Answer: A
Explanation: A thigh lift is a cosmetic/aesthetic procedure that targets the removal of excess fat and skin from the thighs. It is performed to achieve a more sculpted and proportionate appearance of the thighs.
Question: 19
What type of trauma can cause burns, soft tissue injuries, gunshot wounds, avulsion injuries, and genital injury in the abdomen and trunk area?
1. Burns
unshot wounds oft tissue injuries
wer: B
anation: Trauma to the abdomen and trunk can lead to various injuries ding burns, soft tissue injuries, gunshot wounds, avulsion injuries, an al injury. Genital injury is a potential consequence of trauma in this a
Genital injury
2. G
3. S
Ans
Expl ,
inclu d
genit rea.

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