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?
A. Soft tissue injury
B. Fractures
C. Necrosis
D. Burns
Answer: D
Explanation: Trauma to the extremities can result in soft tissue injuries,
including burns. Burns can cause tissue damage, necrosis, and related
complications in the affected extremity.
Question: 2
What type of trauma can cause burns, soft tissue injuries, gunshot wounds, and
avulsion injuries in the abdomen and trunk area?
A. Burns
B. Soft tissue injuries
C. Avulsion injuries
D. Gunshot wounds
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.
Question: 3
Which cosmetic/aesthetic procedure involves the surgical removal of excess fat
and skin from the eyelids?
A. Blepharoplasty
B. Rhinoplasty
C. Cheek augmentation
D. Chin augmentation
Answer: A
Explanation: Blepharoplasty is a cosmetic/aesthetic procedure that involves the
surgical removal of excess fat and skin from the eyelids. It is commonly
performed to rejuvenate the appearance of the eyes.
Question: 4
Which disease process commonly affects the abdomen and trunk and involves
the abnormal growth of malignant cells?
A. Vaginal reconstruction
B. Benign tumors
C. Post-bariatric surgeries
D. Cancer
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.
Question: 5
Which cosmetic/aesthetic procedure involves the surgical reshaping of the
nose?
A. Cheek augmentation
B. Blepharoplasty
C. Rhinoplasty
D. Chin augmentation
Answer: C
Explanation: Rhinoplasty is a surgical procedure that focuses on reshaping the
nose, often to Improve its appearance or correct functional abnormalities.
Question: 6
Which cosmetic/aesthetic procedure involves the surgical reshaping,
repositioning, or augmentation of the breasts to Improve their size, shape, or
symmetry?
A. Mastopexy
B. Breast reduction
C. Breast revision
D. Breast augmentation
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?
A. Soft tissue injury
B. Abscesses (pressure ulcers)
C. Necrosis
D. Burns
Answer: B
Explanation: Trauma to the breast can lead to various complications, including
the development of abscesses or pressure ulcers. These can result in soft tissue
injury, burns, necrosis, and related issues.
Question: 8
Which of the following cranial-facial congenital anomalies involves a
separation or opening in the upper lip?
A. Port wine stain
B. Cleft palate
C. Cleft lip
D. Arteriovenous malformation
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.
Question: 9
What type of trauma can result in soft tissue injuries, burns, and necrosis in the
breast area?
A. Soft tissue injury
B. Burns
C. Necrosis
D. Abscesses (pressure ulcers)
Answer: B
Explanation: Trauma to the breast can cause soft tissue injuries, including
burns, which can result in tissue damage, necrosis, and related complications.
Question: 10
Which disease process commonly affects the abdomen and trunk and involves
the surgical removal of excess skin and fat after significant weight loss?
A. Cancer
B. Benign tumors
C. Vaginal reconstruction
D. Post-bariatric surgeries
Answer: D
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.
Question: 11
Which disease process can involve body contouring procedures such as buttock
augmentation, suction-assisted liposuction (SAL), and lower body lift?
A. Cancer
B. Benign tumors
C. Tummy tuck
D. Body contouring
Answer: D
Explanation: Body contouring procedures, such as buttock augmentation,
suction-assisted liposuction (SAL), and lower body lift, are commonly
performed as part of the treatment for patients undergoing body contouring.
These procedures aim to reshape and enhance the appearance of various body
areas.
Question: 12
Which disease process commonly affects the breast and involves the abnormal
growth of malignant cells?
A. Benign tumors
B. Cancer
C. Congenital Poland syndrome
D. Nipple deformity
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.
Question: 13
Which type of trauma involves fractures of the facial bones, specifically the
upper jaw and cheekbones?
A. Soft tissue trauma
B. Mandibular fractures
C. Le Forte fx
D. Animal bites
Answer: C
Explanation: Le Forte fractures refer to fractures of the facial bones,
particularly the upper jaw and cheekbones. These fractures are classified into
different types based on the location and severity of the injury.
Question: 14
Which cosmetic/aesthetic procedure involves the surgical removal of excess fat
and skin from the upper arms?
A. Rhinoplasty
B. Suction-assisted liposuction (SAL)
C. Thigh lift
D. 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.
Question: 15
What type of trauma may lead to amputation, burns, lacerations, fractures, and
dislocation of digits in the extremities?
A. Amputation
B. Burns
C. Lacerations
D. Fractures
Answer: A
Explanation: Trauma to the extremities can result in severe injuries such as
amputation, burns, lacerations, fractures, and dislocation of digits.
Question: 16
Which disease process involves ulcers, amputation, contractures, and benign
tumors in the extremities?
A. Benign tumors
B. Ulcers
C. Amputation
D. Cancers
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?
A. Hemangiomas
B. Arteriovenous malformation
C. Port wine stain
D. Skin lesions
Answer: C
Explanation: A port wine stain is a type of vascular malformation that appears
as a red or purple birthmark on the skin. It is caused by abnormal blood vessels
near the surface of the skin.
Question: 18
Which cosmetic/aesthetic procedure involves the surgical removal of excess fat
and skin from the thighs?
A. Thigh lift
B. Suction-assisted liposuction (SAL)
C. Arm lift
D. Rhinoplasty
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?
A. Burns
B. Genital injury
C. Gunshot wounds
D. Soft tissue injuries
Answer: B
Explanation: Trauma to the abdomen and trunk can lead to various injuries,
including burns, soft tissue injuries, gunshot wounds, avulsion injuries, and
genital injury. Genital injury is a potential consequence of trauma in this area.
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