RNFA FINAL PRACTICE (Complete Questions and Answers, 100% Correct) Latest 2024-2025
The process of decontamination should initially begin at what point?
... [Show More] Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation
include:
Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised
before getting to the disc.
Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome?
Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is
more commonly associated with benign lesions than with cancer; however,
discharge is usually significant only if it is spontaneous, persistent, and:
bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a roboticassisted laparoscopic cholecystectomy. She locked the robotic endoscissor into the
adaptor on the robotic arm and positioned the tip end into the trocar port in order
for the surgeon to dissect the cystic duct and artery, while the surgical assistant
placed the clips on the cystic duct and artery. As she reached across the sterile field
to insert the cholangiocatheter through the port, the anesthesia provider
accidentally made contact with the distal end of the catheter as he stood up to reach
the monitor controls. The contaminated end of the catheter touched the endoscopic
clip applier, the endoscissor connector that the surgeon was using, the glove of the
assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their
gown and gloves and covered the port area with a sterile towel. What was the
rationale for the surgeon to continue to dissect and not change his attire?
The surgeon was not in contact with the sterile field because he worked from the
robotic console.
The ability to maintain thermoregulation is compromised in elders because of
changes in the:
vascular system
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the
public be aware and educated about dietary supplements and potential harmful
effects?
Unknown substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset
breast cancer, is now scheduled for infusion port insertion. Talia is very nervous
because during the previous lumpectomy, performed using a local anesthetic, she
was not entirely sedated. Talia tells the perioperative nurse that she was
uncomfortable and heard everything in the room, but admitted that she did not feel
pain. The nurse recognized Talia's anxiety related to the surgical intervention and
prepared to implement corrective actions in the OR. What nursing intervention best
reflects one that would ensure support or contribute to Talia realizing her expected
outcome?
Ensure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and
secondary survey in the emergency department. She was hit by a small truck as she
was riding her bicycle through a busy intersection. She has sustained rib fractures
and several fractured transverse vertebral processes. Renal injury is suspected. As
the perioperative nurse prepares to insert a urinary catheter, she notices blood at
the urinary meatus. What should the nurse's next action be?
Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be
removed remains controversial and relates to whether single or multiple glands are
involved. A portion of a gland must remain to:
prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon?
Middle colic artery
Which of the following structures form the mouth?
cheeks, the hard palate, the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate:
carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing.
Aponeurosis of transversus abdominus and transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment.
This is a logical, orderly process of patient assessment for potential life threats.
These assessment activities are based on established protocols for advanced trauma
life support (ATLS). The mnemonic "ABCDE" is used, representing assessment of
the following: Airway, Breathing, Circulation, Disability, and Exposure. The D
and E represent what degree of investigation?
D = a brief neurologic examination; E = exposure to reveal all life-threatening
injuries
What structure covers the spermatic cord and contracts to make the testicles ascend
in the scrotum?
Cremaster muscle
Which of the following is not included in the group of tendons that comprise the
rotator cuff?
Teres Major
The cranial meninges are composed of all except _____.
Pericranial mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is
planning for her three neurosurgical procedures for the day. She is explaining the
basic processes of the three procedures to the scrub person and double-scrubbed
surgical technology student: (1) a VP shunt insertion, (2) a reconstructive
craniosynostosis for an infant with severe deformity, and (3) exploration of a
severe head injury with increased intracranial pressure (ICP) to evacuate a
hematoma and possible brain tissue. To give the brain room to swell in the third
procedure, the bone flap may need to be sterile-wrapped and stored, for later
replacement. Sara asks the student to name the appropriate surgical approach to the
brain for each of the procedures. She expects the correct sequence to be:
burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a
liver transplan [Show Less]
