RNFA Final Actual Exam Questions and Answers (Test Bank) 2023-2024 A+ Graded.
______Precautions apply to blood, all body fluids, secretions, and
... [Show More] excretions (except
sweat), regardless of whether they contain visible blood, mucous membranes, and nonintact skin. --------- CORRECT ANSWER ----- Standard
Which of the following anesthetics may result in fasiculations for the patient? ---------
CORRECT ANSWER ----- Succhinylcholine
Hypothermia has been shown to be a factor that may place the surgical patient at risk
for infection and delayed healing. What intervention is an engineered control factor to
protect the patient from hypothermia? --------- CORRECT ANSWER ----- b. set the
ambient room temperature between 68° and 73° F
A basic anesthesia monitoring device that is used during general anesthesia to confirm
successful endotracheal tube placement and determine the presence of gas exchange
is the: --------- CORRECT ANSWER ----- capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: --------- CORRECT ANSWER -----
Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels? ---
------ CORRECT ANSWER ----- Joint Commission
A 9-year-old diabetic with an insulin pump, has arrived in the OR for emergency repair
of superficial facial and deep arm lacerations. The RNFA should consider which of the
following options for energy-generated hemostasis? --------- CORRECT ANSWER -----
Bipolar Electrosurgery Unit
During a hysteroscopy, sterile saline is used to expand the intrauterine compartment
and enhance visualization. The perioperative nurse is concerned that approximately 500
ml of fluid was unaccounted for and alerted the surgeon and RNFA. The nurse's motive
for this surveillance is to: --------- CORRECT ANSWER ----- Potential for Intervastation
Which of the following statements reflects the location of the arcuate line? ---------
CORRECT ANSWER ----- one third of the distance between the umbilicus and the
symphysis pubis.
Laparoscopic procedures that emergently convert to open procedures place the patient
at risk for unintentional retained surgical items (RSI). What risk reduction strategy could
prevent RSI? --------- CORRECT ANSWER ----- Replacing or tagging sponges and
laparotomy instruments with RFID chips.
RNFA Final Actual Exam Questions and Answers
(Test Bank) 2023-2024 A+Graded.
The surgical hand scrub is designed to render the hands, nails, and arms ---------
CORRECT ANSWER ----- Surgically Clean
The RNFA instructed the new anesthesia resident in the proper positioning of the arm
and hands on the OR bed armboards. The resident was cautioned to avoid pressure on
the elbow to prevent: --------- CORRECT ANSWER ----- Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known as: ---------
CORRECT ANSWER ----- Retention Suture
Identify the primary substance found in the epidermis that protects the body from fluid
loss and invasion by pathogens. --------- CORRECT ANSWER ----- Keratin
When a patient absorbs an unsafe amount of local anesthetic into the bloodstream, a
catastrophic outcome is possible. Treatment for LAST includes the use of which of the
following? --------- CORRECT ANSWER ----- Lipids
When buried in tissue, silk loses its tensile strength after what period of time? ---------
CORRECT ANSWER ----- 1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical site
infections? --------- CORRECT ANSWER ----- Use of Prophylactic Antibiotics
To help visualize abdominal structures and to enhance safety during laparoscopic
procedures, a pneumoperitoneum is created. After Veress needle confirmation,
insufflation tubing is connected and the process begun. CO2 gas is used to insufflate
the abdominal cavity at an ideal flow rate of ______ to achieve an ideal intra-abdominal
pressure of ______. --------- CORRECT ANSWER ----- 9 L/min;14 to 16 mm Hg
Due to the BMI of the patient, the case you are participating in was converted to open
laparotomy. Your surgeon is uncertain as to which self retaining retractor is available
within the facility. From the following, which is an appropriate suggestion? ---------
CORRECT ANSWER ----- Bookwalter
The safest and most commonly used method of sterilization is which of the following? ---
------ CORRECT ANSWER ----- Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? --------- CORRECT
ANSWER ----- Antibiotics given IV within 1 hour of the incision for every procedure with
an incision or entered body system.
When applying sterile drapes to create the sterile field on the patient, which of the
following principles is most important. --------- CORRECT ANSWER ----- Drape the
patient starting with the incision area and proceeding to the periphery.
To prevent sharps injury, which of the following is a risk reduction strategy to be used by
the sterile team members? --------- CORRECT ANSWER ----- Passing sharp items using
neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________? ---------
CORRECT ANSWER ----- Lidocaine
The OR was trialling a new insufflation system and the vendor representative was out of
the room taking a phone call. The perioperative nurse was concerned that the flow rate
was well above 14 L/min and the pressure had risen to 16 mm Hg. She alerted the
surgeon and reduced the rate and pressure because she feared that the elderly patient
was at high risk for: --------- CORRECT ANSWER ----- Hypercarbia
Your patient had an episode of vomiting during anesthesia induction and was effectively
suctioned by anesthesia. Upon extubation, the patient presented with coughing,
wheezing, dyspnea, use of accessory muscles, and tachypnea. What is this patient
most likely experiencing? --------- CORRECT ANSWER ----- Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-abdominal
cavity. This overpressurization can lead to which of the following? --------- CORRECT
ANSWER ----- Hypercarbia
Laryngospasm is a serious complication often seen in the PACU setting. What is the
ideal immediate and last resort response by the anesthesia provider or perianesthesia
nurse in an emerging patient who has been in spasm for over 1 minute? ---------
CORRECT ANSWER ----- suctioning, IV succinylcholine administration, and
reintubation
Which of the following is not a characteristic of silk suture? --------- CORRECT
ANSWER ----- Memory
The first case of the day is scheduled as a knee arthroscopy for an otherwise healthy 24
year old patient. Upon pre assessment, the patient admits to a family history of
anesthesia and surgical complications. Patient also states last oral intake consisted of
eating a cheese steak and drinking 2 cans of beer the night before at 11:30 PM. The
patient subsequently vomited when intubation was performed and experienced
respiratory distress upon extubation. What measure could have been taken by the team
to prevent aspiration based on the patient's history? --------- CORRECT ANSWER -----
The perioperative nurse applying cricoid pressure during induction through intubation. [Show Less]