RNFA CERTIFICATION SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉The surgeon used the ESU in monopolar mode to cut and
coagulate through the subcutaneous tissue on opening the abdomen
during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating nurse
to increase the cut and coagulation modes on the ESU. What
measure could the scrub person take to enhance energy delivery? .
Answer: Clean the charred tissue from the active electrode blade
◉Which of the following is correct regarding the chromium salt
coating on surgical gut suture? . Answer: Should be rinsed from the
suture before use in eye cases
◉Successful employment of the time-out can only be ensured when:
. Answer: the entire team stops and focuses attention together
◉A 19-year-old male received an intravenous peripheral nerve
block for an ORIF of an ankle fracture. The anesthesia provider
injected a distal dorsal vein of the patient's right foot with 2%
lidocaine, after placing a single cuffed pneumatic tourniquet around
the upper thigh. The surgeon noticed that the cuff seemed to be
, deflating and anticipated that the patient would initially complain of
which of the following? . Answer: metallic taste in mouth
◉Which of the following patients would be most likely to have a
latex allergy? . Answer: spina bifida patient
◉In several studies, it was determined that the risk of
contamination and subsequent infection to the wearer can be
reduced by wearing two pairs of sterile surgical gloves, as opposed
to wearing one pair. Select the correct statement that refers to
double gloving in terms of a best practice. . Answer: The American
College of Surgeons endorses double gloving for all surgery and
invasive procedures.
◉During the process of performing the spinal, the anesthesia
provider inadvertently inserted the spinal needle into the
subarachnoid space, not noticing the error until the entire syringe of
lidocaine was emptied into the patient. The patient immediately
experienced rapid onset of hypotension, bradycardia, and apnea.
The resulting condition is called _______ and now must be managed
with ________. . Answer: total spinal anesthesia; general endotracheal
anesthesia
◉During the preliminary sponge count on closure of a repair of a
ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉The surgeon used the ESU in monopolar mode to cut and
coagulate through the subcutaneous tissue on opening the abdomen
during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating nurse
to increase the cut and coagulation modes on the ESU. What
measure could the scrub person take to enhance energy delivery? .
Answer: Clean the charred tissue from the active electrode blade
◉Which of the following is correct regarding the chromium salt
coating on surgical gut suture? . Answer: Should be rinsed from the
suture before use in eye cases
◉Successful employment of the time-out can only be ensured when:
. Answer: the entire team stops and focuses attention together
◉A 19-year-old male received an intravenous peripheral nerve
block for an ORIF of an ankle fracture. The anesthesia provider
injected a distal dorsal vein of the patient's right foot with 2%
lidocaine, after placing a single cuffed pneumatic tourniquet around
the upper thigh. The surgeon noticed that the cuff seemed to be
, deflating and anticipated that the patient would initially complain of
which of the following? . Answer: metallic taste in mouth
◉Which of the following patients would be most likely to have a
latex allergy? . Answer: spina bifida patient
◉In several studies, it was determined that the risk of
contamination and subsequent infection to the wearer can be
reduced by wearing two pairs of sterile surgical gloves, as opposed
to wearing one pair. Select the correct statement that refers to
double gloving in terms of a best practice. . Answer: The American
College of Surgeons endorses double gloving for all surgery and
invasive procedures.
◉During the process of performing the spinal, the anesthesia
provider inadvertently inserted the spinal needle into the
subarachnoid space, not noticing the error until the entire syringe of
lidocaine was emptied into the patient. The patient immediately
experienced rapid onset of hypotension, bradycardia, and apnea.
The resulting condition is called _______ and now must be managed
with ________. . Answer: total spinal anesthesia; general endotracheal
anesthesia
◉During the preliminary sponge count on closure of a repair of a
ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
