MV RNFA 2 Exam with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
(Just Released)
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. ✔Correct answer-risk management
The right to perform certain activities within an institution is a _____. ✔Correct answer-
privilege
When unexpected events occur that have, or could have, compromised patient safety, a
systematic investigatory process takes place. Significant information is gained through this
meticulous exploration. The primary motive for carrying out a root cause analysis is to:
✔Correct answer-find out what needs to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid in
all of the following functions that help the surgeon carry out a safe operation with optimal
results for the patient, EXCEPT _____. ✔Correct answer-postoperative evaluations
____ is a term that refers to permission being given for an action. ✔Correct answer-consent
Criminal negligence is _____. ✔Correct answer-reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the
proper area or side before an incision is made? ✔Correct answer-surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply.
✔Correct answer-a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
Which of the following reflects the basic values for health care practice? ✔Correct answer-all
of these
Ethics is an attempt to define right and wrong based upon ____. ✔Correct answer-beliefs
Credentialing and granting of practice privileges is a _____ process ✔Correct answer-Legal
,Morbidity and mortality may be greater with penetrating trauma because identification of
injuries may be more difficult when injuries are less obvious. In the case of an adult victim with
a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the
lower abdomen, what is the MOI and description of the possible injuries? ✔Correct answer-
Penetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. ✔Correct
answer-Janice, age 70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature ✔Correct answer-i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and
elasticity. What special consideration should the first assistant provide to avoid skin injuries?
✔Correct answer-Gently lift, not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their
sensitivity to which group of drugs? ✔Correct answer-Opioids and hypnotics
For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___
hours of incision? ✔Correct answer-1
A number of screening tools have been developed to accurately establish biologic age. One tool,
the Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that
scrutinizes medications, functional ability, co-morbid conditions, cognitive ability, mental
function, nutritional status, and socioenvironmental factors. In geriatric medical studies, the
CGA has been valuable in providing a metric for describing healthy aging and _____. ✔Correct
answer-identifying at-risk individuals.
Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately
after the injury, the second phase within the first 1 to 2 hours after the injury, and the third
phase occurs days to weeks after the injury. Approximately 30% of total fatalities from trauma
could be prevented with definitive trauma care, including appropriate and aggressive
resuscitation with rapid transport to an appropriate facility. Which phase, or timeframe, of
potential for trauma death, does this group represent? ✔Correct answer-Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications.
Which condition presents the most significant risk factor? ✔Correct answer-Chronic
obstructive pulmonary disease (COPD)
,_____ is the most frequently acquired nosocomial infection. ✔Correct answer-urinary tract
infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
✔Correct answer-All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled
for a hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine
compartment and enhance visualization. The infiltration to the uterus and fluid collected as
drainage from the uterus was monitored. The first assistant was concerned that approximately
500 ml of fluid was unaccounted for. The motive for this surveillance was to: ✔Correct
answer-determine the potential for intravascular uptake of fluid or third spacing.
The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
✔Correct answer-Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate
patient presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-
of-care serum electrolyte measurements revealed low potassium, sodium, and magnesium
levels. On anesthesia induction, only 35 minutes earlier, these values were at normal levels and
the patient status was secure. The electrolyte levels were treated to normal and the patient was
cannulated and placed on cardiopulmonary bypass. As the procedure continued the team
pondered the cause to prevent a recurrence. What possible event could have caused, or
contributed to, this loss of electrolytes? ✔Correct answer-Sterile water from back table
switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? ✔Correct answer-A
chest, pelvic, and four abdominal scans; collections of fluid and free air
What is the appropriate action if the doctor is delayed after the room and instruments have
been opened? ✔Correct answer-Do not cover open supplies and have the scrub nurse
continually visually observe the room for breaches in sterility.
A hard bristle surgical hand brush should be used during a surgical scrub. ✔Correct answer-
False
There are many factors that influence surgical wound healing. Some are helpful and some are
beyond the scope of the surgical team. Select the response below that reflects a factor with
high influence over wound healing and is within the control of the surgical team. ✔Correct
answer-Selection of wound closure materials, dressings, and drains
, Jacob, a 62-year-old man, had surgery 6 days ago for a ruptured diverticulum. What was the
wound classification at the time of his emergency surgery? ✔Correct answer-Contaminated
wound, classification III
Identify the primary substance that composes a layer of the epidermis, is responsible for
hardening nails and hair, and protects the body from fluid loss and invasion by pathogens.
✔Correct answer-Keratin
The bariatric unit was experiencing an alarming rate of postoperative wound dehiscence and
evisceration on postoperative day 1, as the patients began to ambulate independently. Select
the response below that reflects significant surgical team influence on wound healing.
✔Correct answer-Sterile technique, wound closure materials, hemostasis methods
Which of the following lists the correct order of the proper steps in the removal of soiled sterile
attire when breaking scrub? ✔Correct answer-Gown, gloves, mask
Artificial nails harbor organisms and prevent effective hand antisepsis, therefore, should not be
worn in the OR. ✔Correct answer-True
If a sterile glove becomes contaminated during the procedure, the best practice for corrective
action is: ✔Correct answer-reglove with open-glove or assistive glove technique.
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. ✔Correct answer-The AORN publication titled Recommended Practices for
Prevention of Transmissible Infections in the Perioperative Practice Setting recommends the
double-glove procedure during invasive procedures.
Jacob is a 62-year-old man who had surgery 6 days ago for a ruptured diverticulum. He is back in
the OR for a debridement and washout. Jacob's fever has subsided and the drainage is clear.
The surgeon will continue with wet to dry dressings and schedules Jacob to return to the OR in 3
days for: ✔Correct answer-delayed primary sutured closure.
If you noticed a partial-thickness loss of dermis presenting as a shallow, open ulcer with a red-
pink wound bed without slough, how would you stage the wound? ✔Correct answer-Stage II
Which of the criteria below are appropriate when determining whether an incisional surgical
site infection (SSI) is superficial or deep? SELECT ALL THAT APPLY. ✔Correct answer-Where the
purulent drainage comes from, superficial or deep
Samuel was fitted with a negative-pressure wound therapy system, also called vacuum-assisted
closure, after his most recent surgical wound debridement. This device works by (SELECT ALL
Answers |Actual Complete Exam |Already Graded A+
(Just Released)
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. ✔Correct answer-risk management
The right to perform certain activities within an institution is a _____. ✔Correct answer-
privilege
When unexpected events occur that have, or could have, compromised patient safety, a
systematic investigatory process takes place. Significant information is gained through this
meticulous exploration. The primary motive for carrying out a root cause analysis is to:
✔Correct answer-find out what needs to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid in
all of the following functions that help the surgeon carry out a safe operation with optimal
results for the patient, EXCEPT _____. ✔Correct answer-postoperative evaluations
____ is a term that refers to permission being given for an action. ✔Correct answer-consent
Criminal negligence is _____. ✔Correct answer-reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the
proper area or side before an incision is made? ✔Correct answer-surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply.
✔Correct answer-a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
Which of the following reflects the basic values for health care practice? ✔Correct answer-all
of these
Ethics is an attempt to define right and wrong based upon ____. ✔Correct answer-beliefs
Credentialing and granting of practice privileges is a _____ process ✔Correct answer-Legal
,Morbidity and mortality may be greater with penetrating trauma because identification of
injuries may be more difficult when injuries are less obvious. In the case of an adult victim with
a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the
lower abdomen, what is the MOI and description of the possible injuries? ✔Correct answer-
Penetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. ✔Correct
answer-Janice, age 70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature ✔Correct answer-i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and
elasticity. What special consideration should the first assistant provide to avoid skin injuries?
✔Correct answer-Gently lift, not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their
sensitivity to which group of drugs? ✔Correct answer-Opioids and hypnotics
For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___
hours of incision? ✔Correct answer-1
A number of screening tools have been developed to accurately establish biologic age. One tool,
the Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that
scrutinizes medications, functional ability, co-morbid conditions, cognitive ability, mental
function, nutritional status, and socioenvironmental factors. In geriatric medical studies, the
CGA has been valuable in providing a metric for describing healthy aging and _____. ✔Correct
answer-identifying at-risk individuals.
Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately
after the injury, the second phase within the first 1 to 2 hours after the injury, and the third
phase occurs days to weeks after the injury. Approximately 30% of total fatalities from trauma
could be prevented with definitive trauma care, including appropriate and aggressive
resuscitation with rapid transport to an appropriate facility. Which phase, or timeframe, of
potential for trauma death, does this group represent? ✔Correct answer-Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications.
Which condition presents the most significant risk factor? ✔Correct answer-Chronic
obstructive pulmonary disease (COPD)
,_____ is the most frequently acquired nosocomial infection. ✔Correct answer-urinary tract
infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
✔Correct answer-All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled
for a hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine
compartment and enhance visualization. The infiltration to the uterus and fluid collected as
drainage from the uterus was monitored. The first assistant was concerned that approximately
500 ml of fluid was unaccounted for. The motive for this surveillance was to: ✔Correct
answer-determine the potential for intravascular uptake of fluid or third spacing.
The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
✔Correct answer-Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate
patient presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-
of-care serum electrolyte measurements revealed low potassium, sodium, and magnesium
levels. On anesthesia induction, only 35 minutes earlier, these values were at normal levels and
the patient status was secure. The electrolyte levels were treated to normal and the patient was
cannulated and placed on cardiopulmonary bypass. As the procedure continued the team
pondered the cause to prevent a recurrence. What possible event could have caused, or
contributed to, this loss of electrolytes? ✔Correct answer-Sterile water from back table
switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? ✔Correct answer-A
chest, pelvic, and four abdominal scans; collections of fluid and free air
What is the appropriate action if the doctor is delayed after the room and instruments have
been opened? ✔Correct answer-Do not cover open supplies and have the scrub nurse
continually visually observe the room for breaches in sterility.
A hard bristle surgical hand brush should be used during a surgical scrub. ✔Correct answer-
False
There are many factors that influence surgical wound healing. Some are helpful and some are
beyond the scope of the surgical team. Select the response below that reflects a factor with
high influence over wound healing and is within the control of the surgical team. ✔Correct
answer-Selection of wound closure materials, dressings, and drains
, Jacob, a 62-year-old man, had surgery 6 days ago for a ruptured diverticulum. What was the
wound classification at the time of his emergency surgery? ✔Correct answer-Contaminated
wound, classification III
Identify the primary substance that composes a layer of the epidermis, is responsible for
hardening nails and hair, and protects the body from fluid loss and invasion by pathogens.
✔Correct answer-Keratin
The bariatric unit was experiencing an alarming rate of postoperative wound dehiscence and
evisceration on postoperative day 1, as the patients began to ambulate independently. Select
the response below that reflects significant surgical team influence on wound healing.
✔Correct answer-Sterile technique, wound closure materials, hemostasis methods
Which of the following lists the correct order of the proper steps in the removal of soiled sterile
attire when breaking scrub? ✔Correct answer-Gown, gloves, mask
Artificial nails harbor organisms and prevent effective hand antisepsis, therefore, should not be
worn in the OR. ✔Correct answer-True
If a sterile glove becomes contaminated during the procedure, the best practice for corrective
action is: ✔Correct answer-reglove with open-glove or assistive glove technique.
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. ✔Correct answer-The AORN publication titled Recommended Practices for
Prevention of Transmissible Infections in the Perioperative Practice Setting recommends the
double-glove procedure during invasive procedures.
Jacob is a 62-year-old man who had surgery 6 days ago for a ruptured diverticulum. He is back in
the OR for a debridement and washout. Jacob's fever has subsided and the drainage is clear.
The surgeon will continue with wet to dry dressings and schedules Jacob to return to the OR in 3
days for: ✔Correct answer-delayed primary sutured closure.
If you noticed a partial-thickness loss of dermis presenting as a shallow, open ulcer with a red-
pink wound bed without slough, how would you stage the wound? ✔Correct answer-Stage II
Which of the criteria below are appropriate when determining whether an incisional surgical
site infection (SSI) is superficial or deep? SELECT ALL THAT APPLY. ✔Correct answer-Where the
purulent drainage comes from, superficial or deep
Samuel was fitted with a negative-pressure wound therapy system, also called vacuum-assisted
closure, after his most recent surgical wound debridement. This device works by (SELECT ALL
