RNFA Final Exam Questions And Answers
2022
_______Precautions apply to blood, all body fluids, secretions, and excretions
(except sweat), regardless of whether they contain visible blood, mucous
membranes, and non-intact skin. Correct Ans - Standard
Which of the following anesthetics may result in fasiculations for the patient?
Correct Ans - 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
Ans - 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 Ans - capnometer/end-tidal CO2
monitor
The first step in the decontamination process is: Correct Ans - Cleaning
Which of the following requires at minimum, 2 patient identifiers on
specimen labels? Correct Ans - 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 Ans - 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 Ans - Potential for Intervastation
Which of the following statements reflects the location of the arcuate line?
Correct Ans - 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 Ans - Replacing or tagging
sponges and laparotomy instruments with RFID chips.
,The surgical hand scrub is designed to render the hands, nails, and arms
Correct Ans - 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 Ans - Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known
as: Correct Ans - Retention Suture
Identify the primary substance found in the epidermis that protects the body
from fluid loss and invasion by pathogens. Correct Ans - 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 Ans - Lipids
When buried in tissue, silk loses its tensile strength after what period of
time? Correct Ans - 1 Year
Guidelines from WHO focus on which of the following in the prevention of
surgical site infections? Correct Ans - 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 Ans -
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 Ans - Bookwalter
The safest and most commonly used method of sterilization is which of the
following? Correct Ans - Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? Correct
Ans - 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 Ans - 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 Ans - Passing sharp items
using neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________?
Correct Ans - 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 Ans - 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 Ans -
Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-
abdominal cavity. This overpressurization can lead to which of the following?
Correct Ans - 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 Ans - suctioning, IV succinylcholine administration, and
reintubation
Which of the following is not a characteristic of silk suture? Correct Ans -
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 Ans - The perioperative
nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed:
Correct Ans - Spinal Anesthesia
2022
_______Precautions apply to blood, all body fluids, secretions, and excretions
(except sweat), regardless of whether they contain visible blood, mucous
membranes, and non-intact skin. Correct Ans - Standard
Which of the following anesthetics may result in fasiculations for the patient?
Correct Ans - 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
Ans - 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 Ans - capnometer/end-tidal CO2
monitor
The first step in the decontamination process is: Correct Ans - Cleaning
Which of the following requires at minimum, 2 patient identifiers on
specimen labels? Correct Ans - 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 Ans - 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 Ans - Potential for Intervastation
Which of the following statements reflects the location of the arcuate line?
Correct Ans - 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 Ans - Replacing or tagging
sponges and laparotomy instruments with RFID chips.
,The surgical hand scrub is designed to render the hands, nails, and arms
Correct Ans - 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 Ans - Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known
as: Correct Ans - Retention Suture
Identify the primary substance found in the epidermis that protects the body
from fluid loss and invasion by pathogens. Correct Ans - 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 Ans - Lipids
When buried in tissue, silk loses its tensile strength after what period of
time? Correct Ans - 1 Year
Guidelines from WHO focus on which of the following in the prevention of
surgical site infections? Correct Ans - 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 Ans -
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 Ans - Bookwalter
The safest and most commonly used method of sterilization is which of the
following? Correct Ans - Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? Correct
Ans - 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 Ans - 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 Ans - Passing sharp items
using neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________?
Correct Ans - 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 Ans - 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 Ans -
Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-
abdominal cavity. This overpressurization can lead to which of the following?
Correct Ans - 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 Ans - suctioning, IV succinylcholine administration, and
reintubation
Which of the following is not a characteristic of silk suture? Correct Ans -
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 Ans - The perioperative
nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed:
Correct Ans - Spinal Anesthesia
