RNFA Quiz 1b Questions and Answers 2023 (Verified
Answers)
Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve
block (PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia
provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine,
after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looked through the OR window to check on
anesthesia progress as he scrubbed at the sink outside of the OR. The circulating
nurse had the leg elevated and was prepping the ankle. The surgeon noticed that
the cuff seemed to be deflating and that the anesthesia provider was turned away
from the patient. The circulating nurse also noticed the movement under the
protective towel placed over the cuff, and saw the tourniquet tubing fall to the
floor. The nurses first response should be:
Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the
surgeon for the code cart
The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed
abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty
pulling him back up in bed every time he slid down toward the bottom and he was
not able to be much help in moving himself. The skin injury was probably the
result of which physical force
A friction from the elbows rubbing over the sheets when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals with central core diseases such as:
Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with
gel rolls, gel pads, and pillows for a spinal fusion Before the skin is begun, the
perioperative nurse should check the positioning for pressure areas of the:
Genitals, knees, toes, and eyes
A reverse cutting needle is preferred for _________________ suturing.
Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed:
Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency
repair of superficial facial and deep arm lacerations when she ran into the chain
link fence during practice. The perioperative nurse discovers that Susie has an
insulin pump that should remain connected during the short procedure. The
RNFA should consider which of the following options for energy generated
hemostasis?
Bipolar electrosurgery unit
Lateral, lateral chest and lateral kidney positions all place pressure on structures
of the dependent side: ears, shoulder, ribs, hips, greater femoral head, knees and
ankles. The potential for injury to the patient is significant, based on these
pressure areas. Which resultant injury or harm could not be related to these
lateral positions?
, *******look at pg 174 in 15th Ed and 173-174 in 16th Ed. *******
Which of the following regarding specimen labeling is a regulatory requirement?
Biohazard information pg 32 15th Ed pg 27 16th Ed.
Which of the following is a major infectious risk for healthcare workers?
Hepatitis B
The ideal suture material is one that has handling characteristics such as:
Pliability
The perianesthesia nurse completes a systematic and comprehensive secondary
assessment of the patient (e. g. Head to toe assessment or major body systems
approach). Select the response that best reflects the parameters of a
comprehensive respiratory assessment.
Rate, rhythm and breath sounds
Ketamine is a short acting induction and IV or IM maintenance agent. Patients are
able to maintain their airways. It is a suitable agent to use with small children and
burn patients. The concerns with this agent is that in large doses it may cause:
Respiratory depression
Tissue reaction characteristics that need considered when choosing suture
include:
Absorption
Sandra Williams was presented with the prepared informed consent form during
the discussion with her surgeon concerning her scheduled vaginal assisted
laparoscopic hysterectomy. She demonstrates and verbalized that she
understood al of the tenets of the procedure, risks, expected outcome,
complications and procedural process. Before she signed the consent form, she
informed the surgeon that she did not want any medical students or surgical
residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed and she crossed
out those portions of the form and initialed them before she signed. Sandy was
exercising her:
Right to informed consent
What vaccine should healthcare workers receive if they are caring for
immunocompromised patients?
Inactivated influenza vaccine
Sponge counts should be performed at the time of permanent relief of either the
scrub person or the circulating nurse, and __________________
Pg 25 16th Ed
In several studies, it was determined that the risk of contamination and
subsequent infection to the wearer can be reduced by wearing two pair of sterile
surgical gloves, as opposed to wearing one pair. Select the correct statement that
refers to double gloving in terms of best practice.
The cdc, the American college of surgeons and the American academy of orthopedic
surgeons support double gloving during invasive surgical procedures.
Pg 95 16 th Ed. Pg. 113 15th Ed.
Suture can be used for more than repairing tissue. Choose uses of suture from
the following.
Ligate, suture and close tissue
Answers)
Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve
block (PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia
provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine,
after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looked through the OR window to check on
anesthesia progress as he scrubbed at the sink outside of the OR. The circulating
nurse had the leg elevated and was prepping the ankle. The surgeon noticed that
the cuff seemed to be deflating and that the anesthesia provider was turned away
from the patient. The circulating nurse also noticed the movement under the
protective towel placed over the cuff, and saw the tourniquet tubing fall to the
floor. The nurses first response should be:
Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the
surgeon for the code cart
The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed
abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty
pulling him back up in bed every time he slid down toward the bottom and he was
not able to be much help in moving himself. The skin injury was probably the
result of which physical force
A friction from the elbows rubbing over the sheets when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals with central core diseases such as:
Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with
gel rolls, gel pads, and pillows for a spinal fusion Before the skin is begun, the
perioperative nurse should check the positioning for pressure areas of the:
Genitals, knees, toes, and eyes
A reverse cutting needle is preferred for _________________ suturing.
Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed:
Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency
repair of superficial facial and deep arm lacerations when she ran into the chain
link fence during practice. The perioperative nurse discovers that Susie has an
insulin pump that should remain connected during the short procedure. The
RNFA should consider which of the following options for energy generated
hemostasis?
Bipolar electrosurgery unit
Lateral, lateral chest and lateral kidney positions all place pressure on structures
of the dependent side: ears, shoulder, ribs, hips, greater femoral head, knees and
ankles. The potential for injury to the patient is significant, based on these
pressure areas. Which resultant injury or harm could not be related to these
lateral positions?
, *******look at pg 174 in 15th Ed and 173-174 in 16th Ed. *******
Which of the following regarding specimen labeling is a regulatory requirement?
Biohazard information pg 32 15th Ed pg 27 16th Ed.
Which of the following is a major infectious risk for healthcare workers?
Hepatitis B
The ideal suture material is one that has handling characteristics such as:
Pliability
The perianesthesia nurse completes a systematic and comprehensive secondary
assessment of the patient (e. g. Head to toe assessment or major body systems
approach). Select the response that best reflects the parameters of a
comprehensive respiratory assessment.
Rate, rhythm and breath sounds
Ketamine is a short acting induction and IV or IM maintenance agent. Patients are
able to maintain their airways. It is a suitable agent to use with small children and
burn patients. The concerns with this agent is that in large doses it may cause:
Respiratory depression
Tissue reaction characteristics that need considered when choosing suture
include:
Absorption
Sandra Williams was presented with the prepared informed consent form during
the discussion with her surgeon concerning her scheduled vaginal assisted
laparoscopic hysterectomy. She demonstrates and verbalized that she
understood al of the tenets of the procedure, risks, expected outcome,
complications and procedural process. Before she signed the consent form, she
informed the surgeon that she did not want any medical students or surgical
residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed and she crossed
out those portions of the form and initialed them before she signed. Sandy was
exercising her:
Right to informed consent
What vaccine should healthcare workers receive if they are caring for
immunocompromised patients?
Inactivated influenza vaccine
Sponge counts should be performed at the time of permanent relief of either the
scrub person or the circulating nurse, and __________________
Pg 25 16th Ed
In several studies, it was determined that the risk of contamination and
subsequent infection to the wearer can be reduced by wearing two pair of sterile
surgical gloves, as opposed to wearing one pair. Select the correct statement that
refers to double gloving in terms of best practice.
The cdc, the American college of surgeons and the American academy of orthopedic
surgeons support double gloving during invasive surgical procedures.
Pg 95 16 th Ed. Pg. 113 15th Ed.
Suture can be used for more than repairing tissue. Choose uses of suture from
the following.
Ligate, suture and close tissue
