Rnfa Final Exam With 260 Questions & Answers 2024
( A+ Graded 100% Verified)
1. _______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.: Standard
2. Which of the following anesthetics may result in fasiculations for the patient?:
Succhinylcholine
3. 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?: b. set the ambient room
temperature between 68° and 73° F
4. 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:: capnometer/end-tidal CO2 monitor
5. The first step in the decontamination process is:: Cleaning
6. Which of the following requires at minimum, 2 patient identifiers on specimen
labels?: Joint Commission
7. 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?: -
Bipolar Electrosurgery Unit
8. 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:: Potential for
Intervastation
9. Which of the following statements reflects the location of the arcuate line?: one
third of the distance between the umbilicus and the symphysis pubis.
10. 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?: Replacing or tagging sponges and
laparotomy instruments with RFID chips.
11. The surgical hand scrub is designed to render the hands, nails, and arms:
Surgically Clean
12. 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:: Ulnar Nerve Injury
,13. A type of suture to help eliminate tension on the primary suture line is known
as:: Retention Suture
14. Identify the primary substance found in the epidermis that protects the body
from fluid loss and invasion by pathogens.: Keratin
15 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?: Lipids
16. When buried in tissue, silk loses its tensile strength after what period of time?:
1 Year
17. Guidelines from WHO focus on which of the following in the prevention of
surgical site infections?: Use of Prophylactic Antibiotics
18. 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 ______.: 9 L/min;14 to 16 mm
Hg
19. 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?: Bookwalter
20. The safest and most commonly used method of sterilization is which of the
following?: Steam Sterilization
21. Has been identified to reduce SSIs and affect surgical outcomes?: Antibiotics
given IV within 1 hour of the incision for every procedure with an incision or entered
body system.
22. When applying sterile drapes to create the sterile field on the patient, which of
the following principles is most important.: Drape the patient starting with the incision
area and proceeding to the periphery.
23. To prevent sharps injury, which of the following is a risk reduction strategy to
be used by the sterile team members?: Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
24. The most commonly used medication for local anesthesia is __________?:
Lidocaine
25. 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:: Hypercarbia
, 26. 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?: Bronchospasm
27 High-pressure insufflation rates can cause overpressurization of the intra-
abdominal cavity. This overpressurization can lead to which of the following?:
Hypercarbia
28. 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?: suctioning, IV succinylcholine administration, and reintubation
29. Which of the following is not a characteristic of silk suture?: Memory
30. 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?: The perioperative nurse applying cricoid pressure during
induction through intubation
31. The instillation of a local anesthetic into the subarachnoid space is termed::
Spinal Anesthesia
32. What is the appropriate action if the doctor is delayed after the room and
instruments have been opened?: Cover the instruments with a sterile drape and
have the scrub nurse continually visually observe the room for breaches in sterility.
33. Select the positioning device commonly used for positioning the head during
procedures such as craniotomies.: Mayfield Head Positioners
34. Hypotension is a blood pressure reading that is 20% less than the patient's
normal baseline pressure. Hypovolemia is the most common cause of postoperative
hypotension; however, hypotension may also be caused by cardiac dysfunctions.
Which of the following cardiac conditions will present with hypotension?:
myocardial infarction, myocardial tamponade, and pulmonary embolism
35. The ideal suture material is one that has handling characteristics such as::
Pliability
36. Which of the following patient modifiable factors can contribute to surgical
site infections?: Alcoholism
37. Which anesthetic agent could not be given if an IV-only anesthesia plan was
employed?: Desflurane
( A+ Graded 100% Verified)
1. _______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.: Standard
2. Which of the following anesthetics may result in fasiculations for the patient?:
Succhinylcholine
3. 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?: b. set the ambient room
temperature between 68° and 73° F
4. 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:: capnometer/end-tidal CO2 monitor
5. The first step in the decontamination process is:: Cleaning
6. Which of the following requires at minimum, 2 patient identifiers on specimen
labels?: Joint Commission
7. 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?: -
Bipolar Electrosurgery Unit
8. 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:: Potential for
Intervastation
9. Which of the following statements reflects the location of the arcuate line?: one
third of the distance between the umbilicus and the symphysis pubis.
10. 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?: Replacing or tagging sponges and
laparotomy instruments with RFID chips.
11. The surgical hand scrub is designed to render the hands, nails, and arms:
Surgically Clean
12. 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:: Ulnar Nerve Injury
,13. A type of suture to help eliminate tension on the primary suture line is known
as:: Retention Suture
14. Identify the primary substance found in the epidermis that protects the body
from fluid loss and invasion by pathogens.: Keratin
15 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?: Lipids
16. When buried in tissue, silk loses its tensile strength after what period of time?:
1 Year
17. Guidelines from WHO focus on which of the following in the prevention of
surgical site infections?: Use of Prophylactic Antibiotics
18. 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 ______.: 9 L/min;14 to 16 mm
Hg
19. 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?: Bookwalter
20. The safest and most commonly used method of sterilization is which of the
following?: Steam Sterilization
21. Has been identified to reduce SSIs and affect surgical outcomes?: Antibiotics
given IV within 1 hour of the incision for every procedure with an incision or entered
body system.
22. When applying sterile drapes to create the sterile field on the patient, which of
the following principles is most important.: Drape the patient starting with the incision
area and proceeding to the periphery.
23. To prevent sharps injury, which of the following is a risk reduction strategy to
be used by the sterile team members?: Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
24. The most commonly used medication for local anesthesia is __________?:
Lidocaine
25. 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:: Hypercarbia
, 26. 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?: Bronchospasm
27 High-pressure insufflation rates can cause overpressurization of the intra-
abdominal cavity. This overpressurization can lead to which of the following?:
Hypercarbia
28. 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?: suctioning, IV succinylcholine administration, and reintubation
29. Which of the following is not a characteristic of silk suture?: Memory
30. 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?: The perioperative nurse applying cricoid pressure during
induction through intubation
31. The instillation of a local anesthetic into the subarachnoid space is termed::
Spinal Anesthesia
32. What is the appropriate action if the doctor is delayed after the room and
instruments have been opened?: Cover the instruments with a sterile drape and
have the scrub nurse continually visually observe the room for breaches in sterility.
33. Select the positioning device commonly used for positioning the head during
procedures such as craniotomies.: Mayfield Head Positioners
34. Hypotension is a blood pressure reading that is 20% less than the patient's
normal baseline pressure. Hypovolemia is the most common cause of postoperative
hypotension; however, hypotension may also be caused by cardiac dysfunctions.
Which of the following cardiac conditions will present with hypotension?:
myocardial infarction, myocardial tamponade, and pulmonary embolism
35. The ideal suture material is one that has handling characteristics such as::
Pliability
36. Which of the following patient modifiable factors can contribute to surgical
site infections?: Alcoholism
37. Which anesthetic agent could not be given if an IV-only anesthesia plan was
employed?: Desflurane
