RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
The process of decontamination should initially begin at what point? - correct answer
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include: -
correct answer Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before getting to
the disc. - correct answer Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? - correct answer
Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These changes affect
almost all women at some time in their lives. Nipple discharge is more commonly associated
with benign lesions than with cancer; however, discharge is usually significant only if it is
spontaneous, persistent, and: - correct answer bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on the
robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect
the cystic duct and artery, while the surgical assistant placed the clips on the cystic duct and
artery. As she reached across the sterile field to insert the cholangiocatheter through the port,
the anesthesia provider accidentally made contact with the distal end of the catheter as he
stood up to reach the monitor controls. The contaminated end of the catheter touched the
endoscopic clip applier, the endoscissor connector that the surgeon was using, the glove of the
assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their gown and
gloves and covered the port area with a sterile towel. What was the rationale for the surgeon to
co - correct answer The surgeon was not in contact with the sterile field because he worked
from the robotic console.
The ability to maintain thermoregulation is compromised in elders because of changes in the: -
correct answer vascular system
Because herbal products are so readily available and have such widespread media attention,
many people think that they can safely self-medicate. Why should the public be aware and
educated about dietary supplements and potential harmful effects? - correct answer Unknown
substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast cancer, is
now scheduled for infusion port insertion. Talia is very nervous because during the previous
lumpectomy, performed using a local anesthetic, she was not entirely sedated. Talia tells the
perioperative nurse that she was uncomfortable and heard everything in the room, but
admitted that she did not feel pain. The nurse recognized Talia's anxiety related to the surgical
intervention and prepared to implement corrective actions in the OR. What nursing
,RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
intervention best reflects one that would ensure support or contribute to Talia realizing her
expected outcome? - correct answer Ensure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and secondary survey in
the emergency department. She was hit by a small truck as she was riding her bicycle through a
busy intersection. She has sustained rib fractures and several fractured transverse vertebral
processes. Renal injury is suspected. As the perioperative nurse prepares to insert a urinary
catheter, she notices blood at the urinary meatus. What should the nurse's next action be? -
correct answer Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more targeted
techniques; however, the amount of parathyroid tissue that should be removed remains
controversial and relates to whether single or multiple glands are involved. A portion of a gland
must remain to: - correct answer prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? - correct answer Middle colic
artery
Which of the following structures form the mouth? - correct answer cheeks, the hard palate,
the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate: - correct
answer carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - correct answer Aponeurosis of transversus abdominus and
transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment. This is a
logical, orderly process of patient assessment for potential life threats. These assessment
activities are based on established protocols for advanced trauma life support (ATLS). The
mnemonic "ABCDE" is used, representing assessment of the following: Airway, Breathing,
Circulation, Disability, and Exposure. The D and E represent what degree of investigation? -
correct answer D = a brief neurologic examination; E = exposure to reveal all life-threatening
injuries
What structure covers the spermatic cord and contracts to make the testicles ascend in the
scrotum? - correct answer Cremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator cuff? -
correct answer Teres Major
The cranial meninges are composed of all except _____. - correct answer Pericranial mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is planning for her
three neurosurgical procedures for the day. She is explaining the basic processes of the three
,RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
procedures to the scrub person and double-scrubbed surgical technology student: (1) a VP
shunt insertion, (2) a reconstructive craniosynostosis for an infant with severe deformity, and
(3) exploration of a severe head injury with increased intracranial pressure (ICP) to evacuate a
hematoma and possible brain tissue. To give the brain room to swell in the third procedure, the
bone flap may need to be sterile-wrapped and stored, for later replacement. Sara asks the
student to name the appropriate surgical approach to the brain for each of the procedures. She
expects the correct sequence to be: - correct answer burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant. - correct answer From the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the thyroid and all thyroid tissue present.
Total thyroidectomy is the desired surgical treatment for patients with: - correct answer thyroid
cancer.
Which of the following describes a strangulated hernia? - correct answer A persistent
incarceration with a compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury using
three indicators of cerebral function: eye opening, verbal communication, and motor response
to verbal and noxious stimuli. Within the scoring range for the GCS, the best possible score is
_____ and the worst possible score is ______. - correct answer 15; 3
What mouth structure is considered the boundary between the buccal cavity and the lingual
cavity? - correct answer Teeth
Laryngoscopy is direct visual examination of the interior of the larynx by means of a rigid,
lighted speculum known as a laryngoscope to obtain a specimen of tissue or secretions for
pathologic examination. What risk reduction strategy should the perioperative nurse employ in
preparing for the conclusion of the procedure? - correct answer Maintain instrument setup
until the patient leaves the OR.
Marissa Walton is transferred to the OR from the burn unit for debridement of the partial-
thickness burn areas and a dressing change under anesthesia. What important preparation for
the procedure will the perioperative nurse perform before Marissa arrives in the OR? - correct
answer Prewarm the OR to above the ambient high temperature for an adult.
FESS provides a more functional approach to treat sinus disease. FESS involves the endoscopic
resection of inflammatory and anatomic defects of the sinuses while preserving natural
function in a surgical procedure that is minimally invasive. From the following, choose an
important finding that should be communicated to the surgeon immediately during this
procedure. - correct answer Encroachment of the orbit
Administration of cyclogyl should be used in caution with which of the following patient
groups? - correct answer Patients on tricyclics
, RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
What drug can be used to reverse the effects of heparin ? - correct answer Protamine sulfate
When assisting with an open inguinal hernia repair, the surgeon makes an incision through
which of the following to access the cremaster muscle, inguinal canal, and cord structures?
Choose the correct answer . - correct answer External oblique muscle
Identify the type of fracture that has more than two fragments. - correct answer Comminuted
Identify the correct path of the cardiac conduction system. - correct answer From the SA node
to the AV node to the bundle of His to the Purkinje system
Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a general
endotracheal anesthetic, combined with a local anesthetic. The surgical team places the patient
in a semisitting position, with the head against the headrest. A transnasal or a sublabial incision
can be used for rapid access to the sella turcica. Select the diad (2) of conditions that would be
appropriate indications for TSH. - correct answer Hypopituitarism and small pituitary tumors
Describe a pantaloon hernia. - correct answer A combination direct and indirect hernia
In renal transplantation a kidney with __________ artery(ies) is preferred. - correct answer
single
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to manage
increasing intracranial pressure (ICP). What is an appropriate diuretic medication to give and
what nursing actions would be indicated for an older adult patient with traumatic brain injury,
increased ICP, and a history of congestive heart failure (CHF)? - correct answer Furosemide
(Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis
The production of CSF occurs where? - correct answer Choroid plexus of the ventricles
Select the true statement about antimetabolite drugs and their indications for use. - correct
answer 5-Fluorouracil and mitomycin can both be administered topically to inhibit scars and
pterygium excision
Select the statement that best reflects the functional components of the gastrointestinal (GI)
tract. - correct answer The alimentary canal extends from the mouth to the anus.
As the surgeon prepared to clamp and transect the bowel during a small bowel resection for
tumor, the scrub person transferred instruments from the Mayo stand to the back table and
prepared the sterile field for bowel isolation technique. The rationale for this technique in
tumor removal/cancer procedures is to: - correct answer Prevent mechanical metastasis
Heparin sodium is an anticoagulant. The basic mechanism of heparin's action is best described
as: - correct answer prevents the conversion of fibrinogen to fibrin.
Which of the following associations is incorrect regarding gallstones? - correct answer
Gallstones in cystic duct = cholangitis
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
The process of decontamination should initially begin at what point? - correct answer
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include: -
correct answer Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before getting to
the disc. - correct answer Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? - correct answer
Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These changes affect
almost all women at some time in their lives. Nipple discharge is more commonly associated
with benign lesions than with cancer; however, discharge is usually significant only if it is
spontaneous, persistent, and: - correct answer bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on the
robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect
the cystic duct and artery, while the surgical assistant placed the clips on the cystic duct and
artery. As she reached across the sterile field to insert the cholangiocatheter through the port,
the anesthesia provider accidentally made contact with the distal end of the catheter as he
stood up to reach the monitor controls. The contaminated end of the catheter touched the
endoscopic clip applier, the endoscissor connector that the surgeon was using, the glove of the
assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their gown and
gloves and covered the port area with a sterile towel. What was the rationale for the surgeon to
co - correct answer The surgeon was not in contact with the sterile field because he worked
from the robotic console.
The ability to maintain thermoregulation is compromised in elders because of changes in the: -
correct answer vascular system
Because herbal products are so readily available and have such widespread media attention,
many people think that they can safely self-medicate. Why should the public be aware and
educated about dietary supplements and potential harmful effects? - correct answer Unknown
substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast cancer, is
now scheduled for infusion port insertion. Talia is very nervous because during the previous
lumpectomy, performed using a local anesthetic, she was not entirely sedated. Talia tells the
perioperative nurse that she was uncomfortable and heard everything in the room, but
admitted that she did not feel pain. The nurse recognized Talia's anxiety related to the surgical
intervention and prepared to implement corrective actions in the OR. What nursing
,RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
intervention best reflects one that would ensure support or contribute to Talia realizing her
expected outcome? - correct answer Ensure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and secondary survey in
the emergency department. She was hit by a small truck as she was riding her bicycle through a
busy intersection. She has sustained rib fractures and several fractured transverse vertebral
processes. Renal injury is suspected. As the perioperative nurse prepares to insert a urinary
catheter, she notices blood at the urinary meatus. What should the nurse's next action be? -
correct answer Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more targeted
techniques; however, the amount of parathyroid tissue that should be removed remains
controversial and relates to whether single or multiple glands are involved. A portion of a gland
must remain to: - correct answer prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? - correct answer Middle colic
artery
Which of the following structures form the mouth? - correct answer cheeks, the hard palate,
the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate: - correct
answer carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - correct answer Aponeurosis of transversus abdominus and
transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment. This is a
logical, orderly process of patient assessment for potential life threats. These assessment
activities are based on established protocols for advanced trauma life support (ATLS). The
mnemonic "ABCDE" is used, representing assessment of the following: Airway, Breathing,
Circulation, Disability, and Exposure. The D and E represent what degree of investigation? -
correct answer D = a brief neurologic examination; E = exposure to reveal all life-threatening
injuries
What structure covers the spermatic cord and contracts to make the testicles ascend in the
scrotum? - correct answer Cremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator cuff? -
correct answer Teres Major
The cranial meninges are composed of all except _____. - correct answer Pericranial mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is planning for her
three neurosurgical procedures for the day. She is explaining the basic processes of the three
,RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
procedures to the scrub person and double-scrubbed surgical technology student: (1) a VP
shunt insertion, (2) a reconstructive craniosynostosis for an infant with severe deformity, and
(3) exploration of a severe head injury with increased intracranial pressure (ICP) to evacuate a
hematoma and possible brain tissue. To give the brain room to swell in the third procedure, the
bone flap may need to be sterile-wrapped and stored, for later replacement. Sara asks the
student to name the appropriate surgical approach to the brain for each of the procedures. She
expects the correct sequence to be: - correct answer burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant. - correct answer From the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the thyroid and all thyroid tissue present.
Total thyroidectomy is the desired surgical treatment for patients with: - correct answer thyroid
cancer.
Which of the following describes a strangulated hernia? - correct answer A persistent
incarceration with a compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury using
three indicators of cerebral function: eye opening, verbal communication, and motor response
to verbal and noxious stimuli. Within the scoring range for the GCS, the best possible score is
_____ and the worst possible score is ______. - correct answer 15; 3
What mouth structure is considered the boundary between the buccal cavity and the lingual
cavity? - correct answer Teeth
Laryngoscopy is direct visual examination of the interior of the larynx by means of a rigid,
lighted speculum known as a laryngoscope to obtain a specimen of tissue or secretions for
pathologic examination. What risk reduction strategy should the perioperative nurse employ in
preparing for the conclusion of the procedure? - correct answer Maintain instrument setup
until the patient leaves the OR.
Marissa Walton is transferred to the OR from the burn unit for debridement of the partial-
thickness burn areas and a dressing change under anesthesia. What important preparation for
the procedure will the perioperative nurse perform before Marissa arrives in the OR? - correct
answer Prewarm the OR to above the ambient high temperature for an adult.
FESS provides a more functional approach to treat sinus disease. FESS involves the endoscopic
resection of inflammatory and anatomic defects of the sinuses while preserving natural
function in a surgical procedure that is minimally invasive. From the following, choose an
important finding that should be communicated to the surgeon immediately during this
procedure. - correct answer Encroachment of the orbit
Administration of cyclogyl should be used in caution with which of the following patient
groups? - correct answer Patients on tricyclics
, RNFA FINAL PRACTICE |LATEST UPDATE |REAL EXAM QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! ALREADY GRADED
What drug can be used to reverse the effects of heparin ? - correct answer Protamine sulfate
When assisting with an open inguinal hernia repair, the surgeon makes an incision through
which of the following to access the cremaster muscle, inguinal canal, and cord structures?
Choose the correct answer . - correct answer External oblique muscle
Identify the type of fracture that has more than two fragments. - correct answer Comminuted
Identify the correct path of the cardiac conduction system. - correct answer From the SA node
to the AV node to the bundle of His to the Purkinje system
Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a general
endotracheal anesthetic, combined with a local anesthetic. The surgical team places the patient
in a semisitting position, with the head against the headrest. A transnasal or a sublabial incision
can be used for rapid access to the sella turcica. Select the diad (2) of conditions that would be
appropriate indications for TSH. - correct answer Hypopituitarism and small pituitary tumors
Describe a pantaloon hernia. - correct answer A combination direct and indirect hernia
In renal transplantation a kidney with __________ artery(ies) is preferred. - correct answer
single
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to manage
increasing intracranial pressure (ICP). What is an appropriate diuretic medication to give and
what nursing actions would be indicated for an older adult patient with traumatic brain injury,
increased ICP, and a history of congestive heart failure (CHF)? - correct answer Furosemide
(Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis
The production of CSF occurs where? - correct answer Choroid plexus of the ventricles
Select the true statement about antimetabolite drugs and their indications for use. - correct
answer 5-Fluorouracil and mitomycin can both be administered topically to inhibit scars and
pterygium excision
Select the statement that best reflects the functional components of the gastrointestinal (GI)
tract. - correct answer The alimentary canal extends from the mouth to the anus.
As the surgeon prepared to clamp and transect the bowel during a small bowel resection for
tumor, the scrub person transferred instruments from the Mayo stand to the back table and
prepared the sterile field for bowel isolation technique. The rationale for this technique in
tumor removal/cancer procedures is to: - correct answer Prevent mechanical metastasis
Heparin sodium is an anticoagulant. The basic mechanism of heparin's action is best described
as: - correct answer prevents the conversion of fibrinogen to fibrin.
Which of the following associations is incorrect regarding gallstones? - correct answer
Gallstones in cystic duct = cholangitis
