RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE
NEWEST 2024 ACTUAL EXAM 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ASNWERS)
|ALREADY GRADED A+
The surgical team gently abducted Matilda's arms into position on padded armboards at less than 90
degrees with palms facing up. Extra padding was placed under her elbows and an armboard strap was
secured over her forearm. The armboards were locked into place to prevent inadvertent abduction. This
important maneuver is designed as a risk reduction strategy to prevent: - answer-brachial plexus injury.
How is the ilioinguinal nerve protected during inguinal herniorrhaphy? - answer-Retract it back along
with the external oblique aponeurosis
Which hemostatic agent should be available for all cranial and spinal cord operations? - answer-Bone
wax
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and elasticity.
What special consideration will the perioperative nurse provide, in terms of additional attention and
care, in one of the following nursing actions? - answer-Gently lift, not slide, the patient to and from the
OR bed
The Whipple procedure is the removal of the head of the pancreas, the entire duodenum, a portion of
the jejunum, the distal third of the stomach, and the ____________ as a surgical treatment
for____________. - answer-lower half of the common bile duct; pancreatic cancer
Identify the triad of anatomic sites of abdominal wall weakness with a potential for hernias. - answer-
Inguinal canal, femoral rings, umbilicus
A complication of thyroidectomy that included an extended thyroid dissection is which of the following?
- answer-Pneumothorax
Sally Andres and her orientee have returned from an airway fire simulation exercise with the
otorhinolaryngologic surgeon, fellow, and anesthesia provider. They were amazed at the statistics for
OR fires and the threat of serious injury to the patient and team. Patients undergoing
otorhinolaryngologic procedures are at greater risk for fire injury because of the proximity of the
surgical field to high concentrations of oxygen. The team discussed a plan to change their practices. An
,example of a risk reduction strategy that involves collaboration of the entire surgical team during
otorhinolaryngologic surgery would be: - answer-conducting regularly scheduled team simulations that
rehearse an airway fire protocol.
The nose is divided into the prominent external portion and the internal portion known as the nasal
cavity. The primary purpose of the nose is to: - answer-prepare inspired air for the lungs
Anesthesia providers are concerned about the potential increased risk of instability intraoperatively
resulting from inhibition of coagulation. Which herbal supplement, from the list below, would be
implicated in a coagulation interaction? - answer-Feverfew
Lisa Torentino, a 29-year-old woman, is in the emergency department (ED) with a ruptured appendix.
Before the ED nurse and surgical resident transported Lisa to the OR, the nurse called to inform them
that Lisa is 27 weeks' pregnant. What special considerations must the perioperative nurse and
anesthesia provider address with this new information? - answer-The patient may need rapid induction
of general anesthesia, or spinal anesthesia.
During a total hip arthroplasty, the instrument used to access the femoral canal is the_____. - answer-
Box osteotome
An example of perineal glands that secrete mucus is: - answer-Bartholin's glands
What major artery supplies the descending colon? - answer-Left colic artery
Aubrey Scheel arrived to the preoperative receiving and waiting lounge of the ambulatory surgery
center for an elective hernia repair. The RNFA began Aubrey's preoperative nursing assessment. It was a
beautiful and warm spring day and Aubrey shared his concern about how he would feel after the
procedure. He wanted to know when he would be able to get back to work and resume his place as
pitcher on his softball team. He also told the RNFA that he planned to do some yard work today as soon
as the anesthesia "wears off." Which one of the following nursing diagnoses is given priority in both
preoperative and postoperative education? - answer-Deficient Knowledge related to disease process
and convalescence
,The roof of the inguinal canal consists of the _________________while the __________________makes
up the major support for the floor of the inguinal canal. - answer-external oblique aponeurosis;
transversalis aponeurosis and fascia
Prostate cancer is the most frequently diagnosed cancer in men and is the leading cause of cancer death
in men. Select the triad that best reflects the individual with the highest risk for prostate cancer. -
answer-65+ years old, African descent, father had prostate cancer
What incision is used for lumbar laminectomy? - answer-Midline directly over the appropriate lumbar
spines
Which action best reflects the movement of urine from the renal pelvis to the bladder? - answer-Slight
distention of the renal pelvis initiates a wave of muscular contractions.
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress
through which of the following? - answer-Scarpa's fascia
During urologic surgery large quantities of irrigating fluids are infused intraoperatively. It is important to
avoid the use of distilled water during TURP as this complication may occur, Choose the complication
from the following. - answer-Dilutional Hyponatremia
Which of the following is not included in the terrible triad? - answer-PCL tear
A chain of three small articulated bones extends across the middle ear cavity and conducts vibrations
from the tympanic membrane across the middle ear into the oval window and the fluid-filled inner ear.
What are the names of those three small articulating bones? - answer-Malleus, incus, and stapes
Melissa Pepe is a 17-year-old female with cancer of the thyroid secondary to leukemia, which went into
remission 7 years earlier. She is very concerned about scarring from the surgery. The nurse discussed
Melissa's concerns with the surgical team before the incision was made. Melissa had a minimally
invasive thyroidectomy approach, which left a small scar that was closed with a 4-0 nonabsorbable
subcuticular suture. In the postoperative phase, the nurse provided Melissa with her postoperative
education relative to her incision. Select all the incision care instructions that would be relevant for
Melissa. - answer-Instruct her to refrain from prolonged exposure to direct sunlight or tanning salons
while the incision is healing.
, Bone grafting using allografts or autografts may be used to fill cavities after removal of large amounts of
bone that might result in instability, or to fill bony defects and to promote the union of fractures at the
time of open reduction. Bone graft that is sealed in a sterile labeled envelope from a tissue transplant
company and stored in a vacuum-sealed freezer, monitored with an alarm, would be considered a/an: -
answer-allograft
Fluoroscopy time should be limited as much as possible. Which of the following is radiation reduction
technique? - answer-Fluoroscopy equipment is required to have an audible alarm after 5 minutes of use
Mohs' surgery is a specialized excision used to treat basal and squamous cell skin cancers. Select the
statement about Mohs' surgery that best reflects the process, procedure, and outcome goal. - answer-
Lesions are mapped, excised, and examined by frozen section until clear margins are found.
Upon neurological examination, you notice an abnormal pupillary light reflex in a patient's right eye.
Which of the following is consistent with this sign? - answer-compression of the oculomotor nerve
During the preoperative assessment of an adult with a previously corrected congenital heart defect, the
perioperative nurse should be aware of anatomic anomalies associated with the original defect, or its
subsequent repair, that may alter the current surgical plan for a patient who had prior pediatric cardiac
surgery. What is an appropriate nursing response when the assessment reveals the adult patient has
undergone prior pediatric cardiac surgery? - answer-Alert the staff to anticipate altered anatomy,
special supplies, and potential complications
Shari Donaldson is scheduled for a thyroidectomy. As the RNFA, it is important that stress the the team
the importance of having which tray available for this case? - answer-Tracheotomy tray
From the following, choose a disadvantage in the use of a shunt during CEA. - answer-Possible dislodging
of debris with insertion
The phrenic nerve innervates which structure? - answer-The diaphragm
A patient presents to the OR with an injury to the anterior chest from blunt force trauma. The RNFA can
expect damage to which of the following? - answer-Right ventricle
NEWEST 2024 ACTUAL EXAM 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ASNWERS)
|ALREADY GRADED A+
The surgical team gently abducted Matilda's arms into position on padded armboards at less than 90
degrees with palms facing up. Extra padding was placed under her elbows and an armboard strap was
secured over her forearm. The armboards were locked into place to prevent inadvertent abduction. This
important maneuver is designed as a risk reduction strategy to prevent: - answer-brachial plexus injury.
How is the ilioinguinal nerve protected during inguinal herniorrhaphy? - answer-Retract it back along
with the external oblique aponeurosis
Which hemostatic agent should be available for all cranial and spinal cord operations? - answer-Bone
wax
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and elasticity.
What special consideration will the perioperative nurse provide, in terms of additional attention and
care, in one of the following nursing actions? - answer-Gently lift, not slide, the patient to and from the
OR bed
The Whipple procedure is the removal of the head of the pancreas, the entire duodenum, a portion of
the jejunum, the distal third of the stomach, and the ____________ as a surgical treatment
for____________. - answer-lower half of the common bile duct; pancreatic cancer
Identify the triad of anatomic sites of abdominal wall weakness with a potential for hernias. - answer-
Inguinal canal, femoral rings, umbilicus
A complication of thyroidectomy that included an extended thyroid dissection is which of the following?
- answer-Pneumothorax
Sally Andres and her orientee have returned from an airway fire simulation exercise with the
otorhinolaryngologic surgeon, fellow, and anesthesia provider. They were amazed at the statistics for
OR fires and the threat of serious injury to the patient and team. Patients undergoing
otorhinolaryngologic procedures are at greater risk for fire injury because of the proximity of the
surgical field to high concentrations of oxygen. The team discussed a plan to change their practices. An
,example of a risk reduction strategy that involves collaboration of the entire surgical team during
otorhinolaryngologic surgery would be: - answer-conducting regularly scheduled team simulations that
rehearse an airway fire protocol.
The nose is divided into the prominent external portion and the internal portion known as the nasal
cavity. The primary purpose of the nose is to: - answer-prepare inspired air for the lungs
Anesthesia providers are concerned about the potential increased risk of instability intraoperatively
resulting from inhibition of coagulation. Which herbal supplement, from the list below, would be
implicated in a coagulation interaction? - answer-Feverfew
Lisa Torentino, a 29-year-old woman, is in the emergency department (ED) with a ruptured appendix.
Before the ED nurse and surgical resident transported Lisa to the OR, the nurse called to inform them
that Lisa is 27 weeks' pregnant. What special considerations must the perioperative nurse and
anesthesia provider address with this new information? - answer-The patient may need rapid induction
of general anesthesia, or spinal anesthesia.
During a total hip arthroplasty, the instrument used to access the femoral canal is the_____. - answer-
Box osteotome
An example of perineal glands that secrete mucus is: - answer-Bartholin's glands
What major artery supplies the descending colon? - answer-Left colic artery
Aubrey Scheel arrived to the preoperative receiving and waiting lounge of the ambulatory surgery
center for an elective hernia repair. The RNFA began Aubrey's preoperative nursing assessment. It was a
beautiful and warm spring day and Aubrey shared his concern about how he would feel after the
procedure. He wanted to know when he would be able to get back to work and resume his place as
pitcher on his softball team. He also told the RNFA that he planned to do some yard work today as soon
as the anesthesia "wears off." Which one of the following nursing diagnoses is given priority in both
preoperative and postoperative education? - answer-Deficient Knowledge related to disease process
and convalescence
,The roof of the inguinal canal consists of the _________________while the __________________makes
up the major support for the floor of the inguinal canal. - answer-external oblique aponeurosis;
transversalis aponeurosis and fascia
Prostate cancer is the most frequently diagnosed cancer in men and is the leading cause of cancer death
in men. Select the triad that best reflects the individual with the highest risk for prostate cancer. -
answer-65+ years old, African descent, father had prostate cancer
What incision is used for lumbar laminectomy? - answer-Midline directly over the appropriate lumbar
spines
Which action best reflects the movement of urine from the renal pelvis to the bladder? - answer-Slight
distention of the renal pelvis initiates a wave of muscular contractions.
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress
through which of the following? - answer-Scarpa's fascia
During urologic surgery large quantities of irrigating fluids are infused intraoperatively. It is important to
avoid the use of distilled water during TURP as this complication may occur, Choose the complication
from the following. - answer-Dilutional Hyponatremia
Which of the following is not included in the terrible triad? - answer-PCL tear
A chain of three small articulated bones extends across the middle ear cavity and conducts vibrations
from the tympanic membrane across the middle ear into the oval window and the fluid-filled inner ear.
What are the names of those three small articulating bones? - answer-Malleus, incus, and stapes
Melissa Pepe is a 17-year-old female with cancer of the thyroid secondary to leukemia, which went into
remission 7 years earlier. She is very concerned about scarring from the surgery. The nurse discussed
Melissa's concerns with the surgical team before the incision was made. Melissa had a minimally
invasive thyroidectomy approach, which left a small scar that was closed with a 4-0 nonabsorbable
subcuticular suture. In the postoperative phase, the nurse provided Melissa with her postoperative
education relative to her incision. Select all the incision care instructions that would be relevant for
Melissa. - answer-Instruct her to refrain from prolonged exposure to direct sunlight or tanning salons
while the incision is healing.
, Bone grafting using allografts or autografts may be used to fill cavities after removal of large amounts of
bone that might result in instability, or to fill bony defects and to promote the union of fractures at the
time of open reduction. Bone graft that is sealed in a sterile labeled envelope from a tissue transplant
company and stored in a vacuum-sealed freezer, monitored with an alarm, would be considered a/an: -
answer-allograft
Fluoroscopy time should be limited as much as possible. Which of the following is radiation reduction
technique? - answer-Fluoroscopy equipment is required to have an audible alarm after 5 minutes of use
Mohs' surgery is a specialized excision used to treat basal and squamous cell skin cancers. Select the
statement about Mohs' surgery that best reflects the process, procedure, and outcome goal. - answer-
Lesions are mapped, excised, and examined by frozen section until clear margins are found.
Upon neurological examination, you notice an abnormal pupillary light reflex in a patient's right eye.
Which of the following is consistent with this sign? - answer-compression of the oculomotor nerve
During the preoperative assessment of an adult with a previously corrected congenital heart defect, the
perioperative nurse should be aware of anatomic anomalies associated with the original defect, or its
subsequent repair, that may alter the current surgical plan for a patient who had prior pediatric cardiac
surgery. What is an appropriate nursing response when the assessment reveals the adult patient has
undergone prior pediatric cardiac surgery? - answer-Alert the staff to anticipate altered anatomy,
special supplies, and potential complications
Shari Donaldson is scheduled for a thyroidectomy. As the RNFA, it is important that stress the the team
the importance of having which tray available for this case? - answer-Tracheotomy tray
From the following, choose a disadvantage in the use of a shunt during CEA. - answer-Possible dislodging
of debris with insertion
The phrenic nerve innervates which structure? - answer-The diaphragm
A patient presents to the OR with an injury to the anterior chest from blunt force trauma. The RNFA can
expect damage to which of the following? - answer-Right ventricle
