1|Pag e
RNFA FINAL EXAM/ MOST RECENT AND
VERIFIED EDITION/ 100% (CORRECT ANSWERS
FOR REGISTERED NURSE FIRST NURSE) GRADED
A+ ALREADY GRADED A+| BRAND NEW!!!
When assisting with a trauma patient in the surgical setting, it is important for the
RNFA to be aware of the "vicious triad" that can increase the risk for mortality.
The triad includes: - ANSWER: Metabolic acidosis, hypothermia, hemodilution
The largest part of the mammary gland rests on the _____. - ANSWER: Pectoralis
major muscle and serratus anterior
Which of the following is the surgical goal for breast conserving surgery? -
ANSWER: Removal of cancerous mass with a margin of normal tissue
The RNFA with the vascular surgery service is preparing to discharge Mark
Weston, a 51-year-old male who recently had endovascular surgery. He will be
taking anticoagulation therapy for the next 12 weeks. What statement regarding
anticoagulation therapy, that is relevant to Mark, is true? - ANSWER: Do not use
tools such as saws or hammers, which could lead to an accident.
Identify from the following, the correct branch of the Left main coronary artery. -
ANSWER: Circumflex coronary artery
The Doppler transducer is the most widely used instrument for vascular study.
What statement regarding a Doppler is true? - ANSWER: Water-soluble gel is
needed when the Doppler is used on intact skin
Disadvantage in the use of a shunt during CEA. - ANSWER: Possible dislodging
of debris with insertion.
,2|Pag e
Audible facial nerve monitors (NIMS) are used intraoperatively during procedures
in which the facial nerve is at risk for injury. Why is communication with the
anesthesia provider important when assisting in procedures involve the facial
nerve? - ANSWER: muscle relaxants, paralyzing agents, and some local
anesthetics must be avoided.
A portion of a parathyroid gland must remain for which of the following reasons? -
ANSWER: prevent hypocalcemia and its complications.
There are several risk factors associated with dehiscence. Which of the following
can be controlled by the RNFA? - ANSWER: Sutures placed too close together
The major arterial blood supply to the descending colon is provided by which of
the following? - ANSWER: Left Colic Artery
Josh Tremain, a 28-year-old firefighter, sustained significant full-thickness burns
when he fell through the roof of a burning building while fighting an explosive
fire. What surgical treatments may Josh need? - ANSWER: Debridement and
monitoring of full-thickness skin regeneration
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 should be performed before Marissa
arrives in the OR? - ANSWER: Prewarm the OR to above the ambient high
temperature for an adult.
The colon wall has five distinct layers that include which of the following ? -
ANSWER: Mucosa
,3|Pag e
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon
must first progress through which of the following? - ANSWER: Preperitoneal fat
Identify the triad of anatomic sites of abdominal wall weakness with a potential for
hernias. - ANSWER: Inguinal canal, femoral rings, umbilicus
What technologic characteristic of robotic surgery provides a superior indication
for robotic-assisted laparoscopic cholecystectomy? - ANSWER: The magnified
three-dimensional picture may reduce bile duct injuries during dissection.
Which of the following supplies blood to the transverse colon? - ANSWER:
Middle colic artery
Which of the following is a "triangle" anatomic landmark in surgical removal of
the gallbladder, and may be remembered by the 3C's: cystic duct, common hepatic
duct and cystic artery? - ANSWER: Calots
Describe the internal inguinal ring - ANSWER: A natural opening in the
transversalis fascia
The primary function of the gallbladder is to: - ANSWER: store and concentrate
bile
Umbilical hernias occur in adults as a result of a defect in the - ANSWER: Linea
Alba
Potential development of a direct inguinal hernia results from weakness or tearing
of both the ___________and __________. - ANSWER: Aponeurosis of
transversus abdominus and transversalis fascia
, 4|Pag e
Which structure supports the uterus and contains the uterine artery and vein ? -
ANSWER: Cardinal Ligaments
An orchiopexy is the surgical placement and fixation of the testicle in a normal
anatomic position in the scrotal sac. If the testis fails to descend into the scrotum
during gestation, it is considered undescended. Which statement regarding
indications for orchiopexy is true? - ANSWER: All testes that are undescended
after 1 year require surgical placement in the scrotum.
Chose the correct statement regarding the trigone of the bladder - ANSWER:
forms the base of the bladder
Damage to this area of the brain is often devastating and life-threatening because it
can affect movement, senses, consciousness, perception, and cognition. Choose the
correct answer from the following. - ANSWER: Brainstem
What is the term for the bloodless plane that contains loose areolar tissue and
permits mobility of the scalp? - ANSWER: Subgaleal space
The brainstem consists of what three structures? - ANSWER: Midbrain, pons, and
medulla oblongata
The IXth cranial nerve provides which of the following? - ANSWER: taste to
posterior 1/3 of tongue
Suction applied directly to neural tissue can be harmful To prevent tissue damage,
a ___________ should be placed between the neural tissue and the suction tip. -
ANSWER: Cottonnoid
RNFA FINAL EXAM/ MOST RECENT AND
VERIFIED EDITION/ 100% (CORRECT ANSWERS
FOR REGISTERED NURSE FIRST NURSE) GRADED
A+ ALREADY GRADED A+| BRAND NEW!!!
When assisting with a trauma patient in the surgical setting, it is important for the
RNFA to be aware of the "vicious triad" that can increase the risk for mortality.
The triad includes: - ANSWER: Metabolic acidosis, hypothermia, hemodilution
The largest part of the mammary gland rests on the _____. - ANSWER: Pectoralis
major muscle and serratus anterior
Which of the following is the surgical goal for breast conserving surgery? -
ANSWER: Removal of cancerous mass with a margin of normal tissue
The RNFA with the vascular surgery service is preparing to discharge Mark
Weston, a 51-year-old male who recently had endovascular surgery. He will be
taking anticoagulation therapy for the next 12 weeks. What statement regarding
anticoagulation therapy, that is relevant to Mark, is true? - ANSWER: Do not use
tools such as saws or hammers, which could lead to an accident.
Identify from the following, the correct branch of the Left main coronary artery. -
ANSWER: Circumflex coronary artery
The Doppler transducer is the most widely used instrument for vascular study.
What statement regarding a Doppler is true? - ANSWER: Water-soluble gel is
needed when the Doppler is used on intact skin
Disadvantage in the use of a shunt during CEA. - ANSWER: Possible dislodging
of debris with insertion.
,2|Pag e
Audible facial nerve monitors (NIMS) are used intraoperatively during procedures
in which the facial nerve is at risk for injury. Why is communication with the
anesthesia provider important when assisting in procedures involve the facial
nerve? - ANSWER: muscle relaxants, paralyzing agents, and some local
anesthetics must be avoided.
A portion of a parathyroid gland must remain for which of the following reasons? -
ANSWER: prevent hypocalcemia and its complications.
There are several risk factors associated with dehiscence. Which of the following
can be controlled by the RNFA? - ANSWER: Sutures placed too close together
The major arterial blood supply to the descending colon is provided by which of
the following? - ANSWER: Left Colic Artery
Josh Tremain, a 28-year-old firefighter, sustained significant full-thickness burns
when he fell through the roof of a burning building while fighting an explosive
fire. What surgical treatments may Josh need? - ANSWER: Debridement and
monitoring of full-thickness skin regeneration
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 should be performed before Marissa
arrives in the OR? - ANSWER: Prewarm the OR to above the ambient high
temperature for an adult.
The colon wall has five distinct layers that include which of the following ? -
ANSWER: Mucosa
,3|Pag e
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon
must first progress through which of the following? - ANSWER: Preperitoneal fat
Identify the triad of anatomic sites of abdominal wall weakness with a potential for
hernias. - ANSWER: Inguinal canal, femoral rings, umbilicus
What technologic characteristic of robotic surgery provides a superior indication
for robotic-assisted laparoscopic cholecystectomy? - ANSWER: The magnified
three-dimensional picture may reduce bile duct injuries during dissection.
Which of the following supplies blood to the transverse colon? - ANSWER:
Middle colic artery
Which of the following is a "triangle" anatomic landmark in surgical removal of
the gallbladder, and may be remembered by the 3C's: cystic duct, common hepatic
duct and cystic artery? - ANSWER: Calots
Describe the internal inguinal ring - ANSWER: A natural opening in the
transversalis fascia
The primary function of the gallbladder is to: - ANSWER: store and concentrate
bile
Umbilical hernias occur in adults as a result of a defect in the - ANSWER: Linea
Alba
Potential development of a direct inguinal hernia results from weakness or tearing
of both the ___________and __________. - ANSWER: Aponeurosis of
transversus abdominus and transversalis fascia
, 4|Pag e
Which structure supports the uterus and contains the uterine artery and vein ? -
ANSWER: Cardinal Ligaments
An orchiopexy is the surgical placement and fixation of the testicle in a normal
anatomic position in the scrotal sac. If the testis fails to descend into the scrotum
during gestation, it is considered undescended. Which statement regarding
indications for orchiopexy is true? - ANSWER: All testes that are undescended
after 1 year require surgical placement in the scrotum.
Chose the correct statement regarding the trigone of the bladder - ANSWER:
forms the base of the bladder
Damage to this area of the brain is often devastating and life-threatening because it
can affect movement, senses, consciousness, perception, and cognition. Choose the
correct answer from the following. - ANSWER: Brainstem
What is the term for the bloodless plane that contains loose areolar tissue and
permits mobility of the scalp? - ANSWER: Subgaleal space
The brainstem consists of what three structures? - ANSWER: Midbrain, pons, and
medulla oblongata
The IXth cranial nerve provides which of the following? - ANSWER: taste to
posterior 1/3 of tongue
Suction applied directly to neural tissue can be harmful To prevent tissue damage,
a ___________ should be placed between the neural tissue and the suction tip. -
ANSWER: Cottonnoid
