,RNFA Final Practice Exam 2025/2026 |
Updated Q&A Bank with Detailed
Explanations | Verified Questions, Study
Guide & Guaranteed A+ Prep.
The process of decontamination should initially begin at what point?
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include:
Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before getting to
the disc.
Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome?
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:
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
,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:
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?
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 intervention
best reflects one that would ensure support or contribute to Talia realizing her expected
outcome?
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?
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:
prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon?
Middle colic artery
Which of the following structures form the mouth?
cheeks, the hard palate, the mandible, and the tongue
, The salivary glands produce saliva, which serves to moisten the mouth and initiate:
carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing.
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?
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?
Cremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator cuff?
Teres Major
The cranial meninges are composed of all except _____.
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
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:
burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant.
From the neck to midthigh; bedline to bedline
Updated Q&A Bank with Detailed
Explanations | Verified Questions, Study
Guide & Guaranteed A+ Prep.
The process of decontamination should initially begin at what point?
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include:
Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before getting to
the disc.
Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome?
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:
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
,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:
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?
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 intervention
best reflects one that would ensure support or contribute to Talia realizing her expected
outcome?
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?
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:
prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon?
Middle colic artery
Which of the following structures form the mouth?
cheeks, the hard palate, the mandible, and the tongue
, The salivary glands produce saliva, which serves to moisten the mouth and initiate:
carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing.
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?
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?
Cremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator cuff?
Teres Major
The cranial meninges are composed of all except _____.
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
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:
burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant.
From the neck to midthigh; bedline to bedline
