RNFA FINAL EXAM PRACTICE QUESTIONS
WITH VERIFIED ANSWERS NEW MODIFIED
CURRENTLY TESTED AND APPROVED
2025/2026 LATEST UPDATE
A type of suture to help eliminate tension on the primary suture line is
known as: --------- CORRECT ANSWER ----- Retention Suture
Identify the primary substance found in the epidermis that protects the
body from fluid loss and invasion by pathogens. --------- CORRECT
ANSWER ----- Keratin
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? --------- CORRECT
ANSWER ----- Lipids
When buried in tissue, silk loses its tensile strength after what period
of time? --------- CORRECT ANSWER ----- 1 Year
Page 1 of 54
,Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? --------- CORRECT ANSWER
----- Use of Prophylactic Antibiotics
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 ______. --------- CORRECT ANSWER ----- 9 L/min;14 to
16 mm Hg
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? --------- CORRECT
ANSWER ----- Bookwalter
The safest and most commonly used method of sterilization is which
of the following? --------- CORRECT ANSWER ----- Steam
Sterilization
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,Has been identified to reduce SSIs and affect surgical outcomes? -----
---- CORRECT ANSWER ----- Antibiotics given IV within 1 hour of
the incision for every procedure with an incision or entered body
system.
When applying sterile drapes to create the sterile field on the patient,
which of the following principles is most important. ---------
CORRECT ANSWER ----- Drape the patient starting with the
incision area and proceeding to the periphery.
To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? --------- CORRECT
ANSWER ----- Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is
__________? --------- CORRECT ANSWER ----- Lidocaine
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
Page 3 of 54
, elderly patient was at high risk for: --------- CORRECT ANSWER ----
- Hypercarbia
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? --------- CORRECT ANSWER ----- Bronchospasm
High-pressure insufflation rates can cause overpressurization of the
intra-abdominal cavity. This overpressurization can lead to which of
the following? --------- CORRECT ANSWER ----- Hypercarbia
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? --------- CORRECT
ANSWER ----- suctioning, IV succinylcholine administration, and
reintubation
The first case of the day is scheduled as a knee arthroscopy for an
otherwise healthy 24 year old patient. Upon pre assessment, the
Page 4 of 54
WITH VERIFIED ANSWERS NEW MODIFIED
CURRENTLY TESTED AND APPROVED
2025/2026 LATEST UPDATE
A type of suture to help eliminate tension on the primary suture line is
known as: --------- CORRECT ANSWER ----- Retention Suture
Identify the primary substance found in the epidermis that protects the
body from fluid loss and invasion by pathogens. --------- CORRECT
ANSWER ----- Keratin
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? --------- CORRECT
ANSWER ----- Lipids
When buried in tissue, silk loses its tensile strength after what period
of time? --------- CORRECT ANSWER ----- 1 Year
Page 1 of 54
,Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? --------- CORRECT ANSWER
----- Use of Prophylactic Antibiotics
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 ______. --------- CORRECT ANSWER ----- 9 L/min;14 to
16 mm Hg
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? --------- CORRECT
ANSWER ----- Bookwalter
The safest and most commonly used method of sterilization is which
of the following? --------- CORRECT ANSWER ----- Steam
Sterilization
Page 2 of 54
,Has been identified to reduce SSIs and affect surgical outcomes? -----
---- CORRECT ANSWER ----- Antibiotics given IV within 1 hour of
the incision for every procedure with an incision or entered body
system.
When applying sterile drapes to create the sterile field on the patient,
which of the following principles is most important. ---------
CORRECT ANSWER ----- Drape the patient starting with the
incision area and proceeding to the periphery.
To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? --------- CORRECT
ANSWER ----- Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is
__________? --------- CORRECT ANSWER ----- Lidocaine
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
Page 3 of 54
, elderly patient was at high risk for: --------- CORRECT ANSWER ----
- Hypercarbia
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? --------- CORRECT ANSWER ----- Bronchospasm
High-pressure insufflation rates can cause overpressurization of the
intra-abdominal cavity. This overpressurization can lead to which of
the following? --------- CORRECT ANSWER ----- Hypercarbia
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? --------- CORRECT
ANSWER ----- suctioning, IV succinylcholine administration, and
reintubation
The first case of the day is scheduled as a knee arthroscopy for an
otherwise healthy 24 year old patient. Upon pre assessment, the
Page 4 of 54
