RNFA FINAL PRACTICE exam Questions and
Answers 2024
RNFA FINAL PRACTICE exam Questions and
Answers 2024
A stapedotomy is removal of the stapes superstructure and creation of a fenestra
(opening) in the fixed stapes footplate for treatment of abnormal bone growth around
the footplate that results in its immobility. The patient scheduled for a stapedotomy will
typically not have a surgical diagnosis of: - otosclerosis.
Which structure supports the uterus and contains the uterine artery and vein ? -
Cardinal ligaments
A positive Kehr's sign is _____. - Left shoulder pain
Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the most
appropriate statement about miotic and mydriatic drugs. - Mydriatic drugs, such as
phenylephrine, dilate the pupil.
In the pulmonary circulatory system, blood is pumped from the right ventricle (RV)
through the pulmonary valve into the main pulmonary artery (PA). The PA divides into
the right and left pulmonary arteries, which further subdivide into the arterioles and
capillaries of the lungs. Where does the blood from the lungs flow next? - Through the
pulmonary veins to the left atrium
Of the following ocular blocks, which carries the highest risk? - Retrobulbar block
An example of an amphiarthrotic joint includes: - Intervertebral joints
What composes the lining of a herniated abdominal sac? - Peritoneum
A neurologist is about to perform a lumbar puncture on a patient presenting with altered
neuro status due to a possible intracranial mass. Why would this procedure be
contraindicated? - The change in ICP from the lumbar puncture can result in brain
herniation
There are many factors that influence the behavioral manifestations of pain in the
pediatric population. Which of the following is not an influencing factor? - Parental
involvement
,Anesthetic management impacts the success of ophthalmic surgery. Safe ambulatory
surgery, especially in certain populations, depends on patient selection, preoperative
evaluation, preparation, monitoring, and local anesthesia techniques. Select the patient
below that would be an appropriate candidate for general anesthesia, instead of local
anesthesia alone. - A 22-year-old healthy female for a tear duct probing
Thyroid storm can occur in patients whose hyperthyroidism is partially controlled or
untreated. Thyrotoxic crisis can be precipitated by a stressful event, such as surgery. An
example of a nursing action(s) to reduce the risk of thyroid storm is: - provide a quiet,
calm atmosphere and help the patient relax, and provide comfort measures, including a
cooling blanket.
Herbal supplements may have a role in the perioperative setting and are an important
consideration for nurses. A mistaken assumption is that botanical dietary supplements
are safer than prescribed or over-the-counter drugs. What assumption should the nurse
make, during the nursing assessment, when the patient describes the use of dietary
supplements and herbal products? - Botanicals may initiate a pharmacologic response
and should be considered as a medication.
When coverage for a defect cannot be achieved through skin grafting, plastic surgeons
rely on other techniques to replace tissue. After mastectomy, reconstruction with a
transverse rectus abdominis myocutaneous (TRAM) flap is one of several options for
nonsynthetic prosthetic reconstruction. Another descriptive term for the TRAM flap is
the: - pedicle-based flap
The RNFA should anticipate the surgeon making an incision in which region to gain
access to the pancreas? - Right subcostal
A wide range of equipment is used in ophthalmic surgery. The perioperative team's
knowledge of proper operation should be confirmed through inservice education and
training specific to new equipment, plus demonstrated competency. To ensure patient
safety and appropriate function and application of surgical devices, which statement
best reflects recommended practice when using complex biomedical equipment? - Use
the device according to the manufacturer's directions and test for proper performance
before the patient enters the OR.
Steven Morganstein, a 51-year-old male with hepatobiliary disease, is scheduled for
surgery. The perioperative nurse, during the preoperative assessment, questions and
examines the patient for signs and symptoms of jaundice, petechiae, and lethargy and: -
reviews his chart for bleeding and coagulation times and the platelet count.
The absence of distinct teniae serves as a visual landmark for what abdominal
structure? - Upper margin of the rectum
Which of the following operations require general anesthesia? - MVR
,Exophthalmos can be associated with which of the following? - Hyperthyroidism
When a thyroglossal duct cyst is present in an adult, it exists as a pretracheal cystic
pouch attached to what structure? - Hyoid
What special consideration should be made when assessing a pediatric trauma patient
for level of consciousness? - Use the modified Glasgow Coma Scale for children.
Young children are predisposed to parasympathetic hypertonia (increased vagal tone),
which can be induced by: - painful stimuli such as eye surgery or abdominal retraction.
For indirect hernia repair, the _____. - Hernia contents are reduced to the abdominal
cavity
Twelve pairs of cranial nerves arise within the cranial cavity. Although they are part of
the peripheral nervous system, from a surgical standpoint they are considered part of
the anatomy of the head. Which three pairs of nerves, conveniently considered together
because of their motor influence on the eye, are subject to toxic, inflammatory, vascular,
and neoplastic lesions? - Third, fourth, and sixth cranial nerves
An important landmark during perineal prostatectomy is the: - True prostatic capsule
Select the semi-invasive diagnostic test that illustrates heart wall motion and blood flow
through the heart and quantifies cardiac function. - Radionuclide imaging
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. -
Cottonoid
Select the statement about the prostate that best reflects its location, size, and weight. -
The prostate sits below the base of the bladder, is 4 cm at the base, and weighs 20 to
30 g.
During ventriculoperitoneal shunt placement, _____. - The unit is soaked in NS &
antibiotic solution, never lubricated.
If cervical spine precautions were not implemented before arrival at the hospital, the
emergency department team initiates them before performing any other procedures on
the patient. A trauma team member can stabilize the head and neck, if necessary, until
a cervical collar is placed. What event needs to take place before the team removes the
cervical collar and continues care? - A cervical radiograph is obtained to rule out injury
to the neck.
The pelvic floor consists of which muscle groups? - Levator ani and coccygeal muscles
, 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. - Brainstem
Commonly implicated in SAH, the vessels of the Circle of Willis include: - Posterior
communicating artery
Lasers assist in vaporization of scar tissue, granulomas, and cholesteatomas without
damaging surrounding tissue and may be used for select otolaryngologic procedures.
Lasers can be secured to the operating microscope and laser energy delivered to the
tissue by means of a: - micromanipulator.
During the preoperative assessment for a patient scheduled for nasal surgery using a
local anesthetic that includes epinephrine, what important consideration, relevant to
epinephrine use, should be explored? - Cardiac status
Which of the following is not included in the the bony pelvis? - Ileum
The spleen's function in the defense of the body is achieved by: - Phagocytosis
The innermost membrane of of the brain is known as: - Pia mater
Which of the following structures is responsible for division between left and right chest
cavity ? - Mediastinum
Sharon Close has been diagnosed with severe gastroesophageal reflux disease
(GERD) without the dysplastic changes of Barrett's esophagus. Her GERD is
unresponsive to proton pump inhibitors and histamine blockers. Her surgeon is hesitant
to pursue an open or a laparoscopic Nissen surgical approach. What procedure might
her surgeon consider in lieu of a Nissen? - Endoluminal plication of the lower
esophageal segment
Which of the following is the treatment for a patient that has a postoperative empyema?
- Rib resection
What is the mechanism by which the parathyroid glands maintain calcium homeostasis?
- They produce a hormone that, with calcitonin, takes calcium from the bones and
promotes calcium absorption by the intestines.
What statement regarding risk factors for developing vascular disease is true? -
Arteriosclerosis is a natural part of the aging process.
The mammary glands are affected by physiologic changes throughout a woman's life
span. Select the option that best reflects the life cycle events that impact the anatomy
and physiology of the breasts. - Growth and development, menstruation, and pregnancy
and lactation
