REGISTERED NURSE FIRST ASSISTANT
(RNFA) NEWEST FINAL EXAM ACTUAL
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | 2024/2025
_____________ is a side effect that can occur rapidly after
spinal anesthesia is administered. Correct Answer
hypotensive episode
Prolonged lithotomy positioning can result in neuropathies
of the legs. The most frequently injured nerves are the
obturator, sciatic, femoral, and ______ nerve, which can
result in injury from ______. Correct Answer common
peroneal; Direct compression from the stirrup bars
Which of the following lists the correct order in the removal
of soiled sterile attire when breaking scrub? Correct
Answer gown gloves mask
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 elderly
patient was at high risk for: Correct Answer hypercarbia
,The immature blood-brain barrier and decreased protein
binding in infants increase their sensitivity to which group
of medications? Correct Answer opioids, hypnotics
Which of the following medications is a specific
depolarizing muscle relaxant than can produce
generalized fasciculations? Correct Answer
succinylcholine
There are many factors that influence surgical wound
healing. Some are helpful and some are beyond the scope
of the surgical team. Select the response below that
reflects a factor with high influence over wound healing
and is within the control of the surgical team. Correct
Answer tissue handling
Guidelines from WHO focus on which of the following in
the prevention of surgical site infections? Correct Answer
prophylactic antibiotics
Malignant Hyperthermia (MH) is a rare, multifaceted
syndrome with an increased incidence in individuals that
exhibit which of the following? Correct Answer congenital
myopathies
Marvin Deloitte, a 19 year-old male, received in
intravenous peripheral nerve block (PNB/Bier block) for an
ORIF of about ankle fracture. The anesthesia provider
injected a a distal dorsal vein of Marvin's right foot with 2%
lidocaine, after placing a single cuffed pneumatic
tourniquet circumferentially around Marvins upper thigh.
,The surgeon looked through the OR window to check on
anesthesia progress as he scrubbed at the sink outside of
the OR. The circulating nurse had the leg elevated and
was prepping the ankle. The surgeon noticed that the cuff
seemed to be deflating and that the anesthesia provider
was turned away from the patient. The circulating nurse
also noticed the movement under the protective towel
placed over the cuff, and saw the tourniquet tubing fall to
the floor. The nurses first response should be: Correct
Answer Alert the anesthesia provider, reconnect thw
tubing to cuff and inflate, and send the surgeon for the
code cart
The perioperative nurse visited Mr. Jennings in the ICU
the next day and noticed abrasions on the elbow. Mr.
Jennings told her that the ICU nurses had difficulty pulling
him back up in bed every time he slid down toward the
bottom and he was not able to be much help in moving
himself. The skin injury was probably the result of which
physical force Correct Answer A friction from the elbows
rubbing over the sheets when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted
syndrome with an increased incidence in individuals with
central core diseases such as: Correct Answer Congenital
myopathies
David Reese, a 14 year-old patient with marked scoliosis,
is in prone position with gel rolls, gel pads, and pillows for
a spinal fusion Before the skin is begun, the perioperative
, nurse should check the positioning for pressure areas of
the: Correct Answer Genitals, knees, toes, and eyes
A reverse cutting needle is preferred for
_________________ suturing. Correct Answer Cutaneous
The installation of a local anesthetic into the subarachnoid
space is termed: Correct Answer Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in
the OR for emergency repair of superficial facial and deep
arm lacerations when she ran into the chain link fence
during practice. The perioperative nurse discovers that
Susie has an insulin pump that should remain connected
during the short procedure. The RNFA should consider
which of the following options for energy generated
hemostasis? Correct Answer Bipolar electrosurgery unit
Which of the following is not a characteristic of silk suture?
a. Soft
b. handling ability
c. knot security
d. memory Correct Answer memory
It is important to assess pressure points when positioning
a patient prone. Which of the following are included in this
assessment to prevent pressure injury? Correct Answer
genitals, knees, toes, and eyes
Which of the following needles are most likely to be
chosen for skin closure? Correct Answer reverse cutting
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
