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RNFA FINAL EXAMRNFA FINAL EXAM
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Exam of 19 pages for the course RNFA at RNFA (RNFA FINAL EXAM)
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RNFA FINAL EXAM_______Precautions apply to blood, all body fluids, secretions, and excretions
(except sweat), regardless of whether they contain visible blood, mucous
membranes, and non-intact skin. - ANSWER Standard
Which of the following anesthetics may result in fasiculations for the patient? -
ANSWER Succhinylcholine
Hypothermia has been shown to be a factor that may place the surgical patient at
risk for infection and delayed healing. What intervention is an engineered control
factor to protect the patient from hypothermia? - ANSWER b. set the ambient room
temperature between 68° and 73° F
A basic anesthesia monitoring device that is used during general anesthesia to
confirm successful endotracheal tube placement and determine the presence of gas
exchange is the: - ANSWER capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: - ANSWER Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels?
- ANSWER Joint Commission
A 9-year-old diabetic with an insulin pump, has arrived in the OR for emergency
repair of superficial facial and deep arm lacerations. The RNFA should consider
which of the following options for energy-generated hemostasis? - ANSWER Bipolar
Electrosurgery Unit
During a hysteroscopy, sterile saline is used to expand the intrauterine compartment
and enhance visualization. The perioperative nurse is concerned that approximately
500 ml of fluid was unaccounted for and alerted the surgeon and RNFA. The nurse's
motive for this surveillance is to: - ANSWER Potential for Intervastation
Which of the following statements reflects the location of the arcuate line? -
ANSWER one third of the distance between the umbilicus and the symphysis pubis.
Laparoscopic procedures that emergently convert to open procedures place the
patient at risk for unintentional retained surgical items (RSI). What risk reduction
strategy could prevent RSI? - ANSWER Replacing or tagging sponges and
laparotomy instruments with RFID chips.
The surgical hand scrub is designed to render the hands, nails, and arms - ANSWER
Surgically Clean
The RNFA instructed the new anesthesia resident in the proper positioning of the
arm and hands on the OR bed armboards. The resident was cautioned to avoid
pressure on the elbow to prevent: - ANSWER Ulnar Nerve Injury
,A type of suture to help eliminate tension on the primary suture line is known as: -
ANSWER Retention Suture
Identify the primary substance found in the epidermis that protects the body from
fluid loss and invasion by pathogens. - 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? - ANSWER Lipids
When buried in tissue, silk loses its tensile strength after what period of time? -
ANSWER 1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical
site infections? - 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 ______. - 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? -
ANSWER Bookwalter
The safest and most commonly used method of sterilization is which of the
following? - ANSWER Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? - 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. - 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? - ANSWER Passing sharp items using
neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________? -
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
elderly patient was at high risk for: - 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? - ANSWER Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-abdominal
cavity. This overpressurization can lead to which of the following? - 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? - ANSWER suctioning, IV succinylcholine administration, and reintubation
Which of the following is not a characteristic of silk suture? - ANSWER Memory
The first case of the day is scheduled as a knee arthroscopy for an otherwise healthy
24 year old patient. Upon pre assessment, the patient admits to a family history of
anesthesia and surgical complications. Patient also states last oral intake consisted
of eating a cheese steak and drinking 2 cans of beer the night before at 11:30 PM.
The patient subsequently vomited when intubation was performed and experienced
respiratory distress upon extubation. What measure could have been taken by the
team to prevent aspiration based on the patient's history? - ANSWER The
perioperative nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed: -
ANSWER Spinal Anesthesia
What is the appropriate action if the doctor is delayed after the room and instruments
have been opened? - ANSWER Cover the instruments with a sterile drape and have
the scrub nurse continually visually observe the room for breaches in sterility.
Select the positioning device commonly used for positioning the head during
procedures such as craniotomies. - ANSWER Mayfield Head Positioners
Hypotension is a blood pressure reading that is 20% less than the patient's normal
baseline pressure. Hypovolemia is the most common cause of postoperative
hypotension; however, hypotension may also be caused by cardiac dysfunctions.
Which of the following cardiac conditions will present with hypotension? - ANSWER
myocardial infarction, myocardial tamponade, and pulmonary embolism
The ideal suture material is one that has handling characteristics such as: -
ANSWER Pliability
Which of the following patient modifiable factors can contribute to surgical site
infections? - ANSWER Alcoholism
Which anesthetic agent could not be given if an IV-only anesthesia plan was
employed? - ANSWER Desflurane
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