RNFA COMPREHENSIVE TEST PAPER WITH
SOLVED QUESTIONS
◉ During the preliminary sponge count on closure of a repair of a
ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
addressing the entire team during this count discrepancy.
Answer: "We have a count discrepancy. We started with 70
sponges and find only 68. We are missing 2 lap sponges."
◉ When creating a vascular or intestinal anastomosis, the surgeon
will typically suture one half of the anastomosis with one half of
the suture and the other half of the anastomosis with the other
half of the suture. This technique minimizes the drag and wear on
the suture material and needle. The correct name for this type of
suture and needle is:
Answer: double-armed
◉ Risk factors for PONV should be assessed preoperatively. Which
of the following is a risk factor for PONV?
Answer: female
◉ 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
◉ Select the positioning device commonly used for positioning
the head during procedures such as craniotomies.
Answer: mayfield head positioner
◉ A type of suture to help eliminate tension on the primary suture
line is known as:
Answer: retention
◉ 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
◉ What one factor describes the high incidence of
musculoskeletal disorders among surgical technologists and
perioperative nurses?
SOLVED QUESTIONS
◉ During the preliminary sponge count on closure of a repair of a
ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
addressing the entire team during this count discrepancy.
Answer: "We have a count discrepancy. We started with 70
sponges and find only 68. We are missing 2 lap sponges."
◉ When creating a vascular or intestinal anastomosis, the surgeon
will typically suture one half of the anastomosis with one half of
the suture and the other half of the anastomosis with the other
half of the suture. This technique minimizes the drag and wear on
the suture material and needle. The correct name for this type of
suture and needle is:
Answer: double-armed
◉ Risk factors for PONV should be assessed preoperatively. Which
of the following is a risk factor for PONV?
Answer: female
◉ 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
◉ Select the positioning device commonly used for positioning
the head during procedures such as craniotomies.
Answer: mayfield head positioner
◉ A type of suture to help eliminate tension on the primary suture
line is known as:
Answer: retention
◉ 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
◉ What one factor describes the high incidence of
musculoskeletal disorders among surgical technologists and
perioperative nurses?
