RNFA Final Practice – Questions & Answers |
Latest Update 2026 | Exam Prep PDF | Graded
A+
The process of decontamination should initially begin at what point? - correct
answerCompletion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include: -
correct answerInflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before
getting to the disc. - correct answerPosterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? - correct
answerModerate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is more
commonly associated with benign lesions than with cancer; however, discharge is
usually significant only if it is spontaneous, persistent, and: - correct answerbloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on
the robotic arm and positioned the tip end into the trocar port in order for the surgeon to
dissect the cystic duct and artery, while the surgical assistant placed the clips on the
cystic duct and artery. As she reached across the sterile field to insert the
cholangiocatheter through the port, the anesthesia provider accidentally made contact
with the distal end of the catheter as he stood up to reach the monitor controls. The
contaminated end of the catheter touched the endoscopic clip applier, the endoscissor
connector that the surgeon was using, the glove of the assistant, and Jan's gown
sleeve. The surgeon ordered everyone to change their gown and gloves and covered
the port area with a sterile towel. What was the rationale for the surgeon to co - correct
answerThe surgeon was not in contact with the sterile field because he worked from the
robotic console.
The ability to maintain thermoregulation is compromised in elders because of changes
in the: - correct answervascular system
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the public
be aware and educated about dietary supplements and potential harmful effects? -
correct answerUnknown substances may be present in these products.
,Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast
cancer, is now scheduled for infusion port insertion. Talia is very nervous because
during the previous lumpectomy, performed using a local anesthetic, she was not
entirely sedated. Talia tells the perioperative nurse that she was uncomfortable and
heard everything in the room, but admitted that she did not feel pain. The nurse
recognized Talia's anxiety related to the surgical intervention and prepared to implement
corrective actions in the OR. What nursing intervention best reflects one that would
ensure support or contribute to Talia realizing her expected outcome? - correct
answerEnsure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and secondary
survey in the emergency department. She was hit by a small truck as she was riding her
bicycle through a busy intersection. She has sustained rib fractures and several
fractured transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she notices blood at the
urinary meatus. What should the nurse's next action be? - correct answerDiscontinue
the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be removed
remains controversial and relates to whether single or multiple glands are involved. A
portion of a gland must remain to: - correct answerprevent hypocalcemia and its
complications.
Which of the following supplies blood to the transverse colon? - correct answerMiddle
colic artery
Which of the following structures form the mouth? - correct answercheeks, the hard
palate, the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate: -
correct answercarbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - correct answerAponeurosis of transversus
abdominus and transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment.
This is a logical, orderly process of patient assessment for potential life threats. These
assessment activities are based on established protocols for advanced trauma life
support (ATLS). The mnemonic "ABCDE" is used, representing assessment of the
following: Airway, Breathing, Circulation, Disability, and Exposure. The D and E
represent what degree of investigation? - correct answerD = a brief neurologic
examination; E = exposure to reveal all life-threatening injuries
,What structure covers the spermatic cord and contracts to make the testicles ascend in
the scrotum? - correct answerCremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator
cuff? - correct answerTeres Major
The cranial meninges are composed of all except _____. - correct answerPericranial
mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is planning
for her three neurosurgical procedures for the day. She is explaining the basic
processes of the three procedures to the scrub person and double-scrubbed surgical
technology student: (1) a VP shunt insertion, (2) a reconstructive craniosynostosis for
an infant with severe deformity, and (3) exploration of a severe head injury with
increased intracranial pressure (ICP) to evacuate a hematoma and possible brain
tissue. To give the brain room to swell in the third procedure, the bone flap may need to
be sterile-wrapped and stored, for later replacement. Sara asks the student to name the
appropriate surgical approach to the brain for each of the procedures. She expects the
correct sequence to be: - correct answerburr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant. - correct answerFrom the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the thyroid and all thyroid tissue
present. Total thyroidectomy is the desired surgical treatment for patients with: - correct
answerthyroid cancer.
Which of the following describes a strangulated hernia? - correct answerA persistent
incarceration with a compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury
using three indicators of cerebral function: eye opening, verbal communication, and
motor response to verbal and noxious stimuli. Within the scoring range for the GCS, the
best possible score is _____ and the worst possible score is ______. - correct
answer15; 3
What mouth structure is considered the boundary between the buccal cavity and the
lingual cavity? - correct answerTeeth
Laryngoscopy is direct visual examination of the interior of the larynx by means of a
rigid, lighted speculum known as a laryngoscope to obtain a specimen of tissue or
secretions for pathologic examination. What risk reduction strategy should the
perioperative nurse employ in preparing for the conclusion of the procedure? - correct
answerMaintain instrument setup until the patient leaves the OR.
, Marissa Walton is transferred to the OR from the burn unit for debridement of the
partial-thickness burn areas and a dressing change under anesthesia. What important
preparation for the procedure will the perioperative nurse perform before Marissa
arrives in the OR? - correct answerPrewarm the OR to above the ambient high
temperature for an adult.
FESS provides a more functional approach to treat sinus disease. FESS involves the
endoscopic resection of inflammatory and anatomic defects of the sinuses while
preserving natural function in a surgical procedure that is minimally invasive. From the
following, choose an important finding that should be communicated to the surgeon
immediately during this procedure. - correct answerEncroachment of the orbit
Administration of cyclogyl should be used in caution with which of the following patient
groups? - correct answerPatients on tricyclics
What drug can be used to reverse the effects of heparin ? - correct answerProtamine
sulfate
When assisting with an open inguinal hernia repair, the surgeon makes an incision
through which of the following to access the cremaster muscle, inguinal canal, and cord
structures? Choose the correct answer. - correct answerExternal oblique muscle
Identify the type of fracture that has more than two fragments. - correct
answerComminuted
Identify the correct path of the cardiac conduction system. - correct answerFrom the SA
node to the AV node to the bundle of His to the Purkinje system
Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a
general endotracheal anesthetic, combined with a local anesthetic. The surgical team
places the patient in a semisitting position, with the head against the headrest. A
transnasal or a sublabial incision can be used for rapid access to the sella turcica.
Select the diad (2) of conditions that would be appropriate indications for TSH. - correct
answerHypopituitarism and small pituitary tumors
Describe a pantaloon hernia. - correct answerA combination direct and indirect hernia
In renal transplantation a kidney with __________ artery(ies) is preferred. - correct
answersingle
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to
manage increasing intracranial pressure (ICP). What is an appropriate diuretic
medication to give and what nursing actions would be indicated for an older adult
patient with traumatic brain injury, increased ICP, and a history of congestive heart
failure (CHF)? - correct answerFurosemide (Lasix) 20-80 mg IV; monitor for
hypotension and note extent of diuresis
Latest Update 2026 | Exam Prep PDF | Graded
A+
The process of decontamination should initially begin at what point? - correct
answerCompletion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include: -
correct answerInflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before
getting to the disc. - correct answerPosterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? - correct
answerModerate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is more
commonly associated with benign lesions than with cancer; however, discharge is
usually significant only if it is spontaneous, persistent, and: - correct answerbloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on
the robotic arm and positioned the tip end into the trocar port in order for the surgeon to
dissect the cystic duct and artery, while the surgical assistant placed the clips on the
cystic duct and artery. As she reached across the sterile field to insert the
cholangiocatheter through the port, the anesthesia provider accidentally made contact
with the distal end of the catheter as he stood up to reach the monitor controls. The
contaminated end of the catheter touched the endoscopic clip applier, the endoscissor
connector that the surgeon was using, the glove of the assistant, and Jan's gown
sleeve. The surgeon ordered everyone to change their gown and gloves and covered
the port area with a sterile towel. What was the rationale for the surgeon to co - correct
answerThe surgeon was not in contact with the sterile field because he worked from the
robotic console.
The ability to maintain thermoregulation is compromised in elders because of changes
in the: - correct answervascular system
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the public
be aware and educated about dietary supplements and potential harmful effects? -
correct answerUnknown substances may be present in these products.
,Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast
cancer, is now scheduled for infusion port insertion. Talia is very nervous because
during the previous lumpectomy, performed using a local anesthetic, she was not
entirely sedated. Talia tells the perioperative nurse that she was uncomfortable and
heard everything in the room, but admitted that she did not feel pain. The nurse
recognized Talia's anxiety related to the surgical intervention and prepared to implement
corrective actions in the OR. What nursing intervention best reflects one that would
ensure support or contribute to Talia realizing her expected outcome? - correct
answerEnsure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and secondary
survey in the emergency department. She was hit by a small truck as she was riding her
bicycle through a busy intersection. She has sustained rib fractures and several
fractured transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she notices blood at the
urinary meatus. What should the nurse's next action be? - correct answerDiscontinue
the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be removed
remains controversial and relates to whether single or multiple glands are involved. A
portion of a gland must remain to: - correct answerprevent hypocalcemia and its
complications.
Which of the following supplies blood to the transverse colon? - correct answerMiddle
colic artery
Which of the following structures form the mouth? - correct answercheeks, the hard
palate, the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate: -
correct answercarbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - correct answerAponeurosis of transversus
abdominus and transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment.
This is a logical, orderly process of patient assessment for potential life threats. These
assessment activities are based on established protocols for advanced trauma life
support (ATLS). The mnemonic "ABCDE" is used, representing assessment of the
following: Airway, Breathing, Circulation, Disability, and Exposure. The D and E
represent what degree of investigation? - correct answerD = a brief neurologic
examination; E = exposure to reveal all life-threatening injuries
,What structure covers the spermatic cord and contracts to make the testicles ascend in
the scrotum? - correct answerCremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator
cuff? - correct answerTeres Major
The cranial meninges are composed of all except _____. - correct answerPericranial
mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is planning
for her three neurosurgical procedures for the day. She is explaining the basic
processes of the three procedures to the scrub person and double-scrubbed surgical
technology student: (1) a VP shunt insertion, (2) a reconstructive craniosynostosis for
an infant with severe deformity, and (3) exploration of a severe head injury with
increased intracranial pressure (ICP) to evacuate a hematoma and possible brain
tissue. To give the brain room to swell in the third procedure, the bone flap may need to
be sterile-wrapped and stored, for later replacement. Sara asks the student to name the
appropriate surgical approach to the brain for each of the procedures. She expects the
correct sequence to be: - correct answerburr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant. - correct answerFrom the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the thyroid and all thyroid tissue
present. Total thyroidectomy is the desired surgical treatment for patients with: - correct
answerthyroid cancer.
Which of the following describes a strangulated hernia? - correct answerA persistent
incarceration with a compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury
using three indicators of cerebral function: eye opening, verbal communication, and
motor response to verbal and noxious stimuli. Within the scoring range for the GCS, the
best possible score is _____ and the worst possible score is ______. - correct
answer15; 3
What mouth structure is considered the boundary between the buccal cavity and the
lingual cavity? - correct answerTeeth
Laryngoscopy is direct visual examination of the interior of the larynx by means of a
rigid, lighted speculum known as a laryngoscope to obtain a specimen of tissue or
secretions for pathologic examination. What risk reduction strategy should the
perioperative nurse employ in preparing for the conclusion of the procedure? - correct
answerMaintain instrument setup until the patient leaves the OR.
, Marissa Walton is transferred to the OR from the burn unit for debridement of the
partial-thickness burn areas and a dressing change under anesthesia. What important
preparation for the procedure will the perioperative nurse perform before Marissa
arrives in the OR? - correct answerPrewarm the OR to above the ambient high
temperature for an adult.
FESS provides a more functional approach to treat sinus disease. FESS involves the
endoscopic resection of inflammatory and anatomic defects of the sinuses while
preserving natural function in a surgical procedure that is minimally invasive. From the
following, choose an important finding that should be communicated to the surgeon
immediately during this procedure. - correct answerEncroachment of the orbit
Administration of cyclogyl should be used in caution with which of the following patient
groups? - correct answerPatients on tricyclics
What drug can be used to reverse the effects of heparin ? - correct answerProtamine
sulfate
When assisting with an open inguinal hernia repair, the surgeon makes an incision
through which of the following to access the cremaster muscle, inguinal canal, and cord
structures? Choose the correct answer. - correct answerExternal oblique muscle
Identify the type of fracture that has more than two fragments. - correct
answerComminuted
Identify the correct path of the cardiac conduction system. - correct answerFrom the SA
node to the AV node to the bundle of His to the Purkinje system
Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a
general endotracheal anesthetic, combined with a local anesthetic. The surgical team
places the patient in a semisitting position, with the head against the headrest. A
transnasal or a sublabial incision can be used for rapid access to the sella turcica.
Select the diad (2) of conditions that would be appropriate indications for TSH. - correct
answerHypopituitarism and small pituitary tumors
Describe a pantaloon hernia. - correct answerA combination direct and indirect hernia
In renal transplantation a kidney with __________ artery(ies) is preferred. - correct
answersingle
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to
manage increasing intracranial pressure (ICP). What is an appropriate diuretic
medication to give and what nursing actions would be indicated for an older adult
patient with traumatic brain injury, increased ICP, and a history of congestive heart
failure (CHF)? - correct answerFurosemide (Lasix) 20-80 mg IV; monitor for
hypotension and note extent of diuresis
