RNFA Test 1 – Questions & Answers | Latest
Update 2026 | Exam Prep PDF | Graded A+
Which of the following is not a characteristic of silk suture? a. Soft
b. handling ability
c. knot security
d. memory - correct answermemory
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
answergenitals, knees, toes, and eyes
Which of the following needles are most likely to be chosen for skin closure? - correct
answerreverse cutting
Which of the following absorbable suture has the best tensile strength? - correct
answerPolydioxanone
A stitch that is placed and tied before placing another stitch is called _____. - correct
answerinterrupted
Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery. While
assessing Mr. Jennings in the preoperative holding area, the perioperative nurse is
concerned about the risk for pressure injury because of the weight of the patient's body
pressing against the surface of the OR bed for a long surgery. Which of the following
factors might the RNFA recognize as having the potential to produce pressure? - correct
answera self-retaining retractor post clamped to the OR bed rail and tightened against
the patient's side
From the following, choose the type of anesthesia that will allow patients to tolerate
potentially uncomfortable procedures while maintaining their own airway and be easily
aroused from light sleep. - correct answermoderate sedation
To protect the forearms, hands, and clothing from contacting bacteria on the outside of
the used gown and gloves, members of the scrubbed surgical team should use the
following procedure to remove soiled gowns and gloves. Which choice lists the
appropriate first 3 steps in the removal of the sterile gown? - correct answerWipe gloves
clean, untie side gown closure, grasp gown at one shoulder seam
From the following, choose the correct statement regarding closed gloving. - correct
answerclosed gloving only for initial gowning
,While Fowler's position offers the best respiratory excursion for the patient, the patient is
at higher risk for _______ because of dependent pooling in the hips and legs. - correct
answerVenous thrombosis
Proper care and handling of surgical specimens is imperative for correct diagnosis,
treatment, and prognosis planning of the patient. Select the response that best reflects
correct specimen care and handling. - correct answeravoid placing specimen in formalin
The intracorporeal suture technique uses the suture-tying process analogous to the: -
correct answerinstrument tie
High-pressure insufflation rates can cause overpressurization of the intra-abdominal
cavity. This overpressurization can lead to which of the following? - correct
answerhypercarbaria
Which statement best explains the mechanism of action of general anesthetic agents? -
correct answerinhibition of synaptic transmission of nerve impulse
Which statement about surgical dressings is true? - correct answerSurgical dressings
cushion and protect the wound from trauma and gross contamination, and absorb
drainage
The surgeon used the ESU in monopolar mode to cut and coagulate through the
subcutaneous tissue on opening the abdomen during a bariatric bypass procedure. As
she began to proceed through the muscle and fascia layer, she asked the circulating
nurse to increase the cut and coagulation modes on the ESU. What measure could the
scrub person take to enhance energy delivery? - correct answerClean the charred
tissue from the active electrode blade
Which of the following is correct regarding the chromium salt coating on surgical gut
suture? - correct answerShould be rinsed from the suture before use in eye cases
Successful employment of the time-out can only be ensured when: - correct answerthe
entire team stops and focuses attention together
A 19-year-old male received an intravenous peripheral nerve block for an ORIF of an
ankle fracture. The anesthesia provider injected a distal dorsal vein of the patient's right
foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet around the
upper thigh. The surgeon noticed that the cuff seemed to be deflating and anticipated
that the patient would initially complain of which of the following? - correct
answermetallic taste in mouth
Which of the following patients would be most likely to have a latex allergy? - correct
answerspina bifida patient
, In several studies, it was determined that the risk of contamination and subsequent
infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves, as
opposed to wearing one pair. Select the correct statement that refers to double gloving
in terms of a best practice. - correct answerThe American College of Surgeons
endorses double gloving for all surgery and invasive procedures.
During the process of performing the spinal, the anesthesia provider inadvertently
inserted the spinal needle into the subarachnoid space, not noticing the error until the
entire syringe of lidocaine was emptied into the patient. The patient immediately
experienced rapid onset of hypotension, bradycardia, and apnea. The resulting
condition is called _______ and now must be managed with ________. - correct
answertotal spinal anesthesia; general endotracheal anesthesia
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. - correct 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: -
correct answerdouble-armed
Risk factors for PONV should be assessed preoperatively. Which of the following is a
risk factor for PONV? - correct answerfemale
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? - correct answerThe perioperative
nurse applying cricoid pressure during induction through intubation
Select the positioning device commonly used for positioning the head during procedures
such as craniotomies. - correct answermayfield head positioner
A type of suture to help eliminate tension on the primary suture line is known as: -
correct answerretention
Update 2026 | Exam Prep PDF | Graded A+
Which of the following is not a characteristic of silk suture? a. Soft
b. handling ability
c. knot security
d. memory - correct answermemory
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
answergenitals, knees, toes, and eyes
Which of the following needles are most likely to be chosen for skin closure? - correct
answerreverse cutting
Which of the following absorbable suture has the best tensile strength? - correct
answerPolydioxanone
A stitch that is placed and tied before placing another stitch is called _____. - correct
answerinterrupted
Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery. While
assessing Mr. Jennings in the preoperative holding area, the perioperative nurse is
concerned about the risk for pressure injury because of the weight of the patient's body
pressing against the surface of the OR bed for a long surgery. Which of the following
factors might the RNFA recognize as having the potential to produce pressure? - correct
answera self-retaining retractor post clamped to the OR bed rail and tightened against
the patient's side
From the following, choose the type of anesthesia that will allow patients to tolerate
potentially uncomfortable procedures while maintaining their own airway and be easily
aroused from light sleep. - correct answermoderate sedation
To protect the forearms, hands, and clothing from contacting bacteria on the outside of
the used gown and gloves, members of the scrubbed surgical team should use the
following procedure to remove soiled gowns and gloves. Which choice lists the
appropriate first 3 steps in the removal of the sterile gown? - correct answerWipe gloves
clean, untie side gown closure, grasp gown at one shoulder seam
From the following, choose the correct statement regarding closed gloving. - correct
answerclosed gloving only for initial gowning
,While Fowler's position offers the best respiratory excursion for the patient, the patient is
at higher risk for _______ because of dependent pooling in the hips and legs. - correct
answerVenous thrombosis
Proper care and handling of surgical specimens is imperative for correct diagnosis,
treatment, and prognosis planning of the patient. Select the response that best reflects
correct specimen care and handling. - correct answeravoid placing specimen in formalin
The intracorporeal suture technique uses the suture-tying process analogous to the: -
correct answerinstrument tie
High-pressure insufflation rates can cause overpressurization of the intra-abdominal
cavity. This overpressurization can lead to which of the following? - correct
answerhypercarbaria
Which statement best explains the mechanism of action of general anesthetic agents? -
correct answerinhibition of synaptic transmission of nerve impulse
Which statement about surgical dressings is true? - correct answerSurgical dressings
cushion and protect the wound from trauma and gross contamination, and absorb
drainage
The surgeon used the ESU in monopolar mode to cut and coagulate through the
subcutaneous tissue on opening the abdomen during a bariatric bypass procedure. As
she began to proceed through the muscle and fascia layer, she asked the circulating
nurse to increase the cut and coagulation modes on the ESU. What measure could the
scrub person take to enhance energy delivery? - correct answerClean the charred
tissue from the active electrode blade
Which of the following is correct regarding the chromium salt coating on surgical gut
suture? - correct answerShould be rinsed from the suture before use in eye cases
Successful employment of the time-out can only be ensured when: - correct answerthe
entire team stops and focuses attention together
A 19-year-old male received an intravenous peripheral nerve block for an ORIF of an
ankle fracture. The anesthesia provider injected a distal dorsal vein of the patient's right
foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet around the
upper thigh. The surgeon noticed that the cuff seemed to be deflating and anticipated
that the patient would initially complain of which of the following? - correct
answermetallic taste in mouth
Which of the following patients would be most likely to have a latex allergy? - correct
answerspina bifida patient
, In several studies, it was determined that the risk of contamination and subsequent
infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves, as
opposed to wearing one pair. Select the correct statement that refers to double gloving
in terms of a best practice. - correct answerThe American College of Surgeons
endorses double gloving for all surgery and invasive procedures.
During the process of performing the spinal, the anesthesia provider inadvertently
inserted the spinal needle into the subarachnoid space, not noticing the error until the
entire syringe of lidocaine was emptied into the patient. The patient immediately
experienced rapid onset of hypotension, bradycardia, and apnea. The resulting
condition is called _______ and now must be managed with ________. - correct
answertotal spinal anesthesia; general endotracheal anesthesia
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. - correct 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: -
correct answerdouble-armed
Risk factors for PONV should be assessed preoperatively. Which of the following is a
risk factor for PONV? - correct answerfemale
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? - correct answerThe perioperative
nurse applying cricoid pressure during induction through intubation
Select the positioning device commonly used for positioning the head during procedures
such as craniotomies. - correct answermayfield head positioner
A type of suture to help eliminate tension on the primary suture line is known as: -
correct answerretention
