RNFA EXAM PAPER CORRECT QUESTIONS AND
ANSWERS SET A+
✔✔Charles Wilkins had a laparoscopic hernia repair with good results and an
uneventful recovery. Weeks later, as he reviewed his hospital bill, he noted that he had
been charged for a very expensive preperitoneal distention balloon, polypropylene
mesh, an endomechanical stapler, and three endosurgical trocars. What hernia repair
technique was probably performed on Charles? - ✔✔TEP repair
✔✔Describe the internal inguinal ring. - ✔✔A natural opening in the transversalis fascia
✔✔This orthopedic diagnosis is a complex deformity that is diagnosed prenatally
through ultrasound or at birth. It may occur unilaterally or bilaterally and may be
idiopathic or one in a combination of other syndromes with associated anomalies.
Select the orthopedic diagnosis. - ✔✔Clubfoot
✔✔Two patients are scheduled to have bariatric surgery. How will perioperative
planning differ for a patient weighing 280 lb as compared to that for a 450-lb patient? -
✔✔Instrumentation will need to be longer
✔✔The splenic vein drains into the: - ✔✔portal system
✔✔Select the statement that best describes the comparative difference between open
aortic aneurysm repair and endovascular aneurysm (EVAR) repair. - ✔✔In EVAR, the
prosthetic endograft or stent-graft is introduced into the aneurysm through a surgically
exposed femoral artery.
✔✔When catheterizing the female patient the perioperative nurse must locate the
urethra. The correct order of the external organs of the vulva listed anterior to posterior
is: - ✔✔mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening
,✔✔The nasal septum is lined with blood vessels and mucus-secreting cells. The proper
name of this lining is the: - ✔✔Mucoperichondrium
✔✔During the planning phase of a procedure for liposuction or post-bariatric contouring
procedures, the perioperative nurse will assemble and organize supplies and devices
because the procedure may require: - ✔✔repositioning one or more times during
surgery.
✔✔You examine a comatose patient in the emergency room. His wife relates that her
husband was struck accidentally in his "temple" by a baseball. After an initial period of
unconsciousness, he seemed to be okay but later became drowsy and comatose. You
suspect that the patient is suffering from: - ✔✔An Epidural hematoma
✔✔During a laparoscopic colectomy, the scrub person carefully placed the endoscopic
electrosurgery instruments on the Mayo stand after inspecting the integrity of the
insulation along the shaft. This practice is designed prevent a unique MIS problem.
Choose the correct option from the following. - ✔✔Direct coupling
✔✔The most common endocrine problem in the U.S. is: - ✔✔Thyroid nodule
✔✔Revision arthroplasty may be indicated if the patient's original knee replacement
wears out or loosens, or fails as a result of repeated dislocation, infection, or trauma.
Total joint revision can be a very demanding and complicated procedure. Attention to
detail, anticipation, and preparation are essential. The most difficult aspect of revision
surgery is that there is: - ✔✔no clear-cut sequence of events.
✔✔James Romano, a 68-year-old retired school teacher, presents for surgical
intervention of recently diagnosed bladder cancer. He states the cancer is located in the
urothelial layer. As the RNFA, you realize this is ___________layer of the bladder. -
✔✔inner
✔✔The great saphenous vein branches off of which vessel? - ✔✔External iliac
✔✔The primary function of the three thyroid hormones is to regulate: - ✔✔energy
metabolism.
✔✔Closed thoracostomy will require: - ✔✔chest catheters and water-seal drainage
✔✔The patient with hyperthyroidism most likely has received appropriate drug therapy
that has returned thyroid hormone levels and metabolic state to normal; however, the
perioperative nurse should assess for any symptoms that relate to accelerated
metabolism. Select the set of symptoms that is most commonly associated with
hyperthyroidism. - ✔✔Increased sweating, insomnia, tremor, and muscle weakness
, ✔✔Josh Tremain, a 28-year-old firefighter, sustained significant full-thickness burns
when he fell through the roof of a burning building while fighting an explosive fire. What
surgical treatments may Josh need before he is discharged from the burn center to
home? - ✔✔Debridement and allograft placement during initial healing
✔✔Specific malignant conditions that may require splenectomy include all EXCEPT
_____. - ✔✔Carcinoma of left kidney
✔✔Most patients will have undergone diagnostic procedures before arriving in the OR.
Radiologic and other diagnostic studies are of great significance to the surgical team for
determining a surgical diagnosis and developing a plan for treatment. MRI is the gold
standard imaging scan for the diagnosis of tumors, abscesses, tissue/ligamentous
injury, and disk herniation. Which of the following diagnostic tests of neurologic activity
can be performed before surgery and also concurrently during the procedure? -
✔✔Electroencephalogram
✔✔The amount of fluid normally held in the parietal space is? - ✔✔50 ml
✔✔The most likely reason for avascular necrosis in an 80-year-old woman following hip
fracture is that the: - ✔✔femoral neck fracture
✔✔Celeste Barney and Amanda Vail, two experienced perioperative nurses, are
orienting two new surgical technology students to the orthopedic service for their 6-
week clinical rotation. Today they are focusing on how to properly wear, care, and
handle lead aprons and protective radiologic apparel. Of the list of orientation content
topics, which are considered risk reduction strategies for protection from inadvertent
radiation exposure? - ✔✔Wear lightest apron available that meets shielding
requirements.
✔✔The palatine and lingual tonsils are situated in the oropharynx, while the adenoids
are located in the nasopharynx. Both adenoids and tonsils consist of: - ✔✔lymphoid
tissue.
✔✔Which of the following is a risk factor associated with unplanned hypothermia? -
✔✔open cavity surgery
✔✔Joanne Grizwald, a 24-year-old woman with type 1 diabetes is in end-stage kidney
failure, and is scheduled for a combined kidney-pancreas transplant. The circulating
nurse has set up the autotransfusion system, verified Joanne's blood type, and
crossmatched blood availability. The scrub person, while organizing the sterile back
table, identified several instruments that she will not need. She organizes those
instruments on the most distant part of the back table. What instruments is the scrub
person unlikely to need during this procedure? - ✔✔The transplant procedure is an
ANSWERS SET A+
✔✔Charles Wilkins had a laparoscopic hernia repair with good results and an
uneventful recovery. Weeks later, as he reviewed his hospital bill, he noted that he had
been charged for a very expensive preperitoneal distention balloon, polypropylene
mesh, an endomechanical stapler, and three endosurgical trocars. What hernia repair
technique was probably performed on Charles? - ✔✔TEP repair
✔✔Describe the internal inguinal ring. - ✔✔A natural opening in the transversalis fascia
✔✔This orthopedic diagnosis is a complex deformity that is diagnosed prenatally
through ultrasound or at birth. It may occur unilaterally or bilaterally and may be
idiopathic or one in a combination of other syndromes with associated anomalies.
Select the orthopedic diagnosis. - ✔✔Clubfoot
✔✔Two patients are scheduled to have bariatric surgery. How will perioperative
planning differ for a patient weighing 280 lb as compared to that for a 450-lb patient? -
✔✔Instrumentation will need to be longer
✔✔The splenic vein drains into the: - ✔✔portal system
✔✔Select the statement that best describes the comparative difference between open
aortic aneurysm repair and endovascular aneurysm (EVAR) repair. - ✔✔In EVAR, the
prosthetic endograft or stent-graft is introduced into the aneurysm through a surgically
exposed femoral artery.
✔✔When catheterizing the female patient the perioperative nurse must locate the
urethra. The correct order of the external organs of the vulva listed anterior to posterior
is: - ✔✔mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening
,✔✔The nasal septum is lined with blood vessels and mucus-secreting cells. The proper
name of this lining is the: - ✔✔Mucoperichondrium
✔✔During the planning phase of a procedure for liposuction or post-bariatric contouring
procedures, the perioperative nurse will assemble and organize supplies and devices
because the procedure may require: - ✔✔repositioning one or more times during
surgery.
✔✔You examine a comatose patient in the emergency room. His wife relates that her
husband was struck accidentally in his "temple" by a baseball. After an initial period of
unconsciousness, he seemed to be okay but later became drowsy and comatose. You
suspect that the patient is suffering from: - ✔✔An Epidural hematoma
✔✔During a laparoscopic colectomy, the scrub person carefully placed the endoscopic
electrosurgery instruments on the Mayo stand after inspecting the integrity of the
insulation along the shaft. This practice is designed prevent a unique MIS problem.
Choose the correct option from the following. - ✔✔Direct coupling
✔✔The most common endocrine problem in the U.S. is: - ✔✔Thyroid nodule
✔✔Revision arthroplasty may be indicated if the patient's original knee replacement
wears out or loosens, or fails as a result of repeated dislocation, infection, or trauma.
Total joint revision can be a very demanding and complicated procedure. Attention to
detail, anticipation, and preparation are essential. The most difficult aspect of revision
surgery is that there is: - ✔✔no clear-cut sequence of events.
✔✔James Romano, a 68-year-old retired school teacher, presents for surgical
intervention of recently diagnosed bladder cancer. He states the cancer is located in the
urothelial layer. As the RNFA, you realize this is ___________layer of the bladder. -
✔✔inner
✔✔The great saphenous vein branches off of which vessel? - ✔✔External iliac
✔✔The primary function of the three thyroid hormones is to regulate: - ✔✔energy
metabolism.
✔✔Closed thoracostomy will require: - ✔✔chest catheters and water-seal drainage
✔✔The patient with hyperthyroidism most likely has received appropriate drug therapy
that has returned thyroid hormone levels and metabolic state to normal; however, the
perioperative nurse should assess for any symptoms that relate to accelerated
metabolism. Select the set of symptoms that is most commonly associated with
hyperthyroidism. - ✔✔Increased sweating, insomnia, tremor, and muscle weakness
, ✔✔Josh Tremain, a 28-year-old firefighter, sustained significant full-thickness burns
when he fell through the roof of a burning building while fighting an explosive fire. What
surgical treatments may Josh need before he is discharged from the burn center to
home? - ✔✔Debridement and allograft placement during initial healing
✔✔Specific malignant conditions that may require splenectomy include all EXCEPT
_____. - ✔✔Carcinoma of left kidney
✔✔Most patients will have undergone diagnostic procedures before arriving in the OR.
Radiologic and other diagnostic studies are of great significance to the surgical team for
determining a surgical diagnosis and developing a plan for treatment. MRI is the gold
standard imaging scan for the diagnosis of tumors, abscesses, tissue/ligamentous
injury, and disk herniation. Which of the following diagnostic tests of neurologic activity
can be performed before surgery and also concurrently during the procedure? -
✔✔Electroencephalogram
✔✔The amount of fluid normally held in the parietal space is? - ✔✔50 ml
✔✔The most likely reason for avascular necrosis in an 80-year-old woman following hip
fracture is that the: - ✔✔femoral neck fracture
✔✔Celeste Barney and Amanda Vail, two experienced perioperative nurses, are
orienting two new surgical technology students to the orthopedic service for their 6-
week clinical rotation. Today they are focusing on how to properly wear, care, and
handle lead aprons and protective radiologic apparel. Of the list of orientation content
topics, which are considered risk reduction strategies for protection from inadvertent
radiation exposure? - ✔✔Wear lightest apron available that meets shielding
requirements.
✔✔The palatine and lingual tonsils are situated in the oropharynx, while the adenoids
are located in the nasopharynx. Both adenoids and tonsils consist of: - ✔✔lymphoid
tissue.
✔✔Which of the following is a risk factor associated with unplanned hypothermia? -
✔✔open cavity surgery
✔✔Joanne Grizwald, a 24-year-old woman with type 1 diabetes is in end-stage kidney
failure, and is scheduled for a combined kidney-pancreas transplant. The circulating
nurse has set up the autotransfusion system, verified Joanne's blood type, and
crossmatched blood availability. The scrub person, while organizing the sterile back
table, identified several instruments that she will not need. She organizes those
instruments on the most distant part of the back table. What instruments is the scrub
person unlikely to need during this procedure? - ✔✔The transplant procedure is an
