RNFA EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔Morton White, a 68-year-old, ASA PS-2 male with early-stage prostatic cancer, was
intubated and positioned for a robotic-assisted laparoscopic radical prostatectomy. The
initial position for insertion of the trocars was supine with arms tucked and secured
within under-mattress sled arm positioners padded with gel. His hands were placed in a
natural position with the fingers wrapped around gauze rolls and touching his lateral
thighs. The new anesthesia provider, who had never seen a robotic prostatectomy, was
concerned about anesthesia implications when the patient would be repositioned into
extreme Trendelenburg for the dissection and anastomosis. The circulating nurse
assured her that they would implement protective measures and work together to
ensure the best patient outcome. Select all of the potentially harmful effects of extreme
45-degree Trendelenburg in a robotic procedure. - ✔✔Respiratory compromise and
ventilation resistance, shearing
✔✔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? - ✔✔lipids
✔✔Norma Miller, a 49-year-old long-distance runner with dysfunctional uterine bleeding,
was scheduled for a hysteroscopy. During the procedure, sterile saline was used to
expand the intrauterine compartment and enhance visualization. The perioperative
nurse meticulously monitored fluid use and documented infiltration to the uterus and
fluid collected as drainage from the uterus. The perioperative nurse was concerned that
approximately 500 ml of fluid was unaccounted for and alerted the surgeon. The nurse's
motive for this surveillance was to: - ✔✔determine the potential for intravasation
✔✔The stapler designed to close the end of a hollow organ is called the: - ✔✔TA
✔✔The tensile strength of lactic & glycolic acid polymers is sufficient for approximation
of tissues for _____ weeks. - ✔✔2-3
,✔✔Pressure against the skin above ____mm hg interferes with tissue perfusion. -
✔✔32
✔✔Which of the following regarding specimen labeling is a regulatory requirement? -
✔✔Biohazard information
✔✔While tucking the arms at the sides of the patient in supine position offers comfort,
safety, and easy access to the patient by the scrubbed team, improper positioning and
securing of the arms can result in significant injury. Injury can be avoided by tucking the
draw sheet _____ the arm and under the ______. - ✔✔over; body
✔✔Which of the following medications is a specific depolarizing muscle relaxant than
can produce generalized fasciculations? - ✔✔Succinylcholine
✔✔The design of laparoscopic instruments aims to provide a clamping, cutting,
dissecting, electrocoagulating, suturing, or stapling instrument on the tip of a shaft that
is long or short enough to reach the target tissue. The hand control on the surgeon's
end of the instrument is engineered to provide: - ✔✔ergonomic comfort and control
✔✔From the following, choose the correct statement regarding closed gloving. - ✔✔it
can only be used for the initial gloving
✔✔The instillation of a local anesthetic into the subarachnoid space is termed: -
✔✔spinal anesthesia
✔✔A common dysrythmia seen after surgery is: - ✔✔Sinus tachycardia
✔✔Which statement about surgical dressings is true? - ✔✔Surgical dressings cushion
and protect the wound from trauma and gross contamination, and absorb drainage
✔✔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 ______. - ✔✔9 L/min;14 to 16 mm Hg
✔✔Risk factors for PONV should be assessed preoperatively. Which of the following is
a risk factor for PONV? - ✔✔female gender
✔✔Which inhalational anesthetic agent(s) has the fastest onset of induction,
emergence, and recovery? - ✔✔Nitrous oxide
, ✔✔The area between the surgeon and scrub person designated for passing sharps
safely is referred to as the: - ✔✔neutral zone
✔✔The scrub person was precepting a surgical technology student an orthopedic case.
The scrub person explained the importance of keeping the instruments free of blood
and bioburden during the procedure and demonstrated the best practice and how to: -
✔✔wipe the instruments with a sponge moistened with sterile water after each use.
✔✔The Centers for Disease Control and Prevention (CDC) has identified pathogens
that could pose a threat to national and world security and safety through bioterrorism.
Select the four most probable agents that could be used to cause mass transmission,
mortality, panic, and social disruption. - ✔✔Smallpox, plague, botulism, tularemia
✔✔Monica Sorensen, a patient with end-stage pancreatic cancer, was admitted from
hospice for a celiac plexus block to treat intractable pain. She had a Whipple procedure
18 months earlier and enjoyed good quality of life until 3 weeks ago. She wanted to be
able to complete "getting her things in order" and saying good-bye to her friends and
family while enjoying her last days pain-free. Monica insisted that her Do Not
Resuscitate (DNR) status NOT be rescinded. She was conscious and competent and
knew what was best for herself. Monica was taking full advantage of what provision for
her care? - ✔✔Informed consent
✔✔The intracorporeal suture technique uses the suture-tying process analogous to the:
- ✔✔instrument tie
✔✔A stitch that is tied and cut before placing another stitch is called _____. -
✔✔interrupted
✔✔The physiologic effects resulting from the inhalation of gaseous anesthetic agents
and intravenous infusion of anesthetic drugs inhibit several areas of the central nervous
system (CNS). The processes by which they occur are explained by several proposed
theories. Which of the options describes a plausible anesthetic mechanism of action? -
✔✔Synaptic transmission of nerve impulses in the CNS is inhibited.
✔✔Ketamine is a short-acting induction and IV or IM maintenance agent. Patients are
able to maintain their airways. It is a suitable agent to use with small children and burn
patients. The concern with this agent is that in large doses it may cause: -
✔✔respiratory depression
✔✔Laryngospasm is a common but serious complication in the immediate
postoperative pediatric tonsillectomy and adenoidectomy patient. 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, is not responding to
ANSWERS SET A+
✔✔Morton White, a 68-year-old, ASA PS-2 male with early-stage prostatic cancer, was
intubated and positioned for a robotic-assisted laparoscopic radical prostatectomy. The
initial position for insertion of the trocars was supine with arms tucked and secured
within under-mattress sled arm positioners padded with gel. His hands were placed in a
natural position with the fingers wrapped around gauze rolls and touching his lateral
thighs. The new anesthesia provider, who had never seen a robotic prostatectomy, was
concerned about anesthesia implications when the patient would be repositioned into
extreme Trendelenburg for the dissection and anastomosis. The circulating nurse
assured her that they would implement protective measures and work together to
ensure the best patient outcome. Select all of the potentially harmful effects of extreme
45-degree Trendelenburg in a robotic procedure. - ✔✔Respiratory compromise and
ventilation resistance, shearing
✔✔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? - ✔✔lipids
✔✔Norma Miller, a 49-year-old long-distance runner with dysfunctional uterine bleeding,
was scheduled for a hysteroscopy. During the procedure, sterile saline was used to
expand the intrauterine compartment and enhance visualization. The perioperative
nurse meticulously monitored fluid use and documented infiltration to the uterus and
fluid collected as drainage from the uterus. The perioperative nurse was concerned that
approximately 500 ml of fluid was unaccounted for and alerted the surgeon. The nurse's
motive for this surveillance was to: - ✔✔determine the potential for intravasation
✔✔The stapler designed to close the end of a hollow organ is called the: - ✔✔TA
✔✔The tensile strength of lactic & glycolic acid polymers is sufficient for approximation
of tissues for _____ weeks. - ✔✔2-3
,✔✔Pressure against the skin above ____mm hg interferes with tissue perfusion. -
✔✔32
✔✔Which of the following regarding specimen labeling is a regulatory requirement? -
✔✔Biohazard information
✔✔While tucking the arms at the sides of the patient in supine position offers comfort,
safety, and easy access to the patient by the scrubbed team, improper positioning and
securing of the arms can result in significant injury. Injury can be avoided by tucking the
draw sheet _____ the arm and under the ______. - ✔✔over; body
✔✔Which of the following medications is a specific depolarizing muscle relaxant than
can produce generalized fasciculations? - ✔✔Succinylcholine
✔✔The design of laparoscopic instruments aims to provide a clamping, cutting,
dissecting, electrocoagulating, suturing, or stapling instrument on the tip of a shaft that
is long or short enough to reach the target tissue. The hand control on the surgeon's
end of the instrument is engineered to provide: - ✔✔ergonomic comfort and control
✔✔From the following, choose the correct statement regarding closed gloving. - ✔✔it
can only be used for the initial gloving
✔✔The instillation of a local anesthetic into the subarachnoid space is termed: -
✔✔spinal anesthesia
✔✔A common dysrythmia seen after surgery is: - ✔✔Sinus tachycardia
✔✔Which statement about surgical dressings is true? - ✔✔Surgical dressings cushion
and protect the wound from trauma and gross contamination, and absorb drainage
✔✔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 ______. - ✔✔9 L/min;14 to 16 mm Hg
✔✔Risk factors for PONV should be assessed preoperatively. Which of the following is
a risk factor for PONV? - ✔✔female gender
✔✔Which inhalational anesthetic agent(s) has the fastest onset of induction,
emergence, and recovery? - ✔✔Nitrous oxide
, ✔✔The area between the surgeon and scrub person designated for passing sharps
safely is referred to as the: - ✔✔neutral zone
✔✔The scrub person was precepting a surgical technology student an orthopedic case.
The scrub person explained the importance of keeping the instruments free of blood
and bioburden during the procedure and demonstrated the best practice and how to: -
✔✔wipe the instruments with a sponge moistened with sterile water after each use.
✔✔The Centers for Disease Control and Prevention (CDC) has identified pathogens
that could pose a threat to national and world security and safety through bioterrorism.
Select the four most probable agents that could be used to cause mass transmission,
mortality, panic, and social disruption. - ✔✔Smallpox, plague, botulism, tularemia
✔✔Monica Sorensen, a patient with end-stage pancreatic cancer, was admitted from
hospice for a celiac plexus block to treat intractable pain. She had a Whipple procedure
18 months earlier and enjoyed good quality of life until 3 weeks ago. She wanted to be
able to complete "getting her things in order" and saying good-bye to her friends and
family while enjoying her last days pain-free. Monica insisted that her Do Not
Resuscitate (DNR) status NOT be rescinded. She was conscious and competent and
knew what was best for herself. Monica was taking full advantage of what provision for
her care? - ✔✔Informed consent
✔✔The intracorporeal suture technique uses the suture-tying process analogous to the:
- ✔✔instrument tie
✔✔A stitch that is tied and cut before placing another stitch is called _____. -
✔✔interrupted
✔✔The physiologic effects resulting from the inhalation of gaseous anesthetic agents
and intravenous infusion of anesthetic drugs inhibit several areas of the central nervous
system (CNS). The processes by which they occur are explained by several proposed
theories. Which of the options describes a plausible anesthetic mechanism of action? -
✔✔Synaptic transmission of nerve impulses in the CNS is inhibited.
✔✔Ketamine is a short-acting induction and IV or IM maintenance agent. Patients are
able to maintain their airways. It is a suitable agent to use with small children and burn
patients. The concern with this agent is that in large doses it may cause: -
✔✔respiratory depression
✔✔Laryngospasm is a common but serious complication in the immediate
postoperative pediatric tonsillectomy and adenoidectomy patient. 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, is not responding to
