RNFA CORE MAIN QUESTIONS AND ANSWERS SET
A+
✔✔A patient that presents to the OR with midface fractures should not have NG or
nasal intubation performed due to a fracture of this particular structure can result in tube
placement in the brain. Identify the structure from the following. - ✔✔Cribriform plate
✔✔What is the correct rationale for not using methylene blue as a skin marker in the
neurosurgical OR? - ✔✔Methylene blue produces an inflammatory reaction in CNS
tissue.
✔✔The rotator cuff consists of which group of muscles? - ✔✔Supraspinatus,
infraspinatus, teres minor, and subscapularis
✔✔Which of the following correctly identifies the phagocytic cells of the liver? -
✔✔Kupffer cells
✔✔Depending on the surgical defect, head and neck surgical procedures to remove
malignant tumors may also involve reconstructive procedures. The wound may be
closed primarily, or local flaps and split-thickness skin grafts or full-thickness skin grafts
may be used to restore function as well as cover defects. An important role of the
perioperative nurse in the ongoing assessment of graft integrity includes which
assessment tool? - ✔✔Use of intraoperative and postoperative Doppler to detect
presence of graft pulse
✔✔Impaired nutritional status is highly prevalent among the elderly; as many as 12% of
men and 8% of women in the healthy geriatric population are considered
undernourished. During the preoperative assessment and interview, what information
will the perioperative nurse review, in addition to a thorough assessment including body
mass index and Mini Nutritional Assessment? - ✔✔The serum albumin level
,✔✔Identify the class of medications that can increase the risk or severity of a reaction to
contrast media. - ✔✔Beta Blockers
✔✔Matilda Gunderson, a 55-year-old woman with uterine cancer, is scheduled for an
open panhysterectomy. She is positioned in low lithotomy with her legs symmetrically
arranged in padded cradle stirrups. After the incision is made and primary dissection
accomplished, she will be positioned in Trendelenburg position to facilitate exposure of
the lower pelvis and displacement of the small bowel from the operative area. Matilda is
at risk for compromise and injury related to prolonged Trendelenburg tilt, which
promotes: - ✔✔decreased pulmonary compliance and functional residual capacity.
✔✔Surgeons use open reduction and internal fixation when they are unable to reduce a
fracture by closed methods and skeletal traction is not indicated. What would be an
advantage for an open rather than a closed fracture reduction technique? - ✔✔Direct
observation and verification of fracture alignment
✔✔The right and left coronary arteries originate in the corresponding sinuses of Valsava
which are located ____________. - ✔✔Posterior to the cusps of the aortic valve
✔✔Which of the following regarding PMMA ( bone cement) is not an affect local tissue?
- ✔✔Skin burns due to exothermic reaction
✔✔During a stapedotomy, it is important to save which of the following nerves that
control taste on the anterior 2/3's of the tongue? - ✔✔Chorda tympani nerve
✔✔Acquired valvular heart disease most commonly affects the ____________valves.
Choose the correct answer. - ✔✔mitral
✔✔Bone grafting can be completed using Allografts or Autografts. The type of graft
used is not dependent on which of the following factors? - ✔✔The weight bearing ability
of the bone affected
✔✔A rapid rise in thyroid hormone levels is not caused by which of the following? -
✔✔Idodized table salt use
Thyroid hormone medication
✔✔Several types of diagnostic imaging studies visualize structures by producing serial
sections through different anatomic planes, highlighting specific structures or tissue
densities. Which of the following is contraindicated in pregnancy? - ✔✔CT scan.
✔✔The cricoid cartilage is a complete cartilaginous ring that resembles a signet ring; it
rests beneath the thyroid cartilage and supports the airway. What membrane, attached
,to the midline of the upper thyroid cartilage, protects the larynx during swallowing? -
✔✔Epiglottis
✔✔An example of an indication for liver transplantation would be: - ✔✔primary hepatic
cancer
✔✔The gastric veins drain into the ___________vein. - ✔✔Portal vein
✔✔Which of the following pelvic fascias cover the perineum? - ✔✔Parietal
✔✔Upon examination of a patient with a knife wound to the right side of her neck, you
observe that the patient has weakness turning her head to the left against resistance
and has a drooping right shoulder. Your diagnosis is injury to the: - ✔✔right spinal
accessory nerve.
✔✔Following a heart attack you tell a patient that he now has a myocardial infarction.
You explain this as: - ✔✔an area of his myocardium that has irreversible damage
✔✔Substernal or intrathoracic thyroidectomy is indicated for extensions of goiters that
are encroaching into the substernal or intrathoracic regions, causing tracheal or
esophageal obstruction. Access to the substernal compartment is typically facilitated by:
- ✔✔using long instruments through a regular thyroid incision.
✔✔The hypogastric plexus innervates the: - ✔✔female pelvis
✔✔Identify the dura fold that separates the right and left cerebral hemispheres. -
✔✔Falx cerebri
✔✔True statements regarding the arterial supply of the spleen are the following
EXCEPT - ✔✔The splenic artery is a branch of the celiac axis
✔✔What statement regarding level I and level II trauma centers best describes the
difference between the two types of centers? - ✔✔A level I trauma center provides care
for every type of injury, while a level II lacks some specialized resources.
✔✔Luanne Williamson, a 39-year-old, 248-lb mother of 4 children, is assisted with
transfer from a transport vehicle to the OR bed for laparoscopic cholecystectomy,
operative cholangiogram, and possible common bile duct exploration. The perioperative
nurse determined that Luanne is at risk for positional injury related to her size and the
positional requirements and OR bed manipulations required for this procedure. An
appropriate nursing implementation for positioning this patient would be to: - ✔✔place
two safety belts over the thighs and lower legs to prevent the patient from sliding out of
position when the surgeon tilts the table for better exposure and access, and place a
, positioning lift under the lower right side of the chest to elevate the lower rib cage for
exposure and access to the viscera in the right upper quadrant of the abdomen.
✔✔Which of the following factors might the RNFA recognize as having the potential to
produce pressure? - ✔✔a self-retaining retractor post clamped to the OR bed rail and
tightened against the patient's side
✔✔The Joint Commission (TJC) suggests that surgical consents be written at what level
to meet health literacy needs of all patients? - ✔✔5th grade
✔✔Many factors have contributed to the evolution and progressive growth of
ambulatory surgery. Select the three anesthetic agents that promote fast induction,
rapid emergence, and minimal side effects and have been credited as a significant
factor in this trend. - ✔✔Sevoflurane, propofol, desflurane
✔✔Which statement best explains the mechanism of action of general anesthetic
agents? - ✔✔Inhibition of synaptic transmission of nerve impulses
✔✔High-pressure insufflation rates can cause increased intra-abdominal pressure that
can result in life-threatening sequelae. The perioperative nurse reduces the flow rate in
collaboration with the surgeon, while monitoring the patient for signs of: - ✔✔CO2 gas
embolism
✔✔A type of suture to help eliminate tension on the primary suture line is known as: -
✔✔Retention
✔✔The incidence of intraoperative awareness (IOA) may increase in high risk patient
populations. From the following, choose the group that is considered high risk for IOA. -
✔✔Cardiac surgery patients
✔✔The safest practice for passing sharps and instruments during the procedure is to: -
✔✔establish a neutral zone or separate area to place reusable sharps
✔✔Prolonged lithotomy positioning can result in neuropathies of the legs. The most
frequently injured nerves are the obturator, sciatic, femoral, and ______ nerve, which
can result in injury from ______. - ✔✔common peroneal; Direct compression from the
stirrup bars
✔✔What is the appropriate action if the doctor is delayed after the room and
instruments have been opened? - ✔✔Cover the instruments with a sterile drape and
have the scrub nurse continually visually observe the room for breaches in sterility
A+
✔✔A patient that presents to the OR with midface fractures should not have NG or
nasal intubation performed due to a fracture of this particular structure can result in tube
placement in the brain. Identify the structure from the following. - ✔✔Cribriform plate
✔✔What is the correct rationale for not using methylene blue as a skin marker in the
neurosurgical OR? - ✔✔Methylene blue produces an inflammatory reaction in CNS
tissue.
✔✔The rotator cuff consists of which group of muscles? - ✔✔Supraspinatus,
infraspinatus, teres minor, and subscapularis
✔✔Which of the following correctly identifies the phagocytic cells of the liver? -
✔✔Kupffer cells
✔✔Depending on the surgical defect, head and neck surgical procedures to remove
malignant tumors may also involve reconstructive procedures. The wound may be
closed primarily, or local flaps and split-thickness skin grafts or full-thickness skin grafts
may be used to restore function as well as cover defects. An important role of the
perioperative nurse in the ongoing assessment of graft integrity includes which
assessment tool? - ✔✔Use of intraoperative and postoperative Doppler to detect
presence of graft pulse
✔✔Impaired nutritional status is highly prevalent among the elderly; as many as 12% of
men and 8% of women in the healthy geriatric population are considered
undernourished. During the preoperative assessment and interview, what information
will the perioperative nurse review, in addition to a thorough assessment including body
mass index and Mini Nutritional Assessment? - ✔✔The serum albumin level
,✔✔Identify the class of medications that can increase the risk or severity of a reaction to
contrast media. - ✔✔Beta Blockers
✔✔Matilda Gunderson, a 55-year-old woman with uterine cancer, is scheduled for an
open panhysterectomy. She is positioned in low lithotomy with her legs symmetrically
arranged in padded cradle stirrups. After the incision is made and primary dissection
accomplished, she will be positioned in Trendelenburg position to facilitate exposure of
the lower pelvis and displacement of the small bowel from the operative area. Matilda is
at risk for compromise and injury related to prolonged Trendelenburg tilt, which
promotes: - ✔✔decreased pulmonary compliance and functional residual capacity.
✔✔Surgeons use open reduction and internal fixation when they are unable to reduce a
fracture by closed methods and skeletal traction is not indicated. What would be an
advantage for an open rather than a closed fracture reduction technique? - ✔✔Direct
observation and verification of fracture alignment
✔✔The right and left coronary arteries originate in the corresponding sinuses of Valsava
which are located ____________. - ✔✔Posterior to the cusps of the aortic valve
✔✔Which of the following regarding PMMA ( bone cement) is not an affect local tissue?
- ✔✔Skin burns due to exothermic reaction
✔✔During a stapedotomy, it is important to save which of the following nerves that
control taste on the anterior 2/3's of the tongue? - ✔✔Chorda tympani nerve
✔✔Acquired valvular heart disease most commonly affects the ____________valves.
Choose the correct answer. - ✔✔mitral
✔✔Bone grafting can be completed using Allografts or Autografts. The type of graft
used is not dependent on which of the following factors? - ✔✔The weight bearing ability
of the bone affected
✔✔A rapid rise in thyroid hormone levels is not caused by which of the following? -
✔✔Idodized table salt use
Thyroid hormone medication
✔✔Several types of diagnostic imaging studies visualize structures by producing serial
sections through different anatomic planes, highlighting specific structures or tissue
densities. Which of the following is contraindicated in pregnancy? - ✔✔CT scan.
✔✔The cricoid cartilage is a complete cartilaginous ring that resembles a signet ring; it
rests beneath the thyroid cartilage and supports the airway. What membrane, attached
,to the midline of the upper thyroid cartilage, protects the larynx during swallowing? -
✔✔Epiglottis
✔✔An example of an indication for liver transplantation would be: - ✔✔primary hepatic
cancer
✔✔The gastric veins drain into the ___________vein. - ✔✔Portal vein
✔✔Which of the following pelvic fascias cover the perineum? - ✔✔Parietal
✔✔Upon examination of a patient with a knife wound to the right side of her neck, you
observe that the patient has weakness turning her head to the left against resistance
and has a drooping right shoulder. Your diagnosis is injury to the: - ✔✔right spinal
accessory nerve.
✔✔Following a heart attack you tell a patient that he now has a myocardial infarction.
You explain this as: - ✔✔an area of his myocardium that has irreversible damage
✔✔Substernal or intrathoracic thyroidectomy is indicated for extensions of goiters that
are encroaching into the substernal or intrathoracic regions, causing tracheal or
esophageal obstruction. Access to the substernal compartment is typically facilitated by:
- ✔✔using long instruments through a regular thyroid incision.
✔✔The hypogastric plexus innervates the: - ✔✔female pelvis
✔✔Identify the dura fold that separates the right and left cerebral hemispheres. -
✔✔Falx cerebri
✔✔True statements regarding the arterial supply of the spleen are the following
EXCEPT - ✔✔The splenic artery is a branch of the celiac axis
✔✔What statement regarding level I and level II trauma centers best describes the
difference between the two types of centers? - ✔✔A level I trauma center provides care
for every type of injury, while a level II lacks some specialized resources.
✔✔Luanne Williamson, a 39-year-old, 248-lb mother of 4 children, is assisted with
transfer from a transport vehicle to the OR bed for laparoscopic cholecystectomy,
operative cholangiogram, and possible common bile duct exploration. The perioperative
nurse determined that Luanne is at risk for positional injury related to her size and the
positional requirements and OR bed manipulations required for this procedure. An
appropriate nursing implementation for positioning this patient would be to: - ✔✔place
two safety belts over the thighs and lower legs to prevent the patient from sliding out of
position when the surgeon tilts the table for better exposure and access, and place a
, positioning lift under the lower right side of the chest to elevate the lower rib cage for
exposure and access to the viscera in the right upper quadrant of the abdomen.
✔✔Which of the following factors might the RNFA recognize as having the potential to
produce pressure? - ✔✔a self-retaining retractor post clamped to the OR bed rail and
tightened against the patient's side
✔✔The Joint Commission (TJC) suggests that surgical consents be written at what level
to meet health literacy needs of all patients? - ✔✔5th grade
✔✔Many factors have contributed to the evolution and progressive growth of
ambulatory surgery. Select the three anesthetic agents that promote fast induction,
rapid emergence, and minimal side effects and have been credited as a significant
factor in this trend. - ✔✔Sevoflurane, propofol, desflurane
✔✔Which statement best explains the mechanism of action of general anesthetic
agents? - ✔✔Inhibition of synaptic transmission of nerve impulses
✔✔High-pressure insufflation rates can cause increased intra-abdominal pressure that
can result in life-threatening sequelae. The perioperative nurse reduces the flow rate in
collaboration with the surgeon, while monitoring the patient for signs of: - ✔✔CO2 gas
embolism
✔✔A type of suture to help eliminate tension on the primary suture line is known as: -
✔✔Retention
✔✔The incidence of intraoperative awareness (IOA) may increase in high risk patient
populations. From the following, choose the group that is considered high risk for IOA. -
✔✔Cardiac surgery patients
✔✔The safest practice for passing sharps and instruments during the procedure is to: -
✔✔establish a neutral zone or separate area to place reusable sharps
✔✔Prolonged lithotomy positioning can result in neuropathies of the legs. The most
frequently injured nerves are the obturator, sciatic, femoral, and ______ nerve, which
can result in injury from ______. - ✔✔common peroneal; Direct compression from the
stirrup bars
✔✔What is the appropriate action if the doctor is delayed after the room and
instruments have been opened? - ✔✔Cover the instruments with a sterile drape and
have the scrub nurse continually visually observe the room for breaches in sterility
