RNFA REVIEW TIPS QUESTIONS AND ANSWERS SET
A+
✔✔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? -
✔✔Maintain 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? - ✔✔Prewarm 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. - ✔✔Encroachment of the orbit
✔✔Administration of cyclogyl should be used in caution with which of the following
patient groups? - ✔✔Patients on tricyclics
✔✔What drug can be used to reverse the effects of heparin ? - ✔✔Protamine 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. - ✔✔External oblique muscle
✔✔Identify the type of fracture that has more than two fragments. - ✔✔Comminuted
,✔✔Identify the correct path of the cardiac conduction system. - ✔✔From 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. -
✔✔Hypopituitarism and small pituitary tumors
✔✔Describe a pantaloon hernia. - ✔✔A combination direct and indirect hernia
✔✔In renal transplantation a kidney with __________ artery(ies) is preferred. -
✔✔single
✔✔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)? - ✔✔Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note
extent of diuresis
✔✔The production of CSF occurs where? - ✔✔Choroid plexus of the ventricles
✔✔Select the true statement about antimetabolite drugs and their indications for use. -
✔✔5-Fluorouracil and mitomycin can both be administered topically to inhibit scars and
pterygium excision
✔✔Select the statement that best reflects the functional components of the
gastrointestinal (GI) tract. - ✔✔The alimentary canal extends from the mouth to the
anus.
✔✔As the surgeon prepared to clamp and transect the bowel during a small bowel
resection for tumor, the scrub person transferred instruments from the Mayo stand to
the back table and prepared the sterile field for bowel isolation technique. The rationale
for this technique in tumor removal/cancer procedures is to: - ✔✔Prevent mechanical
metastasis
✔✔Heparin sodium is an anticoagulant. The basic mechanism of heparin's action is
best described as: - ✔✔prevents the conversion of fibrinogen to fibrin.
✔✔Which of the following associations is incorrect regarding gallstones? -
✔✔Gallstones in cystic duct = cholangitis
,✔✔The ovarian artery is a branch of which vessel? - ✔✔Aorta
✔✔The double layer of fatty peritoneum attached to the greater curve of the stomach is
known as the ____________. - ✔✔Omentum
✔✔There are several risk factors associated with dehiscence. Which of the following
can be controlled by the RNFA? - ✔✔Sutures placed too close together
✔✔Skin grafting provides an effective way to cover a wound if vascularity is adequate,
infection is absent, and hemostasis is achieved. Skin from the donor site is detached
from its blood supply and placed in the recipient site. The best description of a
successful skin graft outcome is: - ✔✔the recipient site develops a new blood supply
from the base of the wound.
✔✔Which of the following is the first major branch of the internal carotid artery? -
✔✔Opthalmic artery
✔✔As a person ages. there is reduced blood flow to the abdominal viscera, reduced
amounts of hydrochloric acid, and delayed gastric emptying. The result of of these
physical changes include: - ✔✔Altered absorption of drugs
✔✔From the following, choose where the hypothalamus is located. - ✔✔Along the floor
of the third ventricle
✔✔Select the true statement about dacryocystorhinostomy (DCR). - ✔✔DCR
establishes a new passageway for tear drainage into the nasal cavity.
✔✔A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on
Miccoli instruments added to the standard thyroid or neck dissection setup, a 30-degree
endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the
vessels. An important risk reduction strategy for any minimally invasive procedure would
be ? - ✔✔consider and plan for the possibility of conversion to open thyroidectomy.
✔✔When laryngoscopy, bronchoscopy, and esophagoscopy are performed in a single
session on a patient, the procedure is termed triple endoscopy or panendoscopy. The
purpose of triple endoscopy is usually diagnostic. A critical role of the perioperative
nurse during this complex diagnostic procedure is that of: - ✔✔identifying, containing,
and labeling all specimens accurately.
✔✔Which of the following is not a reason to convert a case from laparoscopic to an
open abdominal case? - ✔✔Lack of warmer for insufflation gas
, ✔✔The liver is essential in the metabolism of carbohydrates, proteins, and fats,
generating nutrient stores of which substance that supplies energy sources to the brain
and body? - ✔✔Glycogen
✔✔The kidneys are highly vascular organs. Approximately how much of the entire
circulating blood volume do the kidneys process at any one time? - ✔✔One fifth
✔✔Metastases to the spine occur most often in the thoracic spine, followed by the
lumbar and cervical areas. Select the statement that best reflects a therapeutic spinal
procedure goal for a secondary metastatic tumor. - ✔✔Surgery is directed toward
decompressing and stabilizing the spine.
✔✔The scaphoid, also called the navicular, links the proximal row of carpal bones as it:
- ✔✔stabilizes and coordinates the movement of the proximal and distal rows.
✔✔Identify the name of the procedure that is an alternative treatment for patients with
chronic pulmonary emphysema. - ✔✔Lung volume reduction surgery
✔✔Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that
has not responded to medical therapy. She is scheduled for a subtotal thyroidectomy.
What condition, a complication of Graves' disease, is her probable indication for a
subtotal thyroidectomy? - ✔✔Tracheal obstruction
✔✔The most common congenital cyst found in the neck is: - ✔✔Thyroglossal duct cysts
✔✔A stapedotomy is removal of the stapes superstructure and creation of a fenestra
(opening) in the fixed stapes footplate for treatment of abnormal bone growth around
the footplate that results in its immobility. The patient scheduled for a stapedotomy will
typically not have a surgical diagnosis of: - ✔✔otosclerosis.
✔✔Which structure supports the uterus and contains the uterine artery and vein ? -
✔✔Cardinal ligaments
✔✔A positive Kehr's sign is _____. - ✔✔Left shoulder pain
✔✔Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the
most appropriate statement about miotic and mydriatic drugs. - ✔✔Mydriatic drugs,
such as phenylephrine, dilate the pupil.
✔✔In the pulmonary circulatory system, blood is pumped from the right ventricle (RV)
through the pulmonary valve into the main pulmonary artery (PA). The PA divides into
the right and left pulmonary arteries, which further subdivide into the arterioles and
A+
✔✔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? -
✔✔Maintain 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? - ✔✔Prewarm 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. - ✔✔Encroachment of the orbit
✔✔Administration of cyclogyl should be used in caution with which of the following
patient groups? - ✔✔Patients on tricyclics
✔✔What drug can be used to reverse the effects of heparin ? - ✔✔Protamine 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. - ✔✔External oblique muscle
✔✔Identify the type of fracture that has more than two fragments. - ✔✔Comminuted
,✔✔Identify the correct path of the cardiac conduction system. - ✔✔From 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. -
✔✔Hypopituitarism and small pituitary tumors
✔✔Describe a pantaloon hernia. - ✔✔A combination direct and indirect hernia
✔✔In renal transplantation a kidney with __________ artery(ies) is preferred. -
✔✔single
✔✔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)? - ✔✔Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note
extent of diuresis
✔✔The production of CSF occurs where? - ✔✔Choroid plexus of the ventricles
✔✔Select the true statement about antimetabolite drugs and their indications for use. -
✔✔5-Fluorouracil and mitomycin can both be administered topically to inhibit scars and
pterygium excision
✔✔Select the statement that best reflects the functional components of the
gastrointestinal (GI) tract. - ✔✔The alimentary canal extends from the mouth to the
anus.
✔✔As the surgeon prepared to clamp and transect the bowel during a small bowel
resection for tumor, the scrub person transferred instruments from the Mayo stand to
the back table and prepared the sterile field for bowel isolation technique. The rationale
for this technique in tumor removal/cancer procedures is to: - ✔✔Prevent mechanical
metastasis
✔✔Heparin sodium is an anticoagulant. The basic mechanism of heparin's action is
best described as: - ✔✔prevents the conversion of fibrinogen to fibrin.
✔✔Which of the following associations is incorrect regarding gallstones? -
✔✔Gallstones in cystic duct = cholangitis
,✔✔The ovarian artery is a branch of which vessel? - ✔✔Aorta
✔✔The double layer of fatty peritoneum attached to the greater curve of the stomach is
known as the ____________. - ✔✔Omentum
✔✔There are several risk factors associated with dehiscence. Which of the following
can be controlled by the RNFA? - ✔✔Sutures placed too close together
✔✔Skin grafting provides an effective way to cover a wound if vascularity is adequate,
infection is absent, and hemostasis is achieved. Skin from the donor site is detached
from its blood supply and placed in the recipient site. The best description of a
successful skin graft outcome is: - ✔✔the recipient site develops a new blood supply
from the base of the wound.
✔✔Which of the following is the first major branch of the internal carotid artery? -
✔✔Opthalmic artery
✔✔As a person ages. there is reduced blood flow to the abdominal viscera, reduced
amounts of hydrochloric acid, and delayed gastric emptying. The result of of these
physical changes include: - ✔✔Altered absorption of drugs
✔✔From the following, choose where the hypothalamus is located. - ✔✔Along the floor
of the third ventricle
✔✔Select the true statement about dacryocystorhinostomy (DCR). - ✔✔DCR
establishes a new passageway for tear drainage into the nasal cavity.
✔✔A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on
Miccoli instruments added to the standard thyroid or neck dissection setup, a 30-degree
endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the
vessels. An important risk reduction strategy for any minimally invasive procedure would
be ? - ✔✔consider and plan for the possibility of conversion to open thyroidectomy.
✔✔When laryngoscopy, bronchoscopy, and esophagoscopy are performed in a single
session on a patient, the procedure is termed triple endoscopy or panendoscopy. The
purpose of triple endoscopy is usually diagnostic. A critical role of the perioperative
nurse during this complex diagnostic procedure is that of: - ✔✔identifying, containing,
and labeling all specimens accurately.
✔✔Which of the following is not a reason to convert a case from laparoscopic to an
open abdominal case? - ✔✔Lack of warmer for insufflation gas
, ✔✔The liver is essential in the metabolism of carbohydrates, proteins, and fats,
generating nutrient stores of which substance that supplies energy sources to the brain
and body? - ✔✔Glycogen
✔✔The kidneys are highly vascular organs. Approximately how much of the entire
circulating blood volume do the kidneys process at any one time? - ✔✔One fifth
✔✔Metastases to the spine occur most often in the thoracic spine, followed by the
lumbar and cervical areas. Select the statement that best reflects a therapeutic spinal
procedure goal for a secondary metastatic tumor. - ✔✔Surgery is directed toward
decompressing and stabilizing the spine.
✔✔The scaphoid, also called the navicular, links the proximal row of carpal bones as it:
- ✔✔stabilizes and coordinates the movement of the proximal and distal rows.
✔✔Identify the name of the procedure that is an alternative treatment for patients with
chronic pulmonary emphysema. - ✔✔Lung volume reduction surgery
✔✔Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that
has not responded to medical therapy. She is scheduled for a subtotal thyroidectomy.
What condition, a complication of Graves' disease, is her probable indication for a
subtotal thyroidectomy? - ✔✔Tracheal obstruction
✔✔The most common congenital cyst found in the neck is: - ✔✔Thyroglossal duct cysts
✔✔A stapedotomy is removal of the stapes superstructure and creation of a fenestra
(opening) in the fixed stapes footplate for treatment of abnormal bone growth around
the footplate that results in its immobility. The patient scheduled for a stapedotomy will
typically not have a surgical diagnosis of: - ✔✔otosclerosis.
✔✔Which structure supports the uterus and contains the uterine artery and vein ? -
✔✔Cardinal ligaments
✔✔A positive Kehr's sign is _____. - ✔✔Left shoulder pain
✔✔Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the
most appropriate statement about miotic and mydriatic drugs. - ✔✔Mydriatic drugs,
such as phenylephrine, dilate the pupil.
✔✔In the pulmonary circulatory system, blood is pumped from the right ventricle (RV)
through the pulmonary valve into the main pulmonary artery (PA). The PA divides into
the right and left pulmonary arteries, which further subdivide into the arterioles and
