RNFA FINAL PRACTICE EXAM SCRIPT
COMPLETE SOLVED QUESTIONS
◉ The process of decontamination should initially begin at what
point? Answer: Completion of the surgical procedure
◉ Side effects the patient may encounter as a result of extracoproreal
circulation include: Answer: Inflammatory responses
◉ After retracting the nerve roots during a laminectomy, this structure
is incised before getting to the disc. Answer: Posterior longitudinal
ligament
◉ Of the following, which is not a symptom of compartment
syndrome? Answer: Moderate pain
◉ Fibrocystic changes in the breast describe many different breast
changes. These changes affect almost all women at some time in their
lives. Nipple discharge is more commonly associated with benign
lesions than with cancer; however, discharge is usually significant
only if it is spontaneous, persistent, and: Answer: bloody
◉ Jan Stuyvesant, a perioperative nurse, was the scrub person during
a robotic-assisted laparoscopic cholecystectomy. She locked the
robotic endoscissor into the adaptor on the robotic arm and positioned
,the tip end into the trocar port in order for the surgeon to dissect the
cystic duct and artery, while the surgical assistant placed the clips on
the cystic duct and artery. As she reached across the sterile field to
insert the cholangiocatheter through the port, the anesthesia provider
accidentally made contact with the distal end of the catheter as he
stood up to reach the monitor controls. The contaminated end of the
catheter touched the endoscopic clip applier, the endoscissor
connector that the surgeon was using, the glove of the assistant, and
Jan's gown sleeve. The surgeon ordered everyone to change their
gown and gloves and covered the port area with a sterile towel. What
was the rationale for the surgeon to co Answer: The surgeon was not
in contact with the sterile field because he worked from the robotic
console.
◉ The ability to maintain thermoregulation is compromised in elders
because of changes in the: Answer: vascular system
◉ Because herbal products are so readily available and have such
widespread media attention, many people think that they can safely
self-medicate. Why should the public be aware and educated about
dietary supplements and potential harmful effects? Answer: Unknown
substances may be present in these products.
◉ Talia Mendelson, a 27-year-old patient who had a lumpectomy for
early-onset breast cancer, is now scheduled for infusion port insertion.
Talia is very nervous because during the previous lumpectomy,
performed using a local anesthetic, she was not entirely sedated. Talia
tells the perioperative nurse that she was uncomfortable and heard
everything in the room, but admitted that she did not feel pain. The
nurse recognized Talia's anxiety related to the surgical intervention
,and prepared to implement corrective actions in the OR. What nursing
intervention best reflects one that would ensure support or contribute
to Talia realizing her expected outcome? Answer: Ensure a quiet and
calm environment of care
◉ A 26-year-old female is rushed to the operating room after a
primary and secondary survey in the emergency department. She was
hit by a small truck as she was riding her bicycle through a busy
intersection. She has sustained rib fractures and several fractured
transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she notices
blood at the urinary meatus. What should the nurse's next action be?
Answer: Discontinue the catheter insertion
◉ Open parathyroidectomy is currently being replaced with less
invasive and more targeted techniques; however, the amount of
parathyroid tissue that should be removed remains controversial and
relates to whether single or multiple glands are involved. A portion of
a gland must remain to: Answer: prevent hypocalcemia and its
complications.
◉ Which of the following supplies blood to the transverse colon?
Answer: Middle colic artery
◉ Which of the following structures form the mouth? Answer:
cheeks, the hard palate, the mandible, and the tongue
◉ The salivary glands produce saliva, which serves to moisten the
mouth and initiate: Answer: carbohydrate digestion.
, ◉ Potential development of a direct inguinal hernia results from
___________and __________weakening or tearing. Answer:
Aponeurosis of transversus abdominus and transversalis muscle
◉ When the patient arrives in the ED, the trauma team initiates a
primary assessment. This is a logical, orderly process of patient
assessment for potential life threats. These assessment activities are
based on established protocols for advanced trauma life support
(ATLS). The mnemonic "ABCDE" is used, representing assessment
of the following: Airway, Breathing, Circulation, Disability, and
Exposure. The D and E represent what degree of investigation?
Answer: D = a brief neurologic examination; E = exposure to reveal
all life-threatening injuries
◉ What structure covers the spermatic cord and contracts to make the
testicles ascend in the scrotum? Answer: Cremaster muscle
◉ Which of the following is not included in the group of tendons that
comprise the rotator cuff? Answer: Teres Major
◉ The cranial meninges are composed of all except _____. Answer:
Pericranial mater
◉ Sara Gardiner is the perioperative nurse in the circulating role in
OR 2, and is planning for her three neurosurgical procedures for the
day. She is explaining the basic processes of the three procedures to
the scrub person and double-scrubbed surgical technology student: (1)
COMPLETE SOLVED QUESTIONS
◉ The process of decontamination should initially begin at what
point? Answer: Completion of the surgical procedure
◉ Side effects the patient may encounter as a result of extracoproreal
circulation include: Answer: Inflammatory responses
◉ After retracting the nerve roots during a laminectomy, this structure
is incised before getting to the disc. Answer: Posterior longitudinal
ligament
◉ Of the following, which is not a symptom of compartment
syndrome? Answer: Moderate pain
◉ Fibrocystic changes in the breast describe many different breast
changes. These changes affect almost all women at some time in their
lives. Nipple discharge is more commonly associated with benign
lesions than with cancer; however, discharge is usually significant
only if it is spontaneous, persistent, and: Answer: bloody
◉ Jan Stuyvesant, a perioperative nurse, was the scrub person during
a robotic-assisted laparoscopic cholecystectomy. She locked the
robotic endoscissor into the adaptor on the robotic arm and positioned
,the tip end into the trocar port in order for the surgeon to dissect the
cystic duct and artery, while the surgical assistant placed the clips on
the cystic duct and artery. As she reached across the sterile field to
insert the cholangiocatheter through the port, the anesthesia provider
accidentally made contact with the distal end of the catheter as he
stood up to reach the monitor controls. The contaminated end of the
catheter touched the endoscopic clip applier, the endoscissor
connector that the surgeon was using, the glove of the assistant, and
Jan's gown sleeve. The surgeon ordered everyone to change their
gown and gloves and covered the port area with a sterile towel. What
was the rationale for the surgeon to co Answer: The surgeon was not
in contact with the sterile field because he worked from the robotic
console.
◉ The ability to maintain thermoregulation is compromised in elders
because of changes in the: Answer: vascular system
◉ Because herbal products are so readily available and have such
widespread media attention, many people think that they can safely
self-medicate. Why should the public be aware and educated about
dietary supplements and potential harmful effects? Answer: Unknown
substances may be present in these products.
◉ Talia Mendelson, a 27-year-old patient who had a lumpectomy for
early-onset breast cancer, is now scheduled for infusion port insertion.
Talia is very nervous because during the previous lumpectomy,
performed using a local anesthetic, she was not entirely sedated. Talia
tells the perioperative nurse that she was uncomfortable and heard
everything in the room, but admitted that she did not feel pain. The
nurse recognized Talia's anxiety related to the surgical intervention
,and prepared to implement corrective actions in the OR. What nursing
intervention best reflects one that would ensure support or contribute
to Talia realizing her expected outcome? Answer: Ensure a quiet and
calm environment of care
◉ A 26-year-old female is rushed to the operating room after a
primary and secondary survey in the emergency department. She was
hit by a small truck as she was riding her bicycle through a busy
intersection. She has sustained rib fractures and several fractured
transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she notices
blood at the urinary meatus. What should the nurse's next action be?
Answer: Discontinue the catheter insertion
◉ Open parathyroidectomy is currently being replaced with less
invasive and more targeted techniques; however, the amount of
parathyroid tissue that should be removed remains controversial and
relates to whether single or multiple glands are involved. A portion of
a gland must remain to: Answer: prevent hypocalcemia and its
complications.
◉ Which of the following supplies blood to the transverse colon?
Answer: Middle colic artery
◉ Which of the following structures form the mouth? Answer:
cheeks, the hard palate, the mandible, and the tongue
◉ The salivary glands produce saliva, which serves to moisten the
mouth and initiate: Answer: carbohydrate digestion.
, ◉ Potential development of a direct inguinal hernia results from
___________and __________weakening or tearing. Answer:
Aponeurosis of transversus abdominus and transversalis muscle
◉ When the patient arrives in the ED, the trauma team initiates a
primary assessment. This is a logical, orderly process of patient
assessment for potential life threats. These assessment activities are
based on established protocols for advanced trauma life support
(ATLS). The mnemonic "ABCDE" is used, representing assessment
of the following: Airway, Breathing, Circulation, Disability, and
Exposure. The D and E represent what degree of investigation?
Answer: D = a brief neurologic examination; E = exposure to reveal
all life-threatening injuries
◉ What structure covers the spermatic cord and contracts to make the
testicles ascend in the scrotum? Answer: Cremaster muscle
◉ Which of the following is not included in the group of tendons that
comprise the rotator cuff? Answer: Teres Major
◉ The cranial meninges are composed of all except _____. Answer:
Pericranial mater
◉ Sara Gardiner is the perioperative nurse in the circulating role in
OR 2, and is planning for her three neurosurgical procedures for the
day. She is explaining the basic processes of the three procedures to
the scrub person and double-scrubbed surgical technology student: (1)
