RNFA FINAL PRACTICE EXAM STUDY GUIDE
TESTED QUESTIONS AND SOLUTIONS
◉ _______Precautions apply to blood, all body fluids, secretions, and
excretions (except sweat), regardless of whether they contain visible
blood, mucous membranes, and non-intact skin. Answer: Standard
◉ Which of the following anesthetics may result in fasiculations for
the patient? Answer: Succhinylcholine
◉ Hypothermia has been shown to be a factor that may place the
surgical patient at risk for infection and delayed healing. What
intervention is an engineered control factor to protect the patient from
hypothermia? Answer: b. set the ambient room temperature between
68° and 73° F
◉ A basic anesthesia monitoring device that is used during general
anesthesia to confirm successful endotracheal tube placement and
determine the presence of gas exchange is the: Answer:
capnometer/end-tidal CO2 monitor
◉ The first step in the decontamination process is: Answer: Cleaning
◉ Which of the following requires at minimum, 2 patient identifiers
on specimen labels? Answer: Joint Commission
,◉ A 9-year-old diabetic with an insulin pump, has arrived in the OR
for emergency repair of superficial facial and deep arm lacerations.
The RNFA should consider which of the following options for energy-
generated hemostasis? Answer: Bipolar Electrosurgery Unit
◉ During a hysteroscopy, sterile saline is used to expand the
intrauterine compartment and enhance visualization. The
perioperative nurse is concerned that approximately 500 ml of fluid
was unaccounted for and alerted the surgeon and RNFA. The nurse's
motive for this surveillance is to: Answer: Potential for Intervastation
◉ Which of the following statements reflects the location of the
arcuate line? Answer: one third of the distance between the umbilicus
and the symphysis pubis.
◉ Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional retained surgical
items (RSI). What risk reduction strategy could prevent RSI? Answer:
Replacing or tagging sponges and laparotomy instruments with RFID
chips.
◉ The surgical hand scrub is designed to render the hands, nails, and
arms Answer: Surgically Clean
◉ The RNFA instructed the new anesthesia resident in the proper
positioning of the arm and hands on the OR bed armboards. The
,resident was cautioned to avoid pressure on the elbow to prevent:
Answer: Ulnar Nerve Injury
◉ A type of suture to help eliminate tension on the primary suture line
is known as: Answer: Retention Suture
◉ Identify the primary substance found in the epidermis that protects
the body from fluid loss and invasion by pathogens. Answer: Keratin
◉ 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? Answer: Lipids
◉ When buried in tissue, silk loses its tensile strength after what
period of time? Answer: 1 Year
◉ Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? Answer: Use of Prophylactic
Antibiotics
◉ 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 ______. Answer: 9 L/min;14 to 16 mm Hg
, ◉ Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to which
self retaining retractor is available within the facility. From the
following, which is an appropriate suggestion? Answer: Bookwalter
◉ The safest and most commonly used method of sterilization is
which of the following? Answer: Steam Sterilization
◉ Has been identified to reduce SSIs and affect surgical outcomes?
Answer: Antibiotics given IV within 1 hour of the incision for every
procedure with an incision or entered body system.
◉ When applying sterile drapes to create the sterile field on the
patient, which of the following principles is most important. Answer:
Drape the patient starting with the incision area and proceeding to the
periphery.
◉ To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? Answer: Passing
sharp items using neutral/hands-free techniques instead of passing
hand to hand.
◉ The most commonly used medication for local anesthesia is
__________? Answer: Lidocaine
◉ The OR was trialling a new insufflation system and the vendor
representative was out of the room taking a phone call. The
perioperative nurse was concerned that the flow rate was well above
TESTED QUESTIONS AND SOLUTIONS
◉ _______Precautions apply to blood, all body fluids, secretions, and
excretions (except sweat), regardless of whether they contain visible
blood, mucous membranes, and non-intact skin. Answer: Standard
◉ Which of the following anesthetics may result in fasiculations for
the patient? Answer: Succhinylcholine
◉ Hypothermia has been shown to be a factor that may place the
surgical patient at risk for infection and delayed healing. What
intervention is an engineered control factor to protect the patient from
hypothermia? Answer: b. set the ambient room temperature between
68° and 73° F
◉ A basic anesthesia monitoring device that is used during general
anesthesia to confirm successful endotracheal tube placement and
determine the presence of gas exchange is the: Answer:
capnometer/end-tidal CO2 monitor
◉ The first step in the decontamination process is: Answer: Cleaning
◉ Which of the following requires at minimum, 2 patient identifiers
on specimen labels? Answer: Joint Commission
,◉ A 9-year-old diabetic with an insulin pump, has arrived in the OR
for emergency repair of superficial facial and deep arm lacerations.
The RNFA should consider which of the following options for energy-
generated hemostasis? Answer: Bipolar Electrosurgery Unit
◉ During a hysteroscopy, sterile saline is used to expand the
intrauterine compartment and enhance visualization. The
perioperative nurse is concerned that approximately 500 ml of fluid
was unaccounted for and alerted the surgeon and RNFA. The nurse's
motive for this surveillance is to: Answer: Potential for Intervastation
◉ Which of the following statements reflects the location of the
arcuate line? Answer: one third of the distance between the umbilicus
and the symphysis pubis.
◉ Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional retained surgical
items (RSI). What risk reduction strategy could prevent RSI? Answer:
Replacing or tagging sponges and laparotomy instruments with RFID
chips.
◉ The surgical hand scrub is designed to render the hands, nails, and
arms Answer: Surgically Clean
◉ The RNFA instructed the new anesthesia resident in the proper
positioning of the arm and hands on the OR bed armboards. The
,resident was cautioned to avoid pressure on the elbow to prevent:
Answer: Ulnar Nerve Injury
◉ A type of suture to help eliminate tension on the primary suture line
is known as: Answer: Retention Suture
◉ Identify the primary substance found in the epidermis that protects
the body from fluid loss and invasion by pathogens. Answer: Keratin
◉ 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? Answer: Lipids
◉ When buried in tissue, silk loses its tensile strength after what
period of time? Answer: 1 Year
◉ Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? Answer: Use of Prophylactic
Antibiotics
◉ 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 ______. Answer: 9 L/min;14 to 16 mm Hg
, ◉ Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to which
self retaining retractor is available within the facility. From the
following, which is an appropriate suggestion? Answer: Bookwalter
◉ The safest and most commonly used method of sterilization is
which of the following? Answer: Steam Sterilization
◉ Has been identified to reduce SSIs and affect surgical outcomes?
Answer: Antibiotics given IV within 1 hour of the incision for every
procedure with an incision or entered body system.
◉ When applying sterile drapes to create the sterile field on the
patient, which of the following principles is most important. Answer:
Drape the patient starting with the incision area and proceeding to the
periphery.
◉ To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? Answer: Passing
sharp items using neutral/hands-free techniques instead of passing
hand to hand.
◉ The most commonly used medication for local anesthesia is
__________? Answer: Lidocaine
◉ The OR was trialling a new insufflation system and the vendor
representative was out of the room taking a phone call. The
perioperative nurse was concerned that the flow rate was well above
