RNFA Final Exam Study Guide Questions with
Verified Correct Answers
_______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.
Standard
Which of the following anesthetics may result in fasiculations for the patient?
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?
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:
capnometer/end-tidal CO2 monitor
The first step in the decontamination process is:
Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels?
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?
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:
Potential for Intervastation
Which of the following statements reflects the location of the arcuate line?
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?
Replacing or tagging sponges and laparotomy instruments with RFID chips.
The surgical hand scrub is designed to render the hands, nails, and arms
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:
Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known as:
,Retention Suture
Identify the primary substance found in the epidermis that protects the body from fluid
loss and invasion by pathogens.
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?
Lipids
When buried in tissue, silk loses its tensile strength after what period of time?
1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical site
infections?
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 ______.
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?
, Bookwalter
The safest and most commonly used method of sterilization is which of the following?
Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes?
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.
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?
Passing sharp items using neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________?
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 14 L/min and the pressure had risen to 16 mm Hg. She alerted the
surgeon and reduced the rate and pressure because she feared that the elderly patient
was at high risk for:
Hypercarbia
Your patient had an episode of vomiting during anesthesia induction and was effectively
suctioned by anesthesia. Upon extubation, the patient presented with coughing,
Verified Correct Answers
_______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.
Standard
Which of the following anesthetics may result in fasiculations for the patient?
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?
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:
capnometer/end-tidal CO2 monitor
The first step in the decontamination process is:
Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels?
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?
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:
Potential for Intervastation
Which of the following statements reflects the location of the arcuate line?
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?
Replacing or tagging sponges and laparotomy instruments with RFID chips.
The surgical hand scrub is designed to render the hands, nails, and arms
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:
Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known as:
,Retention Suture
Identify the primary substance found in the epidermis that protects the body from fluid
loss and invasion by pathogens.
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?
Lipids
When buried in tissue, silk loses its tensile strength after what period of time?
1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical site
infections?
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 ______.
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?
, Bookwalter
The safest and most commonly used method of sterilization is which of the following?
Steam Sterilization
Has been identified to reduce SSIs and affect surgical outcomes?
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.
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?
Passing sharp items using neutral/hands-free techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is __________?
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 14 L/min and the pressure had risen to 16 mm Hg. She alerted the
surgeon and reduced the rate and pressure because she feared that the elderly patient
was at high risk for:
Hypercarbia
Your patient had an episode of vomiting during anesthesia induction and was effectively
suctioned by anesthesia. Upon extubation, the patient presented with coughing,
