RNFA FINAL EXAM 2 DUE 23 OCTOBER 2023

RNFA FINAL EXAM 2 DUE 23 OCTOBER 2023 In health care settings, the primary occupational source of radiation exposure is: - CORRECT ANSWER-Scatter Which of the following best describes the semi-restricted surgical practice area? - CORRECT ANSWER-Used for communication of information between the surgical suite and the rest of the health care facility If a health care worker who works with radiation become pregnant, she should: - CORRECT ANSWER-Promptly inform the radiation safety officer When using a single drape for a lithotomy, the following instructions are correct, except: - CORRECT ANSWER-Place the drape so the edge is 2 inches from the perineum When updating the patient's support person during surgery, a nurse should: - CORRECT ANSWER-Discuss a projected time frame for completion of the surgery Safe injection practices: - CORRECT ANSWER-Include using one syringe per injection Preoperative assessment helps determine if patients are suitable candidates for outpatient orthopedic surgery. Based on the information provided, which of the following patients is the BEST candidate for orthopedic surgery in an ASC? - CORRECT ANSWER-A patient who needs a total hip replacement, is otherwise healthy, and has a short-term home care assistant When opening a sterile package, the LAST flap to be opened should be the flap: - CORRECT ANSWER-Closest to you As of the following wound healing complications are attributed to smoking except: - CORRECT ANSWER-Decreased blood viscosity A patient had the following lab values noted intraoperatively: pH 7.35, PCO2 35 mmHg, HCO322mEq/L. This patient is in: - CORRECT ANSWER-Metabolic acidosis This classification of medication can affect wound healing in the surgical patient: - CORRECT ANSWER-Anticoagulants When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most appropriate choice is the _______ needle. - CORRECT ANSWERTaper During a THA using the posterior lateral approach, the RNFA will dislocated the head of the femur using: - CORRECT ANSWER-Flexion, adduction, external rotation Which of the following muscles are critical for stabilization of the knee joint? - CORRECT ANSWER-Quadriceps femoris During the cementing of components during total joint replacement, a new CRNA who has never worked in orthopedics before begins to panic. A side effect that possibly occurred with this patient as a result of the cement is: - CORRECT ANSWERHypotension A medication often used in cardiac surgery to prevent spasms of vessels is: - CORRECT ANSWER-Papaverine Physicians may consider which of the following options when determining the best treatment option for breast cancer surgery. - CORRECT ANSWER-Size of tumor The most commonly used incision for Cesarean section is the: - CORRECT ANSWERPfannensteil This technique is primarily reserved for the patient having prophylactic mastectomy and immediate breast reconstruction. - CORRECT ANSWER-Nipple sparing The RNFA should be prepared to assist with the _______ procedure if a patient needs surgical intervention for the treatment of atrial fibrillation - CORRECT ANSWER-Maze Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order? - CORRECT ANSWER-Dirty then clean Care must be taken when placing reactors as an RNFA assisting with inguinal hernia repair. Which of the following is a vessel that is located in the area of i in inguinal hernias? - CORRECT ANSWER-Inferior epigastric When intraoperative cholangiograms are performed, the cholangiogram catheter is placed in the: - CORRECT ANSWER-Cystic duct When preoperatively assessing a patient for cardiac surgery, the RNFA should consider all of the following except: - CORRECT ANSWER-RBC count Pre-op markings to determine nipple positioning for reduction mammoplasty will be drawn on the patient's chest _____________. - CORRECT ANSWER-While sitting upright The wound classification assigned by the CDC to breast surgery. - CORRECT ANSWER-Clean Identify the marginal boundaries of the breasts. - CORRECT ANSWER-Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line Reduction mammoplasty is not indicated for which of the following? - CORRECT ANSWER-hyperthelia The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a 51 yr old male who recently had endovascular surgery. He will be taking anticoagulation therapy for the next 12 weeks. What statement regarding anticoagulation therapy, that is relevant to Mark, is true? - CORRECT ANSWER-Do not use tools such as saws or hammers, which could lead to an accident. Pericardial tamponade includes which of the following signs or symptoms? - CORRECT ANSWER-Narrow pulse pressure Identify the venous structure that prevents blood back flow. - CORRECT ANSWERSemilunar Intimal folds Velour grafts are impregnated with which of the following to ease handling without the need to preclot? - CORRECT ANSWER-Gelatin The blood is oxygenated in the lungs and returns to the left atrium through the pulmonary veins. Where does the blood flow after leaving the left atrium? - CORRECT ANSWER-Through the mitral valve into the left ventricle Which of the following documentation requirements is unique to vascular surgery? - CORRECT ANSWER-Clamp application and removal times Identify from the following, the correct branch of the left main coronary artery. - CORRECT ANSWER-Circumflex coronary artery What does the presence of bruit on auscultation of a blood vessel mean? - CORRECT ANSWER-Blood flow is disrupted Of the following ocular blocks, which carries the highest risk? - CORRECT ANSWERRetrobulbar Block A portion of a parathyroid glands must remain for which of the following reasons? - CORRECT ANSWER-Prevent hypocalcemia and it's complications Select the set of symptoms that is most commonly associated with hypothyroidism - CORRECT ANSWER-Increased swearing, insomnia, tremor, and muscle weakness An important anatomical landmark in thyroid surgery is known as - CORRECT ANSWER-Poles A power drill and assorted roasting burrs are essential for middle ear surgery and some sinus procedures. During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to - CORRECT ANSWER-Prevent clogging of the burr and contamination of the area with bone dust Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? - CORRECT ANSWER-Submandibular Fibrous bands of tissue found between abdominal structures that are not normally connected are known as - CORRECT ANSWER-Adhesions Choose the correct flow of bile from the gallbladder - CORRECT ANSWER-Cystic duct, common duct, ampulla of Vater, duodenum Select the statement that best reflects the functional components of the gastrointestinal tract - CORRECT ANSWER-The alimentary canal extends from the mouth to the anus Which of the following hernia types is considered a surgical emergency - CORRECT ANSWER-Strangulated Closed thoracostomy will require which of the following - CORRECT ANSWER-Chest catheters and water-seal drainage A minimally invasive technique that may be used to remove parathyroid tumors deep in the mediastinum is known as - CORRECT ANSWER-Thoracoscopy The common bile duct drains into the - CORRECT ANSWER-Duodenum Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress through which of the following? - CORRECT ANSWER-Scarpa's fascia The transverse colon ends at the - CORRECT ANSWER-Splenic flexure The mediastinal surface of the lungs contains a structure known as ___________ in which nerves, vessels, bronchus, and lymphatics enter and leave the lung - CORRECT ANSWER-Hilum The absence of distinct teniae serves as a visual landmark for what abdominal structure - CORRECT ANSWER-Upper margin of the rectum