RNFA Quiz 1B
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
, Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier block) for
an ORIF of about ankle fracture. The anesthesia provider injected a a distal dorsal vein of Marvin's right
foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looked through the OR window to check on anesthesia progress as he
scrubbed at the sink outside of the OR. The circulating nurse had the leg elevated and was prepping the
ankle. The surgeon noticed that the cuff seemed to be deflating and that the anesthesia provider was
turned away from the patient. The circulating nurse also noticed the movement under the protective
towel placed over the cuff, and saw the tourniquet tubing fall to the floor. The nurses first response
should be: - Answer: Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send
the surgeon for the code cart
The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed abrasions on the elbow.
Mr. Jennings told her that the ICU nurses had difficulty pulling him back up in bed every time he slid
down toward the bottom and he was not able to be much help in moving himself. The skin injury was
probably the result of which physical force - Answer: A friction from the elbows rubbing over the sheets
when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in
individuals with central core diseases such as: - Answer: Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel pads, and
pillows for a spinal fusion Before the skin is begun, the perioperative nurse should check the positioning
for pressure areas of the: - Answer: Genitals, knees, toes, and eyes
A reverse cutting needle is preferred for _________________ suturing. - Answer: Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed: - Answer: Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair of superficial
facial and deep arm lacerations when she ran into the chain link fence during practice. The perioperative
nurse discovers that Susie has an insulin pump that should remain connected during the short
procedure. The RNFA should consider which of the following options for energy generated hemostasis? -
Answer: Bipolar electrosurgery unit
Lateral, lateral chest and lateral kidney positions all place pressure on structures of the dependent side:
ears, shoulder, ribs, hips, greater femoral head, knees and ankles. The potential for injury to the patient
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
, Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier block) for
an ORIF of about ankle fracture. The anesthesia provider injected a a distal dorsal vein of Marvin's right
foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looked through the OR window to check on anesthesia progress as he
scrubbed at the sink outside of the OR. The circulating nurse had the leg elevated and was prepping the
ankle. The surgeon noticed that the cuff seemed to be deflating and that the anesthesia provider was
turned away from the patient. The circulating nurse also noticed the movement under the protective
towel placed over the cuff, and saw the tourniquet tubing fall to the floor. The nurses first response
should be: - Answer: Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send
the surgeon for the code cart
The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed abrasions on the elbow.
Mr. Jennings told her that the ICU nurses had difficulty pulling him back up in bed every time he slid
down toward the bottom and he was not able to be much help in moving himself. The skin injury was
probably the result of which physical force - Answer: A friction from the elbows rubbing over the sheets
when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in
individuals with central core diseases such as: - Answer: Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel pads, and
pillows for a spinal fusion Before the skin is begun, the perioperative nurse should check the positioning
for pressure areas of the: - Answer: Genitals, knees, toes, and eyes
A reverse cutting needle is preferred for _________________ suturing. - Answer: Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed: - Answer: Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair of superficial
facial and deep arm lacerations when she ran into the chain link fence during practice. The perioperative
nurse discovers that Susie has an insulin pump that should remain connected during the short
procedure. The RNFA should consider which of the following options for energy generated hemostasis? -
Answer: Bipolar electrosurgery unit
Lateral, lateral chest and lateral kidney positions all place pressure on structures of the dependent side:
ears, shoulder, ribs, hips, greater femoral head, knees and ankles. The potential for injury to the patient
