2025 FULL RNFA FINAL EXAM QUESTIONS AND
ANSWERS. ALREADY GRADED A+
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. - Correct - Standard
Which of the following anesthetics may result in fasiculations for the patient? - Correct -
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? - Correct - 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: - Correct -
capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: - Correct - Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels? - Correct - 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? - Correct - 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: - Correct - Potential
for Intervastation
Which of the following statements reflects the location of the arcuate line? - Correct - 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? - Correct -
Replacing or tagging sponges and laparotomy instruments with RFID chips.
,The surgical hand scrub is designed to render the hands, nails, and arms - Correct - 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: - Correct -
Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known as: - Correct - Retention
Suture
Identify the primary substance found in the epidermis that protects the body from fluid loss and
invasion by pathogens. - Correct - 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?
- Correct - Lipids
When buried in tissue, silk loses its tensile strength after what period of time? - Correct - 1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical site infections? -
Correct - 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 . - Correct - 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? - Correct - Bookwalter
The safest and most commonly used method of sterilization is which of the following? - Correct - Steam
Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? - Correct - 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. - Correct - 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? - Correct - Passing sharp items using neutral/hands-free techniques instead of passing
hand to hand.
The most commonly used medication for local anesthesia is ? - Correct - 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: - Correct - Hypercarbia
Your patient had an episode of vomiting during anesthesia induction and was effectively suctioned by
anesthesia. Upon extubation, the patient presented with coughing, wheezing, dyspnea, use of accessory
muscles, and tachypnea. What is this patient most likely experiencing? - Correct - Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-abdominal cavity. This
overpressurization can lead to which of the following? - Correct - Hypercarbia
Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal immediate and
last resort response by the anesthesia provider or perianesthesia nurse in an emerging patient who has
been in spasm for over 1 minute? - Correct - suctioning, IV succinylcholine administration, and
reintubation
Which of the following is not a characteristic of silk suture? - Correct - Memory
The first case of the day is scheduled as a knee arthroscopy for an otherwise healthy 24 year old patient.
Upon pre assessment, the patient admits to a family history of anesthesia and surgical complications.
Patient also states last oral intake consisted of eating a cheese steak and drinking 2 cans of beer the
night before at 11:30 PM. The patient subsequently vomited when intubation was performed and
experienced respiratory distress upon extubation. What measure could have been taken by the te -
Correct - The perioperative nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed: - Correct - Spinal Anesthesia
What is the appropriate action if the doctor is delayed after the room and instruments have been
opened? - Correct - Cover the instruments with a sterile drape and have the scrub nurse continually
visually observe the room for breaches in sterility.
Select the positioning device commonly used for positioning the head during procedures such as
craniotomies. - Correct - Mayfield Head Positioners
ANSWERS. ALREADY GRADED A+
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. - Correct - Standard
Which of the following anesthetics may result in fasiculations for the patient? - Correct -
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? - Correct - 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: - Correct -
capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: - Correct - Cleaning
Which of the following requires at minimum, 2 patient identifiers on specimen labels? - Correct - 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? - Correct - 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: - Correct - Potential
for Intervastation
Which of the following statements reflects the location of the arcuate line? - Correct - 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? - Correct -
Replacing or tagging sponges and laparotomy instruments with RFID chips.
,The surgical hand scrub is designed to render the hands, nails, and arms - Correct - 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: - Correct -
Ulnar Nerve Injury
A type of suture to help eliminate tension on the primary suture line is known as: - Correct - Retention
Suture
Identify the primary substance found in the epidermis that protects the body from fluid loss and
invasion by pathogens. - Correct - 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?
- Correct - Lipids
When buried in tissue, silk loses its tensile strength after what period of time? - Correct - 1 Year
Guidelines from WHO focus on which of the following in the prevention of surgical site infections? -
Correct - 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 . - Correct - 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? - Correct - Bookwalter
The safest and most commonly used method of sterilization is which of the following? - Correct - Steam
Sterilization
Has been identified to reduce SSIs and affect surgical outcomes? - Correct - 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. - Correct - 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? - Correct - Passing sharp items using neutral/hands-free techniques instead of passing
hand to hand.
The most commonly used medication for local anesthesia is ? - Correct - 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: - Correct - Hypercarbia
Your patient had an episode of vomiting during anesthesia induction and was effectively suctioned by
anesthesia. Upon extubation, the patient presented with coughing, wheezing, dyspnea, use of accessory
muscles, and tachypnea. What is this patient most likely experiencing? - Correct - Bronchospasm
High-pressure insufflation rates can cause overpressurization of the intra-abdominal cavity. This
overpressurization can lead to which of the following? - Correct - Hypercarbia
Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal immediate and
last resort response by the anesthesia provider or perianesthesia nurse in an emerging patient who has
been in spasm for over 1 minute? - Correct - suctioning, IV succinylcholine administration, and
reintubation
Which of the following is not a characteristic of silk suture? - Correct - Memory
The first case of the day is scheduled as a knee arthroscopy for an otherwise healthy 24 year old patient.
Upon pre assessment, the patient admits to a family history of anesthesia and surgical complications.
Patient also states last oral intake consisted of eating a cheese steak and drinking 2 cans of beer the
night before at 11:30 PM. The patient subsequently vomited when intubation was performed and
experienced respiratory distress upon extubation. What measure could have been taken by the te -
Correct - The perioperative nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed: - Correct - Spinal Anesthesia
What is the appropriate action if the doctor is delayed after the room and instruments have been
opened? - Correct - Cover the instruments with a sterile drape and have the scrub nurse continually
visually observe the room for breaches in sterility.
Select the positioning device commonly used for positioning the head during procedures such as
craniotomies. - Correct - Mayfield Head Positioners
