RNFA FINAL EXAM QUESTIONS AND ACCURATE ANSWERS
GRADED A+.100% COMPLETE 2025 ACTUAL EXAM UPDATE
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 fasciculation for the patient? - CORRECT-
Succinylcholine
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 a 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 Electro Surgery 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 arm boards. 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 trailing 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 over pressurization of the intra-abdominal cavity. This
over pressurization 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 paranesthesia 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
team to prevent aspiration based on the patient's history? - 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
Hypotension is a blood pressure reading that is 20% less than the patient's normal baseline
pressure. Hypovolemia is the most common cause of postoperative hypotension; however,
hypotension may also be caused by cardiac dysfunctions. Which of the following cardiac conditions
will present with hypotension? - CORRECT- myocardial infarction, myocardial tamponade, and
pulmonary embolism
The ideal suture material is one that has handling characteristics such as: - CORRECT- Pliability
Which of the following patient modifiable factors can contribute to surgical site infections? -
CORRECT- Alcoholism
Which anesthetic agent could not be given if an IV-only anesthesia plan was employed? –
CORRECT Desflurane
A type of monofilament suture that does not require the user to tie knots is known as: - CORRECT-
Barbed
Which statement about surgical dressings is true? - CORRECT- Surgical dressings cushion and
protect the wound from trauma and gross contamination, and absorb drainage.
A common dysrhythmia seen after surgery is: - CORRECT- Sinus Tachycardia
The type of wound closure that occurs when approximation of the wound edges does not occur for
3 or more days after a surgical procedure. - CORRECT- Third Intention
Your patient was presented with the prepared informed consent form during the discussion with
her surgeon concerning her scheduled surgery. Before signing the consent form, the patient
informed the surgeon that they did not want any medical students or surgical residents
performing any parts of the procedure other than assisting and did not want any photographs
taken. The surgeon agreed and crossed out those portions of the form. The patient initialed them
prior to signing the consent. Your patient was exercising which patient right? - CORRECT- Right to
Informed Consent
GRADED A+.100% COMPLETE 2025 ACTUAL EXAM UPDATE
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 fasciculation for the patient? - CORRECT-
Succinylcholine
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 a 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 Electro Surgery 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 arm boards. 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 trailing 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 over pressurization of the intra-abdominal cavity. This
over pressurization 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 paranesthesia 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
team to prevent aspiration based on the patient's history? - 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
Hypotension is a blood pressure reading that is 20% less than the patient's normal baseline
pressure. Hypovolemia is the most common cause of postoperative hypotension; however,
hypotension may also be caused by cardiac dysfunctions. Which of the following cardiac conditions
will present with hypotension? - CORRECT- myocardial infarction, myocardial tamponade, and
pulmonary embolism
The ideal suture material is one that has handling characteristics such as: - CORRECT- Pliability
Which of the following patient modifiable factors can contribute to surgical site infections? -
CORRECT- Alcoholism
Which anesthetic agent could not be given if an IV-only anesthesia plan was employed? –
CORRECT Desflurane
A type of monofilament suture that does not require the user to tie knots is known as: - CORRECT-
Barbed
Which statement about surgical dressings is true? - CORRECT- Surgical dressings cushion and
protect the wound from trauma and gross contamination, and absorb drainage.
A common dysrhythmia seen after surgery is: - CORRECT- Sinus Tachycardia
The type of wound closure that occurs when approximation of the wound edges does not occur for
3 or more days after a surgical procedure. - CORRECT- Third Intention
Your patient was presented with the prepared informed consent form during the discussion with
her surgeon concerning her scheduled surgery. Before signing the consent form, the patient
informed the surgeon that they did not want any medical students or surgical residents
performing any parts of the procedure other than assisting and did not want any photographs
taken. The surgeon agreed and crossed out those portions of the form. The patient initialed them
prior to signing the consent. Your patient was exercising which patient right? - CORRECT- Right to
Informed Consent
