I. Preoperative Management (Questions 1–10)
1. Which of the following is the RNFA’s primary
preoperative responsibility?
A. Administering general anesthesia
B. Performing a focused nursing assessment
C. Selecting surgical instruments
D. Closing surgical incisions
Answer: B
Rationale: The RNFA performs focused preoperative
assessments to identify patient risks and collaborate on
the plan of care (Aorn.org).
2. When collaborating on the care plan, the RNFA
should communicate findings to:
A. Surgical technologist only
B. Surgeon and anesthesiologist
C. Hospital administration
D. Patient’s family exclusively
Answer: B
Rationale: Effective preoperative collaboration involves
the surgeon and anesthesiologist to optimize patient
outcomes (Aorn.org).
3. Which document outlines the RNFA’s
preoperative standards of practice?
A. ASN Core Curriculum
B. AORN RNFA Standards of Practice
C. American Cancer Society Guidelines
D. CDC Infection Control Manual
,Answer: B
Rationale: AORN’s RNFA Standards of Practice define
preoperative responsibilities for the RNFA role (Aorn.org).
4. The RNFA’s review of lab values preoperatively
focuses on:
A. Ensuring hemoglobin > 6 g/dL
B. Identifying coagulopathy
C. Confirming blood type with family members
D. Verifying patient’s dietary preferences
Answer: B
Rationale: Detecting coagulopathy preoperatively allows
planning for hemostatic techniques intraoperatively
(Aorn.org).
5. Consent verification by the RNFA must occur:
A. In the sterile field
B. Immediately before incision
C. During postoperative rounds
D. At patient admission only
Answer: B
Rationale: Final consent check immediately before
incision ensures legal and ethical compliance (Wikipedia).
6. Which preoperative intervention is within the
RNFA’s scope?
A. Administering antibiotics per protocol
B. Prescribing imaging studies
C. Performing arterial line insertion
D. Ordering blood components
, Answer: A
Rationale: Administering ordered antibiotics supports
infection prevention and is an RNFA preoperative duty
(Aorn.org).
7. The RNFA assists in positioning to:
A. Maximize surgeon comfort only
B. Prevent pressure injuries
C. Reduce anesthesia requirements
D. Expedite skin closure
Answer: B
Rationale: Proper positioning prevents nerve damage and
pressure ulcers (Wikipedia).
8. Which guideline provides evidence-based
preoperative recommendations?
A. WHO Surgical Checklist
B. AORN Guidelines for Perioperative Practice
C. NIH Clinical Trials Manual
D. JCAHO Accreditation Standards
Answer: B
Rationale: AORN’s Guidelines are the perioperative gold
standard (Aorn.org).
9. An RNFA program applicant must have at
minimum:
A. 6 months OR experience
B. CNOR certification or eligibility
C. Master’s degree in nursing
D. APRN licensure
1. Which of the following is the RNFA’s primary
preoperative responsibility?
A. Administering general anesthesia
B. Performing a focused nursing assessment
C. Selecting surgical instruments
D. Closing surgical incisions
Answer: B
Rationale: The RNFA performs focused preoperative
assessments to identify patient risks and collaborate on
the plan of care (Aorn.org).
2. When collaborating on the care plan, the RNFA
should communicate findings to:
A. Surgical technologist only
B. Surgeon and anesthesiologist
C. Hospital administration
D. Patient’s family exclusively
Answer: B
Rationale: Effective preoperative collaboration involves
the surgeon and anesthesiologist to optimize patient
outcomes (Aorn.org).
3. Which document outlines the RNFA’s
preoperative standards of practice?
A. ASN Core Curriculum
B. AORN RNFA Standards of Practice
C. American Cancer Society Guidelines
D. CDC Infection Control Manual
,Answer: B
Rationale: AORN’s RNFA Standards of Practice define
preoperative responsibilities for the RNFA role (Aorn.org).
4. The RNFA’s review of lab values preoperatively
focuses on:
A. Ensuring hemoglobin > 6 g/dL
B. Identifying coagulopathy
C. Confirming blood type with family members
D. Verifying patient’s dietary preferences
Answer: B
Rationale: Detecting coagulopathy preoperatively allows
planning for hemostatic techniques intraoperatively
(Aorn.org).
5. Consent verification by the RNFA must occur:
A. In the sterile field
B. Immediately before incision
C. During postoperative rounds
D. At patient admission only
Answer: B
Rationale: Final consent check immediately before
incision ensures legal and ethical compliance (Wikipedia).
6. Which preoperative intervention is within the
RNFA’s scope?
A. Administering antibiotics per protocol
B. Prescribing imaging studies
C. Performing arterial line insertion
D. Ordering blood components
, Answer: A
Rationale: Administering ordered antibiotics supports
infection prevention and is an RNFA preoperative duty
(Aorn.org).
7. The RNFA assists in positioning to:
A. Maximize surgeon comfort only
B. Prevent pressure injuries
C. Reduce anesthesia requirements
D. Expedite skin closure
Answer: B
Rationale: Proper positioning prevents nerve damage and
pressure ulcers (Wikipedia).
8. Which guideline provides evidence-based
preoperative recommendations?
A. WHO Surgical Checklist
B. AORN Guidelines for Perioperative Practice
C. NIH Clinical Trials Manual
D. JCAHO Accreditation Standards
Answer: B
Rationale: AORN’s Guidelines are the perioperative gold
standard (Aorn.org).
9. An RNFA program applicant must have at
minimum:
A. 6 months OR experience
B. CNOR certification or eligibility
C. Master’s degree in nursing
D. APRN licensure
