MV RNFA 2 || All Answers are Valid.
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. correct answers risk management
The right to perform certain activities within an institution is a _____. correct answers privilege
When unexpected events occur that have, or could have, compromised patient safety, a
systematic investigatory process takes place. Significant information is gained through this
meticulous exploration. The primary motive for carrying out a root cause analysis is to: correct
answers find out what needs to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid
in all of the following functions that help the surgeon carry out a safe operation with optimal
results for the patient, EXCEPT _____. correct answers postoperative evaluations
____ is a term that refers to permission being given for an action. correct answers consent
Criminal negligence is _____. correct answers reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the
proper area or side before an incision is made? correct answers surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply. correct
answers a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
,Which of the following reflects the basic values for health care practice? correct answers all of
these
Ethics is an attempt to define right and wrong based upon ____. correct answers beliefs
Credentialing and granting of practice privileges is a _____ process correct answers Legal
Morbidity and mortality may be greater with penetrating trauma because identification of injuries
may be more difficult when injuries are less obvious. In the case of an adult victim with a low-
velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the lower
abdomen, what is the MOI and description of the possible injuries? correct answers Penetrating;
small entrance wound, puncture of the anterior wall of the sigmoid colon, no disruption of
vessels, and bullet not found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. correct answers
Janice, age 70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature correct answers i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and
elasticity. What special consideration should the first assistant provide to avoid skin injuries?
correct answers Gently lift, not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their
sensitivity to which group of drugs? correct answers Opioids and hypnotics
,For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___ hours
of incision? correct answers 1
A number of screening tools have been developed to accurately establish biologic age. One tool,
the Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that
scrutinizes medications, functional ability, co-morbid conditions, cognitive ability, mental
function, nutritional status, and socioenvironmental factors. In geriatric medical studies, the CGA
has been valuable in providing a metric for describing healthy aging and _____. correct answers
identifying at-risk individuals.
Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately
after the injury, the second phase within the first 1 to 2 hours after the injury, and the third phase
occurs days to weeks after the injury. Approximately 30% of total fatalities from trauma could be
prevented with definitive trauma care, including appropriate and aggressive resuscitation with
rapid transport to an appropriate facility. Which phase, or timeframe, of potential for trauma
death, does this group represent? correct answers Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications.
Which condition presents the most significant risk factor? correct answers Chronic obstructive
pulmonary disease (COPD)
_____ is the most frequently acquired nosocomial infection. correct answers urinary tract
infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
correct answers All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled for
a hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine
compartment and enhance visualization. The infiltration to the uterus and fluid collected as
drainage from the uterus was monitored. The first assistant was concerned that approximately
500 ml of fluid was unaccounted for. The motive for this surveillance was to: correct answers
determine the potential for intravascular uptake of fluid or third spacing.
, The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
correct answers Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient
presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care
serum electrolyte measurements revealed low potassium, sodium, and magnesium levels. On
anesthesia induction, only 35 minutes earlier, these values were at normal levels and the patient
status was secure. The electrolyte levels were treated to normal and the patient was cannulated
and placed on cardiopulmonary bypass. As the procedure continued the team pondered the cause
to prevent a recurrence. What possible event could have caused, or contributed to, this loss of
electrolytes? correct answers Sterile water from back table switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? correct answers A chest,
pelvic, and four abdominal scans; collections of fluid and free air
What is the appropriate action if the doctor is delayed after the room and instruments have been
opened? correct answers Do not cover open supplies and have the scrub nurse continually
visually observe the room for breaches in sterility.
A hard bristle surgical hand brush should be used during a surgical scrub. correct answers False
There are many factors that influence surgical wound healing. Some are helpful and some are
beyond the scope of the surgical team. Select the response below that reflects a factor with high
influence over wound healing and is within the control of the surgical team. correct answers
Selection of wound closure materials, dressings, and drains
Jacob, a 62-year-old man, had surgery 6 days ago for a ruptured diverticulum. What was the
wound classification at the time of his emergency surgery? correct answers Contaminated
wound, classification III
____ is an integrated system developed by hospitals for the prevention and control of areas of
potential liability. correct answers risk management
The right to perform certain activities within an institution is a _____. correct answers privilege
When unexpected events occur that have, or could have, compromised patient safety, a
systematic investigatory process takes place. Significant information is gained through this
meticulous exploration. The primary motive for carrying out a root cause analysis is to: correct
answers find out what needs to take place to prevent a recurrence of the event.
As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid
in all of the following functions that help the surgeon carry out a safe operation with optimal
results for the patient, EXCEPT _____. correct answers postoperative evaluations
____ is a term that refers to permission being given for an action. correct answers consent
Criminal negligence is _____. correct answers reckless disregard for the safety of another.
Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the
proper area or side before an incision is made? correct answers surgeon
Credentialing of AHPs (allied health professionals) is influenced by? Select all that apply. correct
answers a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance
,Which of the following reflects the basic values for health care practice? correct answers all of
these
Ethics is an attempt to define right and wrong based upon ____. correct answers beliefs
Credentialing and granting of practice privileges is a _____ process correct answers Legal
Morbidity and mortality may be greater with penetrating trauma because identification of injuries
may be more difficult when injuries are less obvious. In the case of an adult victim with a low-
velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant of the lower
abdomen, what is the MOI and description of the possible injuries? correct answers Penetrating;
small entrance wound, puncture of the anterior wall of the sigmoid colon, no disruption of
vessels, and bullet not found in pelvis
The occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality. correct answers
Janice, age 70, scheduled for an emergency bowel resection with an ASA class IV
Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature correct answers i, ii, iii, iv
Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and
elasticity. What special consideration should the first assistant provide to avoid skin injuries?
correct answers Gently lift, not slide, the patient to and from the OR bed.
The immature blood-brain barrier and decreased protein binding in infants increase their
sensitivity to which group of drugs? correct answers Opioids and hypnotics
,For the greatest concentration of antibiotic prophylaxis, the infusion should end within ___ hours
of incision? correct answers 1
A number of screening tools have been developed to accurately establish biologic age. One tool,
the Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that
scrutinizes medications, functional ability, co-morbid conditions, cognitive ability, mental
function, nutritional status, and socioenvironmental factors. In geriatric medical studies, the CGA
has been valuable in providing a metric for describing healthy aging and _____. correct answers
identifying at-risk individuals.
Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately
after the injury, the second phase within the first 1 to 2 hours after the injury, and the third phase
occurs days to weeks after the injury. Approximately 30% of total fatalities from trauma could be
prevented with definitive trauma care, including appropriate and aggressive resuscitation with
rapid transport to an appropriate facility. Which phase, or timeframe, of potential for trauma
death, does this group represent? correct answers Phase II
Preexisting pulmonary disease increases the risk of perioperative pulmonary complications.
Which condition presents the most significant risk factor? correct answers Chronic obstructive
pulmonary disease (COPD)
_____ is the most frequently acquired nosocomial infection. correct answers urinary tract
infection
What non-antimicrobial strategies are important to decrease the risk of postoperative infection?
correct answers All of the above
A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled for
a hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine
compartment and enhance visualization. The infiltration to the uterus and fluid collected as
drainage from the uterus was monitored. The first assistant was concerned that approximately
500 ml of fluid was unaccounted for. The motive for this surveillance was to: correct answers
determine the potential for intravascular uptake of fluid or third spacing.
, The brain and red blood cells relay almost exclusively on a steady supply of _____ to function.
correct answers Glucose
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient
presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care
serum electrolyte measurements revealed low potassium, sodium, and magnesium levels. On
anesthesia induction, only 35 minutes earlier, these values were at normal levels and the patient
status was secure. The electrolyte levels were treated to normal and the patient was cannulated
and placed on cardiopulmonary bypass. As the procedure continued the team pondered the cause
to prevent a recurrence. What possible event could have caused, or contributed to, this loss of
electrolytes? correct answers Sterile water from back table switched with heparinized saline
Focused assessment with sonography in trauma (FAST) may assist with diagnosis in difficult
situations. What group of scans is performed and what do they identify? correct answers A chest,
pelvic, and four abdominal scans; collections of fluid and free air
What is the appropriate action if the doctor is delayed after the room and instruments have been
opened? correct answers Do not cover open supplies and have the scrub nurse continually
visually observe the room for breaches in sterility.
A hard bristle surgical hand brush should be used during a surgical scrub. correct answers False
There are many factors that influence surgical wound healing. Some are helpful and some are
beyond the scope of the surgical team. Select the response below that reflects a factor with high
influence over wound healing and is within the control of the surgical team. correct answers
Selection of wound closure materials, dressings, and drains
Jacob, a 62-year-old man, had surgery 6 days ago for a ruptured diverticulum. What was the
wound classification at the time of his emergency surgery? correct answers Contaminated
wound, classification III
