RNFA MID-TERM & FINAL EXAM, PRACTICE EXAM AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ASNWERS) |ALREADY GRADED A+
The RNFA must be aware of structures with structures when assisting. One such example is knowing
which structures are located within the broad ligaments. Select the correct group of structures. -
answer-Fallopian tubes, ureters, uterine vessels
When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most
appropriate choice is the ___________needle. - answer-Taper
The RNFA should be aware of the possibility that a laparoscopic case could become an open case. A
reason for this conversion in a cholecystectomy would be for which of the following reasons? -
answerInability to remove a stone from the CBD via ERCP
All of the following wound healing complications are attributed to smoking except: - answer-Decreased
blood viscosity
Suture should be selected based on which of the following? - answer-Ease of handling
Due to excellent healing results with minimal scarring, which suturing technique is commonly chosen for
plastic surgery? - answer-Intradermal
A patient has the following lab values noted intraoperatively. pH < 7.35, PCO2<35 mmHg, HCO3 < 22
mEq/L. This patient is in:
Select one: - answer-Respiratory Acidosis
A medication often used in cardiac surgery to prevent spasms of vessels is: - answer-Papaverine
Injury to this particular layer of vascular tissue can initiate spasm and thrombosis. Which layer must the
,RNFA be especially careful when handling? - answer-Endothelium
Which of the following allows for the most stable and rigid fixation of a fracture? - answer-Locked
plating system
During a prolonged carotid surgery, the RNFA places the retractors improperly. Which of the following
complications can occur as a result of damage to cranial nerve VII - answer-Drooping of the corner of
the mouth
Prepping for an abdominal hysterectomy that may include the cervix should be performed in what
order? - answer-Dirty to Clean
Margaret Slayton, a 52-year-old woman with a history of left mastectomy is scheduled for TRAM flap
reconstruction. The perioperative nurse gently moved Margaret's arms into the abducted position on the
armboards in preparation for positioning. What other considerations must be made for positioning the
patient undergoing this procedure? - answer-Raise the head of the bead to low Fowler's flex position
to reduce the stretching on the abdominal donor graft wound site
Reduction mammoplasty is not indicated for which of the following? - answer-Hyperthelia
What description of the incision will the RNFA provide to a patient scheduled for a modified radical
mastectomy? - answer-An oblique elliptic incision with lateral extension toward the axilla
Identify the marginal boundaries of the breasts - answer-Second to sixth rib and horizontally from the
lateral edge of sternum to anterior axillary line
When selecting a vascular graft for a vascular bypass or replacement, which of the following is a
desirable characteristic that influences the surgeon's choice of graft? - answer-Hypoallergenic
From the following, which is not a complication of stent placement? - answer-Sclerosis
, The right and left coronary arteries originate in the corresponding sinuses of Valsava which are located
____________. - answer-Posterior to the cusps of the aortic valve
What does the presence of bruit on auscultation of a blood vessel mean? - answer-Blood flow is
disrupted
Patients with acute arterial insufficiency with occlusion usually present with the onset of the six P's:
sudden severe pain, pulselessness, paresthesia, paralysis, pallor, and poikilothermia (coolness) of an
extremity. This occlusion can be the result of which condition? - answer-Rupture of an unstable
atherosclerotic plaque
A power drill and assorted rotating burrs are essential for middle ear surgery and some sinus procedures.
During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to: -
answer-prevent clogging of the burr and contamination of the area with bone dust.
During a surgical procedure to excise a malignant thyroid gland, the surgeon asks you why she is not
removing the posterior part of the patient's thyroid gland. Your correct response is: - answer-so that
the patient does not develop hypocalcemia
Select the set of symptoms that is most commonly associated with hypothyroidism. - answer-Dry skin,
edema, constipation, and depression
Postoperative hoarseness, obstructed airway, or paralysis of the vocal cords is a serious complication of
thyroid surgery. During surgery, care is taken to identify and protect which nerve? - answer-Recurrent
laryngeal nerve
The mediastinal surface of the lungs contains a structure known as _____________in which the nerves,
vessels, bronchus, and lymphatics enter and leave the lung. - answer-Hilum
A minimally invasive technique that may be used to remove parathyroid tumors deep in the mediastinum
is known as: - answer-Thoracoscopy
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ASNWERS) |ALREADY GRADED A+
The RNFA must be aware of structures with structures when assisting. One such example is knowing
which structures are located within the broad ligaments. Select the correct group of structures. -
answer-Fallopian tubes, ureters, uterine vessels
When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most
appropriate choice is the ___________needle. - answer-Taper
The RNFA should be aware of the possibility that a laparoscopic case could become an open case. A
reason for this conversion in a cholecystectomy would be for which of the following reasons? -
answerInability to remove a stone from the CBD via ERCP
All of the following wound healing complications are attributed to smoking except: - answer-Decreased
blood viscosity
Suture should be selected based on which of the following? - answer-Ease of handling
Due to excellent healing results with minimal scarring, which suturing technique is commonly chosen for
plastic surgery? - answer-Intradermal
A patient has the following lab values noted intraoperatively. pH < 7.35, PCO2<35 mmHg, HCO3 < 22
mEq/L. This patient is in:
Select one: - answer-Respiratory Acidosis
A medication often used in cardiac surgery to prevent spasms of vessels is: - answer-Papaverine
Injury to this particular layer of vascular tissue can initiate spasm and thrombosis. Which layer must the
,RNFA be especially careful when handling? - answer-Endothelium
Which of the following allows for the most stable and rigid fixation of a fracture? - answer-Locked
plating system
During a prolonged carotid surgery, the RNFA places the retractors improperly. Which of the following
complications can occur as a result of damage to cranial nerve VII - answer-Drooping of the corner of
the mouth
Prepping for an abdominal hysterectomy that may include the cervix should be performed in what
order? - answer-Dirty to Clean
Margaret Slayton, a 52-year-old woman with a history of left mastectomy is scheduled for TRAM flap
reconstruction. The perioperative nurse gently moved Margaret's arms into the abducted position on the
armboards in preparation for positioning. What other considerations must be made for positioning the
patient undergoing this procedure? - answer-Raise the head of the bead to low Fowler's flex position
to reduce the stretching on the abdominal donor graft wound site
Reduction mammoplasty is not indicated for which of the following? - answer-Hyperthelia
What description of the incision will the RNFA provide to a patient scheduled for a modified radical
mastectomy? - answer-An oblique elliptic incision with lateral extension toward the axilla
Identify the marginal boundaries of the breasts - answer-Second to sixth rib and horizontally from the
lateral edge of sternum to anterior axillary line
When selecting a vascular graft for a vascular bypass or replacement, which of the following is a
desirable characteristic that influences the surgeon's choice of graft? - answer-Hypoallergenic
From the following, which is not a complication of stent placement? - answer-Sclerosis
, The right and left coronary arteries originate in the corresponding sinuses of Valsava which are located
____________. - answer-Posterior to the cusps of the aortic valve
What does the presence of bruit on auscultation of a blood vessel mean? - answer-Blood flow is
disrupted
Patients with acute arterial insufficiency with occlusion usually present with the onset of the six P's:
sudden severe pain, pulselessness, paresthesia, paralysis, pallor, and poikilothermia (coolness) of an
extremity. This occlusion can be the result of which condition? - answer-Rupture of an unstable
atherosclerotic plaque
A power drill and assorted rotating burrs are essential for middle ear surgery and some sinus procedures.
During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to: -
answer-prevent clogging of the burr and contamination of the area with bone dust.
During a surgical procedure to excise a malignant thyroid gland, the surgeon asks you why she is not
removing the posterior part of the patient's thyroid gland. Your correct response is: - answer-so that
the patient does not develop hypocalcemia
Select the set of symptoms that is most commonly associated with hypothyroidism. - answer-Dry skin,
edema, constipation, and depression
Postoperative hoarseness, obstructed airway, or paralysis of the vocal cords is a serious complication of
thyroid surgery. During surgery, care is taken to identify and protect which nerve? - answer-Recurrent
laryngeal nerve
The mediastinal surface of the lungs contains a structure known as _____________in which the nerves,
vessels, bronchus, and lymphatics enter and leave the lung. - answer-Hilum
A minimally invasive technique that may be used to remove parathyroid tumors deep in the mediastinum
is known as: - answer-Thoracoscopy
