RNFA FINAL PRACTICE EXAM-LATEST UPDATE 2025
Comprehensive Clinical Exam Questions and Surgical
Practice Answers for National Certification and OR
Preparedness| ALREADY GRADED A+
The process of decontamination should initially begin at what point? -
...(ANSWERS)....Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation
include: - ...(ANSWERS)....Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised
before getting to the disc. - ...(ANSWERS)....Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? -
...(ANSWERS)....Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is
more commonly associated with benign lesions than with cancer; however,
discharge is usually significant only if it is spontaneous, persistent, and: -
...(ANSWERS)....bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-
assisted laparoscopic cholecystectomy. She locked the robotic endoscissor into
the adaptor on the robotic arm and positioned the tip end into the trocar port in
order for the surgeon to dissect the cystic duct and artery, while the surgical
assistant placed the clips on the cystic duct and artery. As she reached across the
,sterile field to insert the cholangiocatheter through the port, the anesthesia
provider accidentally made contact with the distal end of the catheter as he stood
up to reach the monitor controls. The contaminated end of the catheter touched
the endoscopic clip applier, the endoscissor connector that the surgeon was
using, the glove of the assistant, and Jan's gown sleeve. The surgeon ordered
everyone to change their gown and gloves and covered the port area with a
sterile towel. What was the rationale for the surgeon to co - ...(ANSWERS)....The
surgeon was not in contact with the sterile field because he worked from the
robotic console.
The ability to maintain thermoregulation is compromised in elders because of
changes in the: - ...(ANSWERS)....vascular system
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the
public be aware and educated about dietary supplements and potential harmful
effects? - ...(ANSWERS)....Unknown substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset
breast cancer, is now scheduled for infusion port insertion. Talia is very nervous
because during the previous lumpectomy, performed using a local anesthetic, she
was not entirely sedated. Talia tells the perioperative nurse that she was
uncomfortable and heard everything in the room, but admitted that she did not
feel pain. The nurse recognized Talia's anxiety related to the surgical intervention
and prepared to implement corrective actions in the OR. What nursing
intervention best reflects one that would ensure support or contribute to Talia
realizing her expected outcome? - ...(ANSWERS)....Ensure a quiet and calm
environment of care
,A 26-year-old female is rushed to the operating room after a primary and
secondary survey in the emergency department. She was hit by a small truck as
she was riding her bicycle through a busy intersection. She has sustained rib
fractures and several fractured transverse vertebral processes. Renal injury is
suspected. As the perioperative nurse prepares to insert a urinary catheter, she
notices blood at the urinary meatus. What should the nurse's next action be? -
...(ANSWERS)....Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be
removed remains controversial and relates to whether single or multiple glands
are involved. A portion of a gland must remain to: - ...(ANSWERS)....prevent
hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? -
...(ANSWERS)....Middle colic artery
Which of the following structures form the mouth? - ...(ANSWERS)....cheeks, the
hard palate, the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and
initiate: - ...(ANSWERS)....carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - ...(ANSWERS)....Aponeurosis of transversus
abdominus and transversalis muscle
, When the patient arrives in the ED, the trauma team initiates a primary
assessment. This is a logical, orderly process of patient assessment for potential
life threats. These assessment activities are based on established protocols for
advanced trauma life support (ATLS). The mnemonic "ABCDE" is used,
representing assessment of the following: Airway, Breathing, Circulation,
Disability, and Exposure. The D and E represent what degree of investigation? -
...(ANSWERS)....D = a brief neurologic examination; E = exposure to reveal all life-
threatening injuries
What structure covers the spermatic cord and contracts to make the testicles
ascend in the scrotum? - ...(ANSWERS)....Cremaster muscle
Which of the following is not included in the group of tendons that comprise the
rotator cuff? - ...(ANSWERS)....Teres Major
The cranial meninges are composed of all except _____. -
...(ANSWERS)....Pericranial mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is
planning for her three neurosurgical procedures for the day. She is explaining the
basic processes of the three procedures to the scrub person and double-scrubbed
surgical technology student: (1) a VP shunt insertion, (2) a reconstructive
craniosynostosis for an infant with severe deformity, and (3) exploration of a
severe head injury with increased intracranial pressure (ICP) to evacuate a
hematoma and possible brain tissue. To give the brain room to swell in the third
procedure, the bone flap may need to be sterile-wrapped and stored, for later
replacement. Sara asks the student to name the appropriate surgical approach to
the brain for each of the procedures. She expects the correct sequence to be: -
...(ANSWERS)....burr hole, craniectomy, and craniotomy.
Comprehensive Clinical Exam Questions and Surgical
Practice Answers for National Certification and OR
Preparedness| ALREADY GRADED A+
The process of decontamination should initially begin at what point? -
...(ANSWERS)....Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation
include: - ...(ANSWERS)....Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised
before getting to the disc. - ...(ANSWERS)....Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? -
...(ANSWERS)....Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is
more commonly associated with benign lesions than with cancer; however,
discharge is usually significant only if it is spontaneous, persistent, and: -
...(ANSWERS)....bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-
assisted laparoscopic cholecystectomy. She locked the robotic endoscissor into
the adaptor on the robotic arm and positioned the tip end into the trocar port in
order for the surgeon to dissect the cystic duct and artery, while the surgical
assistant placed the clips on the cystic duct and artery. As she reached across the
,sterile field to insert the cholangiocatheter through the port, the anesthesia
provider accidentally made contact with the distal end of the catheter as he stood
up to reach the monitor controls. The contaminated end of the catheter touched
the endoscopic clip applier, the endoscissor connector that the surgeon was
using, the glove of the assistant, and Jan's gown sleeve. The surgeon ordered
everyone to change their gown and gloves and covered the port area with a
sterile towel. What was the rationale for the surgeon to co - ...(ANSWERS)....The
surgeon was not in contact with the sterile field because he worked from the
robotic console.
The ability to maintain thermoregulation is compromised in elders because of
changes in the: - ...(ANSWERS)....vascular system
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the
public be aware and educated about dietary supplements and potential harmful
effects? - ...(ANSWERS)....Unknown substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset
breast cancer, is now scheduled for infusion port insertion. Talia is very nervous
because during the previous lumpectomy, performed using a local anesthetic, she
was not entirely sedated. Talia tells the perioperative nurse that she was
uncomfortable and heard everything in the room, but admitted that she did not
feel pain. The nurse recognized Talia's anxiety related to the surgical intervention
and prepared to implement corrective actions in the OR. What nursing
intervention best reflects one that would ensure support or contribute to Talia
realizing her expected outcome? - ...(ANSWERS)....Ensure a quiet and calm
environment of care
,A 26-year-old female is rushed to the operating room after a primary and
secondary survey in the emergency department. She was hit by a small truck as
she was riding her bicycle through a busy intersection. She has sustained rib
fractures and several fractured transverse vertebral processes. Renal injury is
suspected. As the perioperative nurse prepares to insert a urinary catheter, she
notices blood at the urinary meatus. What should the nurse's next action be? -
...(ANSWERS)....Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be
removed remains controversial and relates to whether single or multiple glands
are involved. A portion of a gland must remain to: - ...(ANSWERS)....prevent
hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? -
...(ANSWERS)....Middle colic artery
Which of the following structures form the mouth? - ...(ANSWERS)....cheeks, the
hard palate, the mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and
initiate: - ...(ANSWERS)....carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - ...(ANSWERS)....Aponeurosis of transversus
abdominus and transversalis muscle
, When the patient arrives in the ED, the trauma team initiates a primary
assessment. This is a logical, orderly process of patient assessment for potential
life threats. These assessment activities are based on established protocols for
advanced trauma life support (ATLS). The mnemonic "ABCDE" is used,
representing assessment of the following: Airway, Breathing, Circulation,
Disability, and Exposure. The D and E represent what degree of investigation? -
...(ANSWERS)....D = a brief neurologic examination; E = exposure to reveal all life-
threatening injuries
What structure covers the spermatic cord and contracts to make the testicles
ascend in the scrotum? - ...(ANSWERS)....Cremaster muscle
Which of the following is not included in the group of tendons that comprise the
rotator cuff? - ...(ANSWERS)....Teres Major
The cranial meninges are composed of all except _____. -
...(ANSWERS)....Pericranial mater
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is
planning for her three neurosurgical procedures for the day. She is explaining the
basic processes of the three procedures to the scrub person and double-scrubbed
surgical technology student: (1) a VP shunt insertion, (2) a reconstructive
craniosynostosis for an infant with severe deformity, and (3) exploration of a
severe head injury with increased intracranial pressure (ICP) to evacuate a
hematoma and possible brain tissue. To give the brain room to swell in the third
procedure, the bone flap may need to be sterile-wrapped and stored, for later
replacement. Sara asks the student to name the appropriate surgical approach to
the brain for each of the procedures. She expects the correct sequence to be: -
...(ANSWERS)....burr hole, craniectomy, and craniotomy.
