RNFA Perioperative Quiz
1. During the process of performing the spinal, the anesthesia provider inad- vertently inserted
the spinal needle into the subarachnoid space, not noticing the error until the entire syringe of
lidocaine was emptied into the patient. The patient immediately experienced rapid onset of
hypotension, bradycardia, and
apnea. The resulting condition is called and now must be managed
with .: total spinal anesthesia; general endotracheal anesthesia
2. During the preliminary sponge count on closure of a repair of a ruptured abdominal aortic
aneurysm, the circulating nurse was unable to account for 2lap sponges. Select the appropriate
communication that the circulating nursemust employ in addressing the entire team during this
count discrepancy.: - "We have a count discrepancy. We started with 70 sponges and find only
68. We aremissing 2 lap sponges."
3. When creating a vascular or intestinal anastomosis, the surgeon will typ-ically suture one
half of the anastomosis with one half of the suture and the other half of the anastomosis with
the other half of the suture. This techniqueminimizes the drag and wear on the suture material
and needle. The correct name for this type of suture and needle is:: double-armed
4. Risk factors for PONV should be assessed preoperatively. Which of thefollowing is a risk
factor for PONV?: female
5. The first case of the day is scheduled as a knee arthroscopy for an other-wise healthy 24
year old patient. Upon pre assessment, the patient admits toa family history of anesthesia and
surgical complications. Patient also stateslast oral intake consisted of eating a cheese steak and
drinking 2 cans of beerthe night before at 11:30 PM. The patient subsequently vomited when
intu- bation was performed and experienced respiratory distress upon extubation.What
measure could have been taken by the team to prevent aspiration basedon the patient's history?:
The perioperative nurse applying cricoid pressure duringinduction through intubation
6. Select the positioning device commonly used for positioning the headduring procedures
such as craniotomies.: mayfield head positioner
7. A type of suture to help eliminate tension on the primary suture line isknown as::
retention
8. What is the appropriate action if the doctor is delayed after the room and instruments have
been opened?: Cover the instruments with a sterile drape and have the scrub nurse continually
visually observe the room for breaches in sterility
9. What one factor describes the high incidence of musculoskeletal disorders among surgical
technologists and perioperative nurses?: The cumulative effect of repeated patient handling
events.
10. is a side effect that can occur rapidly after spinal anesthe- sia is
administered.: hypotensive episode
11. Prolonged lithotomy positioning can result in neuropathies of the legs. The most
, frequently injured nerves are the obturator, sciatic, femoral, and
nerve, which can result in injury from .: common peroneal;
Directcompression from the stirrup bars
12. Which of the following lists the correct order in the removal of soiled sterileattire when
breaking scrub?: gown gloves mask
13. The OR was trialling a new insufflation system and the vendor represen- tative 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 pressurebecause she feared that the elderly patient was at high risk for::
hypercarbia
14. The immature blood-brain barrier and decreased protein binding in infantsincrease their
sensitivity to which group of medications?: opioids, hypnotics
15. Which of the following medications is a specific depolarizing muscle relax-ant than can
produce generalized fasciculations?: succinylcholine
16. 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 healingand is within the control of the surgical team.: tissue
handling
17. Guidelines from WHO focus on which of the following in the prevention ofsurgical site
infections?: prophylactic antibiotics
18. Malignant Hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals that exhibit which of the following?: con-genital myopathies
19. The linea alba is extends from to .: above xiphoid to
pubis
20. Which of the following statements reflects the location of the arcuateline?: one third
distance from umbilicus to symphysis pubis
21. The instillation of a local anesthetic into the subarachnoid space istermed:: spinal
anesthesia
22. Suture permanently attached to the needle are referred toas .: swaged
23. The scrub person was precepting a surgical technology student an ortho-pedic case. The
scrub person explained the importance of keeping the instru-ments free of blood and bioburden
during the procedure and demonstrated the best practice and how to:: wipe the instruments with
a sponge moistened withsterile water after each use.
24. Sources of radiation exposure in the OR include:: c arm fluoro
25. Which of the following is not a characteristic of silk suture? a. Soft
b. handling ability
1. During the process of performing the spinal, the anesthesia provider inad- vertently inserted
the spinal needle into the subarachnoid space, not noticing the error until the entire syringe of
lidocaine was emptied into the patient. The patient immediately experienced rapid onset of
hypotension, bradycardia, and
apnea. The resulting condition is called and now must be managed
with .: total spinal anesthesia; general endotracheal anesthesia
2. During the preliminary sponge count on closure of a repair of a ruptured abdominal aortic
aneurysm, the circulating nurse was unable to account for 2lap sponges. Select the appropriate
communication that the circulating nursemust employ in addressing the entire team during this
count discrepancy.: - "We have a count discrepancy. We started with 70 sponges and find only
68. We aremissing 2 lap sponges."
3. When creating a vascular or intestinal anastomosis, the surgeon will typ-ically suture one
half of the anastomosis with one half of the suture and the other half of the anastomosis with
the other half of the suture. This techniqueminimizes the drag and wear on the suture material
and needle. The correct name for this type of suture and needle is:: double-armed
4. Risk factors for PONV should be assessed preoperatively. Which of thefollowing is a risk
factor for PONV?: female
5. The first case of the day is scheduled as a knee arthroscopy for an other-wise healthy 24
year old patient. Upon pre assessment, the patient admits toa family history of anesthesia and
surgical complications. Patient also stateslast oral intake consisted of eating a cheese steak and
drinking 2 cans of beerthe night before at 11:30 PM. The patient subsequently vomited when
intu- bation was performed and experienced respiratory distress upon extubation.What
measure could have been taken by the team to prevent aspiration basedon the patient's history?:
The perioperative nurse applying cricoid pressure duringinduction through intubation
6. Select the positioning device commonly used for positioning the headduring procedures
such as craniotomies.: mayfield head positioner
7. A type of suture to help eliminate tension on the primary suture line isknown as::
retention
8. What is the appropriate action if the doctor is delayed after the room and instruments have
been opened?: Cover the instruments with a sterile drape and have the scrub nurse continually
visually observe the room for breaches in sterility
9. What one factor describes the high incidence of musculoskeletal disorders among surgical
technologists and perioperative nurses?: The cumulative effect of repeated patient handling
events.
10. is a side effect that can occur rapidly after spinal anesthe- sia is
administered.: hypotensive episode
11. Prolonged lithotomy positioning can result in neuropathies of the legs. The most
, frequently injured nerves are the obturator, sciatic, femoral, and
nerve, which can result in injury from .: common peroneal;
Directcompression from the stirrup bars
12. Which of the following lists the correct order in the removal of soiled sterileattire when
breaking scrub?: gown gloves mask
13. The OR was trialling a new insufflation system and the vendor represen- tative 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 pressurebecause she feared that the elderly patient was at high risk for::
hypercarbia
14. The immature blood-brain barrier and decreased protein binding in infantsincrease their
sensitivity to which group of medications?: opioids, hypnotics
15. Which of the following medications is a specific depolarizing muscle relax-ant than can
produce generalized fasciculations?: succinylcholine
16. 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 healingand is within the control of the surgical team.: tissue
handling
17. Guidelines from WHO focus on which of the following in the prevention ofsurgical site
infections?: prophylactic antibiotics
18. Malignant Hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals that exhibit which of the following?: con-genital myopathies
19. The linea alba is extends from to .: above xiphoid to
pubis
20. Which of the following statements reflects the location of the arcuateline?: one third
distance from umbilicus to symphysis pubis
21. The instillation of a local anesthetic into the subarachnoid space istermed:: spinal
anesthesia
22. Suture permanently attached to the needle are referred toas .: swaged
23. The scrub person was precepting a surgical technology student an ortho-pedic case. The
scrub person explained the importance of keeping the instru-ments free of blood and bioburden
during the procedure and demonstrated the best practice and how to:: wipe the instruments with
a sponge moistened withsterile water after each use.
24. Sources of radiation exposure in the OR include:: c arm fluoro
25. Which of the following is not a characteristic of silk suture? a. Soft
b. handling ability
