Certified Registered Nurse First Assistant
(CRNFA) 2024 Sample Questions
After care instructions for hernia surgery -✅✅ -Seek medical attention if:
bleeding from the incision
wound dehiscence
fever pain, edema, erythema, warmth , purulent drainage, foul odor from incision,
abdominal distention, nausea, vomiting, and separation of wound edges
Which type of Hernia occurs inside Hesselbachs Triangle - ✅✅-Direct Hernia
Peritoneal sac containing intestines protrudes through the internal inguinal ring and
✅✅
passes down the inguinal canal outside of Hesselbachs triangle indicates what? -
-Indirect Hernia
✅✅
What is indicative of firm, tender, globular, irreducible swelling in the groin or abdomen?
- -Hernia reoccurance
✅✅
What piece of equipment helps with supporting the legs while in lithotomy position
giving access to the perineal and rectal area? - -Allen Stirrups
What inhibits platelet aggregation? - ✅✅-Aspirin
✅✅
Test during assessment used to determine arterial blood flow to the hands? -
-Allens Test
✅✅
Sound which occurs because of over inflation of the lung(as in emphysema or
pneumothorax)? - -Hyperresonance
✅✅
The region between the rectus abdominus muscle, the inguinal ligament and medial to
the inferior epigastric artery. - -Hesselbachs Triangle
Assessment of the abdomen includes? - ✅✅-In order: Inspection
Auscultation
Palpation
Percussion
While doing an axillary dissection be aware of? - ✅✅-Serratus anterior nerve
thoracodorsal nerve
,Why is an axillary roll used during lateral positioning? -✅✅-To create enough space
to prevent compression of vessels and nerves in the brachial plexus
✅✅
What are you protecting by placing padding at the lateral aspect to the bottom knee and
ankle? - -Common Peroneal Nerve
Distal fibula
During lateral positioning what position is the lower arm in and why? - ✅✅-Palm up,
To protect ulnar nerve
Used to diagnose injury to ulnar nerve - ✅✅ -Pin prick to pinky
(3rd,4th,5th fingers affected with ulnar nerve injury)
What type of suture is used in vascular procedures? - ✅✅-Monofilament
Normal PT -✅✅-11-13.5 seconds
Normal INR - ✅✅-0.8-1.1
Normal PTT - ✅✅-25-35 seconds
What structure do you need to be aware of while doing a hysterectomy? - ✅✅-Ureters
Can stretch during pregnancy and cause pain - ✅✅-Round ligaments
Artery which is insignificant and is dissected during hysterectomies? - ✅✅-Sampson
artery (Artery under the round ligament)
✅✅
Helps support the uterine angle and located at the base of the broad ligament? -
-Cardinal ligament
✅✅
Connects the sides of the uterus to the lateral walls and floor of the pelvis and helps
maintain uterine position? - -Broad ligament
Connects the sacrum to the uterus? - ✅✅-Uterosacral ligament
Calot's Triangle consists of what landmarks? - ✅✅-Cystic Artery
Cystic Duct
Common Hepatic Duct
, Purpose of PRBC administration? - ✅✅-Fluid Replacement
Carry O2 to tissue and organs
Where are the splenic vessels/short epigastircs cut ? - ✅✅-Greater Curvature of the
stomach
Treatment for GERD? - ✅✅-Nissen Fundoplication
What is a Nissen Fundoplication? - ✅✅-Fundus of the stomach is wrapped 360
degrees around the base of the esophagus or the lower esophageal sphincter
✅✅-Prevent cardiac Tamponade
Purpose of chest tube in the pericardium? -
Nerves to be aware of when removing the thyroid? - ✅✅-Left and Right recurrent
laryngeal Nerve
Parathyroid
✅✅-Checking for gallbladder/liver pain
What is Murphys sign an assessment for? -
How do you assess for Murphys sign? - ✅✅-Fingers under the right ribs cause pain
with Cholecystitis
✅✅
abscesses, infected tissue and foul odor which are able to sustain itself without O2? -
-Anaerobic organism (E-coli, Clostridium Tetani)
Organism that needs O2 to survive? - ✅✅-Aerobic organism( Staph, Strep,
Pseudomonas)
✅✅
Bacterial infection involving the inner layers of the skin.It usually affects the dermis and
the subcutaneous fat? - -Cellulitis
Where is the bifurcation of the common carotid artery? - ✅✅-At the internal and
external carotids
✅✅
Which nerve is usually ligated when dissecting for a carotid endarterectomy? -
-Common facial nerve
✅✅
Nerve that passes between the lungs and the heart to the diaphragm? Is very important
for breathing - -Phrenic nerve
(CRNFA) 2024 Sample Questions
After care instructions for hernia surgery -✅✅ -Seek medical attention if:
bleeding from the incision
wound dehiscence
fever pain, edema, erythema, warmth , purulent drainage, foul odor from incision,
abdominal distention, nausea, vomiting, and separation of wound edges
Which type of Hernia occurs inside Hesselbachs Triangle - ✅✅-Direct Hernia
Peritoneal sac containing intestines protrudes through the internal inguinal ring and
✅✅
passes down the inguinal canal outside of Hesselbachs triangle indicates what? -
-Indirect Hernia
✅✅
What is indicative of firm, tender, globular, irreducible swelling in the groin or abdomen?
- -Hernia reoccurance
✅✅
What piece of equipment helps with supporting the legs while in lithotomy position
giving access to the perineal and rectal area? - -Allen Stirrups
What inhibits platelet aggregation? - ✅✅-Aspirin
✅✅
Test during assessment used to determine arterial blood flow to the hands? -
-Allens Test
✅✅
Sound which occurs because of over inflation of the lung(as in emphysema or
pneumothorax)? - -Hyperresonance
✅✅
The region between the rectus abdominus muscle, the inguinal ligament and medial to
the inferior epigastric artery. - -Hesselbachs Triangle
Assessment of the abdomen includes? - ✅✅-In order: Inspection
Auscultation
Palpation
Percussion
While doing an axillary dissection be aware of? - ✅✅-Serratus anterior nerve
thoracodorsal nerve
,Why is an axillary roll used during lateral positioning? -✅✅-To create enough space
to prevent compression of vessels and nerves in the brachial plexus
✅✅
What are you protecting by placing padding at the lateral aspect to the bottom knee and
ankle? - -Common Peroneal Nerve
Distal fibula
During lateral positioning what position is the lower arm in and why? - ✅✅-Palm up,
To protect ulnar nerve
Used to diagnose injury to ulnar nerve - ✅✅ -Pin prick to pinky
(3rd,4th,5th fingers affected with ulnar nerve injury)
What type of suture is used in vascular procedures? - ✅✅-Monofilament
Normal PT -✅✅-11-13.5 seconds
Normal INR - ✅✅-0.8-1.1
Normal PTT - ✅✅-25-35 seconds
What structure do you need to be aware of while doing a hysterectomy? - ✅✅-Ureters
Can stretch during pregnancy and cause pain - ✅✅-Round ligaments
Artery which is insignificant and is dissected during hysterectomies? - ✅✅-Sampson
artery (Artery under the round ligament)
✅✅
Helps support the uterine angle and located at the base of the broad ligament? -
-Cardinal ligament
✅✅
Connects the sides of the uterus to the lateral walls and floor of the pelvis and helps
maintain uterine position? - -Broad ligament
Connects the sacrum to the uterus? - ✅✅-Uterosacral ligament
Calot's Triangle consists of what landmarks? - ✅✅-Cystic Artery
Cystic Duct
Common Hepatic Duct
, Purpose of PRBC administration? - ✅✅-Fluid Replacement
Carry O2 to tissue and organs
Where are the splenic vessels/short epigastircs cut ? - ✅✅-Greater Curvature of the
stomach
Treatment for GERD? - ✅✅-Nissen Fundoplication
What is a Nissen Fundoplication? - ✅✅-Fundus of the stomach is wrapped 360
degrees around the base of the esophagus or the lower esophageal sphincter
✅✅-Prevent cardiac Tamponade
Purpose of chest tube in the pericardium? -
Nerves to be aware of when removing the thyroid? - ✅✅-Left and Right recurrent
laryngeal Nerve
Parathyroid
✅✅-Checking for gallbladder/liver pain
What is Murphys sign an assessment for? -
How do you assess for Murphys sign? - ✅✅-Fingers under the right ribs cause pain
with Cholecystitis
✅✅
abscesses, infected tissue and foul odor which are able to sustain itself without O2? -
-Anaerobic organism (E-coli, Clostridium Tetani)
Organism that needs O2 to survive? - ✅✅-Aerobic organism( Staph, Strep,
Pseudomonas)
✅✅
Bacterial infection involving the inner layers of the skin.It usually affects the dermis and
the subcutaneous fat? - -Cellulitis
Where is the bifurcation of the common carotid artery? - ✅✅-At the internal and
external carotids
✅✅
Which nerve is usually ligated when dissecting for a carotid endarterectomy? -
-Common facial nerve
✅✅
Nerve that passes between the lungs and the heart to the diaphragm? Is very important
for breathing - -Phrenic nerve
