RNFA Final Exam 2 – Questions & Answers |
Latest Update 2026 | Exam Prep PDF | Graded
A+
In health care settings, the primary occupational source of radiation exposure is: -
correct answerScatter
Which of the following best describes the semi-restricted surgical practice area? -
correct answerUsed for communication of information between the surgical suite and
the rest of the health care facility
If a health care worker who works with radiation become pregnant, she should: - correct
answerPromptly inform the radiation safety officer
When using a single drape for a lithotomy, the following instructions are correct, except:
- correct answerPlace the drape so the edge is 2 inches from the perineum
When updating the patient's support person during surgery, a nurse should: - correct
answerDiscuss a projected time frame for completion of the surgery
Safe injection practices: - correct answerInclude using one syringe per injection
Preoperative assessment helps determine if patients are suitable candidates for
outpatient orthopedic surgery. Based on the information provided, which of the following
patients is the BEST candidate for orthopedic surgery in an ASC? - correct answerA
patient who needs a total hip replacement, is otherwise healthy, and has a short-term
home care assistant
When opening a sterile package, the LAST flap to be opened should be the flap: -
correct answerClosest to you
As of the following wound healing complications are attributed to smoking except: -
correct answerDecreased blood viscosity
A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35
mmHg, HCO3<22mEq/L. This patient is in: - correct answerMetabolic acidosis
This classification of medication can affect wound healing in the surgical patient: -
correct answerAnticoagulants
,When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous
tissue, the most appropriate choice is the _______ needle. - correct answerTaper
During a THA using the posterior lateral approach, the RNFA will dislocated the head of
the femur using: - correct answerFlexion, adduction, external rotation
Which of the following muscles are critical for stabilization of the knee joint? - correct
answerQuadriceps femoris
During the cementing of components during total joint replacement, a new CRNA who
has never worked in orthopedics before begins to panic. A side effect that possibly
occurred with this patient as a result of the cement is: - correct answerHypotension
A medication often used in cardiac surgery to prevent spasms of vessels is: - correct
answerPapaverine
Physicians may consider which of the following options when determining the best
treatment option for breast cancer surgery. - correct answerSize of tumor
The most commonly used incision for Cesarean section is the: - correct
answerPfannensteil
This technique is primarily reserved for the patient having prophylactic mastectomy and
immediate breast reconstruction. - correct answerNipple sparing
The RNFA should be prepared to assist with the _______ procedure if a patient needs
surgical intervention for the treatment of atrial fibrillation - correct answerMaze
Prepping for an abdominal hysterectomy that may include the cervix should be
performed in what order? - correct answerDirty then clean
Care must be taken when placing reactors as an RNFA assisting with inguinal hernia
repair. Which of the following is a vessel that is located in the area of i in inguinal
hernias? - correct answerInferior epigastric
When intraoperative cholangiograms are performed, the cholangiogram catheter is
placed in the: - correct answerCystic duct
When preoperatively assessing a patient for cardiac surgery, the RNFA should consider
all of the following except: - correct answerRBC count
Pre-op markings to determine nipple positioning for reduction mammoplasty will be
drawn on the patient's chest _____________. - correct answerWhile sitting upright
The wound classification assigned by the CDC to breast surgery. - correct answerClean
,Identify the marginal boundaries of the breasts. - correct answerSecond to sixth rib and
horizontally from the lateral edge of sternum to anterior axillary line
Reduction mammoplasty is not indicated for which of the following? - correct
answerhyperthelia
The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a
51 yr old male who recently had endovascular surgery. He will be taking anticoagulation
therapy for the next 12 weeks. What statement regarding anticoagulation therapy, that
is relevant to Mark, is true? - correct answerDo not use tools such as saws or hammers,
which could lead to an accident.
Pericardial tamponade includes which of the following signs or symptoms? - correct
answerNarrow pulse pressure
Identify the venous structure that prevents blood back flow. - correct answerSemilunar
Intimal folds
Velour grafts are impregnated with which of the following to ease handling without the
need to preclot? - correct answerGelatin
The blood is oxygenated in the lungs and returns to the left atrium through the
pulmonary veins. Where does the blood flow after leaving the left atrium? - correct
answerThrough the mitral valve into the left ventricle
Which of the following documentation requirements is unique to vascular surgery? -
correct answerClamp application and removal times
Identify from the following, the correct branch of the left main coronary artery. - correct
answerCircumflex coronary artery
What does the presence of bruit on auscultation of a blood vessel mean? - correct
answerBlood flow is disrupted
Of the following ocular blocks, which carries the highest risk? - correct
answerRetrobulbar Block
A portion of a parathyroid glands must remain for which of the following reasons? -
correct answerPrevent hypocalcemia and it's complications
Select the set of symptoms that is most commonly associated with hypothyroidism -
correct answerIncreased swearing, insomnia, tremor, and muscle weakness
An important anatomical landmark in thyroid surgery is known as - correct answerPoles
, A power drill and assorted roasting 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 - correct answerPrevent clogging of the burr and
contamination of the area with bone dust
Which nodes in the lymphatic system are responsible for drainage from the mouth, lips,
and external nose? - correct answerSubmandibular
Fibrous bands of tissue found between abdominal structures that are not normally
connected are known as - correct answerAdhesions
Choose the correct flow of bile from the gallbladder - correct answerCystic duct,
common duct, ampulla of Vater, duodenum
Select the statement that best reflects the functional components of the gastrointestinal
tract - correct answerThe alimentary canal extends from the mouth to the anus
Which of the following hernia types is considered a surgical emergency - correct
answerStrangulated
Closed thoracostomy will require which of the following - correct answerChest catheters
and water-seal drainage
A minimally invasive technique that may be used to remove parathyroid tumors deep in
the mediastinum is known as - correct answerThoracoscopy
The common bile duct drains into the - correct answerDuodenum
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon
must first progress through which of the following? - correct answerScarpa's fascia
The transverse colon ends at the - correct answerSplenic flexure
The mediastinal surface of the lungs contains a structure known as ___________ in
which nerves, vessels, bronchus, and lymphatics enter and leave the lung - correct
answerHilum
The absence of distinct teniae serves as a visual landmark for what abdominal structure
- correct answerUpper margin of the rectum
A benefit to the patient undergoing SILS procedure is which of the following - correct
answerLess postoperative pain
Hernia that occur within Hesselbach's triangle are called - correct answerDirect inguinal
hernia
Latest Update 2026 | Exam Prep PDF | Graded
A+
In health care settings, the primary occupational source of radiation exposure is: -
correct answerScatter
Which of the following best describes the semi-restricted surgical practice area? -
correct answerUsed for communication of information between the surgical suite and
the rest of the health care facility
If a health care worker who works with radiation become pregnant, she should: - correct
answerPromptly inform the radiation safety officer
When using a single drape for a lithotomy, the following instructions are correct, except:
- correct answerPlace the drape so the edge is 2 inches from the perineum
When updating the patient's support person during surgery, a nurse should: - correct
answerDiscuss a projected time frame for completion of the surgery
Safe injection practices: - correct answerInclude using one syringe per injection
Preoperative assessment helps determine if patients are suitable candidates for
outpatient orthopedic surgery. Based on the information provided, which of the following
patients is the BEST candidate for orthopedic surgery in an ASC? - correct answerA
patient who needs a total hip replacement, is otherwise healthy, and has a short-term
home care assistant
When opening a sterile package, the LAST flap to be opened should be the flap: -
correct answerClosest to you
As of the following wound healing complications are attributed to smoking except: -
correct answerDecreased blood viscosity
A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35
mmHg, HCO3<22mEq/L. This patient is in: - correct answerMetabolic acidosis
This classification of medication can affect wound healing in the surgical patient: -
correct answerAnticoagulants
,When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous
tissue, the most appropriate choice is the _______ needle. - correct answerTaper
During a THA using the posterior lateral approach, the RNFA will dislocated the head of
the femur using: - correct answerFlexion, adduction, external rotation
Which of the following muscles are critical for stabilization of the knee joint? - correct
answerQuadriceps femoris
During the cementing of components during total joint replacement, a new CRNA who
has never worked in orthopedics before begins to panic. A side effect that possibly
occurred with this patient as a result of the cement is: - correct answerHypotension
A medication often used in cardiac surgery to prevent spasms of vessels is: - correct
answerPapaverine
Physicians may consider which of the following options when determining the best
treatment option for breast cancer surgery. - correct answerSize of tumor
The most commonly used incision for Cesarean section is the: - correct
answerPfannensteil
This technique is primarily reserved for the patient having prophylactic mastectomy and
immediate breast reconstruction. - correct answerNipple sparing
The RNFA should be prepared to assist with the _______ procedure if a patient needs
surgical intervention for the treatment of atrial fibrillation - correct answerMaze
Prepping for an abdominal hysterectomy that may include the cervix should be
performed in what order? - correct answerDirty then clean
Care must be taken when placing reactors as an RNFA assisting with inguinal hernia
repair. Which of the following is a vessel that is located in the area of i in inguinal
hernias? - correct answerInferior epigastric
When intraoperative cholangiograms are performed, the cholangiogram catheter is
placed in the: - correct answerCystic duct
When preoperatively assessing a patient for cardiac surgery, the RNFA should consider
all of the following except: - correct answerRBC count
Pre-op markings to determine nipple positioning for reduction mammoplasty will be
drawn on the patient's chest _____________. - correct answerWhile sitting upright
The wound classification assigned by the CDC to breast surgery. - correct answerClean
,Identify the marginal boundaries of the breasts. - correct answerSecond to sixth rib and
horizontally from the lateral edge of sternum to anterior axillary line
Reduction mammoplasty is not indicated for which of the following? - correct
answerhyperthelia
The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a
51 yr old male who recently had endovascular surgery. He will be taking anticoagulation
therapy for the next 12 weeks. What statement regarding anticoagulation therapy, that
is relevant to Mark, is true? - correct answerDo not use tools such as saws or hammers,
which could lead to an accident.
Pericardial tamponade includes which of the following signs or symptoms? - correct
answerNarrow pulse pressure
Identify the venous structure that prevents blood back flow. - correct answerSemilunar
Intimal folds
Velour grafts are impregnated with which of the following to ease handling without the
need to preclot? - correct answerGelatin
The blood is oxygenated in the lungs and returns to the left atrium through the
pulmonary veins. Where does the blood flow after leaving the left atrium? - correct
answerThrough the mitral valve into the left ventricle
Which of the following documentation requirements is unique to vascular surgery? -
correct answerClamp application and removal times
Identify from the following, the correct branch of the left main coronary artery. - correct
answerCircumflex coronary artery
What does the presence of bruit on auscultation of a blood vessel mean? - correct
answerBlood flow is disrupted
Of the following ocular blocks, which carries the highest risk? - correct
answerRetrobulbar Block
A portion of a parathyroid glands must remain for which of the following reasons? -
correct answerPrevent hypocalcemia and it's complications
Select the set of symptoms that is most commonly associated with hypothyroidism -
correct answerIncreased swearing, insomnia, tremor, and muscle weakness
An important anatomical landmark in thyroid surgery is known as - correct answerPoles
, A power drill and assorted roasting 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 - correct answerPrevent clogging of the burr and
contamination of the area with bone dust
Which nodes in the lymphatic system are responsible for drainage from the mouth, lips,
and external nose? - correct answerSubmandibular
Fibrous bands of tissue found between abdominal structures that are not normally
connected are known as - correct answerAdhesions
Choose the correct flow of bile from the gallbladder - correct answerCystic duct,
common duct, ampulla of Vater, duodenum
Select the statement that best reflects the functional components of the gastrointestinal
tract - correct answerThe alimentary canal extends from the mouth to the anus
Which of the following hernia types is considered a surgical emergency - correct
answerStrangulated
Closed thoracostomy will require which of the following - correct answerChest catheters
and water-seal drainage
A minimally invasive technique that may be used to remove parathyroid tumors deep in
the mediastinum is known as - correct answerThoracoscopy
The common bile duct drains into the - correct answerDuodenum
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon
must first progress through which of the following? - correct answerScarpa's fascia
The transverse colon ends at the - correct answerSplenic flexure
The mediastinal surface of the lungs contains a structure known as ___________ in
which nerves, vessels, bronchus, and lymphatics enter and leave the lung - correct
answerHilum
The absence of distinct teniae serves as a visual landmark for what abdominal structure
- correct answerUpper margin of the rectum
A benefit to the patient undergoing SILS procedure is which of the following - correct
answerLess postoperative pain
Hernia that occur within Hesselbach's triangle are called - correct answerDirect inguinal
hernia
