RNFA FINAL EXAM PRACTICE EXAM AND STUDY GUIDE
NEWEST 2026 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ASNWERS)
The |surgical |team |gently |abducted |Matilda's |arms |into |position |on |padded |armboards |at |less |than |90
|degrees |with |palms |facing |up. |Extra |padding |was |placed |under |her |elbows |and |an |armboard |strap
|was |secured |over |her |forearm. |The |armboards |were |locked |into |place |to |prevent |inadvertent
|abduction. |This |important |maneuver |is |designed |as |a |risk |reduction |strategy |to |prevent: |- |answer-
brachial |plexus |injury.
How |is |the |ilioinguinal |nerve |protected |during |inguinal |herniorrhaphy? |- |answer-Retract |it |back
|along |with |the |external |oblique |aponeurosis
Which |hemostatic |agent |should |be |available |for |all |cranial |and |spinal |cord |operations? |- |answer-
Bone |wax
Age-related |skin |changes |include |a |thinning |epidermis |and |decreased |subcutaneous |fat |and |elasticity.
|What |special |consideration |will |the |perioperative |nurse |provide, |in |terms |of |additional |attention |and
|care, |in |one |of |the |following |nursing |actions? |- |answer-Gently |lift, |not |slide, |the |patient |to |and |from
|the |OR |bed
The |Whipple |procedure |is |the |removal |of |the |head |of |the |pancreas, |the |entire |duodenum, |a |portion
|of |the |jejunum, |the |distal |third |of |the |stomach, |and |the | as |a |surgical |treatment
for . |- |answer-lower |half |of |the |common |bile |duct; |pancreatic |cancer
Identify |the |triad |of |anatomic |sites |of |abdominal |wall |weakness |with |a |potential |for |hernias. |-
|answer- |Inguinal |canal, |femoral |rings, |umbilicus
A |complication |of |thyroidectomy |that |included |an |extended |thyroid |dissection |is |which |of |the |following?
- |answer-Pneumothorax
Sally |Andres |and |her |orientee |have |returned |from |an |airway |fire |simulation |exercise |with |the
|otorhinolaryngologic |surgeon, |fellow, |and |anesthesia |provider. |They |were |amazed |at |the |statistics
|for |OR |fires |and |the |threat |of |serious |injury |to |the |patient |and |team. |Patients |undergoing
|otorhinolaryngologic |procedures |are |at |greater |risk |for |fire |injury |because |of |the |proximity |of |the
|surgical |field |to |high |concentrations |of |oxygen. |The |team |discussed |a |plan |to |change |their |practices.
|An
,example |of |a |risk |reduction |strategy |that |involves |collaboration |of |the |entire |surgical |team |during
|otorhinolaryngologic |surgery |would |be: |- |answer-conducting |regularly |scheduled |team |simulations |that
|rehearse |an |airway |fire |protocol.
The |nose |is |divided |into |the |prominent |external |portion |and |the |internal |portion |known |as |the |nasal
|cavity. |The |primary |purpose |of |the |nose |is |to: |- |answer-prepare |inspired |air |for |the |lungs
Anesthesia |providers |are |concerned |about |the |potential |increased |risk |of |instability |intraoperatively
|resulting |from |inhibition |of |coagulation. |Which |herbal |supplement, |from |the |list |below, |would |be
|implicated |in |a |coagulation |interaction? |- |answer-Feverfew
Lisa |Torentino, |a |29-year-old |woman, |is |in |the |emergency |department |(ED) |with |a |ruptured
|appendix. |Before |the |ED |nurse |and |surgical |resident |transported |Lisa |to |the |OR, |the |nurse |called |to
|inform |them |that |Lisa |is |27 |weeks' |pregnant. |What |special |considerations |must |the |perioperative
|nurse |and |anesthesia |provider |address |with |this |new |information? |- |answer-The |patient |may |need
|rapid |induction |of |general |anesthesia, |or |spinal |anesthesia.
During |a |total |hip |arthroplasty, |the |instrument |used |to |access |the |femoral |canal |is |the . |- |answer-
|Box |osteotome
An |example |of |perineal |glands |that |secrete |mucus |is: |- |answer-Bartholin's |glands
What |major |artery |supplies |the |descending |colon? |- |answer-Left |colic |artery
Aubrey |Scheel |arrived |to |the |preoperative |receiving |and |waiting |lounge |of |the |ambulatory |surgery
|center |for |an |elective |hernia |repair. |The |RNFA |began |Aubrey's |preoperative |nursing |assessment. |It
|was |a |beautiful |and |warm |spring |day |and |Aubrey |shared |his |concern |about |how |he |would |feel |after
|the |procedure. |He |wanted |to |know |when |he |would |be |able |to |get |back |to |work |and |resume |his
|place |as |pitcher |on |his |softball |team. |He |also |told |the |RNFA |that |he |planned |to |do |some |yard |work
|today |as |soon |as |the |anesthesia |"wears |off." |Which |one |of |the |following |nursing |diagnoses |is |given
|priority |in |both |preoperative |and |postoperative |education? |- |answer-Deficient |Knowledge |related |to
|disease |process |and |convalescence
,The |roof |of |the |inguinal |canal |consists |of |the | while |the | makes
|up |the |major |support |for |the |floor |of |the |inguinal |canal. |- |answer-external |oblique |aponeurosis;
|transversalis |aponeurosis |and |fascia
Prostate |cancer |is |the |most |frequently |diagnosed |cancer |in |men |and |is |the |leading |cause |of |cancer
|death |in |men. |Select |the |triad |that |best |reflects |the |individual |with |the |highest |risk |for |prostate
|cancer. |- |answer-65+ |years |old, |African |descent, |father |had |prostate |cancer
What |incision |is |used |for |lumbar |laminectomy? |- |answer-Midline |directly |over |the |appropriate |lumbar
|spines
Which |action |best |reflects |the |movement |of |urine |from |the |renal |pelvis |to |the |bladder? |- |answer-Slight
|distention |of |the |renal |pelvis |initiates |a |wave |of |muscular |contractions.
Before |reaching |the |rectus |abdominis |muscle |during |surgical |exposure, |the |surgeon |must |first |progress
|through |which |of |the |following? |- |answer-Scarpa's |fascia
During |urologic |surgery |large |quantities |of |irrigating |fluids |are |infused |intraoperatively. |It |is |important
|to |avoid |the |use |of |distilled |water |during |TURP |as |this |complication |may |occur, |Choose |the
|complication |from |the |following. |- |answer-Dilutional |Hyponatremia
Which |of |the |following |is |not |included |in |the |terrible |triad? |- |answer-PCL |tear
A |chain |of |three |small |articulated |bones |extends |across |the |middle |ear |cavity |and |conducts
|vibrations |from |the |tympanic |membrane |across |the |middle |ear |into |the |oval |window |and |the |fluid-
filled |inner |ear. |What |are |the |names |of |those |three |small |articulating |bones? |- |answer-Malleus,
|incus, |and |stapes
Melissa |Pepe |is |a |17-year-old |female |with |cancer |of |the |thyroid |secondary |to |leukemia, |which |went
|into |remission |7 |years |earlier. |She |is |very |concerned |about |scarring |from |the |surgery. |The |nurse
|discussed |Melissa's |concerns |with |the |surgical |team |before |the |incision |was |made. |Melissa |had |a
|minimally |invasive |thyroidectomy |approach, |which |left |a |small |scar |that |was |closed |with |a |4-0
|nonabsorbable |subcuticular |suture. |In |the |postoperative |phase, |the |nurse |provided |Melissa |with |her
|postoperative |education |relative |to |her |incision. |Select |all |the |incision |care |instructions |that |would
|be |relevant |for |Melissa. |- |answer-Instruct |her |to |refrain |from |prolonged |exposure |to |direct |sunlight
|or |tanning |salons |while |the |incision |is |healing.
, Bone |grafting |using |allografts |or |autografts |may |be |used |to |fill |cavities |after |removal |of |large |amounts
|of |bone |that |might |result |in |instability, |or |to |fill |bony |defects |and |to |promote |the |union |of |fractures
|at |the |time |of |open |reduction. |Bone |graft |that |is |sealed |in |a |sterile |labeled |envelope |from |a |tissue
|transplant |company |and |stored |in |a |vacuum-sealed |freezer, |monitored |with |an |alarm, |would |be
|considered |a/an: |- |answer-allograft
Fluoroscopy |time |should |be |limited |as |much |as |possible. |Which |of |the |following |is |radiation |reduction
|technique? |- |answer-Fluoroscopy |equipment |is |required |to |have |an |audible |alarm |after |5 |minutes |of |use
Mohs' |surgery |is |a |specialized |excision |used |to |treat |basal |and |squamous |cell |skin |cancers. |Select |the
|statement |about |Mohs' |surgery |that |best |reflects |the |process, |procedure, |and |outcome |goal. |- |answer-
|Lesions |are |mapped, |excised, |and |examined |by |frozen |section |until |clear |margins |are |found.
Upon |neurological |examination, |you |notice |an |abnormal |pupillary |light |reflex |in |a |patient's |right
|eye. |Which |of |the |following |is |consistent |with |this |sign? |- |answer-compression |of |the |oculomotor
|nerve
During |the |preoperative |assessment |of |an |adult |with |a |previously |corrected |congenital |heart |defect,
|the |perioperative |nurse |should |be |aware |of |anatomic |anomalies |associated |with |the |original |defect,
|or |its |subsequent |repair, |that |may |alter |the |current |surgical |plan |for |a |patient |who |had |prior
|pediatric |cardiac |surgery. |What |is |an |appropriate |nursing |response |when |the |assessment |reveals |the
|adult |patient |has |undergone |prior |pediatric |cardiac |surgery? |- |answer-Alert |the |staff |to |anticipate
|altered |anatomy, |special |supplies, |and |potential |complications
Shari |Donaldson |is |scheduled |for |a |thyroidectomy. |As |the |RNFA, |it |is |important |that |stress |the |the
|team |the |importance |of |having |which |tray |available |for |this |case? |- |answer-Tracheotomy |tray
From |the |following, |choose |a |disadvantage |in |the |use |of |a |shunt |during |CEA. |- |answer-Possible
|dislodging |of |debris |with |insertion
The |phrenic |nerve |innervates |which |structure? |- |answer-The |diaphragm
A |patient |presents |to |the |OR |with |an |injury |to |the |anterior |chest |from |blunt |force |trauma. |The |RNFA |can
|expect |damage |to |which |of |the |following? |- |answer-Right |ventricle
NEWEST 2026 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ASNWERS)
The |surgical |team |gently |abducted |Matilda's |arms |into |position |on |padded |armboards |at |less |than |90
|degrees |with |palms |facing |up. |Extra |padding |was |placed |under |her |elbows |and |an |armboard |strap
|was |secured |over |her |forearm. |The |armboards |were |locked |into |place |to |prevent |inadvertent
|abduction. |This |important |maneuver |is |designed |as |a |risk |reduction |strategy |to |prevent: |- |answer-
brachial |plexus |injury.
How |is |the |ilioinguinal |nerve |protected |during |inguinal |herniorrhaphy? |- |answer-Retract |it |back
|along |with |the |external |oblique |aponeurosis
Which |hemostatic |agent |should |be |available |for |all |cranial |and |spinal |cord |operations? |- |answer-
Bone |wax
Age-related |skin |changes |include |a |thinning |epidermis |and |decreased |subcutaneous |fat |and |elasticity.
|What |special |consideration |will |the |perioperative |nurse |provide, |in |terms |of |additional |attention |and
|care, |in |one |of |the |following |nursing |actions? |- |answer-Gently |lift, |not |slide, |the |patient |to |and |from
|the |OR |bed
The |Whipple |procedure |is |the |removal |of |the |head |of |the |pancreas, |the |entire |duodenum, |a |portion
|of |the |jejunum, |the |distal |third |of |the |stomach, |and |the | as |a |surgical |treatment
for . |- |answer-lower |half |of |the |common |bile |duct; |pancreatic |cancer
Identify |the |triad |of |anatomic |sites |of |abdominal |wall |weakness |with |a |potential |for |hernias. |-
|answer- |Inguinal |canal, |femoral |rings, |umbilicus
A |complication |of |thyroidectomy |that |included |an |extended |thyroid |dissection |is |which |of |the |following?
- |answer-Pneumothorax
Sally |Andres |and |her |orientee |have |returned |from |an |airway |fire |simulation |exercise |with |the
|otorhinolaryngologic |surgeon, |fellow, |and |anesthesia |provider. |They |were |amazed |at |the |statistics
|for |OR |fires |and |the |threat |of |serious |injury |to |the |patient |and |team. |Patients |undergoing
|otorhinolaryngologic |procedures |are |at |greater |risk |for |fire |injury |because |of |the |proximity |of |the
|surgical |field |to |high |concentrations |of |oxygen. |The |team |discussed |a |plan |to |change |their |practices.
|An
,example |of |a |risk |reduction |strategy |that |involves |collaboration |of |the |entire |surgical |team |during
|otorhinolaryngologic |surgery |would |be: |- |answer-conducting |regularly |scheduled |team |simulations |that
|rehearse |an |airway |fire |protocol.
The |nose |is |divided |into |the |prominent |external |portion |and |the |internal |portion |known |as |the |nasal
|cavity. |The |primary |purpose |of |the |nose |is |to: |- |answer-prepare |inspired |air |for |the |lungs
Anesthesia |providers |are |concerned |about |the |potential |increased |risk |of |instability |intraoperatively
|resulting |from |inhibition |of |coagulation. |Which |herbal |supplement, |from |the |list |below, |would |be
|implicated |in |a |coagulation |interaction? |- |answer-Feverfew
Lisa |Torentino, |a |29-year-old |woman, |is |in |the |emergency |department |(ED) |with |a |ruptured
|appendix. |Before |the |ED |nurse |and |surgical |resident |transported |Lisa |to |the |OR, |the |nurse |called |to
|inform |them |that |Lisa |is |27 |weeks' |pregnant. |What |special |considerations |must |the |perioperative
|nurse |and |anesthesia |provider |address |with |this |new |information? |- |answer-The |patient |may |need
|rapid |induction |of |general |anesthesia, |or |spinal |anesthesia.
During |a |total |hip |arthroplasty, |the |instrument |used |to |access |the |femoral |canal |is |the . |- |answer-
|Box |osteotome
An |example |of |perineal |glands |that |secrete |mucus |is: |- |answer-Bartholin's |glands
What |major |artery |supplies |the |descending |colon? |- |answer-Left |colic |artery
Aubrey |Scheel |arrived |to |the |preoperative |receiving |and |waiting |lounge |of |the |ambulatory |surgery
|center |for |an |elective |hernia |repair. |The |RNFA |began |Aubrey's |preoperative |nursing |assessment. |It
|was |a |beautiful |and |warm |spring |day |and |Aubrey |shared |his |concern |about |how |he |would |feel |after
|the |procedure. |He |wanted |to |know |when |he |would |be |able |to |get |back |to |work |and |resume |his
|place |as |pitcher |on |his |softball |team. |He |also |told |the |RNFA |that |he |planned |to |do |some |yard |work
|today |as |soon |as |the |anesthesia |"wears |off." |Which |one |of |the |following |nursing |diagnoses |is |given
|priority |in |both |preoperative |and |postoperative |education? |- |answer-Deficient |Knowledge |related |to
|disease |process |and |convalescence
,The |roof |of |the |inguinal |canal |consists |of |the | while |the | makes
|up |the |major |support |for |the |floor |of |the |inguinal |canal. |- |answer-external |oblique |aponeurosis;
|transversalis |aponeurosis |and |fascia
Prostate |cancer |is |the |most |frequently |diagnosed |cancer |in |men |and |is |the |leading |cause |of |cancer
|death |in |men. |Select |the |triad |that |best |reflects |the |individual |with |the |highest |risk |for |prostate
|cancer. |- |answer-65+ |years |old, |African |descent, |father |had |prostate |cancer
What |incision |is |used |for |lumbar |laminectomy? |- |answer-Midline |directly |over |the |appropriate |lumbar
|spines
Which |action |best |reflects |the |movement |of |urine |from |the |renal |pelvis |to |the |bladder? |- |answer-Slight
|distention |of |the |renal |pelvis |initiates |a |wave |of |muscular |contractions.
Before |reaching |the |rectus |abdominis |muscle |during |surgical |exposure, |the |surgeon |must |first |progress
|through |which |of |the |following? |- |answer-Scarpa's |fascia
During |urologic |surgery |large |quantities |of |irrigating |fluids |are |infused |intraoperatively. |It |is |important
|to |avoid |the |use |of |distilled |water |during |TURP |as |this |complication |may |occur, |Choose |the
|complication |from |the |following. |- |answer-Dilutional |Hyponatremia
Which |of |the |following |is |not |included |in |the |terrible |triad? |- |answer-PCL |tear
A |chain |of |three |small |articulated |bones |extends |across |the |middle |ear |cavity |and |conducts
|vibrations |from |the |tympanic |membrane |across |the |middle |ear |into |the |oval |window |and |the |fluid-
filled |inner |ear. |What |are |the |names |of |those |three |small |articulating |bones? |- |answer-Malleus,
|incus, |and |stapes
Melissa |Pepe |is |a |17-year-old |female |with |cancer |of |the |thyroid |secondary |to |leukemia, |which |went
|into |remission |7 |years |earlier. |She |is |very |concerned |about |scarring |from |the |surgery. |The |nurse
|discussed |Melissa's |concerns |with |the |surgical |team |before |the |incision |was |made. |Melissa |had |a
|minimally |invasive |thyroidectomy |approach, |which |left |a |small |scar |that |was |closed |with |a |4-0
|nonabsorbable |subcuticular |suture. |In |the |postoperative |phase, |the |nurse |provided |Melissa |with |her
|postoperative |education |relative |to |her |incision. |Select |all |the |incision |care |instructions |that |would
|be |relevant |for |Melissa. |- |answer-Instruct |her |to |refrain |from |prolonged |exposure |to |direct |sunlight
|or |tanning |salons |while |the |incision |is |healing.
, Bone |grafting |using |allografts |or |autografts |may |be |used |to |fill |cavities |after |removal |of |large |amounts
|of |bone |that |might |result |in |instability, |or |to |fill |bony |defects |and |to |promote |the |union |of |fractures
|at |the |time |of |open |reduction. |Bone |graft |that |is |sealed |in |a |sterile |labeled |envelope |from |a |tissue
|transplant |company |and |stored |in |a |vacuum-sealed |freezer, |monitored |with |an |alarm, |would |be
|considered |a/an: |- |answer-allograft
Fluoroscopy |time |should |be |limited |as |much |as |possible. |Which |of |the |following |is |radiation |reduction
|technique? |- |answer-Fluoroscopy |equipment |is |required |to |have |an |audible |alarm |after |5 |minutes |of |use
Mohs' |surgery |is |a |specialized |excision |used |to |treat |basal |and |squamous |cell |skin |cancers. |Select |the
|statement |about |Mohs' |surgery |that |best |reflects |the |process, |procedure, |and |outcome |goal. |- |answer-
|Lesions |are |mapped, |excised, |and |examined |by |frozen |section |until |clear |margins |are |found.
Upon |neurological |examination, |you |notice |an |abnormal |pupillary |light |reflex |in |a |patient's |right
|eye. |Which |of |the |following |is |consistent |with |this |sign? |- |answer-compression |of |the |oculomotor
|nerve
During |the |preoperative |assessment |of |an |adult |with |a |previously |corrected |congenital |heart |defect,
|the |perioperative |nurse |should |be |aware |of |anatomic |anomalies |associated |with |the |original |defect,
|or |its |subsequent |repair, |that |may |alter |the |current |surgical |plan |for |a |patient |who |had |prior
|pediatric |cardiac |surgery. |What |is |an |appropriate |nursing |response |when |the |assessment |reveals |the
|adult |patient |has |undergone |prior |pediatric |cardiac |surgery? |- |answer-Alert |the |staff |to |anticipate
|altered |anatomy, |special |supplies, |and |potential |complications
Shari |Donaldson |is |scheduled |for |a |thyroidectomy. |As |the |RNFA, |it |is |important |that |stress |the |the
|team |the |importance |of |having |which |tray |available |for |this |case? |- |answer-Tracheotomy |tray
From |the |following, |choose |a |disadvantage |in |the |use |of |a |shunt |during |CEA. |- |answer-Possible
|dislodging |of |debris |with |insertion
The |phrenic |nerve |innervates |which |structure? |- |answer-The |diaphragm
A |patient |presents |to |the |OR |with |an |injury |to |the |anterior |chest |from |blunt |force |trauma. |The |RNFA |can
|expect |damage |to |which |of |the |following? |- |answer-Right |ventricle
