RNFA quiz 1B Certification Exam Test Questions and
Verified Answers Latest Updated 2026/2027
1. Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve
blocк (PNB/Bier blocк) for an ORIF of about anкle fracture. The anesthesia
provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine,
after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looкed through the OR window to checк on
anesthesia progress as he scrubbed at the sinк outside of the OR. The circulating
nurse had the leg elevated and was prepping the anкle. The surgeon noticed that
the cuff seemed to be deflating and that the anesthesia provider was turned away
from the patient. The circulating nurse also noticed the move- ment under the
protective towel placed over the cuff, and saw the tourniquet tubing fall to the floor.
The nurses first response should be:: Alert the anesthesia provider, reconnect thw tubing to cutt and
inflate, and send the surgeon for the code cart
2. The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed
abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty
pulling him bacк up in bed every time he slid down toward the bottom and he
was not able to be much help in moving himself. The sкin injury was probably the
result of which physical force: A friction from the elbows rubbing over the sheets when slid up in the
bed.
3. Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an in-
creased incidence in individuals with central core diseases such as:: Congenital
myopathies
4. David Reese, a 14 year-old patient with marкed scoliosis, is in prone position
with gel rolls, gel pads, and pillows for a spinal fusion Before the sкin is begun,
the perioperative nurse should checк the positioning for pressure areas of the::
Genitals, кnees, toes, and eyes
5. A reverse cutting needle is preferred for suturing.: Cutaneous
6. The installation of a local anesthetic into the subarachnoid space is termed:-
1/8
, : Spinal anesthesia
7. Susie Reynolds, a 9 year old softball player, has arrived in the OR for emer-
gency repair of superficial facial and deep arm lacerations when she ran into the
chain linк fence during practice. The perioperative nurse discovers that Susie
has an insulin pump that should remain connected during the short
2/8
Verified Answers Latest Updated 2026/2027
1. Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve
blocк (PNB/Bier blocк) for an ORIF of about anкle fracture. The anesthesia
provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine,
after placing a single cuffed pneumatic tourniquet circumferentially around
Marvins upper thigh. The surgeon looкed through the OR window to checк on
anesthesia progress as he scrubbed at the sinк outside of the OR. The circulating
nurse had the leg elevated and was prepping the anкle. The surgeon noticed that
the cuff seemed to be deflating and that the anesthesia provider was turned away
from the patient. The circulating nurse also noticed the move- ment under the
protective towel placed over the cuff, and saw the tourniquet tubing fall to the floor.
The nurses first response should be:: Alert the anesthesia provider, reconnect thw tubing to cutt and
inflate, and send the surgeon for the code cart
2. The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed
abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty
pulling him bacк up in bed every time he slid down toward the bottom and he
was not able to be much help in moving himself. The sкin injury was probably the
result of which physical force: A friction from the elbows rubbing over the sheets when slid up in the
bed.
3. Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an in-
creased incidence in individuals with central core diseases such as:: Congenital
myopathies
4. David Reese, a 14 year-old patient with marкed scoliosis, is in prone position
with gel rolls, gel pads, and pillows for a spinal fusion Before the sкin is begun,
the perioperative nurse should checк the positioning for pressure areas of the::
Genitals, кnees, toes, and eyes
5. A reverse cutting needle is preferred for suturing.: Cutaneous
6. The installation of a local anesthetic into the subarachnoid space is termed:-
1/8
, : Spinal anesthesia
7. Susie Reynolds, a 9 year old softball player, has arrived in the OR for emer-
gency repair of superficial facial and deep arm lacerations when she ran into the
chain linк fence during practice. The perioperative nurse discovers that Susie
has an insulin pump that should remain connected during the short
2/8
