RNFA COMPREHENSIVE ACTUAL QUESTIONS AND
ANSWERS SET A+
✔✔Of the following, which is not a risk factor for the development of postoperative
ventral hernias? - ✔✔Male gender
✔✔Open common bile duct (CBD) exploration may be indicated in some cases where: -
✔✔the patient has undergone prior biliary surgery.
✔✔The renal artery and vein enter and exit the kidney on the medial side of the organ
through a concave area known as the: - ✔✔hilum
✔✔The tensile strength of which type of suture should never be tested before handing it
to the surgeon? - ✔✔Gut suture
✔✔The main pressure points in Fowler position does not include which of the following?
- ✔✔Fibular head
✔✔Ductal ectasia is a benign breast disorder that is difficult to distinguish from cancer,
primarily because it presents with: - ✔✔a hard and irregular mass, nipple discharge,
and enlarged axillary nodes.
✔✔Specific positioning considerations for bariatric patients require particular attention to
protecting these patients from inherent risks related to their size and weight. Protective
measures to protect both patient and staff include those below. Which measure reflects
the most safety protection for both patient and staff? - ✔✔Ensure that the OR bed can
accommodate the patient's weight and girth.
✔✔From the following, which is a possible benefit to the paramedian incision? -
✔✔decreased risk for hernia
,✔✔The adrenal glands can be identified not only by their location in the body but also
their shape. The right side is ________while the left is ____________. - ✔✔Triangular,
crescent
✔✔An example of a potential risk associated with pneumoperitoneum would be: -
✔✔gas embolus into an exposed blood vessel during the procedure.
✔✔Cleft lip is usually associated with a notch or cleft of the underlying alveolus and a
cleft of the palate. Cleft lip repair is most often performed when the infant is about 3
months of age. Cleft lip is described as: - ✔✔a deficiency of tissue (skin, muscle, and
mucosa) along one or both sides of the upper lip
✔✔What technologic characteristic of robotic surgery provides a superior indication for
robotic-assisted laparoscopic cholecystectomy? - ✔✔The magnified three-dimensional
picture may reduce bile duct injuries during dissection
✔✔Which type of fracture is a dorsally angulated fracture of the distal end of the radius?
- ✔✔Colles
✔✔Osteoporosis is one of the most common and serious of bone diseases and is
responsible for more than 2 million fractures a year. Osteoporosis-related fractures most
commonly occur in the hip, spine, and wrist, but any bone can be affected. The
excessive reduction of total bone mass in osteoporosis is due to the loss of: -
✔✔estrogen and testosterone.
✔✔The PSA test is a serum lab test for prostate-specific antigen. If the test value is
elevated, the patient is at risk for carcinoma of the prostate; a PSA value greater than
10 ng/ml is highly suggestive of prostatic carcinoma. Tissue from a transrectal prostate
biopsy provides the cellular information to confirm the diagnosis. The American
Urological Association (AUA) prostate cancer staging tool essentially provides what
important information about the tissue specimen? - ✔✔Prognosis and potential for
recovery
✔✔A vena cava filter (Greenfield filter) maintains a patent vena cava but prevents
pulmonary emboli (PE) by trapping the emboli at the apex of the device. This procedure
may be performed in the OR, radiology suite, or ICU for critical patients. Select the
statement that best describes the appropriate preferred insertion approaches. -
✔✔Right jugular and right femoral
✔✔If the injury to the patient is a result of a violent crime, the team must give special
attention to preservation of evidence during the course of patient care. When clothing is
removed from the patient, why must it be placed and secured in a paper bag rather than
a plastic bag? - ✔✔Plastic bags may trap moisture and allow mold growth, destroying
evidence.
,✔✔The thoracic cavity is an airtight compartment. The lateral walls are formed by 12
pairs of ribs. Each hemithorax contains 11 external intercostal muscles and 11 internal
intercostal muscles. What accompanies each intercostal muscle? - ✔✔an artery, vein,
and nerve
✔✔When catheterizing the female patient, the perioperative nurse must locate the
urethra. The correct order of the external organs of the vulva listed anterior to posterior
is: - ✔✔mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening.
✔✔During the preoperative assessment and teaching for a patient scheduled for
otolaryngologic surgery performed using local anesthetic, the perioperative nurse
reviews with the patient normal coping mechanisms that are personally effective and
supports and encourages the patient during the surgical intervention. The nurse is
preparing the patient to anticipate and self-control physiologic indicators of: -
✔✔claustrophobia.
✔✔Which of the following is incorrect pertaining to lung segments? - ✔✔There are 5
segments on the right and 3 segments on the left
✔✔Among the treatment options for tricuspid valve disease are suture annuloplasty,
ring annuloplasty, and valve replacement with either a biologic or a mechanical
prosthesis. Because there are no specific tricuspid prosthetic valves available, what
type of prosthetic graft would be created or implanted? - ✔✔A mitral prosthesis
✔✔The surfaces of the hemispheres form convolutions called gyri and intervening
furrows called sulci, which serve as anatomic landmarks. Which of the following sulci is
of particular anatomic importance during surgery? - ✔✔Lateral sulcus
✔✔What properties enable arteries to compensate for changes in blood pressure and
blood volume? - ✔✔Elasticity and distensibility
✔✔During a surgical procedure to excise a malignant thyroid gland, the surgeon asks
you why she is not removing the posterior part of the patient's thyroid gland. Your
correct response is: - ✔✔so that the patient does not develop hypocalcemia
✔✔Denise Corson, a 35-year-old mother of twins, was scheduled for a left breast
lumpectomy. This is her third lumpectomy in 6 years for benign fibrocystic disease.
Denise shared her concerns with the perioperative nurse about her breast's appearance
after three similar surgeries in the same breast. The nurse noticed, on assessment, how
much smaller the left breast was in comparison with the right. An appropriate action for
the nurse to take in response to Denise's concern would be: - ✔✔encourage her to
discuss her feelings regarding body image and resulting changes.
, ✔✔The first diagnostic test performed in thyroid assessment is: - ✔✔Ultrasound
✔✔Postoperative infection in total hip arthroplasty is _____. - ✔✔Usually catastrophic
✔✔Risk-benefit analysis is weighed differently for elders. Important factors that need to
be evaluated are: - ✔✔Personal motivation
✔✔Hyperkalemia can result from massive blood transfusion as well as the
administration of medications introperatively. Which of the following medications can
induce hyperkalemia? - ✔✔Heparin
✔✔Another name for the Cardinal ligament is? - ✔✔Mackenrodt's Ligament
✔✔Hypothyroidism results from undersecretion of thyroid hormone. The most common
cause of primary hypothyroidism is chronic autoimmune thyroiditis (Hashimoto's
disease). Select the set of symptoms that is most commonly associated with
hypothyroidism. - ✔✔Dry skin, edema, constipation, and depression
✔✔Surgically created arteriovenous fistulas are also referred to as a(n) _________ and
are indicated for enabling __________. - ✔✔arteriovenous shunt; hemodialysis
✔✔A long bone fracture in a child can have devastating consequences in terms of the
child's skeletal maturity and potential for limb shortening and malformation when the
fracture line involves the: - ✔✔epiphyseal plate.
✔✔The science of plastic and reconstructive surgery, which means to mold or create
form and shape, improves appearance and body image through an understanding of: -
✔✔the anatomy and biology of tissue
✔✔Age-related changes cause decreased blood flow to the kidneys with a resultant
decrease in nephron function. What condition is created from the cumulative effect of
the multiple drugs that the elderly patient will receive during the perioperative phase? -
✔✔Increased chance for adverse reactions and consequential results
✔✔The mesh-plug open hernia repair technique is indicated for which type(s) of
hernias? - ✔✔Recurrent Indirect inguinal hernias
✔✔Which of the following is an indication for damage control surgery? -
✔✔Coagulopathy
✔✔The Shouldice repair is utilized in _____________surgery and has a
___________recurrence rate. - ✔✔hernia, low
ANSWERS SET A+
✔✔Of the following, which is not a risk factor for the development of postoperative
ventral hernias? - ✔✔Male gender
✔✔Open common bile duct (CBD) exploration may be indicated in some cases where: -
✔✔the patient has undergone prior biliary surgery.
✔✔The renal artery and vein enter and exit the kidney on the medial side of the organ
through a concave area known as the: - ✔✔hilum
✔✔The tensile strength of which type of suture should never be tested before handing it
to the surgeon? - ✔✔Gut suture
✔✔The main pressure points in Fowler position does not include which of the following?
- ✔✔Fibular head
✔✔Ductal ectasia is a benign breast disorder that is difficult to distinguish from cancer,
primarily because it presents with: - ✔✔a hard and irregular mass, nipple discharge,
and enlarged axillary nodes.
✔✔Specific positioning considerations for bariatric patients require particular attention to
protecting these patients from inherent risks related to their size and weight. Protective
measures to protect both patient and staff include those below. Which measure reflects
the most safety protection for both patient and staff? - ✔✔Ensure that the OR bed can
accommodate the patient's weight and girth.
✔✔From the following, which is a possible benefit to the paramedian incision? -
✔✔decreased risk for hernia
,✔✔The adrenal glands can be identified not only by their location in the body but also
their shape. The right side is ________while the left is ____________. - ✔✔Triangular,
crescent
✔✔An example of a potential risk associated with pneumoperitoneum would be: -
✔✔gas embolus into an exposed blood vessel during the procedure.
✔✔Cleft lip is usually associated with a notch or cleft of the underlying alveolus and a
cleft of the palate. Cleft lip repair is most often performed when the infant is about 3
months of age. Cleft lip is described as: - ✔✔a deficiency of tissue (skin, muscle, and
mucosa) along one or both sides of the upper lip
✔✔What technologic characteristic of robotic surgery provides a superior indication for
robotic-assisted laparoscopic cholecystectomy? - ✔✔The magnified three-dimensional
picture may reduce bile duct injuries during dissection
✔✔Which type of fracture is a dorsally angulated fracture of the distal end of the radius?
- ✔✔Colles
✔✔Osteoporosis is one of the most common and serious of bone diseases and is
responsible for more than 2 million fractures a year. Osteoporosis-related fractures most
commonly occur in the hip, spine, and wrist, but any bone can be affected. The
excessive reduction of total bone mass in osteoporosis is due to the loss of: -
✔✔estrogen and testosterone.
✔✔The PSA test is a serum lab test for prostate-specific antigen. If the test value is
elevated, the patient is at risk for carcinoma of the prostate; a PSA value greater than
10 ng/ml is highly suggestive of prostatic carcinoma. Tissue from a transrectal prostate
biopsy provides the cellular information to confirm the diagnosis. The American
Urological Association (AUA) prostate cancer staging tool essentially provides what
important information about the tissue specimen? - ✔✔Prognosis and potential for
recovery
✔✔A vena cava filter (Greenfield filter) maintains a patent vena cava but prevents
pulmonary emboli (PE) by trapping the emboli at the apex of the device. This procedure
may be performed in the OR, radiology suite, or ICU for critical patients. Select the
statement that best describes the appropriate preferred insertion approaches. -
✔✔Right jugular and right femoral
✔✔If the injury to the patient is a result of a violent crime, the team must give special
attention to preservation of evidence during the course of patient care. When clothing is
removed from the patient, why must it be placed and secured in a paper bag rather than
a plastic bag? - ✔✔Plastic bags may trap moisture and allow mold growth, destroying
evidence.
,✔✔The thoracic cavity is an airtight compartment. The lateral walls are formed by 12
pairs of ribs. Each hemithorax contains 11 external intercostal muscles and 11 internal
intercostal muscles. What accompanies each intercostal muscle? - ✔✔an artery, vein,
and nerve
✔✔When catheterizing the female patient, the perioperative nurse must locate the
urethra. The correct order of the external organs of the vulva listed anterior to posterior
is: - ✔✔mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening.
✔✔During the preoperative assessment and teaching for a patient scheduled for
otolaryngologic surgery performed using local anesthetic, the perioperative nurse
reviews with the patient normal coping mechanisms that are personally effective and
supports and encourages the patient during the surgical intervention. The nurse is
preparing the patient to anticipate and self-control physiologic indicators of: -
✔✔claustrophobia.
✔✔Which of the following is incorrect pertaining to lung segments? - ✔✔There are 5
segments on the right and 3 segments on the left
✔✔Among the treatment options for tricuspid valve disease are suture annuloplasty,
ring annuloplasty, and valve replacement with either a biologic or a mechanical
prosthesis. Because there are no specific tricuspid prosthetic valves available, what
type of prosthetic graft would be created or implanted? - ✔✔A mitral prosthesis
✔✔The surfaces of the hemispheres form convolutions called gyri and intervening
furrows called sulci, which serve as anatomic landmarks. Which of the following sulci is
of particular anatomic importance during surgery? - ✔✔Lateral sulcus
✔✔What properties enable arteries to compensate for changes in blood pressure and
blood volume? - ✔✔Elasticity and distensibility
✔✔During a surgical procedure to excise a malignant thyroid gland, the surgeon asks
you why she is not removing the posterior part of the patient's thyroid gland. Your
correct response is: - ✔✔so that the patient does not develop hypocalcemia
✔✔Denise Corson, a 35-year-old mother of twins, was scheduled for a left breast
lumpectomy. This is her third lumpectomy in 6 years for benign fibrocystic disease.
Denise shared her concerns with the perioperative nurse about her breast's appearance
after three similar surgeries in the same breast. The nurse noticed, on assessment, how
much smaller the left breast was in comparison with the right. An appropriate action for
the nurse to take in response to Denise's concern would be: - ✔✔encourage her to
discuss her feelings regarding body image and resulting changes.
, ✔✔The first diagnostic test performed in thyroid assessment is: - ✔✔Ultrasound
✔✔Postoperative infection in total hip arthroplasty is _____. - ✔✔Usually catastrophic
✔✔Risk-benefit analysis is weighed differently for elders. Important factors that need to
be evaluated are: - ✔✔Personal motivation
✔✔Hyperkalemia can result from massive blood transfusion as well as the
administration of medications introperatively. Which of the following medications can
induce hyperkalemia? - ✔✔Heparin
✔✔Another name for the Cardinal ligament is? - ✔✔Mackenrodt's Ligament
✔✔Hypothyroidism results from undersecretion of thyroid hormone. The most common
cause of primary hypothyroidism is chronic autoimmune thyroiditis (Hashimoto's
disease). Select the set of symptoms that is most commonly associated with
hypothyroidism. - ✔✔Dry skin, edema, constipation, and depression
✔✔Surgically created arteriovenous fistulas are also referred to as a(n) _________ and
are indicated for enabling __________. - ✔✔arteriovenous shunt; hemodialysis
✔✔A long bone fracture in a child can have devastating consequences in terms of the
child's skeletal maturity and potential for limb shortening and malformation when the
fracture line involves the: - ✔✔epiphyseal plate.
✔✔The science of plastic and reconstructive surgery, which means to mold or create
form and shape, improves appearance and body image through an understanding of: -
✔✔the anatomy and biology of tissue
✔✔Age-related changes cause decreased blood flow to the kidneys with a resultant
decrease in nephron function. What condition is created from the cumulative effect of
the multiple drugs that the elderly patient will receive during the perioperative phase? -
✔✔Increased chance for adverse reactions and consequential results
✔✔The mesh-plug open hernia repair technique is indicated for which type(s) of
hernias? - ✔✔Recurrent Indirect inguinal hernias
✔✔Which of the following is an indication for damage control surgery? -
✔✔Coagulopathy
✔✔The Shouldice repair is utilized in _____________surgery and has a
___________recurrence rate. - ✔✔hernia, low
