RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
1. _______Precautions apply to blood, all body fluids, se- Standard
cretions, and excretions (except sweat), regardless of
whether they contain visible blood, mucous mem-
branes, and non-intact skin.
2. Which of the following anesthetics may result in fasic- Succhinylcholine
ulations for the patient?
3. Hypothermia has been shown to be a factor that may b. set the ambient room
place the surgical patient at risk for infection and temperature between 68°
delayed healing. What intervention is an engineered and 73° F
control factor to protect the patient from hypother-
mia?
4. A basic anesthesia monitoring device that is used dur- capnometer/end-tidal
ing general anesthesia to confirm successful endotra- CO2 monitor
cheal tube placement and determine the presence of
gas exchange is the:
5. The first step in the decontamination process is: Cleaning
6. Which of the following requires at minimum, 2 patient Joint Commission
identifiers on specimen labels?
7. A 9-year-old diabetic with an insulin pump, has arrived Bipolar Electrosurgery
in the OR for emergency repair of superficial facial Unit
and deep arm lacerations. The RNFA should consider
which of the following options for energy-generated
hemostasis?
8. During a hysteroscopy, sterile saline is used to expand Potential for Intervastation
the intrauterine compartment and enhance visualiza-
tion. The perioperative nurse is concerned that ap-
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
proximately 500 ml of fluid was unaccounted for and
alerted the surgeon and RNFA. The nurse's motive for
this surveillance is to:
9. Which of the following statements reflects the loca- one third of the dis-
tion of the arcuate line? tance between the umbili-
cus and the symphysis pu-
bis.
10. Laparoscopic procedures that emergently convert to Replacing or tagging
open procedures place the patient at risk for uninten- sponges and laparoto-
tional retained surgical items (RSI). What risk reduc- my instruments with RFID
tion strategy could prevent RSI? chips.
11. The surgical hand scrub is designed to render the Surgically Clean
hands, nails, and arms
12. The RNFA instructed the new anesthesia resident in Ulnar Nerve Injury
the proper positioning of the arm and hands on the
OR bed armboards. The resident was cautioned to
avoid pressure on the elbow to prevent:
13. A type of suture to help eliminate tension on the pri- Retention Suture
mary suture line is known as:
14. Identify the primary substance found in the epidermis Keratin
that protects the body from fluid loss and invasion by
pathogens.
15. When a patient absorbs an unsafe amount of local Lipids
anesthetic into the bloodstream, a catastrophic out-
come is possible. Treatment for LAST includes the use
of which of the following?
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
16. When buried in tissue, silk loses its tensile strength 1 Year
after what period of time?
17. Guidelines from WHO focus on which of the following Use of Prophylactic Antibi-
in the prevention of surgical site infections? otics
18. To help visualize abdominal structures and to en- 9 L/min;14 to 16 mm Hg
hance safety during laparoscopic procedures, a pneu-
moperitoneum is created. After Veress needle con-
firmation, insufflation tubing is connected and the
process begun. CO2 gas is used to insufflate the ab-
dominal cavity at an ideal flow rate of ______ to achieve
an ideal intra-abdominal pressure of ______.
19. Due to the BMI of the patient, the case you are par- Bookwalter
ticipating in was converted to open laparotomy. Your
surgeon is uncertain as to which self retaining retrac-
tor is available within the facility. From the following,
which is an appropriate suggestion?
20. The safest and most commonly used method of ster- Steam Sterilization
ilization is which of the following?
21. Has been identified to reduce SSIs and affect surgical Antibiotics given IV within
outcomes? 1 hour of the incision for
every procedure with an
incision or entered body
system.
22. When applying sterile drapes to create the sterile field Drape the patient starting
on the patient, which of the following principles is with the incision area and
most important. proceeding to the periph-
ery.
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
23. To prevent sharps injury, which of the following is a Passing sharp items using
risk reduction strategy to be used by the sterile team neutral/hands-free tech-
members? niques instead of passing
hand to hand.
24. The most commonly used medication for local anes- Lidocaine
thesia is __________?
25. The OR was trialling a new insufflation system and Hypercarbia
the vendor representative was out of the room taking
a phone call. The perioperative nurse was concerned
that the flow rate was well above 14 L/min and the
pressure had risen to 16 mm Hg. She alerted the sur-
geon and reduced the rate and pressure because she
feared that the elderly patient was at high risk for:
26. Your patient had an episode of vomiting during anes- Bronchospasm
thesia induction and was effectively suctioned by
anesthesia. Upon extubation, the patient presented
with coughing, wheezing, dyspnea, use of accessory
muscles, and tachypnea. What is this patient most
likely experiencing?
27. High-pressure insufflation rates can cause overpres- Hypercarbia
surization of the intra-abdominal cavity. This over-
pressurization can lead to which of the following?
28. Laryngospasm is a serious complication often seen suctioning, IV succinyl-
in the PACU setting. What is the ideal immediate and choline administration,
last resort response by the anesthesia provider or and reintubation
perianesthesia nurse in an emerging patient who has
been in spasm for over 1 minute?
Study online at https://quizlet.com/_gzf1br
1. _______Precautions apply to blood, all body fluids, se- Standard
cretions, and excretions (except sweat), regardless of
whether they contain visible blood, mucous mem-
branes, and non-intact skin.
2. Which of the following anesthetics may result in fasic- Succhinylcholine
ulations for the patient?
3. Hypothermia has been shown to be a factor that may b. set the ambient room
place the surgical patient at risk for infection and temperature between 68°
delayed healing. What intervention is an engineered and 73° F
control factor to protect the patient from hypother-
mia?
4. A basic anesthesia monitoring device that is used dur- capnometer/end-tidal
ing general anesthesia to confirm successful endotra- CO2 monitor
cheal tube placement and determine the presence of
gas exchange is the:
5. The first step in the decontamination process is: Cleaning
6. Which of the following requires at minimum, 2 patient Joint Commission
identifiers on specimen labels?
7. A 9-year-old diabetic with an insulin pump, has arrived Bipolar Electrosurgery
in the OR for emergency repair of superficial facial Unit
and deep arm lacerations. The RNFA should consider
which of the following options for energy-generated
hemostasis?
8. During a hysteroscopy, sterile saline is used to expand Potential for Intervastation
the intrauterine compartment and enhance visualiza-
tion. The perioperative nurse is concerned that ap-
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
proximately 500 ml of fluid was unaccounted for and
alerted the surgeon and RNFA. The nurse's motive for
this surveillance is to:
9. Which of the following statements reflects the loca- one third of the dis-
tion of the arcuate line? tance between the umbili-
cus and the symphysis pu-
bis.
10. Laparoscopic procedures that emergently convert to Replacing or tagging
open procedures place the patient at risk for uninten- sponges and laparoto-
tional retained surgical items (RSI). What risk reduc- my instruments with RFID
tion strategy could prevent RSI? chips.
11. The surgical hand scrub is designed to render the Surgically Clean
hands, nails, and arms
12. The RNFA instructed the new anesthesia resident in Ulnar Nerve Injury
the proper positioning of the arm and hands on the
OR bed armboards. The resident was cautioned to
avoid pressure on the elbow to prevent:
13. A type of suture to help eliminate tension on the pri- Retention Suture
mary suture line is known as:
14. Identify the primary substance found in the epidermis Keratin
that protects the body from fluid loss and invasion by
pathogens.
15. When a patient absorbs an unsafe amount of local Lipids
anesthetic into the bloodstream, a catastrophic out-
come is possible. Treatment for LAST includes the use
of which of the following?
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
16. When buried in tissue, silk loses its tensile strength 1 Year
after what period of time?
17. Guidelines from WHO focus on which of the following Use of Prophylactic Antibi-
in the prevention of surgical site infections? otics
18. To help visualize abdominal structures and to en- 9 L/min;14 to 16 mm Hg
hance safety during laparoscopic procedures, a pneu-
moperitoneum is created. After Veress needle con-
firmation, insufflation tubing is connected and the
process begun. CO2 gas is used to insufflate the ab-
dominal cavity at an ideal flow rate of ______ to achieve
an ideal intra-abdominal pressure of ______.
19. Due to the BMI of the patient, the case you are par- Bookwalter
ticipating in was converted to open laparotomy. Your
surgeon is uncertain as to which self retaining retrac-
tor is available within the facility. From the following,
which is an appropriate suggestion?
20. The safest and most commonly used method of ster- Steam Sterilization
ilization is which of the following?
21. Has been identified to reduce SSIs and affect surgical Antibiotics given IV within
outcomes? 1 hour of the incision for
every procedure with an
incision or entered body
system.
22. When applying sterile drapes to create the sterile field Drape the patient starting
on the patient, which of the following principles is with the incision area and
most important. proceeding to the periph-
ery.
, RNFA Final Exam
Study online at https://quizlet.com/_gzf1br
23. To prevent sharps injury, which of the following is a Passing sharp items using
risk reduction strategy to be used by the sterile team neutral/hands-free tech-
members? niques instead of passing
hand to hand.
24. The most commonly used medication for local anes- Lidocaine
thesia is __________?
25. The OR was trialling a new insufflation system and Hypercarbia
the vendor representative was out of the room taking
a phone call. The perioperative nurse was concerned
that the flow rate was well above 14 L/min and the
pressure had risen to 16 mm Hg. She alerted the sur-
geon and reduced the rate and pressure because she
feared that the elderly patient was at high risk for:
26. Your patient had an episode of vomiting during anes- Bronchospasm
thesia induction and was effectively suctioned by
anesthesia. Upon extubation, the patient presented
with coughing, wheezing, dyspnea, use of accessory
muscles, and tachypnea. What is this patient most
likely experiencing?
27. High-pressure insufflation rates can cause overpres- Hypercarbia
surization of the intra-abdominal cavity. This over-
pressurization can lead to which of the following?
28. Laryngospasm is a serious complication often seen suctioning, IV succinyl-
in the PACU setting. What is the ideal immediate and choline administration,
last resort response by the anesthesia provider or and reintubation
perianesthesia nurse in an emerging patient who has
been in spasm for over 1 minute?
