RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE
NEWEST 2024 ACTUAL EXAM 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ASNWERS)
|ALREADY GRADED A+
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? - answer-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. - answer-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? - answer-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? - answer-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: - answer-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: -
answer-claustrophobia.
,Which of the following is incorrect pertaining to lung segments? - answer-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? -
answer-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? - answer-Lateral sulcus
What properties enable arteries to compensate for changes in blood pressure and blood volume? -
answer-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: - answer-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: - answer-encourage
her to discuss her feelings regarding body image and resulting changes.
The first diagnostic test performed in thyroid assessment is: - answer-Ultrasound
Postoperative infection in total hip arthroplasty is _____. - answer-Usually catastrophic
Risk-benefit analysis is weighed differently for elders. Important factors that need to be evaluated are: -
answer-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? - answer-Heparin
Another name for the Cardinal ligament is? - answer-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. - answer-Dry skin, edema, constipation, and
depression
Surgically created arteriovenous fistulas are also referred to as a(n) _________ and are indicated for
enabling __________. - answer-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: -
answer-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: - answer-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? - answer-Increased chance for adverse reactions
and consequential results
The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? -
answerRecurrent Indirect inguinal hernias
Which of the following is an indication for damage control surgery? - answer-Coagulopathy
The Shouldice repair is utilized in _____________surgery and has a ___________recurrence rate. -
answer-hernia, low
, Identify the venous structure that prevents blood backflow. - answer-Semilunar intimal folds
Microsurgical techniques have been applied to cranial, spinal, and peripheral nerve operations. Some
procedures in which microsurgery is of value are explorations of the posterior fossa, especially for
tumors of the fourth ventricle or cerebellopontine angle, and removal of small acoustic neuromas, with
resulting preservation of the facial nerve. Each time the surgeon must look away and then back to the
surgical field, open wound time and anesthesia time are increased while the surgeon becomes
reoriented to the field. A nursing action, in the scrub person role, directed toward assisting the surgeon
in efficiency and expediting the microsurgical procedure would be: - answer-hand instruments
proficiently, in direction of use, without delay.
Blunt force to the larynx can result in a fracture and impose immediate airway obstruction. These
patients are at risk for a lost airway and may require immediate tracheotomy followed by repair of the
fracture when the fracture is unstable or displaced. It is also important to consider that a trauma patient
is assumed to have a full stomach; thus these patients are at high risk for aspiration and resultant
pneumonia. What is an appropriate nursing action in the event of a lost airway after anesthesia
induction and before intubation? - answer-Assist the anesthesia provider with securing the airway
while applying cricoid pressure.
Which one of the following signs is not consistent with Horner syndrome? - answer-sinking of the eye
(enophthalmos)
Select the diagnosis/procedure option that pairs the correct surgical diagnosis with the
surgical/endoscopic procedure for diseases of the esophagus: - answer-Barrett's dysplasia of the distal
esophagus/endoscopic mucosal resection (EMR)
To accommodate near and distant focus, the lens changes shape and focus by relaxation and tightening
of the zonular fibers. What physiologic change of the normal aging process is typically corrected with
bifocals? - answer-Presbyopia
Which of the following is the most common non-emergent abdominal surgery in the U.S.? -
answerCholecystectomy
NEWEST 2024 ACTUAL EXAM 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ASNWERS)
|ALREADY GRADED A+
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? - answer-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. - answer-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? - answer-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? - answer-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: - answer-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: -
answer-claustrophobia.
,Which of the following is incorrect pertaining to lung segments? - answer-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? -
answer-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? - answer-Lateral sulcus
What properties enable arteries to compensate for changes in blood pressure and blood volume? -
answer-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: - answer-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: - answer-encourage
her to discuss her feelings regarding body image and resulting changes.
The first diagnostic test performed in thyroid assessment is: - answer-Ultrasound
Postoperative infection in total hip arthroplasty is _____. - answer-Usually catastrophic
Risk-benefit analysis is weighed differently for elders. Important factors that need to be evaluated are: -
answer-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? - answer-Heparin
Another name for the Cardinal ligament is? - answer-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. - answer-Dry skin, edema, constipation, and
depression
Surgically created arteriovenous fistulas are also referred to as a(n) _________ and are indicated for
enabling __________. - answer-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: -
answer-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: - answer-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? - answer-Increased chance for adverse reactions
and consequential results
The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? -
answerRecurrent Indirect inguinal hernias
Which of the following is an indication for damage control surgery? - answer-Coagulopathy
The Shouldice repair is utilized in _____________surgery and has a ___________recurrence rate. -
answer-hernia, low
, Identify the venous structure that prevents blood backflow. - answer-Semilunar intimal folds
Microsurgical techniques have been applied to cranial, spinal, and peripheral nerve operations. Some
procedures in which microsurgery is of value are explorations of the posterior fossa, especially for
tumors of the fourth ventricle or cerebellopontine angle, and removal of small acoustic neuromas, with
resulting preservation of the facial nerve. Each time the surgeon must look away and then back to the
surgical field, open wound time and anesthesia time are increased while the surgeon becomes
reoriented to the field. A nursing action, in the scrub person role, directed toward assisting the surgeon
in efficiency and expediting the microsurgical procedure would be: - answer-hand instruments
proficiently, in direction of use, without delay.
Blunt force to the larynx can result in a fracture and impose immediate airway obstruction. These
patients are at risk for a lost airway and may require immediate tracheotomy followed by repair of the
fracture when the fracture is unstable or displaced. It is also important to consider that a trauma patient
is assumed to have a full stomach; thus these patients are at high risk for aspiration and resultant
pneumonia. What is an appropriate nursing action in the event of a lost airway after anesthesia
induction and before intubation? - answer-Assist the anesthesia provider with securing the airway
while applying cricoid pressure.
Which one of the following signs is not consistent with Horner syndrome? - answer-sinking of the eye
(enophthalmos)
Select the diagnosis/procedure option that pairs the correct surgical diagnosis with the
surgical/endoscopic procedure for diseases of the esophagus: - answer-Barrett's dysplasia of the distal
esophagus/endoscopic mucosal resection (EMR)
To accommodate near and distant focus, the lens changes shape and focus by relaxation and tightening
of the zonular fibers. What physiologic change of the normal aging process is typically corrected with
bifocals? - answer-Presbyopia
Which of the following is the most common non-emergent abdominal surgery in the U.S.? -
answerCholecystectomy
