RNFA QUIZ 1B WITH ALL CORRECT & 100% VERIFIED
ANSWERS |LATEST VERSION |ALREADY GRADED A+
Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier
block) for an ORIF of about ankle 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 looked through the OR window to
check on anesthesia progress as he scrubbed at the sink outside of the OR. The circulating nurse
had the leg elevated and was prepping the ankle. 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 movement under the protective towel placed over the cuff, and saw the
tourniquet tubing fall to the floor. The nurses first response should be: ✔Correct answer-Alert
the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for the
code cart
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 back up in bed
every time he slid down toward the bottom and he was not able to be much help in moving
himself. The skin injury was probably the result of which physical force ✔Correct answer-A
friction from the elbows rubbing over the sheets when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in
individuals with central core diseases such as: ✔Correct answer-Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel
pads, and pillows for a spinal fusion Before the skin is begun, the perioperative nurse should
check the positioning for pressure areas of the: ✔Correct answer-Genitals, knees, toes, and
eyes
A reverse cutting needle is preferred for _________________ suturing. ✔Correct answer-
Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed: ✔Correct answer-
Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair of
superficial facial and deep arm lacerations when she ran into the chain link fence during
practice. The perioperative nurse discovers that Susie has an insulin pump that should remain
connected during the short procedure. The RNFA should consider which of the following
options for energy generated hemostasis? ✔Correct answer-Bipolar electrosurgery unit
, Lateral, lateral chest and lateral kidney positions all place pressure on structures of the
dependent side: ears, shoulder, ribs, hips, greater femoral head, knees and ankles. The potential
for injury to the patient is significant, based on these pressure areas. Which resultant injury or
harm could not be related to these lateral positions? ✔Correct answer-********look at pg
174 in 15th Ed and 173-174 in 16th Ed. ********
Which of the following regarding specimen labeling is a regulatory requirement? ✔Correct
answer-Biohazard information pg 32 15th Ed pg 27 16th Ed.
Which of the following is a major infectious risk for healthcare workers? ✔Correct answer-
Hepatitis B
The ideal suture material is one that has handling characteristics such as: ✔Correct answer-
Pliability
The perianesthesia nurse completes a systematic and comprehensive secondary assessment of
the patient (e. g. Head to toe assessment or major body systems approach). Select the response
that best reflects the parameters of a comprehensive respiratory assessment. ✔Correct
answer-Rate, rhythm and breath sounds
Ketamine is a short acting induction and IV or IM maintenance agent. Patients are able to
maintain their airways. It is a suitable agent to use with small children and burn patients. The
concerns with this agent is that in large doses it may cause: ✔Correct answer-Respiratory
depression
Tissue reaction characteristics that need considered when choosing suture include: ✔Correct
answer-Absorption
Sandra Williams was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal assisted laparoscopic hysterectomy. She
demonstrates and verbalized that she understood al of the tenets of the procedure, risks,
expected outcome, complications and procedural process. Before she signed the consent form,
she informed the surgeon that she did not want any medical students or surgical residents
performing any parts of the procedure other than assisting and did not want any photographs
of her body taken. The surgeon agreed and she crossed out those portions of the form and
initialed them before she signed. Sandy was exercising her: ✔Correct answer-Right to
informed consent
What vaccine should healthcare workers receive if they are caring for immunocompromised
patients? ✔Correct answer-Inactivated influenza vaccine
Sponge counts should be performed at the time of permanent relief of either the scrub person
or the circulating nurse, and __________________ ✔Correct answer-Pg 25 16th Ed
ANSWERS |LATEST VERSION |ALREADY GRADED A+
Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier
block) for an ORIF of about ankle 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 looked through the OR window to
check on anesthesia progress as he scrubbed at the sink outside of the OR. The circulating nurse
had the leg elevated and was prepping the ankle. 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 movement under the protective towel placed over the cuff, and saw the
tourniquet tubing fall to the floor. The nurses first response should be: ✔Correct answer-Alert
the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for the
code cart
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 back up in bed
every time he slid down toward the bottom and he was not able to be much help in moving
himself. The skin injury was probably the result of which physical force ✔Correct answer-A
friction from the elbows rubbing over the sheets when slid up in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in
individuals with central core diseases such as: ✔Correct answer-Congenital myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel
pads, and pillows for a spinal fusion Before the skin is begun, the perioperative nurse should
check the positioning for pressure areas of the: ✔Correct answer-Genitals, knees, toes, and
eyes
A reverse cutting needle is preferred for _________________ suturing. ✔Correct answer-
Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed: ✔Correct answer-
Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair of
superficial facial and deep arm lacerations when she ran into the chain link fence during
practice. The perioperative nurse discovers that Susie has an insulin pump that should remain
connected during the short procedure. The RNFA should consider which of the following
options for energy generated hemostasis? ✔Correct answer-Bipolar electrosurgery unit
, Lateral, lateral chest and lateral kidney positions all place pressure on structures of the
dependent side: ears, shoulder, ribs, hips, greater femoral head, knees and ankles. The potential
for injury to the patient is significant, based on these pressure areas. Which resultant injury or
harm could not be related to these lateral positions? ✔Correct answer-********look at pg
174 in 15th Ed and 173-174 in 16th Ed. ********
Which of the following regarding specimen labeling is a regulatory requirement? ✔Correct
answer-Biohazard information pg 32 15th Ed pg 27 16th Ed.
Which of the following is a major infectious risk for healthcare workers? ✔Correct answer-
Hepatitis B
The ideal suture material is one that has handling characteristics such as: ✔Correct answer-
Pliability
The perianesthesia nurse completes a systematic and comprehensive secondary assessment of
the patient (e. g. Head to toe assessment or major body systems approach). Select the response
that best reflects the parameters of a comprehensive respiratory assessment. ✔Correct
answer-Rate, rhythm and breath sounds
Ketamine is a short acting induction and IV or IM maintenance agent. Patients are able to
maintain their airways. It is a suitable agent to use with small children and burn patients. The
concerns with this agent is that in large doses it may cause: ✔Correct answer-Respiratory
depression
Tissue reaction characteristics that need considered when choosing suture include: ✔Correct
answer-Absorption
Sandra Williams was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal assisted laparoscopic hysterectomy. She
demonstrates and verbalized that she understood al of the tenets of the procedure, risks,
expected outcome, complications and procedural process. Before she signed the consent form,
she informed the surgeon that she did not want any medical students or surgical residents
performing any parts of the procedure other than assisting and did not want any photographs
of her body taken. The surgeon agreed and she crossed out those portions of the form and
initialed them before she signed. Sandy was exercising her: ✔Correct answer-Right to
informed consent
What vaccine should healthcare workers receive if they are caring for immunocompromised
patients? ✔Correct answer-Inactivated influenza vaccine
Sponge counts should be performed at the time of permanent relief of either the scrub person
or the circulating nurse, and __________________ ✔Correct answer-Pg 25 16th Ed
