14 CSFA Practice Exam with correct answers 2024

In terms of health promotion and disease prevention theoretical models, the theory that people learn not only through their own experiences, but also by observing the actions of others and the results of those actions is which of the following? health-promotion matrix social cognitive theory health promotion model health belief model - answer-social cognitive theory The social cognitive theory (SCT) holds that people learn not only through their own experiences, but also by observing the actions of others and the results of those actions. The environment shapes, maintains, and constrains behavior; and people can create and change their environments. Which of the following patients would be most likely to perceive direct eye contact as a show of hostility or aggression? a 21-year old Asian female a 65-year old Native American female a 30-year old Appalachian male a 42-year old Arab male - answer-A 30-year old Appalachian male A 30-year old Appalachian male is likely to perceive direct eye contact as a show of hostility or aggression. This is simply a cultural difference that health care personnel should be aware of. Asian, Native Americans, and Arabs may feel that eye contact is impolite or improper. Sexual harassment is illegal and prosecutable by which law(s)? Civil Right Act of 1964, Title Vll. Rehabilitation Act American with Disabilities Act (ADA) Fair Labor Standards Act. - answer-Civil Right Act of 1964, Title Vll. Sexual harassment can occur in the workplace, even among caregivers. All members of the perioperative team have a right to work in an environment free of harassment. The Civil Rights of 1964, Title Vll and the Equal Employment Opportunity Commission, 1980 mandate that sexual harassment in the workplace is illegal and prosecutable. Personal beliefs about the worth of ideas, practices, or behaviors are known as which of the following? Standards Values Morals Ethics - answer-Values Values are personal beliefs about the worth of given values, practices, beliefs, or behaviors. These are often rooted in childhood. It is key to remember that there is no one set if valid values. General anesthetics are given in which circumstance? Labor and delivery Right-sided colectomy Gastrointestinal endoscopy Cardiac catherization - answer-Right-sided colectomy Right-sided colectomy - General anesthesia produces the loss of consciousness. It is administered in major surgery, such as a hemicolectomy (right-sided colectomy). Local anesthic would be administered for gastrointestinal endoscopy, cardiac catherization, and labor and delivery. Making decisions on behalf of a patient without the patient's knowledge or consent is known as which of the following? Justice Ethnocentrism Beneficence Paternalism - answer-Paternalism Paternalism occurs when one makes decisions for a patient without that patient's knowledge or consent. Even when done with the best of intentions, paternal actions undermine a patient's dignity, autonomy, and agency. Occlusions can result in damage to the cerebral tissues. This could be referred to as which of the following? Coronary stroke None of the answers are correct Ischemic stroke Occlusional stroke - answer-Ischemic stroke Occlusions can result in damage to the cerebral tissue known as an ischemic stroke. This occlusion affects whatever system that particular region controls. This often leaves a permanent residual deficit even if the cause of the ischemia is resolved. All of the following would be considered contemporary robotic-integrated components today except? Environmental control computer platform Non-instrument manipulating robot All of the answers are correct Functional peripheral equipment - answer-Non-instrument manipulating robot These components could include: -Functional peripheral equipment -Environmental control computer platform -Instrument manipulating robot -Master control console Once the surgical patient is in PACU and all the devices are attached, the circulating nurse does a "hand-off" to the PACU nurse. Which of the following would typically not be included in this "hand-off?" A brief patient history The patient's insurance information Surgery preformed An estimated blood loss - answer-The patient's insurance information The patient's insurance information is typically not reported in "hand-off." Some of the information that might be included in a "hand-off" would include: -An estimated blood loss -A brief patient history -Surgery preformed -Length of time the patient was under anesthesia -Condition of the patient's wound -ASA score -Any complications -Information regarding family members A patient goal is to maintain a clear airway. What is an expected outcome for this goal? As evidenced by normal breath sounds, depth of respiration, and respiration rate. Patient is capable of basic hygiene as evidenced by proper hand washing As evidenced by chest x-ray As evidenced by patient's verbalized understanding of respiratory process - answer-As evidenced by normal breath sounds, depth of respiration, and respiration rate. An expected outcome is normal respiration. The second answer choice is an outcome that defines normal respiration. Effective coughing is another expected outcome. The organization that maintains the nation's organ transplant waiting list is which of the following? National Conference of Commissioners on Uniform State Laws Department of Health and Human Services United Network for Organ Sharing Organ Procurement Organization - answer-United Network for Organ Sharing (UNOS) maintains the nation's organ transplant waiting list. This is done under contract with the Health Resources and Services Administration of the U.S. Department of Health and Human Services (DHHS). UNOS's organ-sharing policy, Required Request, increases the probability of a successful transplant. The retractor blades can be which of the following? (select all that apply) Cobra Malleable Right-angled None of the answers are correct - answer-Right-angled and Malleable A retractor blade can be: Curved Right-angled Malleable (can bend to any angle) Cobra is an Orthopedic retractor, not an attachable blade. When a local anesthetic is being administered, the scrub technician dispenses it to the surgeon. Which of the following would be considered a responsibility of the scrub technician at this time? (select all that apply) The doctor is responsible for informing the nurse how much medication was given. There would be no need to document the dosage and the incremental amounts. The scrub technician shares the responsibility to ensure that the maximum dosage of the medication is not exceeded. The scrub technician should confirm that maximum dosage of the medication with the anesthesia care provider prior to the case starting. - answer-The scrub technician shares the responsibility to ensure that the maximum dosage of the medication is not exceeded. The scrub technician should confirm that maximum dosage of the medication with the anesthesia care provider prior to the case starting. Of the following, which would be considered the main purpose of skin preparation? To make the site as free of transient and resident microorganisms, dirt, and skin oil as possible. To assure there will be no infections. All of the answers are correct To give the scrub technician something to do - answer-To make the site as free of transient and resident microorganisms, dirt, and skin oil as possible. The purpose of skin preparation is to make the site as free of transient and resident microorganisms, dirt, and skin oil as possible. By doing this, the surgical incision can be made through the skin with a minimal danger of infection from the source. A noncrushing clamp would be temporarily used for which of the following? (select all that apply) To occlude ocular vessels To occlude bowel To occlude major blood vessels None of the answers are correct - answer-To occlude bowel To occlude major blood vessels Which of the following six component processes would be considered correct for the order for an infection or disease to occur in the human body? Process of infection Chain of infection Method of infection Instructions of infection - answer-Chain of infection The change of infection process consists of: Etiologic agent Reservoir Portal of exit Mode of transmission Portal of entry Susceptible The main organisms that cause sepsis that may lead to septic shock are which of the following? gram-negative and gram-positive bacteria parasites fungi viruses - answer-gram-negative and gram-positive bacteria parasites Who watches over the unit in unit bases scenarios? Assistive personnel RN nurses Only LVN's Families of the patient - answer-Assistive personnel In unit based scenarios, assistive personnel run the ward. Examples of assistive personnel include nursing assistants and ward secretaries. An indication that the patient has a knowledge deficit is which of the following? Adequate recall of information about procedures Proper self-care prior to and after procedures Clear communication about source of their fears Inaccurate follow-through on previous instructions - answer-Inaccurate follow-through on previous instructions The patient who has difficulty following through on instructions may have a knowledge deficit. When giving instructions, the perioperative nurse will want ensure the patient understands terminology and recommendations. A patient has an allergic reaction to latex causing bronchoconstriction. What medication would be used to counter these effects? Coumadin Analgesic Benadryl Epinephrine - answer-Epinephrine Epinephrine is useful in counteracting extreme allergic reactions. It will combat the bronchoconstriction of latex allergy. The patient may require further intervention depending on the status. Benadryl would only be used in minor reactions, such as a rash. Cellulitis is inflammation of what? Epidermal tissue Muscle and fascia Subcutaneous, loose connective tissue Granulomatous tissue - answer-Subcutaneous, loose connective tissue Cellulitis is inflammation of the tissue beneath the dermal layer, the subcutaneous, loose connective tissue. Inflammation of this tissue at the wound site is a sign of infection. Jugular vein distention is most likely to be an assessment finding of which of the following? septic shock hypovolemic shock distributive shock cardiogenic shock - answer-cardiogenic shock Jugular vein distention is most likely to be an assessment finding of cardiogenic shock. Other assessment findings include: ashen cyanotic skin decreased level of consciousness decreased sensorium Of the following, which would be the correct term for the study of drugs? Pharmacology Antagonists None of the answers are correct Antibiotics - answer-Pharmacology The study of drugs is considered pharmacology. A physician's written orders to run a female hormone panel appear contradictory for a patient receiving ophthalmic surgery. What should the perioperative nurse do? Check with the physician before complying with order Charge the order and run a CBC Change the order run another panel Comply with the order as requested - answer-Check with the physician before complying with order When physician orders appear contradictory or confusing, the appropriate course of action is for the nurse to check with the physician before complying with the order. The nurse should determine what is the correct request before carrying out an order. This action is in the best interest of the patient. Supply cabinets or carts in the operating rooms can consists of which of the following types? A pass-through cabinet All of the answers are correct Surgical carts Glass shelves with sliding doors in the operating room - answer-All of the answers are correct There are different types of supply carts or shelves in different facilities. These can include the cabinets which can be made of stainless steel, glass or wire shelving to help minimize the dust accumulation. A pass-through cabinet entry allows for the transfer of supplies from outside the OR and yet circulates clean air through them. Some facilities use stock carts for different procedures which can be brought into the room. A heart-beating cadaver would be considered, which of the following realted to organ donations? A term used for when a person dies and hasn't been taken off the ventilator yet. None of the answers are correct A tern uses for a cadaver that is being maintained on a cardiopulmonary support so that their tissue is perfused, making it viable for organ donation A term used to keep a loved one alive while the family gets things in order. - answer-A term used for a cadaver that is being maintained on a cardiopulmonary support so that their tissue is perfused, making it viable for organ donation. A patient must receive an epidural block along with a sedative. What position should the nurse place the patient? Prone Side lying (lateral) Trendelenburg Supine - answer-Side lying (lateral) The nurse should place the patient receiving a spinal or epidural in a side-lying or sitting position. The Trendelenburg position would not be appropriate since it is a variation on the supine position. Any response an individual makes to change is known as which of the following? Alteration Coping Adaptation Stress Adaptation - answer-Adaptation Any response to change is an adaptation. Some adaptation are positive and some are negative. Families as well as individuals adapt to change. Body compartments are separated by semi-permeable membranes that control fluid movement in different ways. The pressure caused by a fluid column in an enclosed area such as a blood vessel wall is which of the following? extracellular pressure hydrostatic pressure filtration osmosis - answer-hydrostatic pressure Hydrostatic pressure is pressure caused by a fluid column in an enclosed area such as a blood vessel wall. Fluid movement is also controlled by filtration, which is the passage of water through a semipermeable membrane from an area of low solute concentration to an area of high solute concentration. Which of the following is a component of blood? All other responses are correct Red blood cells Platelets Liquid plasma - answer-All other responses are correct Blood is made up of: Red blood cells White blood cells Platelets Liquid plasma Which part of Medicare gives individuals access to prescription drug coverage? Part B Part A Part D Part C - answer-Part D Medicare Part D allows individuals with Medicare, regardless of income, health status, or prescription drug usage, to have access to prescription drug coverage. Beneficiaries can obtain the Part D drug benefits through two types of private plans: they can join a Prescription Drug Plan (PDP) for drug coverage only or they can join a Medicare Advantage plan (MA) that covers both medical services and prescription drugs. Which is true about general anesthetics? They: Block conduction of nerve (pain) impulses to the spinal cord. Prevent perception of pain by the motor cortex Interfere with proprioceptor Prevent perception of pain by the sensory cortex - answer-Prevent perception of pain by the sensory cortex. General anesthetics interfere with the perception of pain by the sensory cortex. General anesthetics alter the processing of sensory information. A patient is diagnosed at risk of ineffective airway clearance. Which intervention would you prioritize first in a nursing care plan? Administer oxygen Auscultation Assess patency of airway Assess BP - answer-Assess patency of airway A patient's airway always takes first priority. This is the first action / intervention that should be done when a patient is at risk. Heparin resistance can result from all of the following, EXCEPT Peritonitis Pleurisy Cancer Arrhythmias - answer-Arrhythmias Heparin resistance can occur due to early stage thrombophlebitis, peritonitis, fever, pleurisy, fever, peritonitis, cancer or any condition resulting in the body depositing large amounts of fibrin. Arrhythmias are a symptom and can accompany vascular conditions where heparin might be required. A potential adverse outcome for a patient in the Prone and Jackknife position includes what? Lower back compression and injury Hip or groin injury Skin abrasions on the heels and elbows Injury to genitalia or the breast (in women) - answer-Injury to genitalia or the breast (in women) The patient lying in a prone or jackknife position is lying on his or her abdomen. This patient can have many injuries to the face as well as the genitalia and breast are (in women) A communication technique which is marked by cross-complaining and the use of "yes, but " statements to deflect the other person's message is known as which of the following? Defensiveness Deflection Criticism Defensiveness Contempt - answer-Defensiveness Defensiveness is often seen in conflict situations. It involves cross-complaining and use of "yes, but" statements to deflect the other person's messages. Do not use this method in communicating with patients, and be attuned to it when you see it happening in patient or family interactions. How often is the plan of care revised? When the doctor advises With any change in condition Once a day It is not altered - answer-With any change in condition The plan of care is part of the patient records. It is a guide to each nurse. Any nurse may choose to revise the plan of care when a patient has a change in condition. Parenteral administration of a drug can be accomplished using all but which of the following routes? Intravenous Subcutaneous Oral Intramuscular - answer-Oral Parenteral includes intramuscular, subcutaneous, intradermal, intravenous, intrathecal, and epidural routes. Parenteral route offer the most direct and reliable method of administering medications while also providing the most rapid absorption A physician who works at the hospital has been taken into custody for representing that he had a valid license to practice medicine when in fact he has no license at all. This person's act is known as which of the following? defamation fraud slander intentional infliction of emotional distress - answer-fraud Fraud is false or misleading statements or information upon which a person relies to his or her detriment. A doctor who practices without a license for profit or gain is perpetrating a fraud on his patient and others. Which of the classifications of lasers are typically surgical lasers? Class 6 Class 3a Class 4 Class 1 - answer-Class 4 The class 4 laser can cause permanent damage if they are directly viewed or indirectly viewed by reflection. The class 4 lasers are typically the surgical lasers. The muscular system is comprised of _________________ muscles attached to the human skeletal system allowing movement? 900 576 640 704 - answer-640 (Actually 650) The muscular system contains 640 muscles that are attached to the bones of the skeletal system that enable the body to move. These muscles comprise approximately half of a person's body weight. All but which of the following are asked about in the sociocultural assessment? What the patient does for fun or recreation. What the patient's home environment is like What the patient's religious beliefs are The role the patient plays in her family - answer-What the patient's religious beliefs are The sociocultural assessment explores the patient's family life, including his or her role in the family. Questions about diversional activities, the home environment, major sources of support, and overall health are also part of this assessment. Questions about religion are better suited for the spiritual assessment. Which of the following types of health plans provides a network of hospitals, practitioners, and clinics that discount their fees to insurance companies in exchange for being part of a network? indemnity plan PPO HMO fee-for-service plan - answer-PPO A PPO is a preferred provider organization. It provides a network of hospitals, practitioners, and clinics that discount their fees to insurance companies in exchange for being part of a network. If an individual chooses to use a provider outside the network, he'll most likely pay a higher deductible. The skeletal system is responsible for all of the following except? Storing and producing blood cells in the bone marrow Providing a framework for the muscles Motor balance and control Directing internal pressure - answer-Motor balance and control A person's brain controls their motor balance and control, not the skeletal system. The skeletal system provides: Providing a framework for the muscles Directing internal pressure Storing and producing blood cells in the bone marrow. Planning is the development of nursing strategies to prevent, reduce, or eliminate identified problems. All of the following are purposes for the planning process EXCEPT: to use a generalized approach to care to help direct the health care team to provide consistent care to focus charting requirements - answer-to use a generalized approach to care This is not an appropriate purpose for the planning process. The plan should be an approach that is individualized to the patient. The nurse will plan nursing interventions and write a holistic care plan. A patient is being discharged from the hospital after fracturing her ankle. What resource would the nurse MOST likely offer to help the patient continue her care? A home health nurse A prescription for a motorized wheelchair Outpatient physical therapy Inpatient rehab center - answer-Outpatient physical therapy Outpatient physical therapy is usually offered to patient on an appointment basis and schedules regular sessions to help strengthen the body after an injury. Regular therapy sessions help decrease muscle atrophy and will help increase range of motion. Normal cardiac output in an adult averages what? 3 L/min 2.5 L/min 8 L/min 5 L/min - answer-5 L/min (Actually 4.7 L/min) The normal cardiac output in an adult averages 5 L/min. During intravenous therapy and surgical procedures, the patient should be monitored to detect decreased cardiac output. If a nurse suspects or observes an adverse reaction to blood during a transfusion, what steps should the nurse take? Notifying the nurse manager, documenting on the patient's chart, and contacting the blood bank Documenting on the patient's chart only Contacting the blood bank only Notifying the nurse manager - answer-Notifying the nurse manager, documenting on the patient's chart, and contacting the blood bank In the event of an adverse reaction to a blood transfusion, the perioperative nurse should document the patient's chart. The nurse should also notify his or her manager of the incident and ensure the blood bank is aware of the event. Transmission-based precautions are used for what / whom? All patients receiving medical care Post-operative care of patients receiving invasive procedures Standard application of infection control procedures Patients who are known or suspected of having a highly infectious, epidemic disease. - answer-Patients who are known or suspected of having a highly infectious, epidemic disease Transmission based-precautions should be used in addition to Standard Precautions for any patient suspected of having a highly infectious disease. The types of transmission based-precautions include precautions for airborne, droplet, and contact transmission. Which of the following descriptions would be considered the most correct for the term bioburden? Endoscopic surgery of a joint This would be considered a measure of the number of bacterial colonies on the surface This would be considered over-distension in lung tissue A medication that reduces anxiety - answer-This would be considered a measure of the number of bacterial colonies on the surface An endoscopic surgery of a joint would be considered an arthroscopy. A medication that reduces anxiety would be considered an anxiolytic. An over-distension in lung tissue would be considered blebs. Bioburden would be considered a measure of the number of bacterial colonies on the surface.