RNFA course 1 Period Quiz
1. Select the appropriate nursing action that supports hands free instrument passing and
sharps safety.: Create a neutral hands free area between the scrub person and surgeon with a
basin or magnetic mat.
2. The circulating nurse received a phone call from the emergency depart- ment and called
sterile supply to assemble the instrument for an abdominal trauma case with possible aortic
rupture. When the cart arrived, she saw thevascular set; however the most important
instrument set was missing. What important set was needed for this procedure besides the
vascular set?: Basiclaparotomy set
3. Which of the following absorbable suture has the best tensile strength?: -
Polydioxanone
4. Miriam Glass is a 78 year old female scheduled for compression nail inser-tion of a left
fractured hip. She was positioned for a spinal injection to inducespinal anesthesia. During the
process, the anesthesia provider inadvertentlyinserted the spinal needle into the subarachnoid
space, not noticing the erroruntil the entire syringe of lidocaine was emptied into the patient.
Miriam immediately experienced rapid onset of hypotension, bradycardia and apnea.Miriams
unintentional condition is called ———— and now must be managedwith—————-.:
Cardiogenic shock; ACLS protocol
5. Which of the following do not need to be counted and documented.: Vas-cular inserts pg
199 16th Ed
6. Infection control and prevention surveillance was underway in the cardiacintensive care
unit because of an alarming prevalence of sternal wound in- fections. On postop day 2, a
patient develop d edema, redness and purulent exudate that appeared to be isolated to the
subcutaneous plane above the sternum. What important criteria must be met to conclusively
define this is
a surgical site infection (SSI): Positive diagnosis of the SSI by the surgeon orattending
physician
7. The final step, after decontamination and before sterilization, is the prep,pack, and wrap
process. The sterile processing technologist has taken the laparotomy set from the washer/
decontaminator to prepare for sterilization.
Select the most appropriate order that the instrument set must travel before reaching the steam
sterilizer.: Air dry, inventory, inspect, lubricate, assemble andstring instruments, wrap and
tape????
Pg 72 16th Ed.
8. Many factors have contributed to the evolution and progressive growth ofambulatory
surgery. Select three anesthetic agents that promote fast induc- tion, rapid emergence and
minimal side effects and have been credited as a significant factor in this trend.: Sevoflurane,
, propofol, desflurane
9. Surgical instruments that do not fall under the category of clamps, retrac-tors, or cutting
instruments, but are used in most procedures are typically included within the category of::
Accessory and ancillary instruments
10. The light transmission through an endoscope is achieved by way of:: Bun-dles of fiber
optic glass rods
11. —————— Precautions apply to blood, all body fluid, secretions and excretions
(except sweat) regardless of whether they contain visible blood,mucous membranes and not
intact skin.: Standard
12. The OR was trialing a new insufflation system and the vendor represen- tative was out of
the room taking a phone call. The perioperative nurse was concerned that the flow rate was
well above 14L/min and the pressure had risen to 16 mmHg. She alerted the surgeon and
reduced the rate and pressurebecause she feared that the elderly patient was at high risk for::
Hypercarbia
13. A type of monofilament suture that does not require the user to the knotsis known as:
Barbed
14. A common dysrhythmia seen after surgery is:: Sinus tachycardia
15. Select all the injuries or conditions that reflect probable child abuse orneglect: Severe
injuries inconsistent with the history
16. When applying the sterile drapes to create the sterile field on the patient, which of the
following principles is most important?: Drape the patient starting with the incision area and
proceeding to the periphery.
17. Select from the following a medication that is used for PONV and has thepotential to
prolong the QT interval
a) droperidol
b) dolasteran
c) prochlorperazine
d) scopolamine patch: A) droperidol
18. Allergic reactions to latex range from skin disease to asthma and anaphy-laxis that can
result in chronic illness, disability, career loss, hardship and death. What types of signs and
symptoms would be indicative of an allergiccontact dermatitis response to contact with
natural rubber latex: Pruritus, edema, erythema, and vesicles that develop 6 to 48 hours after
exposure
19. The strength layer of the skin is found in the: Dermis
20. Two monitoring techniques used by anesthesia that have improved morbid-ity and
mortality include:: Pulse ox and capnography
21. Jacob Sutzkever is a 62 year old man who had surgery 6 days ago for a ruptured
1. Select the appropriate nursing action that supports hands free instrument passing and
sharps safety.: Create a neutral hands free area between the scrub person and surgeon with a
basin or magnetic mat.
2. The circulating nurse received a phone call from the emergency depart- ment and called
sterile supply to assemble the instrument for an abdominal trauma case with possible aortic
rupture. When the cart arrived, she saw thevascular set; however the most important
instrument set was missing. What important set was needed for this procedure besides the
vascular set?: Basiclaparotomy set
3. Which of the following absorbable suture has the best tensile strength?: -
Polydioxanone
4. Miriam Glass is a 78 year old female scheduled for compression nail inser-tion of a left
fractured hip. She was positioned for a spinal injection to inducespinal anesthesia. During the
process, the anesthesia provider inadvertentlyinserted the spinal needle into the subarachnoid
space, not noticing the erroruntil the entire syringe of lidocaine was emptied into the patient.
Miriam immediately experienced rapid onset of hypotension, bradycardia and apnea.Miriams
unintentional condition is called ———— and now must be managedwith—————-.:
Cardiogenic shock; ACLS protocol
5. Which of the following do not need to be counted and documented.: Vas-cular inserts pg
199 16th Ed
6. Infection control and prevention surveillance was underway in the cardiacintensive care
unit because of an alarming prevalence of sternal wound in- fections. On postop day 2, a
patient develop d edema, redness and purulent exudate that appeared to be isolated to the
subcutaneous plane above the sternum. What important criteria must be met to conclusively
define this is
a surgical site infection (SSI): Positive diagnosis of the SSI by the surgeon orattending
physician
7. The final step, after decontamination and before sterilization, is the prep,pack, and wrap
process. The sterile processing technologist has taken the laparotomy set from the washer/
decontaminator to prepare for sterilization.
Select the most appropriate order that the instrument set must travel before reaching the steam
sterilizer.: Air dry, inventory, inspect, lubricate, assemble andstring instruments, wrap and
tape????
Pg 72 16th Ed.
8. Many factors have contributed to the evolution and progressive growth ofambulatory
surgery. Select three anesthetic agents that promote fast induc- tion, rapid emergence and
minimal side effects and have been credited as a significant factor in this trend.: Sevoflurane,
, propofol, desflurane
9. Surgical instruments that do not fall under the category of clamps, retrac-tors, or cutting
instruments, but are used in most procedures are typically included within the category of::
Accessory and ancillary instruments
10. The light transmission through an endoscope is achieved by way of:: Bun-dles of fiber
optic glass rods
11. —————— Precautions apply to blood, all body fluid, secretions and excretions
(except sweat) regardless of whether they contain visible blood,mucous membranes and not
intact skin.: Standard
12. The OR was trialing a new insufflation system and the vendor represen- tative was out of
the room taking a phone call. The perioperative nurse was concerned that the flow rate was
well above 14L/min and the pressure had risen to 16 mmHg. She alerted the surgeon and
reduced the rate and pressurebecause she feared that the elderly patient was at high risk for::
Hypercarbia
13. A type of monofilament suture that does not require the user to the knotsis known as:
Barbed
14. A common dysrhythmia seen after surgery is:: Sinus tachycardia
15. Select all the injuries or conditions that reflect probable child abuse orneglect: Severe
injuries inconsistent with the history
16. When applying the sterile drapes to create the sterile field on the patient, which of the
following principles is most important?: Drape the patient starting with the incision area and
proceeding to the periphery.
17. Select from the following a medication that is used for PONV and has thepotential to
prolong the QT interval
a) droperidol
b) dolasteran
c) prochlorperazine
d) scopolamine patch: A) droperidol
18. Allergic reactions to latex range from skin disease to asthma and anaphy-laxis that can
result in chronic illness, disability, career loss, hardship and death. What types of signs and
symptoms would be indicative of an allergiccontact dermatitis response to contact with
natural rubber latex: Pruritus, edema, erythema, and vesicles that develop 6 to 48 hours after
exposure
19. The strength layer of the skin is found in the: Dermis
20. Two monitoring techniques used by anesthesia that have improved morbid-ity and
mortality include:: Pulse ox and capnography
21. Jacob Sutzkever is a 62 year old man who had surgery 6 days ago for a ruptured
