RNFA Test V1
1. The most difficult vein to access and harvest endoscopically for cardiacsurgery is:: Lesser
saphenous vein
2. The filtering mechanism of the kidney is located within which region of thekidney?: Renal
cortex
3. A medication often used in cardiac surgery to prevent spasms of a vesselis:: Papaverine
4. During a THA using the posterior approach, the RNFA will dislocate thehead of the femur
using:: Flexion, adduction, external rotation
5. Identify the marginal boundaries of the breasts:: Second to sixth rib andhorizontally from
the lateral edge of sternum to anterior axillary line
6. What description of the incision will the RNFA provide to a patient sched- uled for a
modified radical mastectomy?: An oblique elliptic incision with lateral extension toward the
axilla
7. Ductal ectasia is a benign disorder that is difficult to distinguish from cancer, primarily
because it presents with:: A hard and irregular mass, nippledischarge, and enlarged axillary
nodes
8. Margaret Slayton, a 52-year-old woman with a history of left mastectomy is scheduled
for TRAM flap reconstruction. The periop nurse gently moved Margaret's arms into abducted
position on the armboards in prep for posi- tioning. What other considerations must be made
for positioning the patient undergoing this procedure?: Raise the head of the bed to low fowler's
flex positionto reduce the stretching on the abdominal donor graft wound site
9. After the closure of the arteriotomy during carotid endarterectomy is com-plete, which
clamp is removed last?: The internal carotid
10. Aortic stenosis produces an obstruction to:: Left ventricle outflow
11. Patients with chronic venous insufficiency (CVI) are not typically treatedsurgically as
often as patients with arterial disease because?: CVI is not
life-threatening or limb-threatening
12. Aneurysms may be caused by atherosclerosis, trauma, infection, or cysticmedial
degeneration. What presenting condition will indicate that surgical intervention is necessary?:
Compromised circulation or danger of rupture
13. What does the presence of bruit on auscultation of a blood vessel mean?-
: Blood flow is disrupted
14. What documentation requirements is unique to vascular surgery?: Clampapplication and
removal times
15. What structure is responsible for division between left and right chestcavity?:
Mediastinum
, 16. Abdominal aortic aneurysms (AAAs), which account for most aneurysms,occur primarily
in what area?: Between the renal arteries and the aortic bifurcation
17. Identify the venous structure that prevents blood backflow?: Semilunarintimal folds
18. Identify from the following, the correct branch of the left main coronary artery: right
coronary artery. Circumflex coronary artery. Left ascending coro-nary artery. Great cardiac
vein.: Circumflex coronary artery
19. Postoperative hoarseness, obstructed airway, or paralysis of the vocal cords is a serious
complication of thyroid surgery. During surgery, care is taken to identify and protect which
nerve?: Recurrent laryngeal nerve
20. The nasal sputum is lined with blood vessels and mucus-secreting cells. The proper name
of this lining is the:: Mucoperichondrium
21. A surgical patient that presents with an acoustic neuroma will demonstrate which of the
following symptoms: papilledema caused by decreased ICP.
Impaired bilateral cerebellar function. Bilateral deafness. Unilateral deafness.-
: Unilateral deafness
22. Inadvertent injury to which nerve can result in vocal cord paralysis?: Re-current nerve
23. A power drill and assorted rotating burrs are essential for middle ear surgery and some
sinuses procedures. During drill and power saw use, the scrub person keeps irrigation solution
on the sterile field to:: Prevent cloggingof the burr and contamination of the area with bone
dust
24. Marla, the periop nurse for a skin contracture release of the ear on a
5-year-old boy, transfers 0.25% bupivacaine via syringe to the scrub person'ssterile back table.
The scrub person, Jake, questions why she is not giving himbupivacaine with epi, since there
may be bleeding expected at the incision site. Marla's reply to Jake is based on the fact that::
Epi is contraindicated in areas with limited vascularity, such as the ears
25. The liver, pancreas, and spleen share many similarities. Choose from following: all 3
have terminal attachments to the duodenum. All 3 impact blood clotting. All 3 are solid organs
and very vascular. All 3 are metabolicorgans.: All 3 are solid organs and very vascular
26. In renal transplantation a kidney with _ artery(ies) is preferred: Single
27. During kidney transplant surgery and prior to clamping the renal vessels,what drugs are
administered to prevent intravascular clotting and maximize diuresis?: Heparin & mannitol
28. Skin grafting provides an effective way to cover a wound if vascularity is adequate,
infection is absent, and hemostasis is achieved. Skin from the donorsite is detached from its blood
supply and placed in the recipient site.The bestdescription of a successful skin graft outcome
is:: The recipient site develops a new blood supply from the base of the wound
29. The primary function of the gallbladder is to:: Store and concentrate bile
1. The most difficult vein to access and harvest endoscopically for cardiacsurgery is:: Lesser
saphenous vein
2. The filtering mechanism of the kidney is located within which region of thekidney?: Renal
cortex
3. A medication often used in cardiac surgery to prevent spasms of a vesselis:: Papaverine
4. During a THA using the posterior approach, the RNFA will dislocate thehead of the femur
using:: Flexion, adduction, external rotation
5. Identify the marginal boundaries of the breasts:: Second to sixth rib andhorizontally from
the lateral edge of sternum to anterior axillary line
6. What description of the incision will the RNFA provide to a patient sched- uled for a
modified radical mastectomy?: An oblique elliptic incision with lateral extension toward the
axilla
7. Ductal ectasia is a benign disorder that is difficult to distinguish from cancer, primarily
because it presents with:: A hard and irregular mass, nippledischarge, and enlarged axillary
nodes
8. Margaret Slayton, a 52-year-old woman with a history of left mastectomy is scheduled
for TRAM flap reconstruction. The periop nurse gently moved Margaret's arms into abducted
position on the armboards in prep for posi- tioning. What other considerations must be made
for positioning the patient undergoing this procedure?: Raise the head of the bed to low fowler's
flex positionto reduce the stretching on the abdominal donor graft wound site
9. After the closure of the arteriotomy during carotid endarterectomy is com-plete, which
clamp is removed last?: The internal carotid
10. Aortic stenosis produces an obstruction to:: Left ventricle outflow
11. Patients with chronic venous insufficiency (CVI) are not typically treatedsurgically as
often as patients with arterial disease because?: CVI is not
life-threatening or limb-threatening
12. Aneurysms may be caused by atherosclerosis, trauma, infection, or cysticmedial
degeneration. What presenting condition will indicate that surgical intervention is necessary?:
Compromised circulation or danger of rupture
13. What does the presence of bruit on auscultation of a blood vessel mean?-
: Blood flow is disrupted
14. What documentation requirements is unique to vascular surgery?: Clampapplication and
removal times
15. What structure is responsible for division between left and right chestcavity?:
Mediastinum
, 16. Abdominal aortic aneurysms (AAAs), which account for most aneurysms,occur primarily
in what area?: Between the renal arteries and the aortic bifurcation
17. Identify the venous structure that prevents blood backflow?: Semilunarintimal folds
18. Identify from the following, the correct branch of the left main coronary artery: right
coronary artery. Circumflex coronary artery. Left ascending coro-nary artery. Great cardiac
vein.: Circumflex coronary artery
19. Postoperative hoarseness, obstructed airway, or paralysis of the vocal cords is a serious
complication of thyroid surgery. During surgery, care is taken to identify and protect which
nerve?: Recurrent laryngeal nerve
20. The nasal sputum is lined with blood vessels and mucus-secreting cells. The proper name
of this lining is the:: Mucoperichondrium
21. A surgical patient that presents with an acoustic neuroma will demonstrate which of the
following symptoms: papilledema caused by decreased ICP.
Impaired bilateral cerebellar function. Bilateral deafness. Unilateral deafness.-
: Unilateral deafness
22. Inadvertent injury to which nerve can result in vocal cord paralysis?: Re-current nerve
23. A power drill and assorted rotating burrs are essential for middle ear surgery and some
sinuses procedures. During drill and power saw use, the scrub person keeps irrigation solution
on the sterile field to:: Prevent cloggingof the burr and contamination of the area with bone
dust
24. Marla, the periop nurse for a skin contracture release of the ear on a
5-year-old boy, transfers 0.25% bupivacaine via syringe to the scrub person'ssterile back table.
The scrub person, Jake, questions why she is not giving himbupivacaine with epi, since there
may be bleeding expected at the incision site. Marla's reply to Jake is based on the fact that::
Epi is contraindicated in areas with limited vascularity, such as the ears
25. The liver, pancreas, and spleen share many similarities. Choose from following: all 3
have terminal attachments to the duodenum. All 3 impact blood clotting. All 3 are solid organs
and very vascular. All 3 are metabolicorgans.: All 3 are solid organs and very vascular
26. In renal transplantation a kidney with _ artery(ies) is preferred: Single
27. During kidney transplant surgery and prior to clamping the renal vessels,what drugs are
administered to prevent intravascular clotting and maximize diuresis?: Heparin & mannitol
28. Skin grafting provides an effective way to cover a wound if vascularity is adequate,
infection is absent, and hemostasis is achieved. Skin from the donorsite is detached from its blood
supply and placed in the recipient site.The bestdescription of a successful skin graft outcome
is:: The recipient site develops a new blood supply from the base of the wound
29. The primary function of the gallbladder is to:: Store and concentrate bile
