RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
The process of decontamination should initially begin at what
point? -
correct answer ✅Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal
circulation include: -
correct answer ✅Inflammatory responses
After retracting the nerve roots during a laminectomy, this
structure is incised before getting to the disc. -
correct answer ✅Posterior longitudinal ligament
Of the following, which is not a symptom of compartment
syndrome? -
correct answer ✅Moderate pain
Fibrocystic changes in the breast describe many different breast
changes. These changes affect almost all women at some time in
their lives. Nipple discharge is more commonly associated with
benign lesions than with cancer; however, discharge is usually
significant only if it is spontaneous, persistent, and: -
correct answer ✅bloody
,RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
Jan Stuyvesant, a perioperative nurse, was the scrub person during
a robotic-assisted laparoscopic cholecystectomy. She locked the
robotic endoscissor into the adaptor on the robotic arm and
positioned the tip end into the trocar port in order for the surgeon
to dissect the cystic duct and artery, while the surgical assistant
placed the clips on the cystic duct and artery. As she reached across
the sterile field to insert the cholangiocatheter through the port,
the anesthesia provider accidentally made contact with the distal
end of the catheter as he stood up to reach the monitor controls.
The contaminated end of the catheter touched the endoscopic clip
applier, the endoscissor connector that the surgeon was using, the
glove of the assistant, and Jan's gown sleeve. The surgeon ordered
everyone to change their gown and gloves and covered the port
area with a sterile towel. What was the rationale for the surgeon to
co -
correct answer ✅The surgeon was not in contact with the sterile
field because he worked from the robotic console.
The ability to maintain thermoregulation is compromised in elders
because of changes in the: -
correct answer ✅vascular system
,RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
Because herbal products are so readily available and have such
widespread media attention, many people think that they can
safely self-medicate. Why should the public be aware and educated
about dietary supplements and potential harmful effects? -
correct answer ✅Unknown substances may be present in these
products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for
early-onset breast cancer, is now scheduled for infusion port
insertion. Talia is very nervous because during the previous
lumpectomy, performed using a local anesthetic, she was not
entirely sedated. Talia tells the perioperative nurse that she was
uncomfortable and heard everything in the room, but admitted
that she did not feel pain. The nurse recognized Talia's anxiety
related to the surgical intervention and prepared to implement
corrective actions in the OR. What nursing intervention best reflects
one that would ensure support or contribute to Talia realizing her
expected outcome? -
correct answer ✅Ensure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a
primary and secondary survey in the emergency department. She
was hit by a small truck as she was riding her bicycle through a busy
intersection. She has sustained rib fractures and several fractured
, RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she
notices blood at the urinary meatus. What should the nurse's next
action be? -
correct answer ✅Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less
invasive and more targeted techniques; however, the amount of
parathyroid tissue that should be removed remains controversial
and relates to whether single or multiple glands are involved. A
portion of a gland must remain to: -
correct answer ✅prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? -
correct answer ✅Middle colic artery
Which of the following structures form the mouth? -
correct answer ✅cheeks, the hard palate, the mandible, and the
tongue
The salivary glands produce saliva, which serves to moisten the
mouth and initiate: -
correct answer ✅carbohydrate digestion.
QUESTIONS AND ANSWERS
The process of decontamination should initially begin at what
point? -
correct answer ✅Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal
circulation include: -
correct answer ✅Inflammatory responses
After retracting the nerve roots during a laminectomy, this
structure is incised before getting to the disc. -
correct answer ✅Posterior longitudinal ligament
Of the following, which is not a symptom of compartment
syndrome? -
correct answer ✅Moderate pain
Fibrocystic changes in the breast describe many different breast
changes. These changes affect almost all women at some time in
their lives. Nipple discharge is more commonly associated with
benign lesions than with cancer; however, discharge is usually
significant only if it is spontaneous, persistent, and: -
correct answer ✅bloody
,RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
Jan Stuyvesant, a perioperative nurse, was the scrub person during
a robotic-assisted laparoscopic cholecystectomy. She locked the
robotic endoscissor into the adaptor on the robotic arm and
positioned the tip end into the trocar port in order for the surgeon
to dissect the cystic duct and artery, while the surgical assistant
placed the clips on the cystic duct and artery. As she reached across
the sterile field to insert the cholangiocatheter through the port,
the anesthesia provider accidentally made contact with the distal
end of the catheter as he stood up to reach the monitor controls.
The contaminated end of the catheter touched the endoscopic clip
applier, the endoscissor connector that the surgeon was using, the
glove of the assistant, and Jan's gown sleeve. The surgeon ordered
everyone to change their gown and gloves and covered the port
area with a sterile towel. What was the rationale for the surgeon to
co -
correct answer ✅The surgeon was not in contact with the sterile
field because he worked from the robotic console.
The ability to maintain thermoregulation is compromised in elders
because of changes in the: -
correct answer ✅vascular system
,RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
Because herbal products are so readily available and have such
widespread media attention, many people think that they can
safely self-medicate. Why should the public be aware and educated
about dietary supplements and potential harmful effects? -
correct answer ✅Unknown substances may be present in these
products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for
early-onset breast cancer, is now scheduled for infusion port
insertion. Talia is very nervous because during the previous
lumpectomy, performed using a local anesthetic, she was not
entirely sedated. Talia tells the perioperative nurse that she was
uncomfortable and heard everything in the room, but admitted
that she did not feel pain. The nurse recognized Talia's anxiety
related to the surgical intervention and prepared to implement
corrective actions in the OR. What nursing intervention best reflects
one that would ensure support or contribute to Talia realizing her
expected outcome? -
correct answer ✅Ensure a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a
primary and secondary survey in the emergency department. She
was hit by a small truck as she was riding her bicycle through a busy
intersection. She has sustained rib fractures and several fractured
, RNFA FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS
transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she
notices blood at the urinary meatus. What should the nurse's next
action be? -
correct answer ✅Discontinue the catheter insertion
Open parathyroidectomy is currently being replaced with less
invasive and more targeted techniques; however, the amount of
parathyroid tissue that should be removed remains controversial
and relates to whether single or multiple glands are involved. A
portion of a gland must remain to: -
correct answer ✅prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? -
correct answer ✅Middle colic artery
Which of the following structures form the mouth? -
correct answer ✅cheeks, the hard palate, the mandible, and the
tongue
The salivary glands produce saliva, which serves to moisten the
mouth and initiate: -
correct answer ✅carbohydrate digestion.
