RNFA FINAL PRACTICE 2025 LATEST UPDATED
(Questions and Answers)
This document is the RNFA Final Practice Exam 2025 – Latest Updated Questions &
Answers, designed to help nursing professionals prepare for their final RNFA certification
assessment. It includes comprehensive, up-to-date questions
_______Precautions apply to blood, all body fluids, secretions, and
excretions (except sweat), regardless of whether they contain
visible blood, mucous membranes, and non-intact skin. -
,,,,answer,,,,..Standard
Which of the following anesthetics may result in fasiculations for the
patient? - ,,,,answer,,,,..Succhinylcholine
Hypothermia has been shown to be a factor that may place the
surgical patient at risk for infection and delayed healing. What
intervention is an engineered control factor to protect the patient
from hypothermia? - ,,,,answer,,,,..b. set the ambient room
temperature between 68° and 73° F
A basic anesthesia monitoring device that is used during general
anesthesia to confirm successful endotracheal tube placement and
determine the presence of gas exchange is the: -
,,,,answer,,,,..capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: -
,,,,answer,,,,..Cleaning
,Which of the following requires at minimum, 2 patient identifiers on
specimen labels? - ,,,,answer,,,,..Joint Commission
A 9-year-old diabetic with an insulin pump, has arrived in the OR for
emergency repair of superficial facial and deep arm lacerations. The
RNFA should consider which of the following options for energy-
generated hemostasis? - ,,,,answer,,,,..Bipolar Electrosurgery Unit
During a hysteroscopy, sterile saline is used to expand the
intrauterine compartment and enhance visualization. The
perioperative nurse is concerned that approximately 500 ml of fluid
was unaccounted for and alerted the surgeon and RNFA. The nurse's
motive for this surveillance is to: - ,,,,answer,,,,..Potential for
Intervastation
Which of the following statements reflects the location of the
arcuate line? - ,,,,answer,,,,..one third of the distance between the
umbilicus and the symphysis pubis.
Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional retained
surgical items (RSI). What risk reduction strategy could prevent
RSI? - ,,,,answer,,,,..Replacing or tagging sponges and laparotomy
instruments with RFID chips.
The surgical hand scrub is designed to render the hands, nails, and
arms - ,,,,answer,,,,..Surgically Clean
The RNFA instructed the new anesthesia resident in the proper
positioning of the arm and hands on the OR bed armboards. The
resident was cautioned to avoid pressure on the elbow to prevent: -
,,,,answer,,,,..Ulnar Nerve Injury
,A type of suture to help eliminate tension on the primary suture line
is known as: - ,,,,answer,,,,..Retention Suture
Identify the primary substance found in the epidermis that protects
the body from fluid loss and invasion by pathogens. -
,,,,answer,,,,..Keratin
When a patient absorbs an unsafe amount of local anesthetic into
the bloodstream, a catastrophic outcome is possible. Treatment for
LAST includes the use of which of the following? - ,,,,answer,,,,..Lipids
When buried in tissue, silk loses its tensile strength after what
period of time? - ,,,,answer,,,,..1 Year
Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? - ,,,,answer,,,,..Use of
Prophylactic Antibiotics
To help visualize abdominal structures and to enhance safety during
laparoscopic procedures, a pneumoperitoneum is created. After
Veress needle confirmation, insufflation tubing is connected and the
process begun. CO2 gas is used to insufflate the abdominal cavity at
an ideal flow rate of ______ to achieve an ideal intra-abdominal
pressure of ______. - ,,,,answer,,,,..9 L/min;14 to 16 mm Hg
Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to
which self retaining retractor is available within the facility. From
the following, which is an appropriate suggestion? -
,,,,answer,,,,..Bookwalter
The safest and most commonly used method of sterilization is which
of the following? - ,,,,answer,,,,..Steam Sterilization
, Has been identified to reduce SSIs and affect surgical outcomes? -
,,,,answer,,,,..Antibiotics given IV within 1 hour of the incision for
every procedure with an incision or entered body system.
When applying sterile drapes to create the sterile field on the
patient, which of the following principles is most important. -
,,,,answer,,,,..Drape the patient starting with the incision area and
proceeding to the periphery.
To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? -
,,,,answer,,,,..Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is
__________? - ,,,,answer,,,,..Lidocaine
The OR was trialling a new insufflation system and the vendor
representative was out of the room taking a phone call. The
perioperative nurse was concerned that the flow rate was well
above 14 L/min and the pressure had risen to 16 mm Hg. She
alerted the surgeon and reduced the rate and pressure because she
feared that the elderly patient was at high risk for: -
,,,,answer,,,,..Hypercarbia
Your patient had an episode of vomiting during anesthesia induction
and was effectively suctioned by anesthesia. Upon extubation, the
patient presented with coughing, wheezing, dyspnea, use of
accessory muscles, and tachypnea. What is this patient most likely
experiencing? - ,,,,answer,,,,..Bronchospasm
High-pressure insufflation rates can cause overpressurization of the
intra-abdominal cavity. This overpressurization can lead to which of
the following? - ,,,,answer,,,,..Hypercarbia
(Questions and Answers)
This document is the RNFA Final Practice Exam 2025 – Latest Updated Questions &
Answers, designed to help nursing professionals prepare for their final RNFA certification
assessment. It includes comprehensive, up-to-date questions
_______Precautions apply to blood, all body fluids, secretions, and
excretions (except sweat), regardless of whether they contain
visible blood, mucous membranes, and non-intact skin. -
,,,,answer,,,,..Standard
Which of the following anesthetics may result in fasiculations for the
patient? - ,,,,answer,,,,..Succhinylcholine
Hypothermia has been shown to be a factor that may place the
surgical patient at risk for infection and delayed healing. What
intervention is an engineered control factor to protect the patient
from hypothermia? - ,,,,answer,,,,..b. set the ambient room
temperature between 68° and 73° F
A basic anesthesia monitoring device that is used during general
anesthesia to confirm successful endotracheal tube placement and
determine the presence of gas exchange is the: -
,,,,answer,,,,..capnometer/end-tidal CO2 monitor
The first step in the decontamination process is: -
,,,,answer,,,,..Cleaning
,Which of the following requires at minimum, 2 patient identifiers on
specimen labels? - ,,,,answer,,,,..Joint Commission
A 9-year-old diabetic with an insulin pump, has arrived in the OR for
emergency repair of superficial facial and deep arm lacerations. The
RNFA should consider which of the following options for energy-
generated hemostasis? - ,,,,answer,,,,..Bipolar Electrosurgery Unit
During a hysteroscopy, sterile saline is used to expand the
intrauterine compartment and enhance visualization. The
perioperative nurse is concerned that approximately 500 ml of fluid
was unaccounted for and alerted the surgeon and RNFA. The nurse's
motive for this surveillance is to: - ,,,,answer,,,,..Potential for
Intervastation
Which of the following statements reflects the location of the
arcuate line? - ,,,,answer,,,,..one third of the distance between the
umbilicus and the symphysis pubis.
Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional retained
surgical items (RSI). What risk reduction strategy could prevent
RSI? - ,,,,answer,,,,..Replacing or tagging sponges and laparotomy
instruments with RFID chips.
The surgical hand scrub is designed to render the hands, nails, and
arms - ,,,,answer,,,,..Surgically Clean
The RNFA instructed the new anesthesia resident in the proper
positioning of the arm and hands on the OR bed armboards. The
resident was cautioned to avoid pressure on the elbow to prevent: -
,,,,answer,,,,..Ulnar Nerve Injury
,A type of suture to help eliminate tension on the primary suture line
is known as: - ,,,,answer,,,,..Retention Suture
Identify the primary substance found in the epidermis that protects
the body from fluid loss and invasion by pathogens. -
,,,,answer,,,,..Keratin
When a patient absorbs an unsafe amount of local anesthetic into
the bloodstream, a catastrophic outcome is possible. Treatment for
LAST includes the use of which of the following? - ,,,,answer,,,,..Lipids
When buried in tissue, silk loses its tensile strength after what
period of time? - ,,,,answer,,,,..1 Year
Guidelines from WHO focus on which of the following in the
prevention of surgical site infections? - ,,,,answer,,,,..Use of
Prophylactic Antibiotics
To help visualize abdominal structures and to enhance safety during
laparoscopic procedures, a pneumoperitoneum is created. After
Veress needle confirmation, insufflation tubing is connected and the
process begun. CO2 gas is used to insufflate the abdominal cavity at
an ideal flow rate of ______ to achieve an ideal intra-abdominal
pressure of ______. - ,,,,answer,,,,..9 L/min;14 to 16 mm Hg
Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to
which self retaining retractor is available within the facility. From
the following, which is an appropriate suggestion? -
,,,,answer,,,,..Bookwalter
The safest and most commonly used method of sterilization is which
of the following? - ,,,,answer,,,,..Steam Sterilization
, Has been identified to reduce SSIs and affect surgical outcomes? -
,,,,answer,,,,..Antibiotics given IV within 1 hour of the incision for
every procedure with an incision or entered body system.
When applying sterile drapes to create the sterile field on the
patient, which of the following principles is most important. -
,,,,answer,,,,..Drape the patient starting with the incision area and
proceeding to the periphery.
To prevent sharps injury, which of the following is a risk reduction
strategy to be used by the sterile team members? -
,,,,answer,,,,..Passing sharp items using neutral/hands-free
techniques instead of passing hand to hand.
The most commonly used medication for local anesthesia is
__________? - ,,,,answer,,,,..Lidocaine
The OR was trialling a new insufflation system and the vendor
representative was out of the room taking a phone call. The
perioperative nurse was concerned that the flow rate was well
above 14 L/min and the pressure had risen to 16 mm Hg. She
alerted the surgeon and reduced the rate and pressure because she
feared that the elderly patient was at high risk for: -
,,,,answer,,,,..Hypercarbia
Your patient had an episode of vomiting during anesthesia induction
and was effectively suctioned by anesthesia. Upon extubation, the
patient presented with coughing, wheezing, dyspnea, use of
accessory muscles, and tachypnea. What is this patient most likely
experiencing? - ,,,,answer,,,,..Bronchospasm
High-pressure insufflation rates can cause overpressurization of the
intra-abdominal cavity. This overpressurization can lead to which of
the following? - ,,,,answer,,,,..Hypercarbia
