RNFA FINAL EXAM 2
A 26 year old female is rushed to the OR after being hit by a truck as she was riding her bike.
She has rib fractures and several fractures transverse verbal processes. Recall injury is
suspected. As the OR nurse prepares to insert a urinary catheter she notices blood at the
urinary meatus. What should her next action be - ANS-Discontinue the catheter insertion
A benefit to the patient undergoing SILS procedure is which of the following - ANS-Less
postoperative pain
A medication often used in cardiac surgery to prevent spasms of vessels is: - ANS-Papaverine
A minimally invasive technique that may be used to remove parathyroid tumors deep in the
mediastinum is known as - ANS-Thoracoscopy
A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35 mmHg,
HCO3<22mEq/L. This patient is in: - ANS-Metabolic acidosis
A portion of a parathyroid glands must remain for which of the following reasons? -
ANS-Prevent hypocalcemia and it's complications
A power drill and assorted roasting burrs are essential for middle ear surgery and some sinus
procedures. During drill and power saw use, the scrub person keeps irrigation solution on the
sterile field to - ANS-Prevent clogging of the burr and contamination of the area with bone dust
After retracting the nerve roots during a laminectomy, this structure is invited before getting to
the disc - ANS-Posterior longitudinal ligament
An example of a potential risk associated with pneumoperitoneum would be - ANS-gas embolus
into an exposed blood vessel during the procedure.
An important anatomical landmark in thyroid surgery is known as - ANS-Poles
An important aspect to bone healing that is preserved through intermedullary reaming is -
ANS-Maintenance of fracture hematoma
An orchiopexy is the surgical placement and fixation of the testicles in a normal anatomic
position in the scrotal sac. If the testis fails to descend into the scrotum during gestation, it is
considered undescended. Which statement regarding indications for orchiopexy is true -
ANS-All testes that are undescended after 1 year require surgical placement in the scrotum
, As of the following wound healing complications are attributed to smoking except: -
ANS-Decreased blood viscosity
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first
progress through which of the following? - ANS-Scarpa's fascia
Blunt trauma injuries may not fully reveal the degree or depth of injury. What noninvasive
diagnostic test is critical to diagnose potential traumatic brain injury - ANS-CT scan of the head
Bone graft that is sealed in a sterile labeled envelope from a tissue transplant company and
stored in a vacuum sealed freezer and monitored with an alarm would be considered an -
ANS-Allograft
Care must be taken when placing reactors as an RNFA assisting with inguinal hernia repair.
Which of the following is a vessel that is located in the area of i in inguinal hernias? -
ANS-Inferior epigastric
Changes to the elderly persons skeleton can present challenges to the intraoperative team. In
terms of additional attention and care, what intervention can the team provide - ANS-Position
the patient using appropriate padding and joint protection devices
Choose the correct flow of bile from the gallbladder - ANS-Cystic duct, common duct, ampulla of
Vater, duodenum
Choose the correct statement regarding the trigone of the bladder - ANS-Forms the base of the
bladder
Closed reduction is the treatment of choice for fractures because of - ANS-Decreased
opportunity for infection
Closed thoracostomy will require which of the following - ANS-Chest catheters and water-seal
drainage
During a THA using the posterior lateral approach, the RNFA will dislocated the head of the
femur using: - ANS-Flexion, adduction, external rotation
During kidney transplant surgery and prior to clamping the renal vessels, which of the following
drugs are administered to prevent intravascular clotting and maximize diuresis - ANS-Heparin
and mannitol
During the cementing of components during total joint replacement, a new CRNA who has
never worked in orthopedics before begins to panic. A side effect that possibly occurred with this
patient as a result of the cement is: - ANS-Hypotension
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