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RNFA FINAL EXAM QUESTIONBANK ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ASWERS (VERIFIED ANSWERS) 2025 | REGISTERED NURSE FIRST ASSISTANT$22.99
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RNFA FINAL EXAM QUESTIONBANK
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ASWERS
(VERIFIED ANSWERS) 2025 |
REGISTERED NURSE FIRST ASSISTANT
Sara Gardiner is the perioperative nurse in the circulating
role in OR 2, and is planning for her three neurosurgical
procedures for the day. She is explaining the basic
processes of the three procedures to the scrub person and
double-scrubbed surgical technology student: (1) a VP
shunt insertion, (2) a reconstructive craniosynostosis for
an infant with severe deformity, and (3) exploration of a
severe head injury with increased intracranial pressure
(ICP) to evacuate a hematoma and possible brain tissue.
To give the brain room to swell in the third procedure, the
bone flap may need to be sterile-wrapped and stored, for
later replacement. Sara asks the student to name the
appropriate surgical approach to the brain for each of the
procedures. She expects the correct sequence to be:
Correct Answer burr hole, craniectomy, and craniotomy.
When laryngoscopy, bronchoscopy, and esophagoscopy
are performed in a single session on a patient, the
procedure is termed triple endoscopy or panendoscopy.
The purpose of triple endoscopy is usually diagnostic. A
critical role of the perioperative nurse during this complex
diagnostic procedure is that of: Correct Answer identifying,
containing, and labeling all specimens accurately.
,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 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.
Describe the boundaries of the surgical skin prep for the
patient about to receive a liver transplant. Correct Answer
From the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the
thyroid and all thyroid tissue present. Total thyroidectomy
is the desired surgical treatment for patients with: Correct
Answer thyroid cancer.
Which of the following describes a strangulated hernia?
Correct Answer A persistent incarceration with a
compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to
assess patients with brain injury using three indicators of
cerebral function: eye opening, verbal communication, and
motor response to verbal and noxious stimuli. Within the
scoring range for the GCS, the best possible score is
_____ and the worst possible score is ______. Correct
Answer 15; 3
What mouth structure is considered the boundary between
the buccal cavity and the lingual cavity? Correct Answer
Teeth
Laryngoscopy is direct visual examination of the interior of
the larynx by means of a rigid, lighted speculum known as
, a laryngoscope to obtain a specimen of tissue or
secretions for pathologic examination. What risk reduction
strategy should the perioperative nurse employ in
preparing for the conclusion of the procedure? Correct
Answer Maintain instrument setup until the patient leaves
the OR.
Marissa Walton is transferred to the OR from the burn unit
for debridement of the partial-thickness burn areas and a
dressing change under anesthesia. What important
preparation for the procedure will the perioperative nurse
perform before Marissa arrives in the OR? Correct Answer
Prewarm the OR to above the ambient high temperature
for an adult.
FESS provides a more functional approach to treat sinus
disease. FESS involves the endoscopic resection of
inflammatory and anatomic defects of the sinuses while
preserving natural function in a surgical procedure that is
minimally invasive. From the following, choose an
important finding that should be communicated to the
surgeon immediately during this procedure. Correct
Answer Encroachment of the orbit
Administration of cyclogyl should be used in caution with
which of the following patient groups? Correct Answer
Patients on tricyclics
What drug can be used to reverse the effects of heparin ?
Correct Answer Protamine sulfate
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