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RNFA FINAL EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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RNFA FINAL EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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RNFA FINAL EXAM LATEST 2024/2025 UPDATEDQUESTIONS AND CORRECT DETAILED ANSWERS
GRADED A+
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.
_______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
, 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
Laryngospasm is a serious complication often seen in the PACU setting. What is
the ideal immediate and last resort response by the anesthesia provider or
perianesthesia nurse in an emerging patient who has been in spasm for over 1
minute? - ANSWER-suctioning, IV succinylcholine administration, and
reintubation
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