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RNFA FINAL EXAM
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Exam study book Berry & Kohn's Operating Room Technique of Nancymarie Phillips - ISBN: 9780323399272 (RNFA FINAL EXAM)
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TEST BANK FOR BERRY & KOHN'S OPERATING ROOM TECHNIQUES 13TH EDITION BY PHILLIPS
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TEST BANK FOR BERRY & KOHN'S OPERATING ROOM TECHNIQUE, 13THEDITION PHILLIPS
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RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDENEWEST 2024 ACTUAL EXAM 800 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ASNWERS) |
ALREADY GRADED A+
_______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
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
Which of the following is not a characteristic of silk suture? - ANSWER: Memory
The first case of the day is scheduled as a knee arthroscopy for an otherwise healthy
24 year old patient. Upon pre assessment, the patient admits to a family history of
anesthesia and surgical complications. Patient also states last oral intake consisted of
eating a cheese steak and drinking 2 cans of beer the night before at 11:30 PM. The
patient subsequently vomited when intubation was performed and experienced
respiratory distress upon extubation. What measure could have been taken by the
team to prevent aspiration based on the patient's history? - ANSWER: The
perioperative nurse applying cricoid pressure during induction through intubation
The instillation of a local anesthetic into the subarachnoid space is termed: -
ANSWER: Spinal Anesthesia
What is the appropriate action if the doctor is delayed after the room and
instruments have been opened? - ANSWER: Cover the instruments with a sterile
drape and have the scrub nurse continually visually observe the room for breaches in
sterility.
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