RNFA FINAL PRACTICE questions with
correct solutions
The bprocess bof bdecontamination bshould binitially bbegin bat bwhat bpoint? b- bANSWER: b b➡
bCompletion bof bthe bsurgical bprocedure
Side beffects bthe bpatient bmay bencounter bas ba bresult bof bextracoproreal bcirculation binclude: b-
bANSWER: b b➡ bInflammatory bresponses
After bretracting bthe bnerve broots bduring ba blaminectomy, bthis bstructure bis bincised bbefore
bgetting bto bthe bdisc. b- bANSWER: b b➡ bPosterior blongitudinal bligament
Of bthe bfollowing, bwhich bis bnot ba bsymptom bof bcompartment bsyndrome? b- bANSWER: b b➡
bModerate bpain
Fibrocystic bchanges bin bthe bbreast bdescribe bmany bdifferent bbreast bchanges. bThese bchanges
baffect balmost ball bwomen bat bsome btime bin btheir blives. bNipple bdischarge bis bmore bcommonly
bassociated bwith bbenign blesions bthan bwith bcancer; bhowever, bdischarge bis busually
bsignificant bonly bif bit bis bspontaneous, bpersistent, band: b- bANSWER: b b➡ bbloody
Jan bStuyvesant, ba bperioperative bnurse, bwas bthe bscrub bperson bduring ba brobotic-assisted
blaparoscopic bcholecystectomy. bShe blocked bthe brobotic bendoscissor binto bthe badaptor bon
bthe brobotic barm band bpositioned bthe btip bend binto bthe btrocar bport bin border bfor bthe bsurgeon
bto bdissect bthe bcystic bduct band bartery, bwhile bthe bsurgical bassistant bplaced bthe bclips bon bthe
bcystic bduct band bartery. bAs bshe breached bacross bthe bsterile bfield bto binsert bthe
bcholangiocatheter bthrough bthe bport, bthe banesthesia bprovider baccidentally bmade bcontact
bwith bthe bdistal bend bof bthe bcatheter bas bhe bstood bup bto breach bthe bmonitor bcontrols. bThe
bcontaminated bend bof bthe bcatheter btouched bthe bendoscopic bclip bapplier, bthe bendoscissor
bconnector bthat bthe bsurgeon bwas busing, bthe bglove bof bthe bassistant, band bJan's bgown bsleeve.
bThe bsurgeon bordered beveryone bto bchange btheir bgown band bgloves band bcovered bthe bport
barea bwith ba bsterile btowel. bWhat bwas bthe brationale bfor bthe bsurgeon bto bco b- bANSWER: b b➡
,bThe bsurgeon bwas bnot bin bcontact bwith bthe bsterile bfield bbecause bhe bworked bfrom bthe
brobotic bconsole.
The bability bto bmaintain bthermoregulation bis bcompromised bin belders bbecause bof bchanges
bin bthe: b- bANSWER: b b➡ bvascular bsystem
Because bherbal bproducts bare bso breadily bavailable band bhave bsuch bwidespread bmedia
battention, bmany bpeople bthink bthat bthey bcan bsafely bself-medicate. bWhy bshould bthe bpublic
bbe baware band beducated babout bdietary bsupplements band bpotential bharmful beffects? b-
bANSWER: b b➡ bUnknown bsubstances bmay bbe bpresent bin bthese bproducts.
Talia bMendelson, ba b27-year-old bpatient bwho bhad ba blumpectomy bfor bearly-onset bbreast
bcancer, bis bnow bscheduled bfor binfusion bport binsertion. bTalia bis bvery bnervous bbecause
bduring bthe bprevious blumpectomy, bperformed busing ba blocal banesthetic, bshe bwas bnot
bentirely bsedated. bTalia btells bthe bperioperative bnurse bthat bshe bwas buncomfortable band
bheard beverything bin bthe broom, bbut badmitted bthat bshe bdid bnot bfeel bpain. bThe bnurse
brecognized bTalia's banxiety brelated bto bthe bsurgical bintervention band bprepared bto
bimplement bcorrective bactions bin bthe bOR. bWhat bnursing bintervention bbest breflects bone bthat
bwould bensure bsupport bor bcontribute bto bTalia brealizing bher bexpected boutcome? b- bANSWER:
b b➡ bEnsure ba bquiet band bcalm benvironment bof bcare
A b26-year-old bfemale bis brushed bto bthe boperating broom bafter ba bprimary band bsecondary
bsurvey bin bthe bemergency bdepartment. bShe bwas bhit bby ba bsmall btruck bas bshe bwas briding bher
bbicycle bthrough ba bbusy bintersection. bShe bhas bsustained brib bfractures band bseveral
bfractured btransverse bvertebral bprocesses. bRenal binjury bis bsuspected. bAs bthe bperioperative
bnurse bprepares bto binsert ba burinary bcatheter, bshe bnotices bblood bat bthe burinary bmeatus.
bWhat bshould bthe bnurse's bnext baction bbe? b- bANSWER: b b➡ bDiscontinue bthe bcatheter
binsertion
Open bparathyroidectomy bis bcurrently bbeing breplaced bwith bless binvasive band bmore
btargeted btechniques; bhowever, bthe bamount bof bparathyroid btissue bthat bshould bbe bremoved
bremains bcontroversial band brelates bto bwhether bsingle bor bmultiple bglands bare binvolved. bA
bportion bof ba bgland bmust bremain bto: b- bANSWER: b b➡ bprevent bhypocalcemia band bits
bcomplications.
,Which bof bthe bfollowing bsupplies bblood bto bthe btransverse bcolon? b- bANSWER: b b➡ bMiddle
bcolic bartery
Which bof bthe bfollowing bstructures bform bthe bmouth? b- bANSWER: b b➡ bcheeks, bthe bhard
bpalate, bthe bmandible, band bthe btongue
The bsalivary bglands bproduce bsaliva, bwhich bserves bto bmoisten bthe bmouth band binitiate: b-
bANSWER: b b➡ bcarbohydrate bdigestion.
Potential bdevelopment bof ba bdirect binguinal bhernia bresults bfrom b___________and
b__________weakening bor btearing. b- bANSWER: b b➡ bAponeurosis bof btransversus babdominus
band btransversalis bmuscle
When bthe bpatient barrives bin bthe bED, bthe btrauma bteam binitiates ba bprimary bassessment.
bThis bis ba blogical, borderly bprocess bof bpatient bassessment bfor bpotential blife bthreats. bThese
bassessment bactivities bare bbased bon bestablished bprotocols bfor badvanced btrauma blife
bsupport b(ATLS). bThe bmnemonic b"ABCDE" bis bused, brepresenting bassessment bof bthe
bfollowing: bAirway, bBreathing, bCirculation, bDisability, band bExposure. bThe bD band bE
brepresent bwhat bdegree bof binvestigation? b- bANSWER: b b➡ bD b= ba bbrief bneurologic
bexamination; bE b= bexposure bto breveal ball blife-threatening binjuries
What bstructure bcovers bthe bspermatic bcord band bcontracts bto bmake bthe btesticles bascend bin
bthe bscrotum? b- bANSWER: b b➡ bCremaster bmuscle
Which bof bthe bfollowing bis bnot bincluded bin bthe bgroup bof btendons bthat bcomprise bthe brotator
bcuff? b- bANSWER: b b➡ bTeres bMajor
The bcranial bmeninges bare bcomposed bof ball bexcept b_____. b- bANSWER: b b➡ bPericranial bmater
Sara bGardiner bis bthe bperioperative bnurse bin bthe bcirculating brole bin bOR b2, band bis bplanning
bfor bher bthree bneurosurgical bprocedures bfor bthe bday. bShe bis bexplaining bthe bbasic bprocesses
bof bthe bthree bprocedures bto bthe bscrub bperson band bdouble-scrubbed bsurgical btechnology
bstudent: b(1) ba bVP bshunt binsertion, b(2) ba breconstructive bcraniosynostosis bfor ban binfant
, bwith bsevere bdeformity, band b(3) bexploration bof ba bsevere bhead binjury bwith bincreased
bintracranial bpressure b(ICP) bto bevacuate ba bhematoma band bpossible bbrain btissue. bTo bgive
bthe bbrain broom bto bswell bin bthe bthird bprocedure, bthe bbone bflap bmay bneed bto bbe bsterile-
wrapped band bstored, bfor blater breplacement. bSara basks bthe bstudent bto bname bthe
bappropriate bsurgical bapproach bto bthe bbrain bfor beach bof bthe bprocedures. bShe bexpects bthe
bcorrect bsequence bto bbe: b- bANSWER: b b➡ bburr bhole, bcraniectomy, band bcraniotomy.
Describe bthe bboundaries bof bthe bsurgical bskin bprep bfor bthe bpatient babout bto breceive ba bliver
btransplant. b- bANSWER: b b➡ bFrom bthe bneck bto bmidthigh; bbedline bto bbedline
Total bthyroidectomy bis bthe bremoval bof bboth blobes bof bthe bthyroid band ball bthyroid btissue
bpresent. bTotal bthyroidectomy bis bthe bdesired bsurgical btreatment bfor bpatients bwith: b-
bANSWER: b b➡ bthyroid bcancer.
Which bof bthe bfollowing bdescribes ba bstrangulated bhernia? b- bANSWER: b b➡ bA bpersistent
bincarceration bwith ba bcompromised bblood bsupply
The bGlasgow bComa bScale b(GCS) bis bcommonly bused bto bassess bpatients bwith bbrain binjury
busing bthree bindicators bof bcerebral bfunction: beye bopening, bverbal bcommunication, band
bmotor bresponse bto bverbal band bnoxious bstimuli. bWithin bthe bscoring brange bfor bthe bGCS, bthe
bbest bpossible bscore bis b_____ band bthe bworst bpossible bscore bis b______. b- bANSWER: b b➡ b15; b3
What bmouth bstructure bis bconsidered bthe bboundary bbetween bthe bbuccal bcavity band bthe
blingual bcavity? b- bANSWER: b b➡ bTeeth
Laryngoscopy bis bdirect bvisual bexamination bof bthe binterior bof bthe blarynx bby bmeans bof ba
brigid, blighted bspeculum bknown bas ba blaryngoscope bto bobtain ba bspecimen bof btissue bor
bsecretions bfor bpathologic bexamination. bWhat brisk breduction bstrategy bshould bthe
bperioperative bnurse bemploy bin bpreparing bfor bthe bconclusion bof bthe bprocedure? b-
bANSWER: b b➡ bMaintain binstrument bsetup buntil bthe bpatient bleaves bthe bOR.
Marissa bWalton bis btransferred bto bthe bOR bfrom bthe bburn bunit bfor bdebridement bof bthe
bpartial-thickness bburn bareas band ba bdressing bchange bunder banesthesia. bWhat bimportant
bpreparation bfor bthe bprocedure bwill bthe bperioperative bnurse bperform bbefore bMarissa