RNFA Study Guide
A breast biopsy is an example of what class of wounds? - ANS-A breast biopsy is an example of
a class I Clean Wound.
A gunshot wound is an example of what class of wounds? - ANS-A gunshot wound is an
example of a class III Contaminated Wound.
A hysterectomy is an example of what class of wounds? - ANS-A hysterectomy is an example of
a class II Clean Contaminated Wound.
A key feature of the Perioperative Patient-Focused Model is the emphasis on: -
ANS-outcome-driven care.
A main strategy used to protect the myocardium during cardiac surgery is: - ANS-rapidly
arresting the heart to preserve myocardial energy.
A major difference between gastroscopy and colonoscopy is: - ANS-the patient's position for the
procedure.
A Metzenbaum is an example of a: - ANS-cutting instrument.
A normal SpO2 for a young healthy patient on room air is: - ANS-95% to 100%.
A nurse gathers data on a patient's past medical history, allergies, and current medications.
What phase of the nursing process is being used in these activities? - ANS-Assessment
A patient classified as an ASA-P3 could be expected to need which of the following
perioperative nurse interventions? - ANS-Preoperative teaching with increased emphasis on the
importance of early postoperative ambulation to prevent postoperative complications
A patient who will be sedated to a state that allows him/her to tolerate unpleasant procedures
while maintaining adequate cardiorespiratory function: - ANS-may be monitored by a
perioperative nurse who has completed a competency-based program for conscious sedation.
A peri-rectal abscess is an example of what class of wounds? - ANS-A peri-rectal abscess is an
example of a class IV Dirty or Infected Wound.
A physiologic change in the genitourinary system that may occur as part of the aging process is:
- ANS-frequency and urgency.
A positive Chvostek sign is an indication of: - ANS-hypocalcemia.
,A primary purpose of the small intestine is to: - ANS-absorb essential nutrients at 95%
efficiency.
A pulse oximeter provides an early warning of hypoxia by: - ANS-indicating oxygen saturation
through the use of two light-emitting diodes alternately transmitted through blood and tissue to
measure light absorption.
A typical hernia mass is composed of: - ANS-covering tissues, peritoneal sac, and any
contained viscera.
A variety of assessment tools exist to assist the perianesthesia nurse in evaluating a patient's
pain. What is the most reliable indicator of pain that the nurse should consider? - ANS-The
patient's self-report of pain
According to research, certain risk factors can predispose some patients to postoperative
nausea and vomiting (PONV). Review the list below and select the patient with the greatest risk
of developing PONV. - ANS-Joyce Myers, 43 years old, a nonsmoker who states she has to
take Dramamine every time she flies or rides in a car for long trips and who is scheduled for an
abdominal hysterectomy under general anesthesia
According to the American Nurses Association (ANAs) Handle with Care campaign, when
should an assistive device be used in lifting a patient? - ANS-Any time manual lifting will put the
caregiver at risk, an assistive device should be used.
Adnexa are defined as the: - ANS-ovaries, fallopian tubes, and supporting tissues.
Adrienne Roederick is scheduled for an elective cesarean section to deliver her quadruplets.
How many sponge counts can the surgical technologist and registered nurse assigned to her
case expect to perform? - ANS-Three
Advanced practice nurses include which of the following? - ANS-Nurse practitioners and clinical
nurse specialists
Airway and pulmonary management in infants is more challenging than in adults because: -
ANS-infants' pulmonary functional residual capacity means they become hypoxic more quickly if
the airway is lost.
Albert Jennings is a 325-pound patient who has just undergone a UPPP procedure. During his
transfer from the OR bed to the transport vehicle to the operating bed, his skin and underlying
tissue are at risk for injury because of friction and what other physical force? - ANS-Shear
Alfred Eichelberger has a liver abscess secondary to a diverticular abscess. He underwent a
percutaneous drainage that was unsuccessful. He is now scheduled for surgical drainage of the
,abscess. What approach is the surgeon likely to use to drain Alfred's abscess? -
ANS-Transperitoneal
Amanda Vickstrom is an active 7-year-old who sustained a 3-inch laceration to her forearm and
an ulnar greenstick fracture after a fall from a trampoline. Her laceration was sutured and a
fiberglass cast was applied after a closed reduction. The nurse assigned to care for Amanda is
reviewing the discharge instructions with her parents. Which statement made by Amanda's
father indicates the need for additional patient/family education? - ANS-"Because Amanda has a
fiberglass cast, it will be OK for her to get it wet in the tub or shower."
An example of a practice within the alternative medical system is: - ANS-homeopathic therapy.
Anatomic landmarks are particularly important when identifying the components of the cerebral
hemispheres. Which landmark divides the temporal lobe from the frontal and parietal lobes? -
ANS-Sylvian fissure
Annette Bachle is a 30-year-old patient who developed a nonhealing wound after a cesarean
section. She has had large amounts of exudate, so alginate rope has been used as wound
packing. Annette now presents to the OR for a wound debridement under anesthesia. What
does the nurse need to consider in preparing for Annette's case? - ANS-Alginate dries easily, so
the nurse should have normal saline available to irrigate the wound prior to removing the
alginate rope.
AORN's Standards of Clinical Nursing Practice: - ANS-set forth the expectations of the
professional role within which the nurse practices.
As a general rule, a patient's hair is best left at the surgical site. If hair removal is necessary,
which statement reflects current best practice? - ANS-If hair removal is necessary, clippers
should be used and the hair removal performed as close as possible to the time of surgery.
As part of her preoperative workup, Jordan underwent a lumbar puncture. How does a lumbar
puncture provide information about an intracranial condition? - ANS-The subarachnoid space
surrounding the brain is freely connected to the subarachnoid space of the spinal cord.
Aspiration is a potential complication that may present in the postanesthesia care unit. Review
the list below and select the response that best describes the symptoms that could present
when aspiration has occurred. - ANS-Tachypnea, hypoxemia, hypotension, bradycardia
At the end of Harold Covey's TURP procedure, the surgeon inserted a three-way Foley catheter
with 30-mL balloon. Why is this type of catheter used after a TURP? - ANS-The catheter aids in
maintaining hemostasis of the prostatic bed.
Aubrey Scheel is scheduled for an inguinal hernia repair. During the preoperative assessment,
Aubrey mentions that his hernia is noticeable when he stands and disappears when he lies
, down. Based on this information, what kind of hernia does Aubrey have? - ANS-A reducible
hernia
Benjamin Ayala is the perioperative nurse assigned to care for Yakob Szabo, a 60-year-old man
who will be having a lumbar laminectomy and fusion. Which of the statements below made by
Yakob indicate a need for Benjamin to reinforce the patient and family education he just
completed? - ANS-"I should avoid climbing stairs."
Bill Monroe is the nurse assigned to care for Eric Arias, who just underwent a left thoracotomy
and has a left pleural chest tube connected to suction. On assessment, Eric notes the water
level on the suction chamber is 10 cm and the surgeon's order is suction at 20 cm. How should
Eric handle this discrepancy? - ANS-Add sterile water to the suction chamber to the appropriate
level.
Blunt trauma is described as: - ANS-a combination of forces—acceleration, deceleration,
shearing, and compression—that does not cause a break in the skin.
Both parathyroid and thyroid glands are important to: - ANS-maintenance of calcium
homeostasis.
Brady Martin was admitted to the postanesthesia care unit (PACU) 20 minutes ago after a
hemicolectomy. He began snoring loudly and his oxygen saturation began to fall. The nurse
gently shook his shoulder and reminded him to take deep breaths. Brady did not respond to her
and continued to snore. What action should the nurse take next? - ANS-Use a jaw thrust to
open the airway.
Brandon O'Neill, a 13-year-old, has just been admitted through the emergency department. He
has been vomiting for several days and has a temperature of 103° F (39.4° C) and rebound
tenderness of the abdomen. The surgeon schedules him for an appendectomy, and perforation
is suspected. What kind of incision would you anticipate? - ANS-McBurney
Bronchospasm is a serious postanesthesia complication that may be caused by: -
ANS-aspiration, pharyngeal suctioning, or histamine release.
Cardiovascular instability can occur in the postanesthesia care unit due to the depressive nature
of many of the anesthetic agents used in the OR. Which is the most common cardiovascular
complication that the nurse is likely to encounter when caring for patients in the immediate
postoperative period? - ANS-Tachycardia
Carmine Grimaldi, a 70-year-old patient with spinal stenosis, has just undergone a 9-hour
procedure in the prone position on the Wilson laminectomy frame. Mr. Grimaldi is 5 feet, 10
inches and weighs 140 pounds. The perioperative nurse notes an intact, red, nonblanching area
the size of a quarter on his chest when the team moves him to the transport vehicle at the
