RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 202
ACTUAL EXAM 260 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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1. _______Precautions apply to blood, all body fluids, Standard
secretions, and excretions (except sweat), regardless
of whether they contain visible blood, mucous mem-
branes, and non-intact skin.
2. Which of the following anesthetics may result in fa- Succhinylcholine
siculations for the patient?
3. Hypothermia has been shown to be a factor that may b. set the ambient
place the surgical patient at risk for infection and room temperature
delayed healing. What intervention is an engineered between 68° and
control factor to protect the patient from hypother- 73° F
mia?
4. A basic anesthesia monitoring device that is used capnome-
during general anesthesia to confirm successful en- ter/end-tidal CO2
dotracheal tube placement and determine the pres- monitor
ence of gas exchange is the:
5. The first step in the decontamination process is: Cleaning
6. Which of the following requires at minimum, 2 patient Joint Commission
identifiers on specimen labels?
7. A 9-year-old diabetic with an insulin pump, has ar- Bipolar Electro-
rived in the OR for emergency repair of superficial surgery Unit
facial and deep arm lacerations. The RNFA should
consider which of the following options for ener-
gy-generated hemostasis?
8. During a hysteroscopy, sterile saline is used to ex- Potential for Inter-
pand the intrauterine compartment and enhance vi- vastation
sualization. The perioperative nurse is concerned that
approximately 500 ml of fluid was unaccounted for
and alerted the surgeon and RNFA. The nurse's mo-
tive for this surveillance is to:
9.
, RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 202
ACTUAL EXAM 260 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_fw61ju
Which of the following statements reflects the loca- one third of the
tion of the arcuate line? distance between
the umbilicus and
the symphysis pu-
bis.
10. Laparoscopic procedures that emergently convert to Replacing or tag-
open procedures place the patient at risk for uninten- ging sponges and
tional retained surgical items (RSI). What risk reduc- laparotomy instru-
tion strategy could prevent RSI? ments with RFID
chips.
11. The surgical hand scrub is designed to render the Surgically Clean
hands, nails, and arms
12. The RNFA instructed the new anesthesia resident in Ulnar Nerve Injury
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:
13. A type of suture to help eliminate tension on the Retention Suture
primary suture line is known as:
14. Identify the primary substance found in the epidermis Keratin
that protects the body from fluid loss and invasion by
pathogens.
15. When a patient absorbs an unsafe amount of local Lipids
anesthetic into the bloodstream, a catastrophic out-
come is possible. Treatment for LAST includes the
use of which of the following?
16. When buried in tissue, silk loses its tensile strength 1 Year
after what period of time?
17. Guidelines from WHO focus on which of the following Use of Prophylac-
in the prevention of surgical site infections? tic Antibiotics
18.
, RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 202
ACTUAL EXAM 260 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_fw61ju
To help visualize abdominal structures and to en- 9 L/min;14 to 16
hance safety during laparoscopic procedures, a mm Hg
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 ______.
19. Due to the BMI of the patient, the case you are par- Bookwalter
ticipating in was converted to open laparotomy. Your
surgeon is uncertain as to which self retaining retrac-
tor is available within the facility. From the following,
which is an appropriate suggestion?
20. The safest and most commonly used method of ster- Steam Steriliza-
ilization is which of the following? tion
21. Has been identified to reduce SSIs and affect surgical Antibiotics given
outcomes? IV within 1 hour
of the incision for
every procedure
with an incision or
entered body sys-
tem.
22. When applying sterile drapes to create the sterile field Drape the patient
on the patient, which of the following principles is starting with the
most important. incision area and
proceeding to the
periphery.
23. To prevent sharps injury, which of the following is a Passing sharp
risk reduction strategy to be used by the sterile team items using
members? neu-
tral/hands-free
techniques
instead of passing
hand to hand.
, RNFA FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 202
ACTUAL EXAM 260 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_fw61ju
24. The most commonly used medication for local anes- Lidocaine
thesia is __________?
25. The OR was trialling a new insufflation system and Hypercarbia
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:
26. Your patient had an episode of vomiting during anes- Bronchospasm
thesia 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?
27. High-pressure insufflation rates can cause overpres- Hypercarbia
surization of the intra-abdominal cavity. This over-
pressurization can lead to which of the following?
28. Laryngospasm is a serious complication often seen suctioning, IV suc-
in the PACU setting. What is the ideal immediate and cinylcholine ad-
last resort response by the anesthesia provider or ministration, and
perianesthesia nurse in an emerging patient who has reintubation
been in spasm for over 1 minute?
29. Which of the following is not a characteristic of silk Memory
suture?
30. The first case of the day is scheduled as a knee The periopera-
arthroscopy for an otherwise healthy 24 year old pa- tive nurse apply-
tient. Upon pre assessment, the patient admits to a ing cricoid pres-
family history of anesthesia and surgical complica- sure during induc-
tions. Patient also states last oral intake consisted of tion through intu-
eating a cheese steak and drinking 2 cans of beer the bation
night before at 11:30 PM. The patient subsequently
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