RNFA Final Exam
_______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.
Select the positioning device commonly used for positioning the head during procedures
such as craniotomies. - Answer- Mayfield Head Positioners
Hypotension is a blood pressure reading that is 20% less than the patient's normal baseline pressure. Hypovolemia is the most common cause of postoperative
_______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.
Select the positioning device commonly used for positioning the head during procedures
such as craniotomies. - Answer- Mayfield Head Positioners
Hypotension is a blood pressure reading that is 20% less than the patient's normal baseline pressure. Hypovolemia is the most common cause of postoperative
