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RNFA Quiz Questions and Answers Latest Update 2025
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- Marvin Deloitte, a 19 years-old male, received in intravenous peripheral nerve block (PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet circumferentially around Marvins upper thigh. The surgeon looked through the OR window to check on anesthesia progress as he scrubbed at the sink outside of the OR. The circulating nurse had the leg elevated and was prepping the ankle. The surgeon noticed that the cuff seemed to be deflating and that the anesthesia provider was turned away from the patient. The circulating nurse also noticed the movement under the protective towel placed over the cuff, and saw the tourniquet tubing fall to the floor. The nurses first response should be: - ✓✓✓Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for the code cart
- The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed abrasions on the elbow. Mr. Jennings told her that the ICU nurses
had difficulty pulling him back up in bed every time he slid down toward the bottom and he was not able to be much help in moving himself. The skin injury was probably the result of which physical force - ✓✓✓A friction from the elbows rubbing over the sheets when slid up in the bed.
- Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in individuals with central core diseases such as: - ✓✓✓Congenital myopathies
- David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel pads, and pillows for a spinal fusion Before the skin is begun, the perioperative nurse should check the positioning for pressure areas of the: - ✓✓✓Genitals, knees, toes, and eyes
- A reverse cutting needle is preferred for _________________ suturing. - ✓✓✓Cutaneous
- Which of the following regarding specimen labeling is a regulatory requirement? - ✓✓✓Biohazard information pg 32 15th Ed pg 27 16th Ed. 10.Which of the following is a major infectious risk for healthcare workers? - ✓✓✓Hepatitis B 11.The ideal suture material is one that has handling characteristics such as: - ✓✓✓Pliability 12.The perianesthesia nurse completes a systematic and comprehensive secondary assessment of the patient (e. g. Head to toe assessment or major body systems approach). Select the response that best reflects the parameters of a comprehensive respiratory assessment. - ✓✓✓Rate, rhythm and breath sounds
13.Ketamine is a short acting induction and IV or IM maintenance agent. Patients are able to maintain their airways. It is a suitable agent to use with small children and burn patients. The concerns with this agent is that in large doses it may cause: - ✓✓✓Respiratory depression 14.Tissue reaction characteristics that need considered when choosing suture include: - ✓✓✓Absorption 15.Sandra Williams was presented with the prepared informed consent form during the discussion with her surgeon concerning her scheduled vaginal assisted laparoscopic hysterectomy. She demonstrates and verbalized that she understood al of the tenets of the procedure, risks, expected outcome, complications and procedural process. Before she signed the consent form, she informed the surgeon that she did not want any medical students or surgical residents performing any parts of the procedure other than assisting and did not want any photographs of her body taken. The surgeon agreed and she crossed out those portions of the form and initialed them
19.Pg 95 16 th Ed. Pg. 113 15th Ed. 20.Suture can be used for more than repairing tissue. Choose uses of suture from the following. - ✓✓✓Ligate, suture and close tissue 21.New synthetic polymer such as PDS provide wound support up to ______ months - ✓✓✓ 3 22.What kind of needle would be used on the skin? - ✓✓✓Reverse cutting 23.The highest risk of injury per needle use is attributed to the: - ✓✓✓Keith needle 24.Which of the following statements reflect the location of the arcuate line? - ✓✓✓One third of the distance between the umbilicus and the symphysis pubis
25.The intracorporeal suture technique uses the suture tying process analogous to the - ✓✓✓Instrument tie 26.A stitch that is tied and cut before placing another stitch is called: - ✓✓✓Interrupted 27.The surgical hand scrub is designed to render the hands, nails and arms - ✓✓✓Surgical clean 28.If a sterile glove becomes contaminated during the procedure, the best practice odor corrective action is: - ✓✓✓Reglove with assisted gloving technique 29.Jacob Sutzkever had a temperature of 103 degree f and returned to the OR for the debridement and washout of purple my drainage from his wound on
rooms should be performed when scheduled procedures are completed for the day or each regular 24 hour period. 33.The most common pediatric premedication given in the U. S. is: - ✓✓✓Midazolam 34.Which of the following is a true statement about the use of liquids in the OR? - ✓✓✓Skin prepping solution can cause chemical burns 35.Which of the following are the sources of radiation exposure in an operating room setting? - ✓✓✓Lasers and C-arms 36.Samuel Garcia, a 48 year old tetraplegic with a chronic sacral wound, is scheduled for another wound debridement. What is the purpose of doing a wound debridement on a chronic wound? - ✓✓✓The debridement will remove dead tissue that could support infection
37.To protect the forearms, hands and clothing from contacting bacteria on the outside of the used gown and gloves, members of the scrubbed surgical team should use the following procedure to remove soiled gowns and gloves. Which choice lists the appropriate first 3 steps in the removal of the sterile gown? - ✓✓✓Wipe gloves clean, untie side gown closure, grasp gown at one shoulder seam 38.After prepping the face, neck and upper chest for a radical neck dissection, the protective towels around the prep site were removed. The RNFA applied the head drape and completed draping the patient. During the preincision surgical time out, the fire risk score was determined to be high. When the surgeon noticed an area on the neck that did not look prepped. She asked for prep solution ona. Sponge and sponge forceps to complete the prep area, taking care not to moisten the head drape. After handing off the used sponge forceps she asked for the scalpel. What step was omitted in this process? - ✓✓✓The new prep area was not given time to dry.
44.Rigo Vegas, a 24 year old tennis coach was scheduled as the first case for a knee arthroscopy. He has a family history of anesthesia and surgical complications. He admitted to eating a cheese steak and drinking 2 cans of beer the night before at 11:30 pm. On attempt at intubation, it was evident that total muscle relaxation had not been had not been achieved. The circulating nurse gently restrained Rigo's arms as he began to move and gag on the laryngoscopes. Rigo vomited undigested stomach contents. Intubation was achieved and a NG tune was inserted and connected to suction. Rigo experienced respiratory distress on extubation and was transferred to ICU with acute respiratory distress syndrome. Based on his preanesthetic history, aspiration could have been prevented by which measure? - ✓✓✓The perioperative nurse applying cricoid pressure during induction through intubation. 45.The immature blood brain barrier and decreased protein binding in infants increase their sensitivity to which group of drugs? - ✓✓✓Opioids and hypnotics
46.The nursing research and practice committee searched the scientific literature for information on smoke evacuation as they planned for a unit wide initiative to use this safety measure on all procedures where smoke or plume is generated. Their main concerns is that the surgeons will not be as willing to comply as the staff. Select the safety measure that will be the most critical and most challenging to enforce. - ✓✓✓Hold the smoke evacuation suction tube close to the tissue interaction site to remove as much plume as possible 47.From the following g, choose the correct statement regarding closed gloving
- ✓✓✓It can only be used for the initial gloving 48.It is important for the RNFA to be aware of the ESU safety hazard when assisting with endoscopic surgery. Choose the correct answer from the following. - ✓✓✓Insulation failure
