RNFA TEST 1,2 & 3 LATEST 2023 ACTUAL TESTS 400
QUESTIONS AND CORRECT DETAILED ANSWERS
(100%VERIFIED ANSWERS) ||AGRADE
The intracorporeal suture technique uses the suture-tying process analogous to the:
- ANSWER- instrument tie
High-pressure insufflation rates can cause overpressurization of the intraabdominal cavity. This overpressurization can lead to which of the following? –
ANSWER- hypercarbaria
Which statement best explains the mechanism of action of general anesthetic
agents? – ANSWER- inhibition of synaptic transmission of nerve impulse
Which statement about surgical dressings is true? – ANSWER- Surgical dressings
cushion and protect the wound from trauma and gross contamination, and absorb
drainage
The surgeon used the ESU in monopolar mode to cut and coagulate through the
subcutaneous tissue on opening the abdomen during a bariatric bypass procedure.
As she began to proceed through the muscle and fascia layer, she asked the
circulating nurse to increase the cut and coagulation modes on the ESU. What
measure could the scrub person take to enhance energy delivery? – ANSWERClean the charred tissue from the active electrode blade
Which of the following is correct regarding the chromium salt coating on surgical
gut suture? – ANSWER- Should be rinsed from the suture before use in eye cases
Successful employment of the time-out can only be ensured when: – ANSWERthe entire team stops and focuses attention together
A 19-year-old male received an intravenous peripheral nerve block for an ORIF of
an ankle fracture. The anesthesia provider injected a distal dorsal vein of the
patient’s right foot with 2% lidocaine, after placing a single cuffed pneumatic
tourniquet around the upper thigh. The surgeon noticed that the cuff seemed to be
deflating and anticipated that the patient would initially complain of which of the
following? – ANSWER- metallic taste in mouth
Which of the following patients would be most likely to have a latex allergy? –
ANSWER- spina bifida patient
In several studies, it was determined that the risk of contamination and subsequent
infection to the wearer can be reduced by wearing two pairs of sterile surgical
gloves, as opposed to wearing one pair. Select the correct statement that refers to
double gloving in terms of a best practice. – ANSWER- The American College of
Surgeons endorses double gloving for all surgery and invasive procedures.
During the process of performing the spinal, the anesthesia provider inadvertently
inserted the spinal needle into the subarachnoid space, not noticing the error until
the entire syringe of lidocaine was emptied into the patient. The patient
immediately experienced rapid onset of hypotension, bradycardia, and apnea. The
resulting condition is called and now must be managed with _. –
ANSWER- total spinal anesthesia; general endotracheal anesthesia
During the preliminary sponge count on closure of a repair of a ruptured abdominal
aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges.
Select the appropriate communication that the circulating nurse must employ in
addressing the entire team during this count discrepancy. – ANSWER- “We have a
count discrepancy. We started with 70 sponges and find only 68. We are missing 2
lap sponges.”
When creating a vascular or intestinal anastomosis, the surgeon will typically
suture one half of the anastomosis with one half of the suture and the other half of
the anastomosis with the other half of the suture. This technique minimizes the
drag and wear on the suture material and needle. The correct name for this type of
suture and needle is: – ANSWER- double-armed
Risk factors for PONV should be assessed preoperatively. Which of the following
is a risk factor for PONV? – ANSWER- female
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
Select the positioning device commonly used for positioning the head during
procedures such as craniotomies. – ANSWER- mayfield head positioner
A type of suture to help eliminate tension on the primary suture line is known as: –
ANSWER- retention
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
What one factor describes the high incidence of musculoskeletal disorders among
surgical technologists and perioperative nurses? – ANSWER- The cumulative
effect of repeated patient handling events.
_ is a side effect that can occur rapidly after spinal anesthesia is
administered. – ANSWER- hypotensive episode
Prolonged lithotomy positioning can result in neuropathies of the legs. The most
frequently injured nerves are the obturator, sciatic, femoral, and _ nerve, which can result in injury from _. – ANSWER- common peroneal; Direct
compression from the stirrup bars
Which of the following lists the correct order in the removal of soiled sterile attire
when breaking scrub? – ANSWER- gown gloves mask
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
The immature blood-brain barrier and decreased protein binding in infants increase
their sensitivity to which group of medications? – ANSWER- opioids, hypnotics
Which of the following medications is a specific depolarizing muscle relaxant than
can produce generalized fasciculations? – ANSWER- succinylcholine
There are many factors that influence surgical wound healing. Some are helpful
and some are beyond the scope of the surgical team. Select the response below that
reflects a factor with high influence over wound healing and is within the control
of the surgical team. – ANSWER- tissue handling
Guidelines from WHO focus on which of the following in the prevention of
surgical site infections? – ANSWER- prophylactic antibiotics
Malignant Hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals that exhibit which of the following? – ANSWERcongenital myopathies
The linea alba is extends from to ___. – ANSWER- above xiphoid
to pubis
Which of the following statements reflects the location of the arcuate line? –
ANSWER- one third distance from umbilicus to symphysis pubis
The instillation of a local anesthetic into the subarachnoid space is termed: –
ANSWER- spinal anesthesia
Suture permanently attached to the needle are referred to as____________. –
ANSWER- swaged
The scrub person was precepting a surgical technology student an orthopedic case.
The scrub person explained the importance of keeping the instruments free of
blood and bioburden during the procedure and demonstrated the best practice and
how to: – ANSWER- wipe the instruments with a sponge moistened with sterile
water after each use.
Which of the following is not a characteristic of silk suture? a. Soft
b. handling ability
c. knot security
d. memory – ANSWER- memory
It is important to assess pressure points when positioning a patient prone. Which of
the following are included in this assessment to prevent pressure injury? –
ANSWER- genitals, knees, toes, and eyes