RNFA COURSE 1 PERIOD QUIZ & COURSE 1 TESTS
2023-2024 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |AGRADE
Which statement about surgical dressings is true
A) surgical dressing maintain tension on the suture line to prevent dehiscence
B) surgical dressings cushion and protect the wound from trauma and gross
contamination and absorb drainage
C) surgical dressings protect surrounding drapes, linen and clothing from
contamination
D) surgical dressings cover the wound to maintain moisture to promote granulation
- ANSWER- B) surgical dressings cushion and protect the wound from trauma and
gross contamination and absorb drainage
Risk factors for PONV should be assessed preoperatively. Which of the following
is a risk factor for PONV. – ANSWER- Female gender
Guidelines from the WHO focus on which of the following in the prevention of
SSI’s? – ANSWER- Use of antibiotics
The death of microorganisms occurs in stream sterilization as a result of which
process? – ANSWER- Denaturation and coagulation of enzyme proteins
Laparoscopic procedures that emerge toy convert to open procedures place the
patient at risk for unintentional retained foreign objects (RFO). What new and
evolving risk reduction strategy could prevent RFO’s and frustrating, time
consuming miscount adventures at the end of these procedures? – ANSWERReplacing or tagging sponges and laparotomy instruments with RFID chips
The name of the fascia that separates the anterior rectum from the vagina in
females is called the: – ANSWER- Rectovaginal fascia
The area between the surgeon and the scrub person designed for passing sharps
safely is referred to as the: – ANSWER- Neutral zone
The new general surgery fellow placed the three rep at ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on
postoperative day 1, the patient demonstrated signs and symptoms of sepsis. What
might have been the unusual occurrence that could have resulted in patient sepsis. –
ANSWER- Inadvertent trocar puncture through the bowel on insertion.
The patient stated that her mouth, lips, and tongue were numb and prickly feeling
and she had a metallic taste after receiving local anesthesia for a procedure. The
anesthesia provider suspected that the patient had————and responded by——
—-. – ANSWER- A toxic overdose of local anesthetic; monitoring and increasing
the flow rate of IV saline
Which of the following medications is a specific depolarizinf muscle relaxant than
can produce generalized fasciculations? – ANSWER- Succinylcholine
Sara was positioned, prepped and draped following general endotracheal
anesthesia induction. The team assembled around Sara and the sterile field to
perform the time out as described in the WHO surgical checklist. Successful
employment of the time out can only be ensured when: – ANSWER- The entire
team stops and focuses attention together.
Which member of the surgical team can be held liable in litigation for retained
foreign bodies – ANSWER- The entire team
Which statement best explains the mechanism of action of general anesthetic
agents? – ANSWER- Inhibition of synaptic transmission of nerve impulses
Sherry Ames is an endoscopy nurse in a busy free standing ambulatory surgery
center. She is an RN with additional documented competency in providing an
anesthesia modality to healthy patients having screening colonoscopies,
bronchoscopies and upper GI endoscopes. This modality will allow this patient
population. To tolerate potentially uncomfortable-procedures while maintains their
own airway and be easily aroused from light sleep. Sherry is competent and legally
qualified to provide which modality of anesthesia? – ANSWER- Conscious
sedation/analgesia
Jacob Sutzkever, a 62 year old man, had surgery 6 days ago for a ruptured
diverticulum. What was the wound classification at the time of his emergency
surgery? – ANSWER- Contaminated wound, classification III (counted wrong per
NIFA grade. Look at page 250 on 16th Ed.) only other answer would be infected
wound classification IV
The incidence of intraoperative awareness (IOA) may increase in high risk patient
populations. From the following, choose the group that is considered high risk for
IOA – ANSWER- Cardiac surgery patients
The RNFA instructed the new anesthesia resident in the proper positioning of the
arm and hand on the OR bed arm boards. The resident was cautioned to avoid
pressure on the elbow to prevent: – ANSWER- Ulnar nerve injury
Surgical site infections (SSI) are most often caused by gram-positive cocci and
may arise from the patients own endogenous sources. The most frequently
identified microorganisms cultured from SSIs is: – ANSWER- Staphylococcus
aureus
Select the statement below that best reflects the effects of hypothermia in the
perianesthesia period. – ANSWER- Shivering can increase the need for oxygen by
300% to 400%
Select the appropriate order for administering blood and blood products. Verify
informed consent for blood, separate blood bag from identification slips, sign slips,
verify identification numbers and expiration dates with second licensed person,
verify patient with blood tag and requisition slips. – ANSWER- Verify informed
consent for blood, verify patient identification and blood type and unit number
against blood tag and requisition slip with second licensed person, sign slips.
Select from the following a medication that is used for PONV and has the potential
to prolong the QT interval
a) droperidol
b) dolasteran
c) prochlorperazine
d) scopolamine patch – ANSWER- A) droperidol
Allergic reactions to latex range from skin disease to asthma and anaphylaxis that
can result in chronic illness, disability, career loss, hardship and death. What types
of signs and symptoms would be indicative of an allergic contact dermatitis
response to contact with natural rubber latex – ANSWER- Pruritus, edema,
erythema, and vesicles that develop 6 to 48 hours after exposure
The strength layer of the skin is found in the – ANSWER- Dermis
Two monitoring techniques used by anesthesia that have improved morbidity and
mortality include: – ANSWER- Pulse ox and capnography