MV RNFA 2 COMPLETE GUIDE A |QUESTIONS AND

100% CORRECT ANSWERS

MV RNFA 2 COMPLETE GUIDE A |QUESTIONS AND

100% CORRECT ANSWERS

is an integrated system developed by hospitals for the prevention and control of areas of potential

liability. correct answerrisk management

The right to perform certain activities within an institution is a . correct answerprivilege

When unexpected events occur that have, or could have, compromised patient safety, a systematic

investigatory processtakes place. Significant information is gained through this meticulous exploration.

The primary motive for carrying out a root cause analysis is to: correct answerfind out what needs to

take place to prevent a recurrence of the event.

As defined by the American College of Surgeons (ACS), the surgical assistant may provide aid in all of the

following functions that help the surgeon carry out a safe operation with optimal results for the patient,

EXCEPT . correct answerpostoperative evaluations

is a term that refers to permission being given for an action. correct answerconsent

Criminal negligence is . correct answerreckless disregard for the safety of another.

Who is responsible for checking diagnostic tests, such as X-rays and CT scans, to confirm the proper area

or side before an incision is made? correct answersurgeon

Credentialing of AHPs(allied health professionals) is influenced by? Select all that apply. correct answera.

state regulations

b. scope of practice

c. institutional policy

d. medical bylaws

e. regulatory compliance

Which of the following reflects the basic values for health care practice? correct answerall of these

Ethics is an attempt to define right and wrong based upon . correct answerbeliefs

Credentialing and granting of practice privilegesis a process correct answerLegal

Morbidity and mortality may be greater with penetrating trauma because identification of injuries may

be more difficult when injuries are less obvious. In the case of an adult victim with a low-velocity, lowcaliber gunshot wound, at far range, of the anterior left quadrant of the lower abdomen, what is the MOI

and description of the possible injuries? correct answerPenetrating; small entrance wound, puncture of

the anterior wall of the sigmoid colon, no disruption of vessels, and bullet not found in pelvis

The occurrence of perioperative mortality in geriatric surgical patients is influenced by several evidencebased factors. Select the patient most at risk for perioperative mortality. correct answerJanice, age 70,

scheduled for an emergency bowel resection with an ASA class IV

Fluid and electrolytes play a key role in ;

I:maintaining homeostasis

II:transporting oxygen

III:blood clotting

IV:maintaining temperature correct answeri, ii, iii, iv

Age-related skin changes include a thinning epidermis and decreased subcutaneous fat and elasticity.

Whatspecial consideration should the first assistant provide to avoid skin injuries? correct answerGently

lift, not slide, the patient to and from the OR bed.

The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity to

which group of drugs? correct answerOpioids and hypnotics

For the greatest concentration of antibiotic prophylaxis, the infusion should end within hours of

incision? correct answer1

A number of screening tools have been developed to accurately establish biologic age. One tool, the

Comprehensive Geriatric Assessment (CGA), is a multidimensional evaluation that scrutinizes

medications, functional ability, co-morbid conditions, cognitive ability, mental function, nutritional

status, and socioenvironmental factors. In geriatric medical studies, the CGA has been valuable in

providing a metric for describing healthy aging and . correct answeridentifying at-risk individuals.

Traumatic deaths may occur in three phases, or time frames. The first phase occurs immediately after

the injury, the second phase within the first 1 to 2 hours after the injury, and the third phase occurs days

to weeks after the injury. Approximately 30% of total fatalities from trauma could be prevented with

definitive trauma care, including appropriate and aggressive resuscitation with rapid transport to an

appropriate facility. Which phase, or timeframe, of potential for trauma death, does this group

represent? correct answerPhase II

Preexisting pulmonary disease increases the risk of perioperative pulmonary complications. Which

condition presentsthe most significant risk factor? correct answerChronic obstructive pulmonary disease

(COPD)

isthe most frequently acquired nosocomial infection. correct answerurinary tract infection

What non-antimicrobialstrategies are important to decrease the risk of postoperative infection? correct

answerAll of the above

A 49-year-old female long-distance runner with dysfunctional uterine bleeding was scheduled for a

hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine compartment and

enhance visualization. The infiltration to the uterus and fluid collected as drainage from the uterus was

monitored. The first assistant was concerned that approximately 500 ml of fluid was unaccounted for.

The motive for thissurveillance wasto: correct answerdetermine the potential forintravascular uptake

of fluid or third spacing.

The brain and red blood cells relay almost exclusively on a steady supply of to function. correct

answerGlucose

As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient

presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care serum

electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia

induction, only 35 minutes earlier, these values were at normal levels and the patient status was secure.

The electrolyte levels were treated to normal and the patient was cannulated and placed on

cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a

recurrence. What possible event could have caused, or contributed to, this loss of electrolytes? correct

answerSterile water from back table switched with heparinized saline

Focused assessment with sonography in trauma (FAST) may assist with diagnosisin difficult situations.

What group of scans is performed and what do they identify? correct answerA chest, pelvic, and four

abdominal scans; collections of fluid and free air

What is the appropriate action if the doctor is delayed after the room and instruments have been

opened? correct answerDo not cover open supplies and have the scrub nurse continually visually

observe the room for breaches in sterility.