RNFA FINAL PRACTICE EXAM

RNFA FINAL PRACTICE EXAM

The process of decontamination should initially begin at what point?

Completion of the surgical procedure

Side effects the patient may encounter as a result of extracoproreal circulation include:

Inflammatory responses

After retracting the nerve roots during a laminectomy, this structure is incised before

getting to the disc.

Posterior longitudinal ligament

Of the following, which is not a symptom of compartment syndrome?

Moderate pain

Fibrocystic changes in the breast describe many different breast changes. These

changes affect almost all women at some time in their lives. Nipple discharge is more

commonly associated with benign lesions than with cancer; however, discharge is

usually significant only if it is spontaneous, persistent, and:

Bloody

Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted

laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on

the robotic arm and positioned the tip end into the trocar port in order for the surgeon to

dissect the cystic duct and artery, while the surgical assistant placed the clips on the

cystic duct and artery. As she reached across the sterile field to insert the

cholangiocatheter through the port, the anesthesia provider accidentally made contact

with the distal end of the catheter as he stood up to reach the monitor controls. The

contaminated end of the catheter touched the endoscopic clip applier, the endoscissor

connector that the surgeon was using, the glove of the assistant, and Jan's gown

sleeve. The surgeon ordered everyone to change their gown and gloves and covered

the port area with a sterile towel. What was the rationale for the surgeon to continue to

dissect and not change his attire?

The surgeon was not in contact with the sterile field because he worked from the robotic

console.

The ability to maintain thermoregulation is compromised in elders because of changes

in the:

vascular system

Because herbal products are so readily available and have such widespread media

attention, many people think that they can safely self-medicate. Why should the public

be aware and educated about dietary supplements and potential harmful effects?

Unknown substances may be present in these products.

Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast

cancer, is now scheduled for infusion port insertion. Talia is very nervous because

during the previous lumpectomy, performed using a local anesthetic, she was not

entirely sedated. Talia tells the perioperative nurse that she was uncomfortable and

heard everything in the room, but admitted that she did not feel pain. The nurse

recognized Talia's anxiety related to the surgical intervention and prepared to implement

corrective actions in the OR. What nursing intervention best reflects one that would

ensure support or contribute to Talia realizing her expected outcome?

Ensure a quiet and calm environment of care

A 26-year-old female is rushed to the operating room after a primary and secondary

survey in the emergency department. She was hit by a small truck as she was riding her

bicycle through a busy intersection. She has sustained rib fractures and several

fractured transverse vertebral processes. Renal injury is suspected. As the

perioperative nurse prepares to insert a urinary catheter, she notices blood at the

urinary meatus. What should the nurse's next action be?

Discontinue the catheter insertion

Open parathyroidectomy is currently being replaced with less invasive and more

targeted techniques; however, the amount of parathyroid tissue that should be removed

remains controversial and relates to whether single or multiple glands are involved. A

portion of a gland must remain to:

prevent hypocalcemia and its complications.

Which of the following supplies blood to the transverse colon?

Middle colic artery

Which of the following structures form the mouth?

cheeks, the hard palate, the mandible, and the tongue

The salivary glands produce saliva, which serves to moisten the mouth and initiate:

carbohydrate digestion.

Potential development of a direct inguinal hernia results from ___________and

__________weakening or tearing.

Aponeurosis of transversus abdominus and transversalis muscle

When the patient arrives in the ED, the trauma team initiates a primary assessment.

This is a logical, orderly process of patient assessment for potential life threats. These

assessment activities are based on established protocols for advanced trauma life

support (ATLS). The mnemonic "ABCDE" is used, representing assessment of the

following: Airway, Breathing, Circulation, Disability, and Exposure. The D and E

represent what degree of investigation?

D = a brief neurologic examination; E = exposure to reveal all life-threatening injuries