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RNFA Test 2 Questions and Answers
The most commonly used incision for Cesarean section is the: - ✅✅ Pfannenstiel Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order - ✅✅Dirty then clean Which of the following muscles are critical for stabilization of the knee joint? - ✅✅Quadriceps femoris This technique is primarily reserved for patients having prophylactic mastectomy and immediate breast reconstruction. Choose the correct answering: A)skin sparing B) nipple sparing C) modified radical D) simple - ✅✅B nipple sparing A patient does not disclose the use of ephedra to the anesthesiologist during the preoperative visit. If Halothane is used during the procedure, the patient is at an increased risk for: - ✅✅Ventricular arrhythmias When preoperatively assessing a patient for cardiac surgery, the RNFA should consider all the following except:
A) bleeding times B) glucose C) immunosuppressant use D) RBC count - ✅✅RBC count Care must be taken when placing retractors as an RNFA assisting with inguinal hernia repairs. Which of the following is a vessel that is located in the area of inguinal hernias. - ✅✅Inferior Epigastric The most common vein harvested endoscopically for cardiac surgery is:
- ✅✅Lesser Saphenous vein??? Nipple discharge is more commonly associated with benign breast lesions than with cancer; however, discharge is usually significantly only if it is spontaneous, persistent and - ✅✅Bloody Identify the marginal boundaries of the breasts - ✅✅Second to sixth rib and horizontally from the lateral edge of sternum to anterior a axillary line. Which of the following structures is responsible for division between left and right chest cavity? - ✅✅Mediastinum
From the following, which is a possible benefit to the paramedian incision - ✅✅Decreased risk for hernia During the planning phase of a procedure for liposuction or post- bariatric contouring procedures, the perioperative nurse will assemble and organize supplies and devices because the procedure may require: - ✅✅Repositioning one or more times during surgery Exposure of inta-abdominal anatomy is crucial to safe surgery and employs varied instruments, applications of highly technical energy sources, patient manipulations, light, and imaging. What is unique to the laparoscopic approach that promotes exposure? - ✅✅Carbon monoxide pneumoperitoneum The phrenic nerve inner area which structure? - ✅✅The diaphragm The mesh plug open hernia repair technique is indicated for which type of hernias? - ✅✅Recurrent indirect inguinal hernias The major arterial blood supply to the descending colon is provided by which of the following - ✅✅Left colic artery (Alexander's 15th Ed. P 297, 16th Ed. Pg 289{290}) the arterial supply to the descending and sigmoid colon comes from the left colic and sigmoid arteries.
Identify the name of the procedure that is an alternative treatment for patients with chronic pulmonary emphysema. - ✅✅Lung volume reduction surgery The most common injury intra-abdominal organ in blunt trauma is the :
- ✅✅Spleen The head of the pancreas is fixed to which structure? - ✅✅Duodenum Umbilical hernias occur in adults as a result of a defect in the: - ✅✅Lines Alba Which of the following is the most common non-emergent abdominal surgery on the US? - ✅✅Cholecystectomy The patient is placed in what position for open cholecystectomy? - ✅✅Supine While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations? - ✅✅Just above the inguinal ring During robotic hysterectomy, the patient is placed in steep trendelenburg position. Which of the following is complication that can
Select the true statement about application and operation of the pneumatic tourniquet. - ✅✅Cuffs should overlap a minimum of 3 inches and a maximum of 6 inches Identify the part of the femur that is most susceptible to fracture in conjunction with osteoporosis - ✅✅Femoral neck During a lumbar laminectomy, residual bleeding can be controlled with which of the following methods? - ✅✅Bipolar bayonet forceps Closed reduction is the treatment of choice for fractures for which of the following reasons? - ✅✅Decreases opportunity for infection Identify the structure located within cancellous bone that is important for weight bearing and providing strength to withstand stresses placed on bone. - ✅✅Tabeculae Identify the layer of connective tissue that covers all bone - ✅✅Periosteum Your 12 year old patient is scheduled for a laparoscopic hernia repair. During the preoperative assessment, the RNFA notes mild myotonia congenita. The mother states that she is worried about anesthesia because her husbands brother died many years ago when he became very feverish during surgery and they could not cool him. The RNFA's
appropriate risk reduction strategy in this situation would be to: - ✅✅Perform a careful assessment of family history to identify risk for developing malignant hyperthermia Young children are predisposed to parasympathetic hypertonia( increased vagal tone) which can be induced by: - ✅✅Painful stimuli such as eye surgery or abdominal retraction A patient presents to the ER as a victim of violence and is transferred directly to the OR. Assessment reveals a laceration to the neck that involves the lower trachea. Which other structure can be involved in with this type of injury? - ✅✅Brachiocephalic artery Which of the following is an indication for damage control surgery? - ✅✅Coagulopathy You examine a comatose patient in the emergency room. His wife relates that her husband was struck accidentally in his "temple" by a baseball. After an initial period of unconsciousness, he seemed to be okay but later became drowsy and comatose. You suspect that the patient is suffering from: - ✅✅An epidural hematoma A 26 year-old female is rushed to the operating room after being 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
