RNFA FINAL EXAM 2 2024-2025. QUESTIONS AND CORRECT, VERIFIED ANSWERS. GRADED A+, Exams of Nursing

Download RNFA FINAL EXAM 2 2024-2025. QUESTIONS AND CORRECT, VERIFIED ANSWERS. GRADED A+ and more Exams Nursing in PDF only on Docsity! RNFA FINAL EXAM 2 2024-2025. QUESTIONS AND CORRECT, VERIFIED ANSWERS. GRADED A+ A 26 year old female is rushed to the OR after being hit by a truck as she was riding her bike. She has rib fractures and several fractures transverse verbal processes. Recall injury is suspected. As the OR nurse prepares to insert a urinary catheter she notices blood at the urinary meatus. What should her next action be - ANSDiscontinue the catheter insertion A benefit to the patient undergoing SILS procedure is which of the following - ANSLess postoperative pain A medication often used in cardiac surgery to prevent spasms of vessels is: - ANSPapaverine A minimally invasive technique that may be used to remove parathyroid tumors deep in the mediastinum is known as - ANSThoracoscopy A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35 mmHg, HCO3<22mEq/L. This patient is in: - ANSMetabolic acidosis A portion of a parathyroid glands must remain for which of the following reasons? - ANSPrevent hypocalcemia and it's complications A power drill and assorted roasting burrs are essential for middle ear surgery and some sinus procedures. During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to - ANSPrevent clogging of the burr and contamination of the area with bone dust After retracting the nerve roots during a laminectomy, this structure is invited before getting to the disc - ANSPosterior longitudinal ligament An example of a potential risk associated with pneumoperitoneum would be - ANSgas embolus into an exposed blood vessel during the procedure. An important anatomical landmark in thyroid surgery is known as - ANSPoles An important aspect to bone healing that is preserved through intermedullary reaming is - ANSMaintenance of fracture hematoma An orchiopexy is the surgical placement and fixation of the testicles in a normal anatomic position in the scrotal sac. If the testis fails to descend into the scrotum during gestation, it is considered undescended. Which statement regarding indications for orchiopexy is true - ANSAll testes that are undescended after 1 year require surgical placement in the scrotum As of the following wound healing complications are attributed to smoking except: - ANSDecreased blood viscosity Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress through which of the following? - ANSScarpa's fascia Blunt trauma injuries may not fully reveal the degree or depth of injury. What noninvasive diagnostic test is critical to diagnose potential traumatic brain injury - ANSCT scan of the head Bone graft that is sealed in a sterile labeled envelope from a tissue transplant company and stored in a vacuum sealed freezer and monitored with an alarm would be considered an - ANSAllograft Care must be taken when placing reactors as an RNFA assisting with inguinal hernia repair. Which of the following is a vessel that is located in the area of i in inguinal hernias? - ANSInferior epigastric Changes to the elderly persons skeleton can present challenges to the intraoperative team. In terms of additional attention and care, what intervention can the team provide - ANSPosition the patient using appropriate padding and joint protection devices Choose the correct flow of bile from the gallbladder - ANSCystic duct, common duct, ampulla of Vater, duodenum Choose the correct statement regarding the trigone of the bladder - ANSForms the base of the bladder Metastatic cancer to the spine can occur in the thoracic spine, lumbar spine, and cervical spine area. Select the statement that best reflects a therapeutic goal for a metastatic tumor of the spine - ANSPreservation of neurologic function Of the following ocular blocks, which carries the highest risk? - ANSRetrobulbar Block Pericardial tamponade includes which of the following signs or symptoms? - ANSNarrow pulse pressure Physicians may consider which of the following options when determining the best treatment option for breast cancer surgery. - ANSSize of tumor Postoperative infection in any total replacement surgery is - ANSUsually catastrophic Pre-op markings to determine nipple positioning for reduction mammoplasty will be drawn on the patient's chest _____________. - ANSWhile sitting upright Preoperative assessment helps determine if patients are suitable candidates for outpatient orthopedic surgery. Based on the information provided, which of the following patients is the BEST candidate for orthopedic surgery in an ASC? - ANSA patient who needs a total hip replacement, is otherwise healthy, and has a short-term home care assistant Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order? - ANSDirty then clean Pressure against which cranial never accounts for pupillary dilation when temporal lobe herniation is present - ANSCranial nerve III Reduction mammoplasty is not indicated for which of the following? - ANShyperthelia Safe injection practices: - ANSInclude using one syringe per injection Select the set of symptoms that is most commonly associated with hypothyroidism - ANSIncreased swearing, insomnia, tremor, and muscle weakness Select the statement about the prostate that best reflects its location, size, and weight - ANSThe prostate sits below the base of the bladder, is 4 cm at the base, and weighs 20 to 30 grams Select the statement that best reflects the functional components of the gastrointestinal tract - ANSThe alimentary canal extends from the mouth to the anus Select the triad of the boundaries of Hesselbach triangle - ANSInguinal ligament, rectus abdominis muscle, deep epigastric vessels Suction applied directly to neural tissue can be harmful. To prevent tissue damage, a _______ should be placed between the neural tissue and the suction tip - ANSCottonoid Surgeons use open reduction and internal fixation when they are unable to reduce a fracture using closed reduction and skeletal traction is not indicated. What would be an advantage for an ORIF rather than closed? - ANSDirect observation and verification of fracture alignment Tear of the middle meningeal artery, often caused by a blow to the head, results in the formation of a _______ hematoma - ANSEpidural The absence of distinct teniae serves as a visual landmark for what abdominal structure - ANSUpper margin of the rectum The blood is oxygenated in the lungs and returns to the left atrium through the pulmonary veins. Where does the blood flow after leaving the left atrium? - ANSThrough the mitral valve into the left ventricle The common bile duct drains into the - ANSDuodenum The connective tissue that covers all bones and supplies nutrients is known as - ANSPeriosteum The head of the pancreas is fixed to which structure - ANSDuodenum The innermost membrane of the brain is known as - ANSPia mater The liver, pancreas, and spleen share many similarities. Select the statement about these organs that is true - ANSAll three are solid organs and very vascular The mediastinal surface of the lungs contains a structure known as ___________ in which nerves, vessels, bronchus, and lymphatics enter and leave the lung - ANSHilum The mesh plug open hernia repair technique is indicated for which types of hernias - ANSRecurrent indirect inguinal hernias The most commonly fractured carpal bone is the - ANSScaphoid The most commonly injured Intraabdominal organ in blunt trauma is the - ANSSpleen The most commonly used incision for Cesarean section is the: - ANSPfannensteil The ovarian artery is a branch of which vessel - ANSAorta The pantaloon hernia can best be described as - ANSA combination of direct and indirect hernia The pelvic floor consists of which muscle groups - ANSLevator ani and coccygeal muscles The production of CSF occurs - ANSIn the Choroid plexus of the ventricles The recommended length of time for inflation of an upper extremity tourniquet on a patient under 50 is ________ while the recommended pressure is - ANS1 hr; 250-300 mmHg When using a single drape for a lithotomy, the following instructions are correct, except: - ANSPlace the drape so the edge is 2 inches from the perineum Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? - ANSSubmandibular Which of the following best describes the semi-restricted surgical practice area? - ANSUsed for communication of information between the surgical suite and the rest of the health care facility Which of the following describes a hydrocele - ANSIt refers to excess fluid within the tunica vaginalis Which of the following documentation requirements is unique to vascular surgery? - ANSClamp application and removal times Which of the following hernia types is considered a surgical emergency - ANSStrangulated Which of the following is a complication of patellectomy - ANSReduced knee extension Which of the following is a triangle anatomic landmark in surgical removal of the gallbladder and may be remembered by the 3 Cs - ANSCalot's Which of the following is an indication for damage control surgery - ANSCoagulopathy Which of the following is not included in the terrible triad - ANSPCL tear Which of the following is the instrument of choice in removing a foreign body from an infant or child airway - ANSRigid bronchoscope Which of the following layers of the uterus contains the lymphatics - ANSMyometrium Which of the following muscles are critical for stabilization of the knee joint? - ANSQuadriceps femoris Which of the following regarding PMMA is not an affect on local tissue? - ANSSkin burns due to exothermic reaction Which of the following represents the correct attachment of the capsule of the knee joint - ANSUpper end of the fibula and distally to the condyles of the femur While not as prevalent as arthroplasty of the shoulder, knee, or hip, total elbow replacement is indicated for patients with traumatic lesions or excessive bone loss from arthritis. The prosthesis may be used with or without PMMA. If PMMA is not used, what replacement product, element, or substance is used? - ANSAutologous bone graft While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations - ANSJust above the inguinal ring