Download CRNFA Exam Questions and Answers: Anatomy, Physiology, and Wound Healing and more Exams Nursing in PDF only on Docsity!
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Hesselbach's triangle - correct answer The region between the rectus abdominus muscle, the inguinal ligament and medial to the inferior epigastric artery. Direct Hernia - correct answer Which type of Hernia occurs inside Hesselbachs Triangle Indirect Hernia - correct answer Peritoneal sac containing intestines protrudes through the internal inguinal ring and passes down the inguinal canal outside of Hesselbachs triangle indicates what? Seek medical attention if: bleeding from the incision wound dehiscence fever pain, edema, erythema, warmth , purulent drainage, foul odor from incision, abdominal distention, nausea, vomiting, and separation of wound edges - correct answer After care instructions for hernia surgery Hernia reoccurance - correct answer What is indicative of firm, tender, globular, irreducible swelling in the groin or abdomen?
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Allen Stirrups - correct answer What piece of equipment helps with supporting the legs while in lithotomy position giving access to the perineal and rectal area? Aspirin - correct answer What inhibits platelet aggregation? Allens Test - correct answer Test during assessment used to determine arterial blood flow to the hands? Hyperresonance - correct answer Sound which occurs because of over inflation of the lung(as in emphysema or pneumothorax)? In order: Inspection Auscultation Palpation Percussion - correct answer Assessment of the abdomen includes? Serratus anterior nerve thoracodorsal nerve - correct answer While doing an axillary dissection be aware of?
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25-35 seconds - correct answer Normal PTT Ureters - correct answer What structure do you need to be aware of while doing a hysterectomy? Round ligaments - correct answer Can stretch during pregnancy and cause pain Sampson artery (Artery under the round ligament) - correct answer Artery which is insignificant and is dissected during hysterectomies? Cardinal ligament - correct answer Helps support the uterine angle and located at the base of the broad ligament? Broad ligament - correct answer Connects the sides of the uterus to the lateral walls and floor of the pelvis and helps maintain uterine position? Uterosacral ligament - correct answer Connects the sacrum to the uterus? Cystic Artery
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Cystic Duct Common Hepatic Duct - correct answer Calot's Triangle consists of what landmarks? Fluid Replacement Carry O2 to tissue and organs - correct answer Purpose of PRBC administration? Greater Curvature of the stomach - correct answer Where are the splenic vessels/short epigastircs cut? Nissen Fundoplication - correct answer Treatment for GERD? Fundus of the stomach is wrapped 360 degrees around the base of the esophagus or the lower esophageal sphincter - correct answer What is a Nissen Fundoplication? Prevent cardiac Tamponade - correct answer Purpose of chest tube in the pericardium? Left and Right recurrent laryngeal Nerve
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Common facial nerve - correct answer Which nerve is usually ligated when dissecting for a carotid endarterectomy? Phrenic nerve - correct answer Nerve that passes between the lungs and the heart to the diaphragm? Is very important for breathing Jaundice Abdominal pain in right upper quadrant Fever - correct answer Charcot's Triad Common Bile duct - correct answer Hepatic duct joins the cystic duct to form what? Unexplained ventricular dysrhythmias tachycardia PVC's followed by: increased endtidal CO tachypnea
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cyanosis skin mottling unstable B/P - correct answer First signs of Malignant Hyperthermia(MH)? Clinical sign of hypocalcemia - correct answer What does Chvostek sign indicate? Olfactory- Smell - correct answer Cranial Nerve I Optic- vision - correct answer Cranial Nerve II Occulomotor- eye movement: damage can cause diplopia and the inability to coordinate eye movements - correct answer Cranial Nerve III Trochlear- Eye Movement - correct answer Cranial Nerve IV Trigeminal- controls muscles of chewing and provides sensation to the skin of the face - correct answer Cranial Nerve V
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Spinal Accessory Nerve: turning of head and shoulders, Ipsilateral weakness in the trapezius muscle. - correct answer Cranial Nerve XI Hypoglossal Affects Speech and Swallowing - correct answer Cranial Nerve XII Femoral and popliteal nerve or artery - correct answer Acute movement to the hip in lithotomy position can cause damage to what? Hepatopancreatic Sphincter and enter the duodenum at the ampulla of vater - correct answer The pancreatic duct and the common bile duct join at? Common hepatic duct - correct answer Right and left Hepatic ducts join to form the? Supraspinatus Infraspinatus teres minor
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Subscapularis - correct answer The Muscles that compose the Rotator cuff? Clean Contaminated - correct answer Wound class for laparoscopic Sigmoid or colectomy is? Ligament of Treitz - correct answer Band of smooth muscle extending from the junction of the duodenum to the left crux of the diaphragm and functions as a suspensory ligament Platysma Muscle - correct answer Superficial muscle that overlaps the sternocleidomastoid? Intima Media Adventitia - correct answer Name the layers of an artery numbness and tingling of the hands, feet or lips, muscle cramps muscle spasms seizures
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Internal Carotid Artery - correct answer On which artery is the the last clamp to be removed when performing a Carotid Endarterectomy? Reticulum - correct answer Strength layer of the dermis is the? Compromised blood supply - correct answer Blanching is a sign of? absorbable - correct answer Which type of suture creates the greatest tissue reaction? Dementia - correct answer Most common cognitive impairment for patients over 70? 45 degree - correct answer In recovery after head surgery, the patients head should be at what angle? Increased ICP - correct answer What will recovery be watching for in a patient that just had head surgery? lateral and medial epigatrics - correct answer When placing a trocar in the abdomen laterally what structure do you want to avoid?
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eggs - correct answer What allergy does anesthesia need to be aware of if using Diprovan? Suprascapular nerve - correct answer What nerve originates in the brachial plexus and can cause shoulder , chest and arm pain if damaged? Loose cartilage or a meniscus tear - correct answer Popping in the knee can indicate? Compartment syndrome - correct answer Increased pressure in one of the body's compartments that results in insufficient blood supply to tissue, most common in arms or legs Foot drop - correct answer What condition is caused by damage to the common peroneal nerve? accidental division of vein intimal injury of vein over destention of vein avulsion injury - correct answer Concerns when harvesting vein?
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Fundus - correct answer The upper dome like portion of the uterus is referred has the? Uterine tubes ovaries uterine ligaments - correct answer The term "adnexa" refers to the? Broad ligament - correct answer A double fold of peritoneum extending from the uterus laterally, downward and posteriorly forms this ligament? Trendelenberg - correct answer What position is the patient placed in, in order to gain increased exposure to the uterus? Ureters - correct answer It is important to make an early identification and to avoid which of the following structures during TAH? Internal iliacs - correct answer The uterine arteries branch from the? Skeletonization - correct answer Dissecting excess tissue from around the uterine vessels for secure clamping is?
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reperitonealization - correct answer Reapproximating the bladder flap peritoneum to the posterior cul-de-sac peritoneum is referred to as? They are contaminated with vaginal flora - correct answer Why would instruments be isolated from the sterile field during a hysterectomy? Cinch the stitch down securely on the pedicle and enable you to place a second stitch or free tie on the pedicle. - correct answer Purpose of flashing is? Infundibulum - correct answer Funnel shaped portion of the uterus? absorbable - correct answer The suture used to ligate a uterine artery is always a _______________ suture? round ligament - correct answer Following a tubular structure to the side wall during a hysterectomy help identify it as the? The cornea of the uterine tubes - correct answer What structure mark the end of the fundus and the beginning of the corpus?
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Cervix - correct answer The Ureter passes more closely to the uterus at this level? Fimbria - correct answer Finger-like projections at the open end of the uterine tubes are referred to as the? Bleeding Hx Skin integrity anxiety level continence status contraceptive Hx maternal diethylstilbestrol therapy core body temp sexually transmitted disease his/hx allergies pain/discomfort abdominal girth menstural cycle hormone replacement therapy positional considerations
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Rh factor status - correct answer Assessment of the gynecologic surgery patient includes: CBC blood chemistry pap smear CT MRI U/S ECG Chest Xray colposcopy UA Blood type D&C - correct answer Possible diagnostic studies indicated for a hysterectomy? CO2 via veress needle seeing at 15mm HG maintaining pneumoperitoneum - correct answer The process of insufflation includes?
