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RNFA FINAL EXAM 2 | Correct
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In health care settings, the primary occupational source of radiation exposure is: - ✔✔Scatter Which of the following best describes the semi-restricted surgical practice area? - ✔✔Used for communication of information between the surgical suite and the rest of the health care facility If a health care worker who works with radiation become pregnant, she should: - ✔✔Promptly inform the radiation safety officer When using a single drape for a lithotomy, the following instructions are correct, except: - ✔✔Place the drape so the edge is 2 inches from the perineum When updating the patient's support person during surgery, a nurse should: - ✔✔Discuss a projected time frame for completion of the surgery Safe injection practices: - ✔✔Include using one syringe per injection 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? - ✔✔A patient who needs a total hip replacement, is otherwise healthy, and has a short-term home care assistant When opening a sterile package, the LAST flap to be opened should be the flap: - ✔✔Closest to you As of the following wound healing complications are attributed to smoking except: - ✔✔Decreased blood viscosity A patient had the following lab values noted intraoperatively: pH < 7. 35 , PCO 2 <3 5 mmHg, HCO 3 < 22 mEq/L. This patient is in: - ✔✔Metabolic acidosis
This classification of medication can affect wound healing in the surgical patient: - ✔✔Anticoagulants When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most appropriate choice is the needle. - ✔✔Taper During a THA using the posterior lateral approach, the RNFA will dislocated the head of the femur using:
- ✔✔Flexion, adduction, external rotation Which of the following muscles are critical for stabilization of the knee joint? - ✔✔Quadriceps femoris During the cementing of components during total joint replacement, a new CRNA who has never worked in orthopedics before begins to panic. A side effect that possibly occurred with this patient as a result of the cement is: - ✔✔Hypotension A medication often used in cardiac surgery to prevent spasms of vessels is: - ✔✔Papaverine Physicians may consider which of the following options when determining the best treatment option for breast cancer surgery. - ✔✔Size of tumor The most commonly used incision for Cesarean section is the: - ✔✔Pfannensteil This technique is primarily reserved for the patient having prophylactic mastectomy and immediate breast reconstruction. - ✔✔Nipple sparing The RNFA should be prepared to assist with the procedure if a patient needs surgical intervention for the treatment of atrial fibrillation - ✔✔Maze Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order? - ✔✔Dirty then clean
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? - ✔✔Through the mitral valve into the left ventricle Which of the following documentation requirements is unique to vascular surgery? - ✔✔Clamp application and removal times Identify from the following, the correct branch of the left main coronary artery. - ✔✔Circumflex coronary artery What does the presence of bruit on auscultation of a blood vessel mean? - ✔✔Blood flow is disrupted Of the following ocular blocks, which carries the highest risk? - ✔✔Retrobulbar Block A portion of a parathyroid glands must remain for which of the following reasons? - ✔✔Prevent hypocalcemia and it's complications Select the set of symptoms that is most commonly associated with hypothyroidism - ✔✔Increased swearing, insomnia, tremor, and muscle weakness An important anatomical landmark in thyroid surgery is known as - ✔✔Poles 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 - ✔✔Prevent clogging of the burr and contamination of the area with bone dust Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? - ✔✔Submandibular Fibrous bands of tissue found between abdominal structures that are not normally connected are known as - ✔✔Adhesions
Choose the correct flow of bile from the gallbladder - ✔✔Cystic duct, common duct, ampulla of Vater, duodenum Select the statement that best reflects the functional components of the gastrointestinal tract - ✔✔The alimentary canal extends from the mouth to the anus Which of the following hernia types is considered a surgical emergency - ✔✔Strangulated Closed thoracostomy will require which of the following - ✔✔Chest catheters and water-seal drainage A minimally invasive technique that may be used to remove parathyroid tumors deep in the mediastinum is known as - ✔✔Thoracoscopy The common bile duct drains into the - ✔✔Duodenum Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress through which of the following? - ✔✔Scarpa's fascia The transverse colon ends at the - ✔✔Splenic flexure The mediastinal surface of the lungs contains a structure known as in which nerves, vessels, bronchus, and lymphatics enter and leave the lung - ✔✔Hilum The absence of distinct teniae serves as a visual landmark for what abdominal structure - ✔✔Upper margin of the rectum A benefit to the patient undergoing SILS procedure is which of the following - ✔✔Less postoperative pain Hernia that occur within Hesselbach's triangle are called - ✔✔Direct inguinal hernia
From the following, choose a hernia type that is common in children and frequently disappears spontaneously - ✔✔Umbilical hernia An example of a potential risk associated with pneumoperitoneum would be - ✔✔gas embolus into an exposed blood vessel during the procedure. Femoral hernias occur more frequently in which group of individuals - ✔✔Females The renal artery and vein enter and exit the kidney the medical side of the organ through a concave area known as the - ✔✔Hilum Select the triad of the boundaries of Hesselbach triangle - ✔✔Inguinal ligament, rectus abdominis muscle, deep epigastric vessels Which of the following is a triangle anatomic landmark in surgical removal of the gallbladder and may be remembered by the 3 Cs - ✔✔Calot's Choose the correct statement regarding the trigone of the bladder - ✔✔Forms the base of the bladder 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 - ✔✔All testes that are undescended after 1 year require surgical placement in the scrotum Which of the following describes a hydrocele - ✔✔It refers to excess fluid within the tunica vaginalis Which of the following layers of the uterus contains the lymphatics - ✔✔Myometrium The ovarian artery is a branch of which vessel - ✔✔Aorta
While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations - ✔✔Just above the inguinal ring Select the statement about the prostate that best reflects its location, size, and weight - ✔✔The prostate sits below the base of the bladder, is 4 cm at the base, and weighs 20 to 30 grams The pelvic floor consists of which muscle groups - ✔✔Levator ani and coccygeal muscles TURP syndrome is often seen during the intraoperative period. Signs and symptoms exhibited by patients include - ✔✔Seizures The production of CSF occurs - ✔✔In the Choroid plexus of the ventricles Tear of the middle meningeal artery, often caused by a blow to the head, results in the formation of a hematoma - ✔✔Epidural 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 - ✔✔Cottonoid The innermost membrane of the brain is known as - ✔✔Pia mater Pressure against which cranial never accounts for pupillary dilation when temporal lobe herniation is present - ✔✔Cranial nerve III What is the term for the bloodless plane that contains loose areolar tissue and permits mobility of the scalp - ✔✔Subgaleal space The trigeminal nerve provides motor innervation to which muscle group - ✔✔Mastication Identify the cranial nerve that is responsible for pupillary reaction - ✔✔Cranial III
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? - ✔✔Autologous bone graft Harrington rods are often used in scoliosis surgery. Of the following, which is a disadvantage of Harrington rods? - ✔✔Rod breakage is increased 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? - ✔✔Direct observation and verification of fracture alignment Which of the following represents the correct attachment of the capsule of the knee joint - ✔✔Upper end of the fibula and distally to the condyles of the femur The connective tissue that covers all bones and supplies nutrients is known as - ✔✔Periosteum An important aspect to bone healing that is preserved through intermedullary reaming is - ✔✔Maintenance of fracture hematoma Identify the type of fracture that has more than two fragments - ✔✔comminuted Which of the following is not included in the terrible triad - ✔✔PCL tear What part of the hip are the hemispherical reamers used on - ✔✔Acetabulum Closed reduction is the treatment of choice for fractures because of - ✔✔Decreased opportunity for infection 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 - ✔✔Position the patient using appropriate padding and joint protection devices
After retracting the nerve roots during a laminectomy, this structure is invited before getting to the disc - ✔✔Posterior longitudinal ligament FAST may assist with diagnosis in difficult situations. What group of scans is performed and what do they identify - ✔✔Chest, pelvic, and four abdominal scans; collections of fluid and free air GCS is commonly used to assess patients with brain injuries using three indicators of cerebral function: eye opening, verbal communication, and motor responses to verbal and noxious stimuli. Within the scoring range for the GCS the best possible score is _ and the worst is - ✔✔ 15 ; 3 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 - ✔✔CT scan of the head In the case of an adult victim with a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant off the lower abdomen, what is the mechanism of injury and description of the possible injuries - ✔✔Penetrating, small entrance wound, puncture of the anterior wall of the signed colon, no disruption of vessels, and bullet not found in pelvis Which of the following is an indication for damage control surgery - ✔✔Coagulopathy 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 - ✔✔Discontinue the catheter insertion
