CRNFA Exam Questions and Answers: Anatomy, Physiology, and Wound Healing, Exams of Nursing

Download CRNFA Exam Questions and Answers: Anatomy, Physiology, and Wound Healing and more Exams Nursing in PDF only on Docsity! Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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 Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Parathyroid - correct answer Nerves to be aware of when removing the thyroid? Checking for gallbladder/liver pain - correct answer What is Murphys sign an assessment for? Fingers under the right ribs cause pain with Cholecystitis - correct answer How do you assess for Murphys sign? Anaerobic organism (E-coli, Clostridium Tetani) - correct answer abscesses, infected tissue and foul odor which are able to sustain itself without O2? Aerobic organism( Staph, Strep, Pseudomonas) - correct answer Organism that needs O2 to survive? Cellulitis - correct answer Bacterial infection involving the inner layers of the skin.It usually affects the dermis and the subcutaneous fat? At the internal and external carotids - correct answer Where is the bifurcation of the common carotid artery? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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 CO2 tachypnea Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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 Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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 Certified Registered Nurse First Assistant (CRNFA) Questions And Answers facial twitching muscle weakness light headedness slow heartbeat(bradycardia) - correct answer Signs of hypocalcemia? Dull sound - correct answer What kind of sound would be produced by percussing over the liver? T-Tube - correct answer What kind of drain is used for bile duct exploration? Thrombocytopenia - correct answer Heparin cannot be used if a patient suffers from? Posteriorly:Sternocleidomastoid Inferiorly: omohyoideus Superiorly: stylohyoideus - correct answer Carotid Triangle landmarks? Superior Thyroid Artery - correct answer What is the most inferior of the 3 anterior branches of the carotid arteries? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers legs should be slightly flexed @ the hips and knees with pillow between knees and ankles. Padding for the greater trochanter, independent femur and head of fibula on dependent lower extremity - correct answer Position of legs when patient is placed in lateral position? Circle of Willis - correct answer What is the blood supply to the brain and surrounding structures? Central Venous Pressure (CVP) - correct answer pressure of the blood in the thoracic vena cava near the right atrium of the heart? the amount of blood returning to the heart and the ability of the heart to pump the blood into the arterial system - correct answer What does CVP reflect? Releasing a clamp briefly, cinching down the stitch and then securely reclamping - correct answer What is Flashing? Pfannenstiel Incision - correct answer Which incision would be chosen for a TAH for its superior cosmetic results? Urinary bladder - correct answer What structure lies anterior to the uterus and cervix? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 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? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Excision of the uterus from the superior aspect to the uterine vessels - correct answer During LAVH surgery where is the uterus excised from? faster recovery shorter length stay less adhesions - correct answer Advantages of LAVH/Robotic AVH are? avoid heavy lifting/driving for 7-10 days avoid intercourse, douching, tampons until seen by dr call DR if redness, swelling at the incision site - correct answer Post op considerations for LAVH pulmonary disease size of uterus - correct answer Limitations on contraindications for performing LAVH/RAVH would be? Inflammatory proliferative remodeling (maturation) - correct answer Name the Phases of wound healing Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 1-5 days - correct answer how long is the inflammatory phase of wound healing ? 3 weeks - correct answer The proliferative stage of wound healing can last up to ? 21 days to months - correct answer Remodeling(maturation) phase of wound healing can take how long? Collagen fibers reorganize and tighten to reduce scar tensile strength increases - correct answer What occurs during the Remodeling(maturation) phase of wound healing? vasoconstriction platelet aggregation and formation phagocytosis - correct answer What takes place in the Inflammatory phase of wound healing? Collagen is produced wound tensile strength increases Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 8.8-10 - correct answer Normal Calcium Therapeutic communication - correct answer Type of communication that utilizes both verbal and non verbal methods of retrieving information that will address both the patient health care and personal needs? Percussion - correct answer The act of striking one object against another to produce a sound of resonance or dullness is known as? CN VIII- Vestibulocochlear - correct answer What cranial nerve relates to the assessment of hearing and balance? Lower Leg, Arms - correct answer Brachial Pressure Index is used to measure the ratio of the blood pressure in the ___________ to the blood pressure in the ________? Electrophysiology - correct answer An non-Invasive procedure used to diagnose atrial and ventricular arrhytmias Lung Capacity Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Lung Volume Flow rates - correct answer Pulmonary function tests measure what? Nitrates - correct answer In reviewing the lab results of a routine urinalysis, an increase in what value is an indication of a UTI? hyperparathyroidism - correct answer An increase in normal value of calcium could indicate what condition? Head Shoulders Elbows Back Sacrum Coccyx Heels - correct answer There is increased risk of pressure to what areas in the supine position? Respiratory tract Eyes Skin - correct answer Methylmethacrylate is an irritant to? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers 1 - correct answer Research has shown that administering antibiotics within ______ hour(s) of surgery can decrease surgical site infections Protamine - correct answer Heparin antagonist, used to reverse heparin anticoagulation? Psychology - correct answer Study of mental processes and human behavior? Poor state of nurtition - correct answer A patient with malignancy, chronic infection, chronic GI disease may be in a? Blood loss - correct answer Abnormally low range of HGB may indicate? Head and neck - correct answer Reverse Trendelenburg position is used for procedures of the? eyes fingers breasts Certified Registered Nurse First Assistant (CRNFA) Questions And Answers edges of wound are approximated by surgical sutures - correct answer characteristics first intention wound healing open with large tissue defect, at time infected having extensive loss of cells and tissues the wound is not approximated by surgical sutures but is left open - correct answer characteristics of 2nd intention wound healing delayed primary closure occurs when two granulated surfaces are approximated. The traumatic surgical wound is debrided and purposely left open to heal by second intention for approximately 4-6 days - correct answer characteristics of 3rd intention wound healing Perioperative Nursing Data Set - correct answer PNDS cool, clammy skin confusion decreased or no urine output general weakness Certified Registered Nurse First Assistant (CRNFA) Questions And Answers pallor rapid breathing sweating, moist skin - correct answer signs of hypovolemic shock rectus abdominus muscle inguinal ligament medial to inferior epigastric artery - correct answer Name the landmarks of Hesselbachs triangle Indirect hernia - correct answer Hernia that is lateral to the inferior epigastric artery Direct hernia - correct answer Hernia that is Medial to the inferior epigastric artery Good Surgical Technique - correct answer What is the number one non- pharmacologic way to prevent a post-op infection? Group B strep - correct answer What organism causes rapidly progressive erythema and tenderness to develop in wound edges early in the post-op course? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Rovsing's sign (sign of appendicitis) - correct answer A maneuver of applying pressure over the left iliac fossa deeply in and directed toward the right side to illicit pain in the appendicular region is called? Flagyl Ampicillin Gentamicin - correct answer What antibiotics are known as "triple antibiotics" inspection auscultation palpation percussion - correct answer When performing a physical assessment of the abdomen, what is the correct order of the assessment skills? CN III Occulomotor CN IV Trochlear CN VI Abducens - correct answer assessment of the extraocular movements during a neurological exam, tests which cranial nerve(s)? Colostomy - correct answer Postoperatively what would you expect the patient to have following a sigmoid colectomy with Hartman's? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers parathyroid glands - correct answer What are the most important anatomical structures to identify and protect while dissecting out the thyroid? External rotation and abduction - correct answer After a total hip arthroplasty with postero-lateral approach, the patients leg should be maintained in ? Intraoperative arteriograms - correct answer When preparing for an emergency femoral embolectomy the RNFA should anticipate the need for? titanium rods - correct answer When CO2 laser is being used to vaporize intra-abdominal adhesions, inadvertent beam contact with the underlying tissue can be avoided by using? respiratory system - correct answer What is most vulnerable when the patient is prone position? avoid leaning on the patient - correct answer When holding retractors to aid in exposure it is essential for the RNFA to? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers associated pancreatitis due to a common bile duct stone - correct answer Common cause for an increased amylase level? Horizontal mattress - correct answer Stitches that are placed horizontal to the wound are called? Mannitol - correct answer An osmotic diuretic that has an effect on renal vascular resistance is? ligaments - correct answer A needle that is classified as reverse cutting is used primarily on? Cardiac Output - correct answer The amount of blood ejected by the left ventricle per minute is a product of heart rate times the stroke volume and is known as ? 12-15 mmHG - correct answer In a laparoscopic procedure, the peritoneal cavity is insufflated with CO2 to an intraoperative pressure of ? Secondary intention - correct answer When a tissue defect decreases in size by wound contraction, it is designated as healing by? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Fibroblasts - correct answer What cells are responsible for the synthesis and secretion of collagen and elastin? S. Aureus, Staphylococcus, Enterococcus, Pseudomonas - correct answer The most common organisms isolated from SSI's The hands of health care providers - correct answer Multiple antibiotic resistant organisms are most often transmitted by? Providing preoperative teaching and comfort measures to decrease anxiety - correct answer The RNFA can have a direct effect on the stress response by? Vasoconstriction - correct answer During the inflammatory phase of wound healing, the vascular response is? elbows - correct answer The height of the operating room table should reach the level of the? extension - correct answer The desired position of the wrist of an assistant is slight? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers muscle most fascia bowel dura vessels - correct answer What the of tissue is a Taper needle used on? Indwelling Catheter - correct answer What type of catheter is used when performing a prostatectomy? Ampulla of vater - correct answer Pancreatic duct and the common bile duct enter the duodenum at? Pancreatitis - correct answer What is associated with common bile duct stone? inhalation agents - correct answer Malignant hyperthermia is brought on by? Throw two ties the same direction and then one in the opposite direction. - correct answer What is surgeons knot? Certified Registered Nurse First Assistant (CRNFA) Questions And Answers Kocher oblique incision - correct answer Incision which is made on an angle extending rom the midline laterally. Running just underneath the lower ribs?