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RNAS-C : NASC Registered Nurse Assistant at Surgery - Certified Exam

Nursing RNAS-C Questions & Answers

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killexams.com Nursing RNAS-C


NASC Registered Nurse Assistant at Surgery - Certified


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Question: 1


When assisting with an abdominal hysterectomy, the RNAS-C will place rectus fascia while the surgeon separates the rectus abdominis muscle.


  1. Heaney hysterectomy forceps.

  2. Russian tissue forceps.


    ocher clamps. wer: D

    anation: Kocher clamps are commonly used to assist in separating the rectus abdominis muscle during an abdominal hysterectomy. The rectus fa aced by the RNAS-C to provide support and reinforcement during the edure. Option A, Heaney hysterectomy forceps, is not specifically use rating the rectus abdominis muscle. Option B, Russian tissue forceps,

    n C, Kelly clamps, are not typically involved in this step of the proce


    stion: 2


    ch of the following laboratory tests is commonly used to assess coagul ion?


    lood glucose

    Kelly clamps.

  3. K


Ans


Expl


is pl


scia

proc d for

sepa and

optio dure.


Que


Whi ation

funct


  1. B

  2. Prothrombin time (PT)

  3. Complete blood count (CBC)

  4. Serum electrolytes Answer: B

Explanation: Prothrombin time (PT) is a commonly used laboratory test to

assess coagulation function. It measures the time it takes for blood to clot and evaluates the extrinsic pathway of the coagulation cascade. PT is often used to monitor the effectiveness of anticoagulant therapy, such as with warfarin. Options A, C, and D are not specific to coagulation function.


Question: 3


edures to access the posterior cranial fossa?


upine position rendelenburg position tting position

rone position wer: D

anation: The prone position is commonly used in neurosurgical proce cess the posterior cranial fossa. In the prone position, the patient lies f n, allowing optimal access to the back of the head and neck. This posi ides better visualization and access to the surgical site in procedures ving the posterior cranial fossa. Options A, B, and C are not specific ciated with accessing the posterior cranial fossa in neurosurgical edures.


stion: 4

Which of the following positions is commonly used in neurosurgical proc


  1. S

  2. T

  3. Si

  4. P


Ans


Expl dures

to ac ace

dow tion

prov

invol ally

asso proc


Que


Compared to electrocautery dissection, the use of the harmonic scalpel typically results in:


  1. more thermal injury.

  2. less thermal injury.

  3. less precise cuts.

  4. longer operative procedures. Answer: B

isk of collateral tissue damage and promotes quicker healing. Option rect because the harmonic scalpel is designed to minimize thermal inj on C is incorrect because the harmonic scalpel allows for precise cuts. on D is incorrect because the use of the harmonic scalpel is often ciated with shorter operative times due to its efficiency and effectiven


stion: 5


ch of the following is a radiological exam used to visualize the blood els?


agnetic resonance imaging (MRI) omputed tomography (CT) scan ltrasound

ngiography


wer: D

Explanation: The use of the harmonic scalpel in surgical dissection typically results in less thermal injury compared to electrocautery. The harmonic scalpel utilizes ultrasonic energy to simultaneously cut and coagulate tissues, minimizing thermal damage to surrounding structures. This precision reduces the r A is

incor ury.

Opti Opti

asso ess.


Que


Whi vess


  1. M

  2. C

  3. U

  4. A


Ans


Explanation: Angiography is a radiological exam used to visualize the blood vessels. It involves the injection of a contrast agent into the blood vessels, followed by X-ray imaging to visualize the flow of blood through the vessels. Options A, B, and C are imaging techniques but are not specifically used to visualize blood vessels in the same manner as angiography.

Question: 6


Which of the following laboratory tests measures the ability of blood to clot?


  1. Complete blood count (CBC)

  2. Prothrombin time (PT)

    iver function tests (LFTs) wer: B

    anation: Prothrombin time (PT) is a laboratory test that measures the y of blood to clot. It evaluates the extrinsic pathway of the coagulatio ade and is commonly used to monitor the effectiveness of anticoagula py, such as with warfarin. A prolonged PT indicates impaired clotting ion and an increased risk of bleeding. Options A, C, and D are not fically related to clotting function.


    stion: 7


    ording to the Munro Pressure Risk Assessment Scale, which is used in of surgery (preoperative, intraoperative, and postoperative), which o

    wing poses the greatest risk for pressure ulcer development?


    10% decrease in blood pressure (BP).

    Blood glucose

  3. L

Ans Expl

abilit n

casc nt

thera funct speci


Que


Acc each

phase f the

follo


  1. A

  2. A 25% weight loss in the previous 30 days or a 210% weight loss in the previous 180 days.

  3. Temperature of 38 °C, with a fluctuation of 1 °C.

  4. A 15% decrease in BP.

ure ulcer development.


stion: 8


ch of the following legal concepts refers to negligence or improper co ealthcare professional that results in harm to a patient?


nformed consent cope of practice alpractice orkplace Safety


wer: C


anation: Malpractice refers to negligence or improper conduct by a hcare professional that results in harm to a patient. It involves a breac tandard of care expected from a healthcare provider, leading to injurie

Explanation: According to the Munro Pressure Risk Assessment Scale, a 25% weight loss in the previous 30 days or a 210% weight loss in the previous 180 days poses the greatest risk for pressure ulcer development. This significant weight loss indicates malnutrition and increased vulnerability to pressure ulcers. Malnutrition compromises tissue integrity and impairs the body's ability to heal, making the patient more susceptible to pressure ulcers. Monitoring and addressing nutritional needs are crucial in preventing pressure ulcers in surgical patients. Options A, C, and D do not specifically indicate a high risk for

press


Que


Whi nduct

by a h


  1. I

  2. S

  3. M

  4. W

Ans Expl

healt h of

the s s,

complications, or adverse outcomes. Malpractice can occur in various healthcare settings, including perioperative practice. Options A, B, and D are not specifically related to negligence or improper conduct.

Which of the following laboratory tests is used to assess liver function?


  1. Complete blood count (CBC)

  2. Prothrombin time (PT)

  3. Alanine transaminase (ALT)


    anation: Alanine transaminase (ALT) is a laboratory test used to asses function. ALT is an enzyme primarily found in the liver, and elevated of ALT in the blood may indicate liver damage or disease. Options

    D are not specific to liver function, while option B, prothrombin time ures the blood's ability to clot and is not directly related to liver funct


    stion: 10


    ch of the following positioning devices is commonly used for lithotom ion during surgery?


    racture table irrups

    rendelenburg position

    everse Trendelenburg position


    wer: B

    Serum electrolytes Answer: C

Expl s

liver

levels A

and (PT),

meas ion.


Que


Whi y

posit


  1. F

  2. St

  3. T

  4. R


Ans


Explanation: Stirrups are commonly used as positioning devices for the lithotomy position during surgery. The lithotomy position involves the patient lying on their back with their legs flexed and supported in stirrups, allowing access to the pelvic region. Stirrups help maintain the desired position and provide stability throughout the surgical procedure. Options A, C, and D are not specifically associated with the lithotomy position.

Question: 11


Which of the following microorganisms is responsible for causing Methicillin- resistant Staphylococcus aureus (MRSA) infection?


  1. Streptococcus pneumoniae

    lostridium difficile taphylococcus aureus


    wer: D


    anation: Methicillin-resistant Staphylococcus aureus (MRSA) infectio ed by the bacterium Staphylococcus aureus. MRSA is a strain of hylococcus aureus that has developed resistance to multiple antibiotics ding methicillin. It is commonly found in healthcare settings and can re infections, particularly in individuals with weakened immune syste ons A, B, and C are not associated with MRSA infection.


    stion: 12

    ch of the following is an example of a transmission-based precaution? and hygiene

    andard precautions

    Escherichia coli

  2. C

  3. S


Ans


Expl n is

caus

Stap ,

inclu cause

seve ms.

Opti Que Whi

  1. H

  2. St

  3. Contact precautions

  4. Proper disposal of sharps Answer: C

Explanation: Contact precautions are an example of transmission-based precautions. Contact precautions are implemented to prevent the transmission

of infectious agents through direct or indirect contact with the patient or their environment. This may include the use of gloves and gowns when entering the patient's room and adherence to specific protocols for handling contaminated items. Option A, hand hygiene, and option B, standard precautions, are important infection prevention measures but are not specific to transmission- based precautions. Option D, proper disposal of sharps, is related to safe disposal practices but does not pertain to transmission-based precautions.


stion: 13


ch of the following medications is commonly used as a local anestheti ng surgical procedures?


acitracin efazolin idocaine eparin


wer: C


anation: Lidocaine is a commonly used local anesthetic medication du cal procedures. It works by blocking nerve signals in a specific area, bing the region and providing localized pain relief. Bacitracin (option efazolin (option B) are antibiotics, while heparin (option D) is an oagulant medication.

Que


Whi c

duri


  1. B

  2. C

  3. L

  4. H


Ans


Expl ring

surgi

num A)

and c antic


Question: 14


Which of the following positions is commonly used during a lumbar puncture?


  1. Trendelenburg position

  2. Supine position

  3. Lateral position

  4. Sitting position Answer: D

le into the subarachnoid space for cerebrospinal fluid collection. Opti and C are not specifically associated with lumbar puncture.

Explanation: The sitting position is commonly used during a lumbar puncture procedure. In this position, the patient sits upright with their legs over the edge of the examination table and their spine flexed forward. This position helps to open up the spaces between the vertebrae and facilitates the insertion of the need ons

A, B,


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