CRNFA Perioperative Patient Assessment 2

Question 1

Which component of the preoperative assessment is specifically within the CRNFA's scope when functioning as first assistant?

Accepted Answer

Performing a focused preoperative nursing assessment and assisting with history and physical

Answer

Ordering and interpreting preoperative labs independently

Answer

Administering preanesthetic medications independently

Answer

Obtaining informed surgical consent as the primary provider

Question 2

A patient undergoing elective hip replacement has a preoperative hemoglobin of 9.5 g/dL. The CRNFA's most appropriate action is to:

Accepted Answer

Notify the surgeon and anesthesiologist and document the finding

Answer

Proceed without concern as this is within normal limits

Answer

Administer iron supplementation per standing order

Answer

Cancel the surgery without consulting the surgeon

Question 3

Which patient history finding should prompt the CRNFA to alert the surgeon about potential difficult airway management?

Accepted Answer

Short neck, limited cervical extension, and prior difficult intubation

Answer

Prior appendectomy under general anesthesia without complications

Answer

Mild seasonal allergies

Answer

Use of an ACE inhibitor for hypertension

Question 4

Which preoperative vital sign finding requires immediate escalation before a patient is brought into the OR?

Accepted Answer

Temperature of 38.9°C (102°F)

Answer

Heart rate of 78 bpm

Answer

Blood pressure of 130/80 mmHg

Answer

Oxygen saturation of 97% on room air

Question 5

When reviewing the preoperative checklist, which item related to NPO status is most critical for patient safety?

Accepted Answer

Patient had a full meal 2 hours before surgery

Answer

Patient consumed a light meal 8 hours ago

Answer

Patient drank 8 oz of clear liquids 4 hours ago per enhanced recovery protocol

Answer

Patient has been NPO for 3 hours for solids

Question 6

A patient discloses herbal supplement use including garlic, ginger, and Ginkgo biloba. The CRNFA's primary concern is which potential intraoperative complication?

Accepted Answer

Increased bleeding due to antiplatelet effects of these supplements

Answer

Hypertensive crisis

Answer

Malignant hyperthermia

Answer

Renal failure