CRNFA Perioperative Patient Assessment

Question 1

A patient with a known latex allergy should be scheduled as which type of surgical case?

Accepted Answer

First case of the morning before latex particulates accumulate in the air

Answer

Last case of the day to allow room decontamination

Answer

Requires a separate operating room only

Answer

No special scheduling is needed if latex-free gloves are used

Question 2

When reviewing a patient's medication list preoperatively, which class of medications requires the MOST immediate concern regarding intraoperative bleeding risk?

Accepted Answer

Antiplatelet agents such as clopidogrel

Answer

Antihypertensives

Answer

Proton pump inhibitors

Answer

Thyroid hormone replacements

Question 3

An ASA Class III patient is best described as having which condition?

Accepted Answer

A patient with severe systemic disease causing substantive functional limitations

Answer

A healthy patient with no systemic disease

Answer

A patient with mild systemic disease causing no functional limitations

Answer

A patient not expected to survive without the operation

Question 4

Which preoperative finding most strongly warrants postponement of elective surgery?

Accepted Answer

Serum potassium of 2.8 mEq/L

Answer

Blood pressure of 148/88 mmHg

Answer

Random blood glucose of 180 mg/dL in a known diabetic

Answer

Hemoglobin of 11.5 g/dL in a stable patient

Question 5

When performing a preoperative skin assessment, which finding is most important to document and report?

Accepted Answer

Active skin breakdown or wound over the surgical site

Answer

A well-healed scar from a prior surgery

Answer

A tattoo near the incision site

Answer

Dry skin on the lower extremities

Question 6

A patient reports a prior reaction to a 'caine' medication at the dentist. The CRNFA should prioritize communicating which concern to the anesthesia team?

Accepted Answer

Possible allergy to amide or ester local anesthetics

Answer

Risk of malignant hyperthermia

Answer

Contraindication to general anesthesia

Answer

Need for antihistamine premedication only