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

Latex-allergic patients should be scheduled as the first case of the day when airborne latex particle levels are lowest.

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

Antiplatelet agents like clopidogrel inhibit platelet aggregation and significantly increase intraoperative bleeding risk; cessation timing must be confirmed with the surgeon.

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

ASA Class III describes a patient with severe systemic disease that causes substantive functional limitations but is not incapacitating.

Question 4

Which preoperative finding most strongly warrants postponement of elective surgery?

Accepted Answer

Serum potassium of 2.8 mEq/L

Answer

A serum potassium below 3.0 mEq/L (hypokalemia) increases risk of life-threatening cardiac arrhythmias during anesthesia and warrants correction before elective surgery.

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

Active skin breakdown or open wound over the planned surgical site is a contraindication to elective surgery and must be reported to prevent infection.

CRNFA - Certified Registered Nurse First Assistant Practice Test

CRNFA - Certified Registered Nurse First Assistant Practice Test

CRNFA Perioperative Patient Assessment