NASC CRNFA study materials
NASC CRNFA study resources

NASC CRNFA study plan

NASC CRNFA · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Intraoperative Surgical Technique and Assisting

  • Map the full intraoperative workflow from incision to closure and write a one-page sequencing outline for each phase

  • Draft a personal instrument-and-suture reference table covering 25 commonly used items with their primary and secondary uses

  • Explain aloud the assisting principles for exposure, hemostasis, and tissue handling, recording yourself and noting three gaps

  • Solve 40 practice items on intraoperative technique and log every miss with the underlying principle, not just the answer

Your checkpoint

A 25-item instrument/suture reference table plus a written error log of at least 15 explained misses from intraoperative practice items

Week 2

Intraoperative Surgical Technique and Assisting & Surgical Anatomy and Physiology

  • Trace the anatomy of the abdominal wall, inguinal region, and neck, labeling structures on blank outline drawings from memory

  • Connect each major anatomic structure to the surgical step where it is at risk of injury and state the protective maneuver

  • Practice 30 intraoperative scenario items and justify each answer in one written sentence citing anatomy or technique

  • Rehearse verbalizing anatomy intraoperatively in concise call-out format for three representative procedures

Your checkpoint

Three self-drawn, fully labeled anatomic maps with a risk-of-injury column for each structure

Week 3

Preoperative Assessment and Planning & Surgical Anatomy and Physiology

  • Build a preoperative assessment checklist covering history, comorbidities, medications, allergies, and prior surgeries

  • Interpret ten laboratory and diagnostic values and write the perioperative implication of each abnormal result

  • Identify which comorbidities change intraoperative risk and state the specific adjustment each demands

  • Complete 40 preoperative assessment items and categorize each error as knowledge gap or misread stem

Your checkpoint

A one-page preoperative risk checklist plus a ten-row lab interpretation table with perioperative implications

Week 4

Asepsis, Sterilization, and Infection Prevention & Patient Safety, Positioning, and Equipment

  • Sequence the full sterilization and disinfection workflow and distinguish which items require which method and why

  • Diagram the surgical hand scrub, gowning, and gloving steps in order and self-audit against a written standard

  • List the principles of safe patient positioning for supine, prone, lateral, and lithotomy, naming the pressure points and nerves at risk in each

  • Solve 40 combined asepsis and safety/positioning items and record the rationale for every incorrect option

Your checkpoint

A positioning quick-reference card covering four positions with pressure points, at-risk nerves, and equipment checks

Week 5

Anesthesia and Pharmacology

  • Classify the major anesthetic agents and adjuncts by mechanism, onset, duration, and key adverse effects in a comparison table

  • Explain the assisting role during induction, maintenance, emergence, and airway management, including monitoring cues to watch

  • Match ten common intraoperative drug scenarios to the appropriate pharmacologic response and state the reasoning

  • Complete 30 anesthesia and pharmacology items, then re-teach the three weakest concepts in writing

Your checkpoint

A drug comparison table of at least 15 agents with mechanism, effect, and assisting implications

Week 6

Postoperative Management and Complications & Patient Safety, Positioning, and Equipment

  • Outline normal postoperative recovery by system and identify the earliest indicator that something is deviating

  • Differentiate the presentation and immediate response for eight major postoperative complications

  • Audit equipment and safety practices including counts, electrosurgery, and specimen handling, writing the failure mode for each

  • Solve 40 postoperative and safety items and rank your errors by clinical severity to prioritize review

Your checkpoint

An eight-complication response sheet listing earliest sign, immediate action, and escalation trigger for each

Week 7

Professional Practice, Ethics, and Scope of Practice & Preoperative Assessment and Planning

  • Define the CRNFA scope of practice boundaries and write three realistic situations where the line is tested and how to respond

  • Apply an ethical decision framework to four scenarios involving consent, advocacy, and conflict with the surgical team

  • Draft a personal statement of professional accountability describing documentation and communication standards you will follow

  • Complete 30 professional practice items and defend each answer against scope and ethics principles

Your checkpoint

A written scope-and-ethics decision guide with four worked scenarios and your reasoned response to each

Week 8

Preoperative Assessment and Planning & Intraoperative Surgical Technique and Assisting & Asepsis, Sterilization, and Infection Prevention & Anesthesia and Pharmacology & Surgical Anatomy and Physiology & Patient Safety, Positioning, and Equipment & Postoperative Management and Complications & Professional Practice, Ethics, and Scope of Practice

  • Revisit every logged error from weeks 1 through 7 and rewrite the corrected reasoning for each without notes

  • Complete two timed mixed-domain practice sets and record per-domain accuracy to confirm the weighted weak spots

  • Drill only the two lowest-accuracy domains until each reaches your target threshold

  • Rehearse a one-page summary of high-yield facts per domain and recite each from memory

Your checkpoint

A final error-review log showing corrected reasoning for all prior misses plus a per-domain accuracy summary from two timed sets

Milestones

Week 2: Can label three anatomic maps from memory and explain the injury risk for each structure without referring to notes

Week 4: Scores at least 75 percent on a 40-item mixed set drawn from domains 2, 3, 5, and 6, with every miss logged and explained

Week 6: Scores at least 80 percent on a 40-item mixed set covering domains 1, 6, and 7, and can state the earliest sign and immediate action for all eight major complications

Week 8: Scores at least 85 percent on two timed mixed-domain sets, and all logged errors from weeks 1 through 7 have rewritten corrected reasoning