NIFA Test Bank | 1000+
Questions and Answers |
Verified and Graded A+ |
Latest 2023
__ are worn to protect against ethylene oxide exposure.
a. Thick, heavy-duty gloves
b. Utility gloves
c. Non-sterile gloves
d. Sterile gloves
a. Thick heavy-duty gloves
Based on the knowledge you have gained about the surgical
attire, identify the correct statements. select all that apply
a. All hair, including beards and eyebrows, must be covered by
surgical team members during surgical procedures.
b. Protective gloves should be worn when removing shoe covers.
c. A disposable sterile gown, once worn, can be reused.
d. A mask can be reused.
e. A pathologist may wear a one piece coverall.
f. The mask should never dangle around the neck.
B, E, & F.
The should be sterile during a surgical procedure.
select all that apply
a. biohazard personnel
b. first assistant
c. anesthesia technician
d. surgeon
B & C
The _ assists the surgeon is suturing, ligating, and
other tasks required during the procedure.
a. scrub person
b. first assistant
c. anesthesia assistant
d. RN circulator
b. first assistant
The administrative support staff should help ensure that the care
delivered within the surgical environment results in positive
outcomes for the surgical patient.
a. True
b. False
a.True
Basic surgical furniture found in the restricted area includes:
select all that apply
a. ring stand
b. sterilizers
c. scrub tanks
d. kick bucket
e. crash carts
A & D
_ stockings are used to prevent deep vein
thrombosis during surgical procedure.
a. Symmetrical compression.
b. Spatial compression
c. Sequential compression
d. Secondary compression
c. sequential compression
Match the uses of the equipment with their correct piece of
furniture.
- mayo stand
- back table
- ring stand
- suction stand
- sterilizer
a. holds irrigation fluid
b. used to render surgical instruments or equipment sterile for
use.
c. may be used to hold basins of water
d. holds pans of sterile instruments, supplies, and prepared
solutions.
e. holds frequently used instruments.
1: E, 2:D, 3:C, 4:A, 5:B
Based on the knowledge you have gained about sanitation
procedures, match activities with the procedure. - Preprocedure
- During Procedure
- Post Procedure
- Terminal cleaning
a. the OR floor should be cleaned as needed for each procedure.
b. Clean all horizontal surfaces.
c. clean spills of contaminated debris
d. clean entire surgical suite.
NIFA STUDY GUIDE | Questions
and Answers Graded A+ |
Latest 2023
___ should be the primary decision makers for
what equipment and supplies are purchased and stocked in the
difficult airway management cart. – Correct Answer – Anesthesia
personnel
Proper specimen management techniques prevent errors and
include all of the following EXCEPT: – Correct Answer –
Receiving specimens from the surgical field then affixing patient
label to each
Preventing surgical fires is a top priority for all OR personnel and
members of the surgical team should perform all of the following
duties EXCEPT: – Correct Answer – Perform a weekly fire risk
assessment
Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following EXCEPT: –
Correct Answer – Increases risk of renal failure
Recommendations for preventing retained surgical items include
all of the following EXCEPT: – Correct Answer – Utilizing a
multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood
products. – Correct Answer – Verify informed consent for blood,
verify patient identification and blood type and unit numbers
against blood tag and requisition slip with second licensed
person, sign slips
Weighing sponges is a valuable tool for meticulous calculation of
blood and fluid loss when conducted correctly and used in
appropriate circumstances. Select the response that correctly
reflects the best practice in weighing sponges. – Correct Answer
- Keep a running total blood loss calculated from available
sponges during procedure
Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional retained
foreign objects (RFOs). What new and evolving risk reduction
strategy could prevent RFOs and frustrating, time-consuming
miscount adventures at the end of these procedures? – Correct
Answer – Replacing or tagging sponges and laparotomy
instruments with radiofrequency identification (RFID) chips
A female patient with end-stage pancreatic cancer was admitted
from hospice for a celiac plexus block to treat intractable pain.
She had a Whipple procedure 18 months earlier and enjoyed a
good quality of life until 3 weeks ago. She wanted to be able to
complete “getting her things in order” and saying good-bye to her
friends and family while enjoying her last days pain-free. The
patient insisted that her Do Not Resuscitate (DNR) status NOT be
rescinded. She was conscious and competent and knew what
was best for herself. The patient was taking full advantage of what
provision for her care? – Correct Answer – PSDA and advance
directives
A patient was presented with the prepared informed consent form
during the discussion with her surgeon concerning her scheduled
vaginal-assisted laparoscopic hysterectomy. She demonstrated
and verbalized that she understood all of the tenets of the
procedure, risks, expected outcome, complications, and
procedural process. Before she signed the consent form, she
informed the surgeon that she did not want any medical students
or surgical residents performing any parts of the procedure other
than assisting and did not want any photographs of her body
taken. The surgeon agreed, and she crossed out those portions of
the form and initialed them before she signed. The patient was
exercising her: – Correct Answer – right to informed consent.
The number one patient safety issue identified in a survey of perioperative nurses is preventing: – Correct Answer – Wrong
site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk
because: – Correct Answer – OR personnel not properly trained
to reprocess instruments
NIFA Study Guide 2023
Questions and Answers Graded
A+
The surgeon makes an incision through which of the following to
access the cremaster muscle, inguinal canal, and cord structures
- Correct Answer – External oblique muscle
A physical barrier used in the prevention of adhesions that can
take up to 2 weeks to absorb – Correct Answer – Interseed
Tissue reaction characteristics that need considered when
choosing suture include – Correct Answer – Absorption
The diagnostic test that is performed to differentiate between
acute and chronic thrombosis – Correct Answer – Digital
subtraction angiography
Morbidity and mortality may be greater with penetrating trauma
because identification of injuries may be more difficult when
injuries are less obvious. In the case of an adult victim with a lowvelocity, low-caliber gunshot wound, at far range, of the anterior
left quadrant of the lower abdomen, what is the MOI and
description of the possible injuries – Correct Answer – enetrating;
small entrance wound, puncture of the anterior wall of the sigmoid
colon, no disruption of vessels, and bullet not found in pelvis
With injury to the brain, swelling may occur quickly, requiring
aggressive decisions to manage increasing intracranial pressure
(ICP). What is an appropriate diuretic medication to give and what
nursing actions would be indicated for an older adult patient with
traumatic brain injury, increased ICP, and a history of congestive
heart failure (CHF) – Correct Answer – Furosemide (Lasix) 20-80
mg IV; monitor for hypotension and note extent of diuresis
Because herbal products are so readily available and have such
widespread media attention, many people think that they can
safely self-medicate. Why should the public be aware and
educated about dietary supplements and potential harmful effects
- Correct Answer – Unknown substances may be present in
these products.
A possible benefit to the paramedian incision – Correct Answer –
decreased risk for hernia
An example of an indication for liver transplantation would be –
Correct Answer – primary hepatic cancer
He largest part of the mammary gland rests on the – Correct
Answer – Pectoralis major muscle and serratus anterior
During ventriculoperitoneal shunt placement, – Correct Answer –
The unit is soaked in NS & antibiotic solution, never lubricated.
Patients with chronic venous insufficiency (CVI) are not typically
treated surgically as often as patients with arterial disease
because: – Correct Answer – CVI is not life-threatening or limbthreatening
NIFA practice test B2 Exam |
Answered and Graded A+ 2023
Guide
In the following illustration, the arrows points to a line that
represents the: – Correct Answer – b. separation between the
superior mediastinum and the inferior mediastinum
An intramuscular injection into the buttocks is most safely done: –
Correct Answer – a. into the superolateral quadrant.
Acoustic neuromas arise from the Schwann cells of the vestibular
portion of the eighth cranial nerve and are benign tumors. What is
the postauricular incisional approach that offers the best chance
of saving the integrity of the facial nerve? – Correct Answer – c.
Translabyrinthine
A plain radiograph of a patient following a knife wound to the left
side of his neck showed elevation of the left hemidiaphragm,
narrowing of the left intercostals spaces, and displacement of the
trachea to the left. You suspect: – Correct Answer – b.
pneumothorax due to knife penetration of the cervical pleura.
The transverse colon meets the ascending colon at what point? –
Correct Answer – c. Hepatic flexure
Select the true statement about antimetabolite drugs and their
indications for use. – Correct Answer – c. 5-Fluorouracil and
mitomycin can both be administered topically to dissolve scars
and pterygia.
Question text
Morris Bettelman, an 86-year-old retired plumber, states that he
has suffered from a groin hernia all of his adult life; he states, “as
far back as I can remember.” Sometimes he has to push the
bulge back into his abdominal muscle and then he is fine until he
has a coughing spell. This morning the bulge was large and
tender when he woke up and he could not reduce it. As the pain
NIFA Practice Test B1 |
Questions and Answers Exam
Graded A+
What statements regarding vascular clamps are true? Select all
that apply
- Correct Answer – a. Vascular clamps are designed to partiall
occlude blood flow.
B. Vascular clamps are designed to totally occlude blood flow.
C. All vascular clamps are designed to hold vessels securely
without trauma.
What incision is used for lumbar laminectomy – Correct Answer –
a. Midline directly over the appropriate lumbar spine
Franklin hardy with multiple moles skin lesions – Correct Answer - the perioperative nurse recognized his signs and symptoms of
bupivacaine and lidocaine toxicity and began immediate treatment
with airway support.
When cathing a female patient the nurse must locate the urethra.
- Correct Answer – mons pubis, labia majora, labia minora,
clitoris, urethra, vaginal opening.
Tui Nyugen, 32 year old hysteroscopy patient. What patient safety
info relevant to hysteroscopy should be given to the receiving
relief nurse before break? – Correct Answer – a. A review of the
amount of hyson infused and fluid received back
B. A reminder to monitor for discrepancies over 500ml
Which of the following is incorrect pertaining to the pancreas –
Correct Answer – a. The superior mesenteric artery lies anterior
to its neck.
A number of screening tools have been developed for
comprehensive geriatric assessment (CGA) – Correct Answer –
d. Identifying at-risk individuals
Blunt force to the larynx can result in fracture and impose
immediate airway obstruction – Correct Answer – a. Assist the
anesthesia provider with securing the airway while applying
cricoid pressure
Recommended long-term pain management in the elderly
includes – Correct Answer – c. Opioid analgesics (low potential
for addiction)
Select the statement that most correctly matches a risk factor for
adhesions with an appropriate preventative strategy – Correct
Answer – c. Patients with endometriosis may be best served with
a laparoscopic approach
Another name for the left colic flexure is – Correct Answer –
splenic flexure
Which of the following is not typically visible in a PA chest
radiograph – Correct Answer – a. The interventricular septum
NIFA Perioperative Exam |
Questions and Answers Graded
A+ | Latest 2023
A basic anesthesia monitoring device that is used during general
anesthesia to confirm successful endotracheal tube placement
and determine the presence of gas exchange is the:
A. Pulse oximetry device
B. Stethoscope
C. Capnometer/end-tidal CO2 monitor
D. Post-intubation arterial blood gas – Correct Answer – C.
Capnometer/
The immature blood-brain barrier and decreased protein binding
in infants increase their sensitivity to which group of medications?
A. anticholinergics, parasympathetics
B. Antidysrhythmic agents
C. Opioids and hypnotics
D. Adrenergic – Correct Answer – C. Opioids and hypnotics
Alexander 15th p1009
Proper care and handling of surgical specimens is imperative for
correct diagnosis, treatment, and prognosis planning of the
patient. Select the response that best reflects correct specimen
care and handling.
A. Label consecutive specimens
B. Send all specimens to the lab together as one pickup, including
the frozen sections
C. Avoid placing specimens for frozen section in formalin
D. Neutralize formalin/formaldehyde spills with glycerin and call
the hazmat team. – Correct Answer – C. Avoid placing specimens
for frozen section in formalin
Alexander 15th p32
From the following, choose the types of anesthesia that will allow
patients to tolerate potentially uncomfortable procedures while
maintaining their own airway and be easily aroused from light
sleep.
A. Moderate anesthesia care
B. Local infiltration
C. Moderate sedation/analgesia
D. Regional anesthesia – Correct Answer – C. Moderate
Sedation/analgesia
Alexander 15th P130
Risk factors for postoperative nausea and vomiting should be
assessed preoperatively. Which of the following is a risk factor for
PONV?
A. Male gender
B. Female gender
C. Postoperative use of NSAIDS
D. Surgery under 60 minutes – Correct Answer – B. Female
gender
Alexanders 16th p269
Which of the following is a true statement about the use of liquids
in the OR?
NIFA FINAL EXAM STUDY
GUIDE LATEST 2023|
Guaranteed A+
Peripheral nerve block for ankle ORIF would complain if which
symptom – Correct Answer – metallic taste in mouth
Positioning arms correctly to avoid pressure on the elbow to
prevent – Correct Answer – ulnar nerve injury
Positioning device for bariatric patients prior to intubation –
Correct Answer – upper body ramp
Depolarizing muscle relaxant that produces generalized
fasciculations – Correct Answer – succinylcholine
Hemostatic device offers rapid and secure method of clamping,
metal and MRI compatible – Correct Answer – ligating clip
Positioning device for head cases – Correct Answer – mayfield
head positioner
Suture permanently attached at the end of the needle referred to
as – Correct Answer – swaged
Overpressurization can lead to – Correct Answer – hypercarbaria
Most commonly used local anesthetic – Correct Answer –
lidocaine
Double gloving – Correct Answer – the american college of
surgeons endorses double gloving for all surgery and invasive
procedures
Anesthesia that lets patients maintain their own airway and be
easily aroused from sleep – Correct Answer – moderate
sedation / analgesia
Who requires two patient identifiers on specimen labels – Correct
Answer – JCO
Factor with high influence on wound healing that the surgical
team can control – Correct Answer – tissue handling
Patient at highest risk for hypothermia in perianesthesia phase –
Correct Answer – 3 week old neonate for cardiac anomaly
Suture best suited for intestinal anastomosis – Correct Answer –
vicryl
Trailing a new insuflation system, over-pressurization leads to –
Correct Answer – hypercarbia
Process of decontamination begins when – Correct Answer – at
completion of the surgical procedure
Which injury is NOT related to a patient being placed in the lateral
position – Correct Answer – compression of abdominal cavity
Primary substance found in epidermis that protects body from
fluid loss and invasion of pathogens – Correct Answer – keratin
Correct statement regarding closed gloving – Correct Answer –
closed gloving can only be used for initial gloving
What measure can be taken to prevent aspiration based on
patient’s history – Correct Answer – cricoid pressure during
induction
On factor that describes high incidence of musculoskeletal
disorders among surgical techs and nurses – Correct Answer –
the cumulative effect of repeated patient handling events q