NIFA FINAL EXAM 2026 KEY CONCEPTS AND
CERTIFICATION REVISION PACK A+
◉ 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:
Answer: right to informed consent.
◉ Early on, during the preliminary sponge count on closure of a
repair of a ruptured abdominal aortic aneurysm, the circulating
nurse was unable to account for 2 lap sponges. He had meticulously
maintained accountability for all sponges and instruments discarded
from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice.
Select the appropriate communication that the circulating nurse
must employ during this count discrepancy. Answer: "We have a
count discrepancy. We started with 70 sponges and find only 68. We
are missing 2 lap sponges. Everyone, please check your areas.
,◉ The OR is a danger-prone area for both patients and staff.
Providing a safe environment of care for the patient involves
identifying, mitigating, and managing the hazards inherent in
surgical care. Choose the answer below that completes the blanks in
this sentence: The risk of the surgical hazard of _________________ can
be mitigated through _______________________. Answer: wrong patient,
wrong site, and wrong side surgery; site marking and presurgical
checklists
◉ A patient was transferred to the postanesthesia care unit (PACU)
by the anesthesia provider and perioperative nurse. A hand-off
report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The
first element of information that should be presented in the hand-off
report is: Answer: patient identification and procedure performed.
◉ If a staff person receives a needlestick injury, what is the first
corrective action? Answer: Wash wound with soap and water; flush
mucous membranes.
◉ Contact with infected patients or infectious material places
healthcare workers at risk for occupational-acquired infection.
Which communicable disease are healthcare workers at risk for
acquiring or transmitting? Answer: Seasonal influenza
◉ Select the appropriate nursing action that supports hands-free
instrument passing and sharps safety. Answer: Create a neutral
, hands-free area between the scrub person and surgeon with a basin
or magnetic mat.
◉ Select the guideline that complements the design of the culture of
safety model. Answer: Incorporate safe practices into your daily
work when handling sharps.
◉ A neutral zone is a predetermined location on the surgical field
where sharps are placed for retrieval by the surgeon. Which of the
following is a best practice for the use of the neutral zone? Answer:
Announce the transfer of each sharp before placing it in the neutral
zone.
◉ Which of the following may be a consequence of high-dose or full-
body radiation? Answer: Nausea, vomiting, and diarrhea
◉ Exposure to blood-borne pathogens occurs during all phases of
the perioperative process. Observing safety precautions during all
phases of surgery, from setup to cleanup, reduces the number of
injuries and exposures for all OR personnel. For the prevention of
sharps injuries in the pre-procedure and post-procedure phases,
which safe handling practices reflect appropriate nursing actions?
Answer: Use standardized sterile field setups throughout the
surgical service department.
CERTIFICATION REVISION PACK A+
◉ 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:
Answer: right to informed consent.
◉ Early on, during the preliminary sponge count on closure of a
repair of a ruptured abdominal aortic aneurysm, the circulating
nurse was unable to account for 2 lap sponges. He had meticulously
maintained accountability for all sponges and instruments discarded
from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice.
Select the appropriate communication that the circulating nurse
must employ during this count discrepancy. Answer: "We have a
count discrepancy. We started with 70 sponges and find only 68. We
are missing 2 lap sponges. Everyone, please check your areas.
,◉ The OR is a danger-prone area for both patients and staff.
Providing a safe environment of care for the patient involves
identifying, mitigating, and managing the hazards inherent in
surgical care. Choose the answer below that completes the blanks in
this sentence: The risk of the surgical hazard of _________________ can
be mitigated through _______________________. Answer: wrong patient,
wrong site, and wrong side surgery; site marking and presurgical
checklists
◉ A patient was transferred to the postanesthesia care unit (PACU)
by the anesthesia provider and perioperative nurse. A hand-off
report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The
first element of information that should be presented in the hand-off
report is: Answer: patient identification and procedure performed.
◉ If a staff person receives a needlestick injury, what is the first
corrective action? Answer: Wash wound with soap and water; flush
mucous membranes.
◉ Contact with infected patients or infectious material places
healthcare workers at risk for occupational-acquired infection.
Which communicable disease are healthcare workers at risk for
acquiring or transmitting? Answer: Seasonal influenza
◉ Select the appropriate nursing action that supports hands-free
instrument passing and sharps safety. Answer: Create a neutral
, hands-free area between the scrub person and surgeon with a basin
or magnetic mat.
◉ Select the guideline that complements the design of the culture of
safety model. Answer: Incorporate safe practices into your daily
work when handling sharps.
◉ A neutral zone is a predetermined location on the surgical field
where sharps are placed for retrieval by the surgeon. Which of the
following is a best practice for the use of the neutral zone? Answer:
Announce the transfer of each sharp before placing it in the neutral
zone.
◉ Which of the following may be a consequence of high-dose or full-
body radiation? Answer: Nausea, vomiting, and diarrhea
◉ Exposure to blood-borne pathogens occurs during all phases of
the perioperative process. Observing safety precautions during all
phases of surgery, from setup to cleanup, reduces the number of
injuries and exposures for all OR personnel. For the prevention of
sharps injuries in the pre-procedure and post-procedure phases,
which safe handling practices reflect appropriate nursing actions?
Answer: Use standardized sterile field setups throughout the
surgical service department.
