NIFA STUDY GUIDE LATEST UPDATE
GUARANTEED 100% SCORE RATE
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
35% of the refractive power of the eye is credited to which part of the eye - CORRECT
ANSWER: Lens
A 47-year-old man was admitted to the emergency department (ED) with respiratory
symptoms, facial and upper body abrasions, burns, and moist lesions after a small
package, delivered to his office, exploded and sprayed him dried powder and glass
shards. In response to the reported mechanism of injury, the ED team sequestered him
in a secluded area away from the rest of the patients. The team believed that this was
highly suspicious of a bio-terrorism event. The epidemiologist was called, and the
patient was transferred to a negative-pressure isolation room and placed on standard,
contact, airborne, and droplet precautions. Based on these actions, which
microorganism agents might be suspected to be involved? - CORRECT ANSWER:
Anthrax and smallpox
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2
male with early-stage prostatic cancer, was intubated and positioned for a robotic-
assisted laparoscopic radical prostatectomy. The initial position for insertion of the
trocars was supine with arms tucked and secured within under-mattress sled arm
positioners padded with gel. His hands were placed in a natural position with the fingers
wrapped around gauze rolls and touching his lateral thighs. The new anesthesia
provider, who had never seen a robotic prostatectomy, was concerned about
anesthesia implications when the patient would be repositioned into extreme
Trendelenburg for the dissection and anastomosis. The circulating nurse assured her
that they would implement protective measures and work together to ensure the best
patient outcome. Select all of the potentially harmful effects of extreme 45-degree
Trendelenburg in a robotic pr - CORRECT ANSWER: Respiratory compromise and
ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the
patient in the preoperative holding area, the perioperative nurse is concerned about the
risk for pressure injury because of the weight of the patient's body pressing against the
surface of the operating room bed for a long surgery. Which of these other factors may
also produce pressure? - CORRECT ANSWER: A self-retianing retractor post clamped
to the OR bed rail and tightened against the patient's side.
, 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 frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy
for non-small cell lung cancer. She will be positioned in left lateral position for her
procedure. Based on the perioperative nurse's preoperative assessment, identify three
position-related nursing diagnoses for this procedure and four relevant nursing
interventions. Select from the options to fill in the blanks. - CORRECT ANSWER:
Hypothermia; impaired skin integrity; falls; remain at patient's side during induction; use
under- and over-body forced air warming blanket; use at least four people to assist with
lift and transfer; pad all bony prominences with foam or gel pads.
A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli
instruments added to the standard thyroid or neck dissection setup, a 30-degree
endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the
vessels. An important risk reduction strategy for any minimally invasive procedure would
be - CORRECT ANSWER: consider and plan for the possibility of conversion to open
thyroidectomy
A needletype frequently used in microsurgery is - CORRECT ANSWER: cutting taper
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? - CORRECT ANSWER: Announce the transfer of each sharp
before placing it in the neutral zone.
A patient undergoing a laparoscopic Nissen fundoplication procedure will be positioned
in both high and low lithotomy during the procedure. After the patient is re-positioned
into lo lithotomy, the perioperative nurse should: - CORRECT ANSWER: reassess the
patient for body alignment, tissue integrity, and pressure areas.
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
GUARANTEED 100% SCORE RATE
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
35% of the refractive power of the eye is credited to which part of the eye - CORRECT
ANSWER: Lens
A 47-year-old man was admitted to the emergency department (ED) with respiratory
symptoms, facial and upper body abrasions, burns, and moist lesions after a small
package, delivered to his office, exploded and sprayed him dried powder and glass
shards. In response to the reported mechanism of injury, the ED team sequestered him
in a secluded area away from the rest of the patients. The team believed that this was
highly suspicious of a bio-terrorism event. The epidemiologist was called, and the
patient was transferred to a negative-pressure isolation room and placed on standard,
contact, airborne, and droplet precautions. Based on these actions, which
microorganism agents might be suspected to be involved? - CORRECT ANSWER:
Anthrax and smallpox
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2
male with early-stage prostatic cancer, was intubated and positioned for a robotic-
assisted laparoscopic radical prostatectomy. The initial position for insertion of the
trocars was supine with arms tucked and secured within under-mattress sled arm
positioners padded with gel. His hands were placed in a natural position with the fingers
wrapped around gauze rolls and touching his lateral thighs. The new anesthesia
provider, who had never seen a robotic prostatectomy, was concerned about
anesthesia implications when the patient would be repositioned into extreme
Trendelenburg for the dissection and anastomosis. The circulating nurse assured her
that they would implement protective measures and work together to ensure the best
patient outcome. Select all of the potentially harmful effects of extreme 45-degree
Trendelenburg in a robotic pr - CORRECT ANSWER: Respiratory compromise and
ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the
patient in the preoperative holding area, the perioperative nurse is concerned about the
risk for pressure injury because of the weight of the patient's body pressing against the
surface of the operating room bed for a long surgery. Which of these other factors may
also produce pressure? - CORRECT ANSWER: A self-retianing retractor post clamped
to the OR bed rail and tightened against the patient's side.
, 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 frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy
for non-small cell lung cancer. She will be positioned in left lateral position for her
procedure. Based on the perioperative nurse's preoperative assessment, identify three
position-related nursing diagnoses for this procedure and four relevant nursing
interventions. Select from the options to fill in the blanks. - CORRECT ANSWER:
Hypothermia; impaired skin integrity; falls; remain at patient's side during induction; use
under- and over-body forced air warming blanket; use at least four people to assist with
lift and transfer; pad all bony prominences with foam or gel pads.
A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli
instruments added to the standard thyroid or neck dissection setup, a 30-degree
endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the
vessels. An important risk reduction strategy for any minimally invasive procedure would
be - CORRECT ANSWER: consider and plan for the possibility of conversion to open
thyroidectomy
A needletype frequently used in microsurgery is - CORRECT ANSWER: cutting taper
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? - CORRECT ANSWER: Announce the transfer of each sharp
before placing it in the neutral zone.
A patient undergoing a laparoscopic Nissen fundoplication procedure will be positioned
in both high and low lithotomy during the procedure. After the patient is re-positioned
into lo lithotomy, the perioperative nurse should: - CORRECT ANSWER: reassess the
patient for body alignment, tissue integrity, and pressure areas.
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
