NIFA PERIOPERATIVE QUIZ LATEST 2026 UPDATED EXAM
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal
immediate and last resort response by the anesthesia provider or perianesthesia RN in an
emerging patient who has been in spasm for over 1 minute?
A. Gentle stimulation and bag valve mask ventilation with oxygen
B. Suctioning, IV succinylcholine administration, and reintubation
C. Emergency tracheostomy with a cricothyrotomy approach
D. IV bronchodilator administration and nebulized oxygen treatment in the PACU - Answers -B
Suctioning, IV succinylcholine administration, and reintubation
Which of the following suture choices would be the best suited for intestinal anastamosis based
on the quantities of excellent handling capability, high tinsile strength that decreases after 1 yr,
and is not a true nonabsorbable suture?
A. Vicryl
B. Prolene
C. Monocryl
D. Silk - Answers -D. Silk
Alexanders 15th P189
The surgical hand scrub is designed to render the hands, nails, and arms:
A. Surgically clean
B. Aseptic
1|Page
,C. Sterile
D. Decontaminated - Answers -A. Surgically clean
Alexanders 15th P 108
After prepping the face, neck, and upper chest for a radical neck dissection using an alcohol
based prep stick, the protective towels around the site were removed. The RNFA applied the
head drape and completed draping the patient. During the pre-incision surgical time-out, the
fire risk score was determined to be high. When the surgeon noticed an area of the neck that
did not look prepped, she asked for a new prep stick to complete the prep area, taking care not
to moisten the head drape. After handing off the used prep stick she asked for the scalpel. What
step was omitted in this process?
A. The new prep area was not given time to dry
B. The time-out should have been repeated with the surgoen scrubbed
C. The patient should have been re-prepped and re-draped with all new drapes
D. The scrub person should have given the surgeon a sterile towel to cover the unprepped area -
Answers -A. The area was not given time to dry
AORN Guidelines for Perioperative Practice 2019 Patient skin antisepsis, IVe.
The instrument tips in laproscopic instruments are designed to produce the same tissue effects
as a traditional instrument used for the open surgery. Instrument manufacturers have
attempted to make their products effecient by cobining functions. An appropriate combined
function for a laproscopic instrument would be
A. Ultrasound capability in a suturing forceps
B. Electrosurgery conduction through the tips of a babcock grasper
C. Blunt dissection with a smooth, rounded edge of the closed endoscopic scissors
D. Suction and irrigation combined with an argon beam coagulation handpiece. - Answers -C.
Blunt dissection with the smooth, rounded edge of the closed endoscopic scissors
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, Alexanders 15th P 214
Suture permanently attached to the needle are referred to as
A. Engineered crimp
B. Controlled release
C. Reverse cutting
D. Swaged - Answers -D. Swaged
Alexanders 15 P 191
The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous
tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating RN to increase the cut and
coagulation modes on the ESU. What measure could the scrub person take to enhance energy
delivery?
A. Unwrap the ESU cord from around the tower damp handle
B. Clean the charred tissue from the active electrode blade.
C. Change the settings to blend mode
D. Replace the active electrode blade with a coated blade. - Answers -B. Clean the charred
tissue from the active electrode blade
Alexanders 15th P 233
Which of the following is not a characteristic of silk suture?
A. Soft
B. Handling ability
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QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal
immediate and last resort response by the anesthesia provider or perianesthesia RN in an
emerging patient who has been in spasm for over 1 minute?
A. Gentle stimulation and bag valve mask ventilation with oxygen
B. Suctioning, IV succinylcholine administration, and reintubation
C. Emergency tracheostomy with a cricothyrotomy approach
D. IV bronchodilator administration and nebulized oxygen treatment in the PACU - Answers -B
Suctioning, IV succinylcholine administration, and reintubation
Which of the following suture choices would be the best suited for intestinal anastamosis based
on the quantities of excellent handling capability, high tinsile strength that decreases after 1 yr,
and is not a true nonabsorbable suture?
A. Vicryl
B. Prolene
C. Monocryl
D. Silk - Answers -D. Silk
Alexanders 15th P189
The surgical hand scrub is designed to render the hands, nails, and arms:
A. Surgically clean
B. Aseptic
1|Page
,C. Sterile
D. Decontaminated - Answers -A. Surgically clean
Alexanders 15th P 108
After prepping the face, neck, and upper chest for a radical neck dissection using an alcohol
based prep stick, the protective towels around the site were removed. The RNFA applied the
head drape and completed draping the patient. During the pre-incision surgical time-out, the
fire risk score was determined to be high. When the surgeon noticed an area of the neck that
did not look prepped, she asked for a new prep stick to complete the prep area, taking care not
to moisten the head drape. After handing off the used prep stick she asked for the scalpel. What
step was omitted in this process?
A. The new prep area was not given time to dry
B. The time-out should have been repeated with the surgoen scrubbed
C. The patient should have been re-prepped and re-draped with all new drapes
D. The scrub person should have given the surgeon a sterile towel to cover the unprepped area -
Answers -A. The area was not given time to dry
AORN Guidelines for Perioperative Practice 2019 Patient skin antisepsis, IVe.
The instrument tips in laproscopic instruments are designed to produce the same tissue effects
as a traditional instrument used for the open surgery. Instrument manufacturers have
attempted to make their products effecient by cobining functions. An appropriate combined
function for a laproscopic instrument would be
A. Ultrasound capability in a suturing forceps
B. Electrosurgery conduction through the tips of a babcock grasper
C. Blunt dissection with a smooth, rounded edge of the closed endoscopic scissors
D. Suction and irrigation combined with an argon beam coagulation handpiece. - Answers -C.
Blunt dissection with the smooth, rounded edge of the closed endoscopic scissors
2|Page
, Alexanders 15th P 214
Suture permanently attached to the needle are referred to as
A. Engineered crimp
B. Controlled release
C. Reverse cutting
D. Swaged - Answers -D. Swaged
Alexanders 15 P 191
The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous
tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating RN to increase the cut and
coagulation modes on the ESU. What measure could the scrub person take to enhance energy
delivery?
A. Unwrap the ESU cord from around the tower damp handle
B. Clean the charred tissue from the active electrode blade.
C. Change the settings to blend mode
D. Replace the active electrode blade with a coated blade. - Answers -B. Clean the charred
tissue from the active electrode blade
Alexanders 15th P 233
Which of the following is not a characteristic of silk suture?
A. Soft
B. Handling ability
3|Page
