NIFA FINAL EXAM NEWEST 2024 ACTUAL EXAM
WITH QUESTIONS AND ANSWERS |PREMIUM
The number one patient safety issue identified in a survey of peri-operative 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
To safely transfer and position patients in a manner that prevents shearing,
personnel should use a mechanical lifting device for a supine-to-supine transfer of
a patient weighing more than: - Correct Answer- 157 lbs
_______________ 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.
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.
- Correct 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 _______________________.
- Correct Answer- wrong patient, wrong site, and wrong side surgery; site marking
and presurgical checklists
WITH QUESTIONS AND ANSWERS |PREMIUM
The number one patient safety issue identified in a survey of peri-operative 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
To safely transfer and position patients in a manner that prevents shearing,
personnel should use a mechanical lifting device for a supine-to-supine transfer of
a patient weighing more than: - Correct Answer- 157 lbs
_______________ 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.
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.
- Correct 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 _______________________.
- Correct Answer- wrong patient, wrong site, and wrong side surgery; site marking
and presurgical checklists
