NIFA STUDY GUIDE EXAM QUESTIONS AND ANSWERS fq fq fq fq fq fq fq
100% VERIFIED fq
The number one patient safety issue identified in a survey of peri- fq fq fq fq fq fq fq fq fq fq fq
operative nurses is preventing: - correct answer...Wrong site/procedure/patient surgery
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Reprocessing (flashing) instruments in the OR is high risk because: - fq fq fq fq fq fq fq fq fq fq
correct answer...OR personnel not properly trained to reprocess instruments
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To safely transfer and position patients in a manner that prevents shearing, personnel sho
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uld use a mechanical lifting device for a supine-to-
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supine transfer of a patient weighing more than: - correct answer...157 lbs
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_______________ should be the primary decision makers for what equipment and suppli fq fq fq fq fq fq fq fq fq fq fq
es are purchased and stocked in the difficult airway management cart. -
fq fq fq fq fq fq fq fq fq fq fq
correct answer...Anesthesia personnel
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Proper specimen management techniques prevent errors and include all of the following
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EXCEPT: - fq
correct answer...Receiving specimens from the surgical field then affixing patient label to
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each
Preventing surgical fires is a top priority for all OR personnel and members of the surgical t
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eam should perform all of the following duties EXCEPT: -
fq fq fq fq fq fq fq fq fq
correct answer...Perform a weekly fire risk assessment
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Peri-
operative hypothermia is an important issue for all anesthetized patients because of all of t
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he following EXCEPT: - correct answer...Increases risk of renal failure
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Recommendations for preventing retained surgical items include all of the following EXCE fq fq fq fq fq fq fq fq fq fq fq
PT: - correct answer...Utilizing a multidisciplinary team to resolve incorrect counts
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Select the appropriate order for administering blood and blood products. -
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correct answer...Verify informed consent for blood, verify patient identification and blood t
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ype and unit numbers against blood tag and requisition slip with second licensed person, s
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ign slips fq
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss whe
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
n conducted correctly and used in appropriate circumstances. Select the response that co
fq fq fq fq fq fq fq fq fq fq fq fq
rrectly reflects the best practice in weighing sponges. -
fq fq fq fq fq fq fq fq
, fq correct answer...Keep a running total blood loss calculated from available sponges during
fq fq fq fq fq fq fq fq fq fq fq
fq procedure
Laparoscopic procedures that emergently convert to open procedures place the patient at fq fq fq fq fq fq fq fq fq fq fq f
risk for unintentional retained foreign objects (RFOs). What new and evolving risk reducti
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on strategy could prevent RFOs and frustrating, time-
fq fq fq fq fq fq fq
consuming miscount adventures at the end of these procedures? - fq fq fq fq fq fq fq fq fq
correct answer...Replacing or tagging sponges and laparotomy instruments with radiofre
fq fq fq fq fq fq fq fq fq fq
quency identification (RFID) chips fq fq fq
A female patient with end-
fq fq fq fq
stage pancreatic cancer was admitted from hospice for a celiac plexus block to treat intrac
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
table pain. She had a Whipple procedure 18 months earlier and enjoyed a good quality of l
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ife until 3 weeks ago. She wanted to be able to complete "getting her things in order" and s
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
aying good-bye to her friends and family while enjoying her last days pain-
fq fq fq fq fq fq fq fq fq fq fq fq
free. The patient insisted that her Do Not Resuscitate (DNR) status NOT be rescinded. Sh
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
e was conscious and competent and knew what was best for herself. The patient was taki
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ng full advantage of what provision for her care? -
fq fq fq fq fq fq fq fq fq
correct answer...PSDA and advance directives
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A patient was presented with the prepared informed consent form during the discussion wi
fq fq fq fq fq fq fq fq fq fq fq fq fq
th her surgeon concerning her scheduled vaginal-
fq fq fq fq fq fq
assisted laparoscopic hysterectomy. She demonstrated and verbalized that she understo
fq fq fq fq fq fq fq fq fq
od all of the tenets of the procedure, risks, expected outcome, complications, and procedu
fq fq fq fq fq fq fq fq fq fq fq fq fq
ral process. Before she signed the consent form, she informed the surgeon that she did no
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t want any medical students or surgical residents performing any parts of the procedure ot
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
her than assisting and did not want any photographs of her body taken. The surgeon agre
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ed, and she crossed out those portions of the form and initialed them before she signed. T
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
he patient was exercising her: - correct answer...right to informed consent.
fq fq fq fq fq fq fq fq fq fq
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdomin
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
al aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
meticulously maintained accountability for all sponges and instruments discarded from th fq fq fq fq fq fq fq fq fq fq
e sterile field and bagged each sponge carefully. He immediately turned and addressed th
fq fq fq fq fq fq fq fq fq fq fq fq fq
e entire team in a clear voice. Select the appropriate communication that the circulating nu
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
rse must employ during this count discrepancy. -
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correct answer..."We have a count discrepancy. We started with 70 sponges and find onl
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
y 68. We are missing 2 lap sponges. Everyone, please check your areas.
fq fq fq fq fq fq fq fq fq fq fq fq
The OR is a danger- fq fq fq fq
prone area for both patients and staff. Providing a safe environment of care for the patient
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
involves identifying, mitigating, and managing the hazards inherent in surgical care. Choo
fq fq fq fq fq fq fq fq fq fq fq
se the answer below that completes the blanks in this sentence: The risk of the surgical ha
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
zard of _________________ can be mitigated through _______________________. -
fq fq fq fq fq fq fq fq
correct answer...wrong patient, wrong site, and wrong side surgery; site marking and pres
fq fq fq fq fq fq fq fq fq fq fq fq fq
urgical checklists fq
100% VERIFIED fq
The number one patient safety issue identified in a survey of peri- fq fq fq fq fq fq fq fq fq fq fq
operative nurses is preventing: - correct answer...Wrong site/procedure/patient surgery
fq fq fq fq fq fq fq fq
Reprocessing (flashing) instruments in the OR is high risk because: - fq fq fq fq fq fq fq fq fq fq
correct answer...OR personnel not properly trained to reprocess instruments
fq fq fq fq fq fq fq fq fq
To safely transfer and position patients in a manner that prevents shearing, personnel sho
fq fq fq fq fq fq fq fq fq fq fq fq fq
uld use a mechanical lifting device for a supine-to-
fq fq fq fq fq fq fq fq
supine transfer of a patient weighing more than: - correct answer...157 lbs
fq fq fq fq fq fq fq fq fq fq fq
_______________ should be the primary decision makers for what equipment and suppli fq fq fq fq fq fq fq fq fq fq fq
es are purchased and stocked in the difficult airway management cart. -
fq fq fq fq fq fq fq fq fq fq fq
correct answer...Anesthesia personnel
fq fq fq
Proper specimen management techniques prevent errors and include all of the following
fq fq fq fq fq fq fq fq fq fq fq fq
EXCEPT: - fq
correct answer...Receiving specimens from the surgical field then affixing patient label to
fq fq fq fq fq fq fq fq fq fq fq fq fq
each
Preventing surgical fires is a top priority for all OR personnel and members of the surgical t
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
eam should perform all of the following duties EXCEPT: -
fq fq fq fq fq fq fq fq fq
correct answer...Perform a weekly fire risk assessment
fq fq fq fq fq fq fq
Peri-
operative hypothermia is an important issue for all anesthetized patients because of all of t
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
he following EXCEPT: - correct answer...Increases risk of renal failure
fq fq fq fq fq fq fq fq fq
Recommendations for preventing retained surgical items include all of the following EXCE fq fq fq fq fq fq fq fq fq fq fq
PT: - correct answer...Utilizing a multidisciplinary team to resolve incorrect counts
fq fq fq fq fq fq fq fq fq fq
Select the appropriate order for administering blood and blood products. -
fq fq fq fq fq fq fq fq fq fq
correct answer...Verify informed consent for blood, verify patient identification and blood t
fq fq fq fq fq fq fq fq fq fq fq fq
ype and unit numbers against blood tag and requisition slip with second licensed person, s
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ign slips fq
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss whe
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
n conducted correctly and used in appropriate circumstances. Select the response that co
fq fq fq fq fq fq fq fq fq fq fq fq
rrectly reflects the best practice in weighing sponges. -
fq fq fq fq fq fq fq fq
, fq correct answer...Keep a running total blood loss calculated from available sponges during
fq fq fq fq fq fq fq fq fq fq fq
fq procedure
Laparoscopic procedures that emergently convert to open procedures place the patient at fq fq fq fq fq fq fq fq fq fq fq f
risk for unintentional retained foreign objects (RFOs). What new and evolving risk reducti
q fq fq fq fq fq fq fq fq fq fq fq fq
on strategy could prevent RFOs and frustrating, time-
fq fq fq fq fq fq fq
consuming miscount adventures at the end of these procedures? - fq fq fq fq fq fq fq fq fq
correct answer...Replacing or tagging sponges and laparotomy instruments with radiofre
fq fq fq fq fq fq fq fq fq fq
quency identification (RFID) chips fq fq fq
A female patient with end-
fq fq fq fq
stage pancreatic cancer was admitted from hospice for a celiac plexus block to treat intrac
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
table pain. She had a Whipple procedure 18 months earlier and enjoyed a good quality of l
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ife until 3 weeks ago. She wanted to be able to complete "getting her things in order" and s
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
aying good-bye to her friends and family while enjoying her last days pain-
fq fq fq fq fq fq fq fq fq fq fq fq
free. The patient insisted that her Do Not Resuscitate (DNR) status NOT be rescinded. Sh
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
e was conscious and competent and knew what was best for herself. The patient was taki
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ng full advantage of what provision for her care? -
fq fq fq fq fq fq fq fq fq
correct answer...PSDA and advance directives
fq fq fq fq fq
A patient was presented with the prepared informed consent form during the discussion wi
fq fq fq fq fq fq fq fq fq fq fq fq fq
th her surgeon concerning her scheduled vaginal-
fq fq fq fq fq fq
assisted laparoscopic hysterectomy. She demonstrated and verbalized that she understo
fq fq fq fq fq fq fq fq fq
od all of the tenets of the procedure, risks, expected outcome, complications, and procedu
fq fq fq fq fq fq fq fq fq fq fq fq fq
ral process. Before she signed the consent form, she informed the surgeon that she did no
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
t want any medical students or surgical residents performing any parts of the procedure ot
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
her than assisting and did not want any photographs of her body taken. The surgeon agre
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ed, and she crossed out those portions of the form and initialed them before she signed. T
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
he patient was exercising her: - correct answer...right to informed consent.
fq fq fq fq fq fq fq fq fq fq
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdomin
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
al aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
meticulously maintained accountability for all sponges and instruments discarded from th fq fq fq fq fq fq fq fq fq fq
e sterile field and bagged each sponge carefully. He immediately turned and addressed th
fq fq fq fq fq fq fq fq fq fq fq fq fq
e entire team in a clear voice. Select the appropriate communication that the circulating nu
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
rse must employ during this count discrepancy. -
fq fq fq fq fq fq fq
correct answer..."We have a count discrepancy. We started with 70 sponges and find onl
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
y 68. We are missing 2 lap sponges. Everyone, please check your areas.
fq fq fq fq fq fq fq fq fq fq fq fq
The OR is a danger- fq fq fq fq
prone area for both patients and staff. Providing a safe environment of care for the patient
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
involves identifying, mitigating, and managing the hazards inherent in surgical care. Choo
fq fq fq fq fq fq fq fq fq fq fq
se the answer below that completes the blanks in this sentence: The risk of the surgical ha
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
zard of _________________ can be mitigated through _______________________. -
fq fq fq fq fq fq fq fq
correct answer...wrong patient, wrong site, and wrong side surgery; site marking and pres
fq fq fq fq fq fq fq fq fq fq fq fq fq
urgical checklists fq
