NIFA FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
patient at highest risk for hypothermia in perianesthesia phase - answers-3 week old
neonate for cardiac anomaly
suture best suited for intestinal anastomosis - answers-vicryl
trailing a new insuflation system, over-pressurization leads to - answers-hypercarbia
process of decontamination begins when - answers-at completion of the surgical
procedure
which injury is NOT related to a patient being placed in the lateral position - answers-
compression of abdominal cavity
primary substance found in epidermis that protects body from fluid loss and invasion of
pathogens - answers-keratin
correct statement regarding closed gloving - answers-closed gloving can only be used
for initial gloving
peripheral nerve block for ankle ORIF would complain if which symptom - answers-
metallic taste in mouth
positioning arms correctly to avoid pressure on the elbow to prevent - answers-ulnar
nerve injury
positioning device for bariatric patients prior to intubation - answers-upper body ramp
depolarizing muscle relaxant that produces generalized fasciculations - answers-
succinylcholine
hemostatic device offers rapid and secure method of clamping, metal and MRI
compatible - answers-ligating clip
positioning device for head cases - answers-mayfield head positioner
suture permanently attached at the end of the needle referred to as - answers-swaged
overpressurization can lead to - answers-hypercarbaria
most commonly used local anesthetic - answers-lidocaine
,double gloving - answers-the american college of surgeons endorses double gloving for
all surgery and invasive procedures
anesthesia that lets patients maintain their own airway and be easily aroused from sleep
- answers-moderate sedation / analgesia
who requires two patient identifiers on specimen labels - answers-JCO
factor with high influence on wound healing that the surgical team can control -
answers-tissue handling
what measure can be taken to prevent aspiration based on patient's history - answers-
cricoid pressure during induction
on factor that describes high incidence of musculoskeletal disorders among surgical
techs and nurses - answers-the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex - answers-puritis, edema, erythema
and visicles 6-48 hours after exposure
patient reports latex allergy, carries epi pen and beta-agonist inhaler - answers-true
latex allergy
191.18 kg patient scheduled for surgery; interventions to enhance patient safety -
answers-use of an OR bed to accommodate patient weight and size
risk reduction strategy to reduce sharps injury - answers-passing sharp items using
neutral / hands free techniques instead of passing hand to hand
self retaining retractor for large patient - answers-bookwalter
silk loses tensile strength after what period of time - answers-1 year
physical characteristic of suture - answers-knot strength
appropriate steps to remove sterile gown - answers-wipe gloves clean, untie side of
gown, grasp gown at one shoulder seam
practice for sponge, sharp, and instrument counts follows: - answers-institutional policy
laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis -
answers-inadvertent trocar puncture through bowel on insertion
risk factor for PONV - answers-FEMALE GENDER
,source of radiation in OR - answers-C arm
ideal suture material is one that has handling characteristics such as - answers-pliability
NOT a characteristic of silk suture - answers-memory
risk reduction strategy to reduce RSI - answers-replacing or tagging sponges and
laparotomy instruments with RFID chips
skin injuries related to shearing occur when the patient is in what position - answers-
trendelenburg
intracorporeal suture technique uses suture tying process analogous to - answers-
instrument tying
health professionals should employ which strategy to reduce risk of allergic reaction to
latex - answers-use powder free gloves that have low levels of protein and chemical
allergens
patient right regarding consent - answers-right to informed consent
patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral
nerve block - answers-a toxic overdose to local anesthetic, monitoring and increasing
flow rate in IV saline
select the intervention that is an engineered control factor to protect patient from
hypothermia - answers-set ambient room temp between 68-73
CO2 gas is used to insufflate to: - answers-9 L/min, 14-16 mm Hg
treatment for LAST includes - answers-lipids
correct order of removal for soiled sterile attire - answers-gown, gloves, mask
sponge counts should be performed - answers-before the procedure, before closure of
each body cavity, before wound closure, at skin closure
suture that helps eliminate tension of primary suture line - answers-retention
tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks -
answers-2-3
concern with large doses of ketamine - answers-respiratory depression
, patient having cardiac surgery, consider all of the following except: - answers-
RBCcount?
there are blank main coronary arteries which originate in the blank - answers-2, sinuses
of valsalva
most stable and rigid fixation of a fracture - answers-locked plating system
NOT included in the retroperitoneal space - answers-spleen
filtering mechanism if located in which region of the kidney - answers-renal cortex ?
damage to cranial nerve VII - answers-drooping of the corned of the mouth
which lab values are indicative of acute pancreatitis resulting from blockage in the
ampulla of vater - answers-amylase, lipase
absolute contraindication for a cholecystectomy is - answers-uncontrolled coagulopathy
ductal ectasia is difficult to distinguish from cancer because it presents with - answers-a
hard irregular mass, nipple discharge, and enlarged axillary nodes
wound classification for breast surgery - answers-clean
correct path of cardiac conduction system - answers-SA, AV< bundle of his, purkinjie
fibers
branch of the left main coronary artery - answers-circumflex coronary artery
patient with CVI is not often treated surgically because - answers-CVI is not life
threatening or limb threatening
venous structure that prevents blood backflow - answers-semilunar intimal folds
communication with anesthesia in cases involving facial nerves - answers-muscle
relaxants, paralytic agents, and some local anesthetics must be avoided
primary function of three thyroid hormones - answers-regulate energy metabolism
absences of distinct teniae serves as visual landmark for - answers-upper margin of
rectum
lymphatics of small bowel and portions of colon are located in - answers-mesentary
point of insertion for iliopsoas muscle - answers-lesser trochanter
COMPLETE SOLUTIONS VERIFIED GRADED A++
patient at highest risk for hypothermia in perianesthesia phase - answers-3 week old
neonate for cardiac anomaly
suture best suited for intestinal anastomosis - answers-vicryl
trailing a new insuflation system, over-pressurization leads to - answers-hypercarbia
process of decontamination begins when - answers-at completion of the surgical
procedure
which injury is NOT related to a patient being placed in the lateral position - answers-
compression of abdominal cavity
primary substance found in epidermis that protects body from fluid loss and invasion of
pathogens - answers-keratin
correct statement regarding closed gloving - answers-closed gloving can only be used
for initial gloving
peripheral nerve block for ankle ORIF would complain if which symptom - answers-
metallic taste in mouth
positioning arms correctly to avoid pressure on the elbow to prevent - answers-ulnar
nerve injury
positioning device for bariatric patients prior to intubation - answers-upper body ramp
depolarizing muscle relaxant that produces generalized fasciculations - answers-
succinylcholine
hemostatic device offers rapid and secure method of clamping, metal and MRI
compatible - answers-ligating clip
positioning device for head cases - answers-mayfield head positioner
suture permanently attached at the end of the needle referred to as - answers-swaged
overpressurization can lead to - answers-hypercarbaria
most commonly used local anesthetic - answers-lidocaine
,double gloving - answers-the american college of surgeons endorses double gloving for
all surgery and invasive procedures
anesthesia that lets patients maintain their own airway and be easily aroused from sleep
- answers-moderate sedation / analgesia
who requires two patient identifiers on specimen labels - answers-JCO
factor with high influence on wound healing that the surgical team can control -
answers-tissue handling
what measure can be taken to prevent aspiration based on patient's history - answers-
cricoid pressure during induction
on factor that describes high incidence of musculoskeletal disorders among surgical
techs and nurses - answers-the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex - answers-puritis, edema, erythema
and visicles 6-48 hours after exposure
patient reports latex allergy, carries epi pen and beta-agonist inhaler - answers-true
latex allergy
191.18 kg patient scheduled for surgery; interventions to enhance patient safety -
answers-use of an OR bed to accommodate patient weight and size
risk reduction strategy to reduce sharps injury - answers-passing sharp items using
neutral / hands free techniques instead of passing hand to hand
self retaining retractor for large patient - answers-bookwalter
silk loses tensile strength after what period of time - answers-1 year
physical characteristic of suture - answers-knot strength
appropriate steps to remove sterile gown - answers-wipe gloves clean, untie side of
gown, grasp gown at one shoulder seam
practice for sponge, sharp, and instrument counts follows: - answers-institutional policy
laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis -
answers-inadvertent trocar puncture through bowel on insertion
risk factor for PONV - answers-FEMALE GENDER
,source of radiation in OR - answers-C arm
ideal suture material is one that has handling characteristics such as - answers-pliability
NOT a characteristic of silk suture - answers-memory
risk reduction strategy to reduce RSI - answers-replacing or tagging sponges and
laparotomy instruments with RFID chips
skin injuries related to shearing occur when the patient is in what position - answers-
trendelenburg
intracorporeal suture technique uses suture tying process analogous to - answers-
instrument tying
health professionals should employ which strategy to reduce risk of allergic reaction to
latex - answers-use powder free gloves that have low levels of protein and chemical
allergens
patient right regarding consent - answers-right to informed consent
patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral
nerve block - answers-a toxic overdose to local anesthetic, monitoring and increasing
flow rate in IV saline
select the intervention that is an engineered control factor to protect patient from
hypothermia - answers-set ambient room temp between 68-73
CO2 gas is used to insufflate to: - answers-9 L/min, 14-16 mm Hg
treatment for LAST includes - answers-lipids
correct order of removal for soiled sterile attire - answers-gown, gloves, mask
sponge counts should be performed - answers-before the procedure, before closure of
each body cavity, before wound closure, at skin closure
suture that helps eliminate tension of primary suture line - answers-retention
tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks -
answers-2-3
concern with large doses of ketamine - answers-respiratory depression
, patient having cardiac surgery, consider all of the following except: - answers-
RBCcount?
there are blank main coronary arteries which originate in the blank - answers-2, sinuses
of valsalva
most stable and rigid fixation of a fracture - answers-locked plating system
NOT included in the retroperitoneal space - answers-spleen
filtering mechanism if located in which region of the kidney - answers-renal cortex ?
damage to cranial nerve VII - answers-drooping of the corned of the mouth
which lab values are indicative of acute pancreatitis resulting from blockage in the
ampulla of vater - answers-amylase, lipase
absolute contraindication for a cholecystectomy is - answers-uncontrolled coagulopathy
ductal ectasia is difficult to distinguish from cancer because it presents with - answers-a
hard irregular mass, nipple discharge, and enlarged axillary nodes
wound classification for breast surgery - answers-clean
correct path of cardiac conduction system - answers-SA, AV< bundle of his, purkinjie
fibers
branch of the left main coronary artery - answers-circumflex coronary artery
patient with CVI is not often treated surgically because - answers-CVI is not life
threatening or limb threatening
venous structure that prevents blood backflow - answers-semilunar intimal folds
communication with anesthesia in cases involving facial nerves - answers-muscle
relaxants, paralytic agents, and some local anesthetics must be avoided
primary function of three thyroid hormones - answers-regulate energy metabolism
absences of distinct teniae serves as visual landmark for - answers-upper margin of
rectum
lymphatics of small bowel and portions of colon are located in - answers-mesentary
point of insertion for iliopsoas muscle - answers-lesser trochanter