NIFA PERIOPERATIVE QUIZ | MOST RECENT VERSION|
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS/ACCURATE SOLUTIONS| ALREADY
GRADED A+|GET IT 100% CORRECT.
The number one patient safety issue identified in a survey of peri-operative nurses
is preventing: - Correct Ans Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - Correct Ans
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 Ans 157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart. -
Correct Ans Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: - Correct Ans 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 Ans
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 Ans Increases risk of renal
failure
,Recommendations for preventing retained surgical items include all of the
following EXCEPT: - Correct Ans Utilizing a multidisciplinary team to resolve
incorrect counts
Select the appropriate order for administering blood and blood products. - Correct
Ans 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 Ans
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 Ans 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 Ans 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 Ans
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 Ans "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 Ans wrong patient,
wrong site, and wrong side surgery; site marking and presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off
report is: - Correct Ans patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? -
Correct Ans Wash wound with soap and water; flush mucous membranes.
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS/ACCURATE SOLUTIONS| ALREADY
GRADED A+|GET IT 100% CORRECT.
The number one patient safety issue identified in a survey of peri-operative nurses
is preventing: - Correct Ans Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - Correct Ans
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 Ans 157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart. -
Correct Ans Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: - Correct Ans 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 Ans
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 Ans Increases risk of renal
failure
,Recommendations for preventing retained surgical items include all of the
following EXCEPT: - Correct Ans Utilizing a multidisciplinary team to resolve
incorrect counts
Select the appropriate order for administering blood and blood products. - Correct
Ans 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 Ans
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 Ans 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 Ans 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 Ans
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 Ans "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 Ans wrong patient,
wrong site, and wrong side surgery; site marking and presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off
report is: - Correct Ans patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? -
Correct Ans Wash wound with soap and water; flush mucous membranes.
