NIFA Final Exam Latest Update
Questions & Answers with Rationales| 100%
Correct | Grade.
1) The number one patient safety issue Wrong site/procedure/patient
identified in a survey of peri-operative surgery
nurses is preventing:
2) Reprocessing (flashing) instruments in OR personnel not properly
the OR is high risk because: trained to reprocess instruments
3) To safely transfer and position patients 157 lbs
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:
4) _______________ should be the Anesthesia personnel
primary decision makers for what
equipment and supplies are purchased
and stocked in the difficult airway
management cart.
5) Proper specimen management Receiving specimens from the
, techniques prevent errors and include surgical field then affixing patient
all of the following EXCEPT: label to each
6) Preventing surgical fires is a top Perform a weekly fire risk
priority for all OR personnel and assessment
members of the surgical team should
perform all of the following duties
EXCEPT:
7) Peri-operative hypothermia is an Increases risk of renal failure
important issue for all anesthetized
patients because of all of the following
EXCEPT:
8) Recommendations for preventing Utilizing a multidisciplinary team
retained surgical items include all of to resolve incorrect counts
the following EXCEPT:
9) Select the appropriate order for Verify informed consent for
administering blood and blood blood, verify patient identification
products. and blood type and unit numbers
against blood tag and requisition
slip with second licensed person,
sign slips
10) Weighing sponges is a valuable tool Keep a running total blood loss
for meticulous calculation of blood and calculated from available
fluid loss when conducted correctly sponges during procedure
, and used in appropriate
circumstances. Select the response
that correctly reflects the best practice
in weighing sponges.
11) Laparoscopic procedures that Replacing or tagging sponges
emergently convert to open and laparotomy instruments with
procedures place the patient at risk for radiofrequency identification
unintentional retained foreign objects (RFID) chips
(RFOs). What new and evolving risk
reduction strategy could prevent RFOs
and frustrating, time-consuming
miscount adventures at the end of
these procedures?
12) A female patient with end-stage PSDA and advance directives
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?
13) A patient was presented with the right to informed consent.
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.
Questions & Answers with Rationales| 100%
Correct | Grade.
1) The number one patient safety issue Wrong site/procedure/patient
identified in a survey of peri-operative surgery
nurses is preventing:
2) Reprocessing (flashing) instruments in OR personnel not properly
the OR is high risk because: trained to reprocess instruments
3) To safely transfer and position patients 157 lbs
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:
4) _______________ should be the Anesthesia personnel
primary decision makers for what
equipment and supplies are purchased
and stocked in the difficult airway
management cart.
5) Proper specimen management Receiving specimens from the
, techniques prevent errors and include surgical field then affixing patient
all of the following EXCEPT: label to each
6) Preventing surgical fires is a top Perform a weekly fire risk
priority for all OR personnel and assessment
members of the surgical team should
perform all of the following duties
EXCEPT:
7) Peri-operative hypothermia is an Increases risk of renal failure
important issue for all anesthetized
patients because of all of the following
EXCEPT:
8) Recommendations for preventing Utilizing a multidisciplinary team
retained surgical items include all of to resolve incorrect counts
the following EXCEPT:
9) Select the appropriate order for Verify informed consent for
administering blood and blood blood, verify patient identification
products. and blood type and unit numbers
against blood tag and requisition
slip with second licensed person,
sign slips
10) Weighing sponges is a valuable tool Keep a running total blood loss
for meticulous calculation of blood and calculated from available
fluid loss when conducted correctly sponges during procedure
, and used in appropriate
circumstances. Select the response
that correctly reflects the best practice
in weighing sponges.
11) Laparoscopic procedures that Replacing or tagging sponges
emergently convert to open and laparotomy instruments with
procedures place the patient at risk for radiofrequency identification
unintentional retained foreign objects (RFID) chips
(RFOs). What new and evolving risk
reduction strategy could prevent RFOs
and frustrating, time-consuming
miscount adventures at the end of
these procedures?
12) A female patient with end-stage PSDA and advance directives
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?
13) A patient was presented with the right to informed consent.
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.
