NIFA FINAL EXAM QUESTIONS AND ANSWERS VERIFIED
100% CORRECT
communication with anesthesia in cases involving facial nerves - ANSWER muscle
relaxants, paralytic agents, and some local anesthetics must be avoided
primary function of three thyroid hormones - ANSWER regulate energy metabolism
absences of distinct teniae serves as visual landmark for - ANSWER upper margin of
rectum
lymphatics of small bowel and portions of colon are located in - ANSWER mesentary
point of insertion for iliopsoas muscle - ANSWER lesser trochanter
femoral hernias occur more frequently in - ANSWER women
minimally invasive technique used to remove thyroid tumors deep in the mediastinum -
ANSWER thoracoscopy
colon wall has 5 layers which include - ANSWER mucosa
possible benefit to paramedian incision - ANSWER decreased risk for hernia
transthoracic esophagectomy with lymph node dissection for cancer of esophagus;
which approach - ANSWER upper midline abdominal and right thoracotomy
burn patient; preparation performed before patient comes to OR - ANSWER prewarm
the OR to above the ambient high temp for adult
distinguishing characteristic of large intestine - ANSWER teniae coli, haustra, epiploic
appendages
51 y/o male with hepatobiliary disease; pre op assessment includes - ANSWER review
his chart for bleeding and coagulation times and platelet count
boundaries for skin prep for patient receiving liver transplant - ANSWER neck to
midthigh, bedline to bedline
,during kidney transplant prior to clamping vessels, drugs given - ANSWER heparin and
mannitol
hernias that occur in the heselbach's triangle - ANSWER direct inguinal hernia
incision for removing cancerous testis - ANSWER midportion of scrotum
correct statement regarding trigone of bladder - ANSWER forms the base of the
bladder
nerve supply for female pelvis comes from - ANSWER superior hypogastric plexus
tear to the meningeal artery results in what kind of hematoma - ANSWER epidural
bloodless plane that contains loose areolar tissue and permits mobility of scalp -
ANSWER subgleal space
vessels of the circle of willis include - ANSWER posterior communicating artery
cranial nerve responsible for pupillary reaction - ANSWER cranial nerve III
primary divisions of nerve are known as - ANSWER rami
disadvantage of harrington rods - ANSWER rod breakage is increased
nerves in the lower extremity not commonly implicated in positioning related
neuropathies - ANSWER popliteal
use of PMMA can result in which adverse reaction - ANSWER transient hypotension
ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY
REAMING - ANSWER maintenance of fracture hematoma
closed reduction is the treatment of choice for fractures because - ANSWER decreased
opportunity for infection
most commonly used pediatric premedication - ANSWER versed
child is being pre oped for surgery and nurse notices mild myotonia congenita;
appropriate risk reduction strategy would be - ANSWER perform careful assessment of
family hx to identify risk for developing MH
,congenital anomaly that best reflects indications of fetal surgery - ANSWER congenital
diaphragmatic hernia
scoring range for GCS - ANSWER 15, 3
pneumonic AMPLE - ANSWER allergies, medications, PMH, last meal, event leading to
injury
why must evidence be placed in a paper bag and not a plastic bag - ANSWER
mulitple trauma wound patient, what is appropriate for rapid preparation of this patient -
ANSWER prep patient from suprasternal notch to mid thigh B
why must evidence be placed in a paper bag and not a plastic bag - ANSWER plastic
bags may trap moisture and allow mold growth, destroying evidence
person responsible for marking the patient - ANSWER surgeon
concept of risk management - ANSWER all of the above
patient safety strategy that reduces medication errors - ANSWER tracing origin and
insertion of all tubes and catheters
contributing factors to friction and shearing - ANSWER transfer process from OR bed to
stretcher
most common pattern of hearing loss in older adults - ANSWER bilateral symmetric
sensorineural
skin injuries are often overlooked or not linked to surgery because - ANSWER injuries
often have a delay in appearance
the perioperative nurse - ANSWER all of the above
JCAHO model of risk management includes - ANSWER all of the above
cutting suture knots of non absorbable suture - ANSWER 1/2 inch
most common complication following ACDF - ANSWER difficulty swallowing
humidity levels in the OR range between - ANSWER 40-70
, complication that can occur as a result of rapid high pressure is - ANSWER
hypotension
dry time for most skin preps - ANSWER 3-5 minutes
structures located within the broad ligaments - ANSWER fallopian tubes, ureters,
uterine vessels
most common size needle for skin closure - ANSWER 3/8
one of the two strongest layers in tissue closure - ANSWER fascia
aortic root is located - ANSWER at the junction of the origin of the ascending aorta and
the left ventricle
a reason for conversion of lap cholecystectomy to open - ANSWER inability to remove
a stone from the CBD via ERCP
must consider which of the following when decided treatment for breast cancer -
ANSWER size of tumor
absolute contraindication for cholecystectomy - ANSWER uncontrolled coagulopathies
most common used incision for C section - ANSWER pfannensteil
another name for the left colonic flexure - ANSWER splenic flexure
what structures comprise the medial border of Hesselbach's triangle - ANSWER lateral
edge of the rectus abdominal muscle
ligament that connects the laminae of the spine - ANSWER ligamentum flavum
medication used in cardiac surgery to prevent spasms of vessels - ANSWER
papaverine
muscle critical in stabilization of knee joint - ANSWER quad
borders of the triangle of calot - ANSWER hepatic duct, cystic duct, inferior edge of
right lobe of the liver
during a THA using the posterior lateral approach, the RNFA will dislocate the head of
the femur using - ANSWER flexion, adduction, external rotation
100% CORRECT
communication with anesthesia in cases involving facial nerves - ANSWER muscle
relaxants, paralytic agents, and some local anesthetics must be avoided
primary function of three thyroid hormones - ANSWER regulate energy metabolism
absences of distinct teniae serves as visual landmark for - ANSWER upper margin of
rectum
lymphatics of small bowel and portions of colon are located in - ANSWER mesentary
point of insertion for iliopsoas muscle - ANSWER lesser trochanter
femoral hernias occur more frequently in - ANSWER women
minimally invasive technique used to remove thyroid tumors deep in the mediastinum -
ANSWER thoracoscopy
colon wall has 5 layers which include - ANSWER mucosa
possible benefit to paramedian incision - ANSWER decreased risk for hernia
transthoracic esophagectomy with lymph node dissection for cancer of esophagus;
which approach - ANSWER upper midline abdominal and right thoracotomy
burn patient; preparation performed before patient comes to OR - ANSWER prewarm
the OR to above the ambient high temp for adult
distinguishing characteristic of large intestine - ANSWER teniae coli, haustra, epiploic
appendages
51 y/o male with hepatobiliary disease; pre op assessment includes - ANSWER review
his chart for bleeding and coagulation times and platelet count
boundaries for skin prep for patient receiving liver transplant - ANSWER neck to
midthigh, bedline to bedline
,during kidney transplant prior to clamping vessels, drugs given - ANSWER heparin and
mannitol
hernias that occur in the heselbach's triangle - ANSWER direct inguinal hernia
incision for removing cancerous testis - ANSWER midportion of scrotum
correct statement regarding trigone of bladder - ANSWER forms the base of the
bladder
nerve supply for female pelvis comes from - ANSWER superior hypogastric plexus
tear to the meningeal artery results in what kind of hematoma - ANSWER epidural
bloodless plane that contains loose areolar tissue and permits mobility of scalp -
ANSWER subgleal space
vessels of the circle of willis include - ANSWER posterior communicating artery
cranial nerve responsible for pupillary reaction - ANSWER cranial nerve III
primary divisions of nerve are known as - ANSWER rami
disadvantage of harrington rods - ANSWER rod breakage is increased
nerves in the lower extremity not commonly implicated in positioning related
neuropathies - ANSWER popliteal
use of PMMA can result in which adverse reaction - ANSWER transient hypotension
ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY
REAMING - ANSWER maintenance of fracture hematoma
closed reduction is the treatment of choice for fractures because - ANSWER decreased
opportunity for infection
most commonly used pediatric premedication - ANSWER versed
child is being pre oped for surgery and nurse notices mild myotonia congenita;
appropriate risk reduction strategy would be - ANSWER perform careful assessment of
family hx to identify risk for developing MH
,congenital anomaly that best reflects indications of fetal surgery - ANSWER congenital
diaphragmatic hernia
scoring range for GCS - ANSWER 15, 3
pneumonic AMPLE - ANSWER allergies, medications, PMH, last meal, event leading to
injury
why must evidence be placed in a paper bag and not a plastic bag - ANSWER
mulitple trauma wound patient, what is appropriate for rapid preparation of this patient -
ANSWER prep patient from suprasternal notch to mid thigh B
why must evidence be placed in a paper bag and not a plastic bag - ANSWER plastic
bags may trap moisture and allow mold growth, destroying evidence
person responsible for marking the patient - ANSWER surgeon
concept of risk management - ANSWER all of the above
patient safety strategy that reduces medication errors - ANSWER tracing origin and
insertion of all tubes and catheters
contributing factors to friction and shearing - ANSWER transfer process from OR bed to
stretcher
most common pattern of hearing loss in older adults - ANSWER bilateral symmetric
sensorineural
skin injuries are often overlooked or not linked to surgery because - ANSWER injuries
often have a delay in appearance
the perioperative nurse - ANSWER all of the above
JCAHO model of risk management includes - ANSWER all of the above
cutting suture knots of non absorbable suture - ANSWER 1/2 inch
most common complication following ACDF - ANSWER difficulty swallowing
humidity levels in the OR range between - ANSWER 40-70
, complication that can occur as a result of rapid high pressure is - ANSWER
hypotension
dry time for most skin preps - ANSWER 3-5 minutes
structures located within the broad ligaments - ANSWER fallopian tubes, ureters,
uterine vessels
most common size needle for skin closure - ANSWER 3/8
one of the two strongest layers in tissue closure - ANSWER fascia
aortic root is located - ANSWER at the junction of the origin of the ascending aorta and
the left ventricle
a reason for conversion of lap cholecystectomy to open - ANSWER inability to remove
a stone from the CBD via ERCP
must consider which of the following when decided treatment for breast cancer -
ANSWER size of tumor
absolute contraindication for cholecystectomy - ANSWER uncontrolled coagulopathies
most common used incision for C section - ANSWER pfannensteil
another name for the left colonic flexure - ANSWER splenic flexure
what structures comprise the medial border of Hesselbach's triangle - ANSWER lateral
edge of the rectus abdominal muscle
ligament that connects the laminae of the spine - ANSWER ligamentum flavum
medication used in cardiac surgery to prevent spasms of vessels - ANSWER
papaverine
muscle critical in stabilization of knee joint - ANSWER quad
borders of the triangle of calot - ANSWER hepatic duct, cystic duct, inferior edge of
right lobe of the liver
during a THA using the posterior lateral approach, the RNFA will dislocate the head of
the femur using - ANSWER flexion, adduction, external rotation
