NIFA Perioperative Quiz 2
1. It is important for the RNFA to be aware of a poten- Insulation failure
tial ESU safety hazard when assisting with endoscopic
surgery. Choose from the following a potential safety
hazard.
Select one:
a. Battery powered ESU device with limited power re-
maining
b. Insulation failure
c. Lack of ESU pad application
d. AEM use
2. Ketamine is a short-acting induction and IV or IM main- Respiratory Depression
tenance agent that allows patients to maintain their
airways. It is a suitable agent to use with small children
and burn patients. Which of the following would be a
concern with large doses of Ketamine?
Select one:
a. prolonged duration
b. thrombocytopenia
c. respiratory depression
d. myotonic movements
3. A reverse cutting needle is preferred for ___________su- Cutaneous
turing.
Select one:
a. cutaneous
b. ophthalmic
c. microsurgical
d. plastics
4. During the process of performing the spinal, the anes-
thesia provider inadvertently inserted the spinal nee-
, NIFA Perioperative Quiz 2
dle into the subarachnoid space, not noticing the er- total spinal anesthe-
ror until the entire syringe of lidocaine was emptied sia; general endotracheal
into the patient. The patient immediately experienced anesthesia
rapid onset of hypotension, bradycardia, and apnea.
The resulting condition is called _______ and now must
be managed with ________.
Select one:
a. total subarachnoid syndrome; mechanical ventila-
tion
b. hypotensive apnea episode; tracheostomy and hu-
midified positive. end-expiratory pressure (PEEP)
c. cardiogenic shock; ACLS protocol
d. total spinal anesthesia; general endotracheal anes-
thesia
5. Postoperative hypothermia is defined as a tempera- 96.8
ture less than:
Select one:
a. 98.6
b. 96.8
c. 97.6
d. 97.2
6. The new general surgery fellow placed the three tro- Inadvertent trocar punc-
car ports for the laparoscopic appendectomy. The pro- ture through the bowel on
cedure was completed without incident; however, on insertion.
postoperative day 1, the patient demonstrated signs
and symptoms of sepsis. What might have been the
unusual occurrence that could have resulted in patient
sepsis?
Select one:
a. Unrecognized appendiceal rupture.
, NIFA Perioperative Quiz 2
b. Significant break in sterile technique.
c. Inadvertent trocar puncture through the bowel on
insertion.
d. Recent H1N1 outbreak on the surgery unit at the
hospital.
7. The most accurate method for routine post-operative Oral
temperature monitoring is via:
Select one:
a. Tympanic membrane
b. Distal esophagus
c. Nasopharynx
d. Oral
8. Due to the BMI of the patient, the case you are partici- Bookwalter
pating in was converted to open laparotomy. Your sur-
geon is uncertain as to which self-retaining retractor is
available within the facility. From the following, which
is an appropriate suggestion?
Select one:
a. Large wide Deavers
b. Bookwalter
c. Rakes
d. Army Navy
9. The surgeon used the ESU in monopolar mode to cut Clean the charred tissue
and coagulate through the subcutaneous tissue on from the active electrode
opening the abdomen during a bariatric bypass pro- blade
cedure. As she began to proceed through the muscle
and fascia layer, she asked the circulating nurse to
increase the cut and coagulation modes on the ESU.
What measure could the scrub person take to enhance
1. It is important for the RNFA to be aware of a poten- Insulation failure
tial ESU safety hazard when assisting with endoscopic
surgery. Choose from the following a potential safety
hazard.
Select one:
a. Battery powered ESU device with limited power re-
maining
b. Insulation failure
c. Lack of ESU pad application
d. AEM use
2. Ketamine is a short-acting induction and IV or IM main- Respiratory Depression
tenance agent that allows patients to maintain their
airways. It is a suitable agent to use with small children
and burn patients. Which of the following would be a
concern with large doses of Ketamine?
Select one:
a. prolonged duration
b. thrombocytopenia
c. respiratory depression
d. myotonic movements
3. A reverse cutting needle is preferred for ___________su- Cutaneous
turing.
Select one:
a. cutaneous
b. ophthalmic
c. microsurgical
d. plastics
4. During the process of performing the spinal, the anes-
thesia provider inadvertently inserted the spinal nee-
, NIFA Perioperative Quiz 2
dle into the subarachnoid space, not noticing the er- total spinal anesthe-
ror until the entire syringe of lidocaine was emptied sia; general endotracheal
into the patient. The patient immediately experienced anesthesia
rapid onset of hypotension, bradycardia, and apnea.
The resulting condition is called _______ and now must
be managed with ________.
Select one:
a. total subarachnoid syndrome; mechanical ventila-
tion
b. hypotensive apnea episode; tracheostomy and hu-
midified positive. end-expiratory pressure (PEEP)
c. cardiogenic shock; ACLS protocol
d. total spinal anesthesia; general endotracheal anes-
thesia
5. Postoperative hypothermia is defined as a tempera- 96.8
ture less than:
Select one:
a. 98.6
b. 96.8
c. 97.6
d. 97.2
6. The new general surgery fellow placed the three tro- Inadvertent trocar punc-
car ports for the laparoscopic appendectomy. The pro- ture through the bowel on
cedure was completed without incident; however, on insertion.
postoperative day 1, the patient demonstrated signs
and symptoms of sepsis. What might have been the
unusual occurrence that could have resulted in patient
sepsis?
Select one:
a. Unrecognized appendiceal rupture.
, NIFA Perioperative Quiz 2
b. Significant break in sterile technique.
c. Inadvertent trocar puncture through the bowel on
insertion.
d. Recent H1N1 outbreak on the surgery unit at the
hospital.
7. The most accurate method for routine post-operative Oral
temperature monitoring is via:
Select one:
a. Tympanic membrane
b. Distal esophagus
c. Nasopharynx
d. Oral
8. Due to the BMI of the patient, the case you are partici- Bookwalter
pating in was converted to open laparotomy. Your sur-
geon is uncertain as to which self-retaining retractor is
available within the facility. From the following, which
is an appropriate suggestion?
Select one:
a. Large wide Deavers
b. Bookwalter
c. Rakes
d. Army Navy
9. The surgeon used the ESU in monopolar mode to cut Clean the charred tissue
and coagulate through the subcutaneous tissue on from the active electrode
opening the abdomen during a bariatric bypass pro- blade
cedure. As she began to proceed through the muscle
and fascia layer, she asked the circulating nurse to
increase the cut and coagulation modes on the ESU.
What measure could the scrub person take to enhance
