NIFA Perioperative Quiz 2 LATEST
UPDATE 2026 | Actual Exam with
Complete Questions & Verified Answers |
National Institute for First Assistants
It is important for the RNFA to be aware of a potential 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 remaining
b. Insulation failure
c. Lack of ESU pad application
d. AEM use
Insulation failure
Ketamine is a short-acting induction and IV or IM maintenance 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
,Respiratory Depression
A reverse cutting needle is preferred for ___________suturing.
Select one:
a. cutaneous
b. ophthalmic
c. microsurgical
d. plastics
Cutaneous
During the process of performing the spinal, the anesthesia provider
inadvertently inserted the spinal needle into the subarachnoid space, not noticing
the error until the entire syringe of lidocaine was emptied into the patient. The
patient immediately experienced 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 ventilation
b. hypotensive apnea episode; tracheostomy and humidified positive. end-
expiratory pressure (PEEP)
c. cardiogenic shock; ACLS protocol
d. total spinal anesthesia; general endotracheal anesthesia
total spinal anesthesia; general endotracheal anesthesia
Postoperative hypothermia is defined as a temperature less than:
Select one:
, a. 98.6
b. 96.8
c. 97.6
d. 97.2
96.8
The new general surgery fellow placed the three trocar ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on
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.
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.
Inadvertent trocar puncture through the bowel on insertion.
The most accurate method for routine post-operative temperature monitoring is
via:
Select one:
a. Tympanic membrane
b. Distal esophagus
c. Nasopharynx
d. Oral
UPDATE 2026 | Actual Exam with
Complete Questions & Verified Answers |
National Institute for First Assistants
It is important for the RNFA to be aware of a potential 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 remaining
b. Insulation failure
c. Lack of ESU pad application
d. AEM use
Insulation failure
Ketamine is a short-acting induction and IV or IM maintenance 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
,Respiratory Depression
A reverse cutting needle is preferred for ___________suturing.
Select one:
a. cutaneous
b. ophthalmic
c. microsurgical
d. plastics
Cutaneous
During the process of performing the spinal, the anesthesia provider
inadvertently inserted the spinal needle into the subarachnoid space, not noticing
the error until the entire syringe of lidocaine was emptied into the patient. The
patient immediately experienced 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 ventilation
b. hypotensive apnea episode; tracheostomy and humidified positive. end-
expiratory pressure (PEEP)
c. cardiogenic shock; ACLS protocol
d. total spinal anesthesia; general endotracheal anesthesia
total spinal anesthesia; general endotracheal anesthesia
Postoperative hypothermia is defined as a temperature less than:
Select one:
, a. 98.6
b. 96.8
c. 97.6
d. 97.2
96.8
The new general surgery fellow placed the three trocar ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on
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.
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.
Inadvertent trocar puncture through the bowel on insertion.
The most accurate method for routine post-operative temperature monitoring is
via:
Select one:
a. Tympanic membrane
b. Distal esophagus
c. Nasopharynx
d. Oral
