NIFA FINAL EXAM 2026 PRACTICE QUESTIONS
AND ANSWERS TOP REVIEW A+
◉ Reprocessing (flashing) instruments in the OR is high risk
because: Answer: 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: Answer:
157 lbs
◉ _______________ should be the primary decision makers for what
equipment and supplies are purchased and stocked in the difficult
airway management cart. Answer: Anesthesia personnel
◉ Proper specimen management techniques prevent errors and
include all of the following EXCEPT: Answer: 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: Answer: Perform a weekly fire risk assessment
,◉ Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following EXCEPT:
Answer: Increases risk of renal failure
◉ Recommendations for preventing retained surgical items include
all of the following EXCEPT: Answer: Utilizing a multidisciplinary
team to resolve incorrect counts
◉ Select the appropriate order for administering blood and blood
products. Answer: 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. Answer: 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? Answer:
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?
Answer: 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:
Answer: 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
AND ANSWERS TOP REVIEW A+
◉ Reprocessing (flashing) instruments in the OR is high risk
because: Answer: 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: Answer:
157 lbs
◉ _______________ should be the primary decision makers for what
equipment and supplies are purchased and stocked in the difficult
airway management cart. Answer: Anesthesia personnel
◉ Proper specimen management techniques prevent errors and
include all of the following EXCEPT: Answer: 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: Answer: Perform a weekly fire risk assessment
,◉ Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following EXCEPT:
Answer: Increases risk of renal failure
◉ Recommendations for preventing retained surgical items include
all of the following EXCEPT: Answer: Utilizing a multidisciplinary
team to resolve incorrect counts
◉ Select the appropriate order for administering blood and blood
products. Answer: 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. Answer: 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? Answer:
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?
Answer: 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:
Answer: 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
