NIFA STUDY GUIDE EXAM
QUESTIONS AND Answers
The number one patient safety issue identified in a survey
of peri-operative nurses is preventing: - ✔✔✔✔Wrong
site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk
because: - ✔✔✔✔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: - ✔✔✔✔157 lbs
_______________ should be the primary decision makers
for what equipment and supplies are purchased and
stocked in the difficult airway management cart. -
✔✔✔✔Anesthesia personnel
Proper specimen management techniques prevent errors
and include all of the following EXCEPT: -
,✔✔✔✔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: -
✔✔✔✔Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following
EXCEPT: - ✔✔✔✔Increases risk of renal failure
Recommendations for preventing retained surgical items
include all of the following EXCEPT: - ✔✔✔✔Utilizing a
multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and
blood products. - ✔✔✔✔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. - ✔✔✔✔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? - ✔✔✔✔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? - ✔✔✔✔PSDA and advance
directives
QUESTIONS AND Answers
The number one patient safety issue identified in a survey
of peri-operative nurses is preventing: - ✔✔✔✔Wrong
site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk
because: - ✔✔✔✔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: - ✔✔✔✔157 lbs
_______________ should be the primary decision makers
for what equipment and supplies are purchased and
stocked in the difficult airway management cart. -
✔✔✔✔Anesthesia personnel
Proper specimen management techniques prevent errors
and include all of the following EXCEPT: -
,✔✔✔✔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: -
✔✔✔✔Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following
EXCEPT: - ✔✔✔✔Increases risk of renal failure
Recommendations for preventing retained surgical items
include all of the following EXCEPT: - ✔✔✔✔Utilizing a
multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and
blood products. - ✔✔✔✔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. - ✔✔✔✔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? - ✔✔✔✔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? - ✔✔✔✔PSDA and advance
directives
