NIFA Study Guide Questions with 100%
Correct 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
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:
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 maintained accountability for all sponges and instruments
discarded from the sterile field and bagged each sponge carefully. He immediately
turned and addressed the entire team in a clear voice. Select the appropriate
communication that the circulating nurse must employ during this count discrepancy.
"We have a count discrepancy. We started with 70 sponges and find only 68. We are missing
2 lap sponges. Everyone, please check your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe
environment of care for the patient involves identifying, mitigating, and managing the
hazards inherent in surgical care. Choose the answer below that completes the blanks in
Correct 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
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:
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 maintained accountability for all sponges and instruments
discarded from the sterile field and bagged each sponge carefully. He immediately
turned and addressed the entire team in a clear voice. Select the appropriate
communication that the circulating nurse must employ during this count discrepancy.
"We have a count discrepancy. We started with 70 sponges and find only 68. We are missing
2 lap sponges. Everyone, please check your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe
environment of care for the patient involves identifying, mitigating, and managing the
hazards inherent in surgical care. Choose the answer below that completes the blanks in
