NIFA STUDY GUIDE EXAM WITH CORRECT ANSWERED
QUESTIONS LATEST DOWNLOAD 2024/2025 BEST
COMPLETE SOLUTION GRADED A+ FOR SUCCESS
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2 male with early-
stage prostatic cancer, was intubated and positioned for a robotic-assisted laparoscopic radical
prostatectomy. The initial position for insertion of the trocars was supine with arms tucked and
secured within under-mattress sled arm positioners padded with gel. His hands were placed in a
natural position with the fingers wrapped around gauze rolls and touching his lateral thighs. The new
anesthesia provider, who had never seen a robotic prostatectomy, was concerned about anesthesia
implications when the patient would be repositioned into extreme Trendelenburg for the dissection
and anastomosis. The circulating nurse assured her that they would implement protective measures
and work together to ensure the best patient outcome. Select all of the potentially harmful effects of
extreme 45-degree Trendelenburg in a robotic pr - CORRECT ANSWERS Respiratory compromise and
ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the patient in the
preoperative holding area, the perioperative nurse is concerned about the risk for pressure injury
because of the weight of the patient's body pressing against the surface of the operating room bed
for a long surgery. Which of these other factors may also produce pressure? - CORRECT ANSWERS A
self-retianing retractor post clamped to the OR bed rail and tightened against the patient's side.
Prolonged lithotomy positioning can result in neuropathies of the legs. The most frequently injured
nerves are the obturator, sciatic, femoral, and __________nerve, which can result in injury from
_________. - CORRECT ANSWERS common peroneal; full leg pneumatic compression sleeves
While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy
access to the patient by the scrubbed team, improper positioning and securing of the arms can result
in significant injury. Injury can be avoided by tucking the draw sheet ___________ the arm and under
the ____________. - CORRECT ANSWERS around; body
While Fowler's position offers the best respiratory excursion for the patient, the patient is at higher
rick for _________ because of dependent pooling in the hips and legs. - CORRECT ANSWERS venous
thromboembolism (VTE)
Positioning devices should be used according to the original equipment manufacturer's instructions
to reduce the capillary interface pressure to below: - CORRECT ANSWERS 32 mm Hg
, NIFA STUDY GUIDE EXAM WITH CORRECT ANSWERED
QUESTIONS LATEST DOWNLOAD 2024/2025 BEST
COMPLETE SOLUTION GRADED A+ FOR SUCCESS
A frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy for non-small
cell lung cancer. She will be positioned in left lateral position for her procedure. Based on the
perioperative nurse's preoperative assessment, identify three position-related nursing diagnoses for
this procedure and four relevant nursing interventions. Select from the options to fill in the blanks. -
CORRECT ANSWERS Hypothermia; impaired skin integrity; falls; remain at patient's side during
induction; use under- and over-body forced air warming blanket; use at least four people to assist
with lift and transfer; pad all bony prominences with foam or gel pads.
The lateral kidney position allows approach to the retro-peritoneal area of the flank. To render the
kidney region readily accessible, the _________________ is raised, and the bed flexed so that the
area between the twelfth rib and the iliac crest is elevated. Compression of the ________________
can occur when the flank is raised too high. - CORRECT ANSWERS kidney bridge; vena cava
A veteran perioperative nurse remembers a time when all suture needles had eyes, and she even had
her own needle rack. She hand-threaded all sutures according to the surgeon's preference. The
newer sutures were originally called "atraumatic" sutures because they did not double back through
a needle eye and cause tissue trauma during pulling or suturing through the tissue. Today, we call
this manufacturing process of connecting the suture thread to the needle: - CORRECT ANSWERS
swaged
The ideal suture material is one that has handling characteristics such as: - CORRECT ANSWERS ease
of tying
Careful counting (according to established policy), situational awareness, and conscientious and
meticulous attention to the field are believed to prevent miscounts and lost items. A recent patient
safety statement about preventing retained foreign objects recommends which of these practices? -
CORRECT ANSWERS Verbal handoff must include count status at time of relief.
An older surgeon explains his justification for this suture choice to the new perioperative nurse in the
scrub role. He prefers to suture his intestinal anastomosis with a suture that has multiple filaments
braided together because it ties well and holds the knot, which tightens when the thread absorbs the
tissue fluids. He also needs a strand that is easy to see and only needs to retain its tensile strength
for about 1 year, at which time the intestinal junction will be healed, even though this suture is
considered nonabsorbable. He will ask the nurse for a 24-inch 4-0: - CORRECT ANSWERS Sofsilk
Flat neurosurgical patties are flat sponges composed of soft compressed cotton or rayon with an
embedded radiopaque element and string attached. They are often used in neurosurgical
procedures. While used for hemostasis and exposure, what other use would be important in
surgery? - CORRECT ANSWERS Application of topical steroids
QUESTIONS LATEST DOWNLOAD 2024/2025 BEST
COMPLETE SOLUTION GRADED A+ FOR SUCCESS
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2 male with early-
stage prostatic cancer, was intubated and positioned for a robotic-assisted laparoscopic radical
prostatectomy. The initial position for insertion of the trocars was supine with arms tucked and
secured within under-mattress sled arm positioners padded with gel. His hands were placed in a
natural position with the fingers wrapped around gauze rolls and touching his lateral thighs. The new
anesthesia provider, who had never seen a robotic prostatectomy, was concerned about anesthesia
implications when the patient would be repositioned into extreme Trendelenburg for the dissection
and anastomosis. The circulating nurse assured her that they would implement protective measures
and work together to ensure the best patient outcome. Select all of the potentially harmful effects of
extreme 45-degree Trendelenburg in a robotic pr - CORRECT ANSWERS Respiratory compromise and
ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the patient in the
preoperative holding area, the perioperative nurse is concerned about the risk for pressure injury
because of the weight of the patient's body pressing against the surface of the operating room bed
for a long surgery. Which of these other factors may also produce pressure? - CORRECT ANSWERS A
self-retianing retractor post clamped to the OR bed rail and tightened against the patient's side.
Prolonged lithotomy positioning can result in neuropathies of the legs. The most frequently injured
nerves are the obturator, sciatic, femoral, and __________nerve, which can result in injury from
_________. - CORRECT ANSWERS common peroneal; full leg pneumatic compression sleeves
While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy
access to the patient by the scrubbed team, improper positioning and securing of the arms can result
in significant injury. Injury can be avoided by tucking the draw sheet ___________ the arm and under
the ____________. - CORRECT ANSWERS around; body
While Fowler's position offers the best respiratory excursion for the patient, the patient is at higher
rick for _________ because of dependent pooling in the hips and legs. - CORRECT ANSWERS venous
thromboembolism (VTE)
Positioning devices should be used according to the original equipment manufacturer's instructions
to reduce the capillary interface pressure to below: - CORRECT ANSWERS 32 mm Hg
, NIFA STUDY GUIDE EXAM WITH CORRECT ANSWERED
QUESTIONS LATEST DOWNLOAD 2024/2025 BEST
COMPLETE SOLUTION GRADED A+ FOR SUCCESS
A frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy for non-small
cell lung cancer. She will be positioned in left lateral position for her procedure. Based on the
perioperative nurse's preoperative assessment, identify three position-related nursing diagnoses for
this procedure and four relevant nursing interventions. Select from the options to fill in the blanks. -
CORRECT ANSWERS Hypothermia; impaired skin integrity; falls; remain at patient's side during
induction; use under- and over-body forced air warming blanket; use at least four people to assist
with lift and transfer; pad all bony prominences with foam or gel pads.
The lateral kidney position allows approach to the retro-peritoneal area of the flank. To render the
kidney region readily accessible, the _________________ is raised, and the bed flexed so that the
area between the twelfth rib and the iliac crest is elevated. Compression of the ________________
can occur when the flank is raised too high. - CORRECT ANSWERS kidney bridge; vena cava
A veteran perioperative nurse remembers a time when all suture needles had eyes, and she even had
her own needle rack. She hand-threaded all sutures according to the surgeon's preference. The
newer sutures were originally called "atraumatic" sutures because they did not double back through
a needle eye and cause tissue trauma during pulling or suturing through the tissue. Today, we call
this manufacturing process of connecting the suture thread to the needle: - CORRECT ANSWERS
swaged
The ideal suture material is one that has handling characteristics such as: - CORRECT ANSWERS ease
of tying
Careful counting (according to established policy), situational awareness, and conscientious and
meticulous attention to the field are believed to prevent miscounts and lost items. A recent patient
safety statement about preventing retained foreign objects recommends which of these practices? -
CORRECT ANSWERS Verbal handoff must include count status at time of relief.
An older surgeon explains his justification for this suture choice to the new perioperative nurse in the
scrub role. He prefers to suture his intestinal anastomosis with a suture that has multiple filaments
braided together because it ties well and holds the knot, which tightens when the thread absorbs the
tissue fluids. He also needs a strand that is easy to see and only needs to retain its tensile strength
for about 1 year, at which time the intestinal junction will be healed, even though this suture is
considered nonabsorbable. He will ask the nurse for a 24-inch 4-0: - CORRECT ANSWERS Sofsilk
Flat neurosurgical patties are flat sponges composed of soft compressed cotton or rayon with an
embedded radiopaque element and string attached. They are often used in neurosurgical
procedures. While used for hemostasis and exposure, what other use would be important in
surgery? - CORRECT ANSWERS Application of topical steroids
