NIFA FINAL AND LATEST EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS 100% PASS
QUESTION: 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
QUESTION: Peri-operative hypothermia is an important issue for all anesthetized patients because of all
of the following EXCEPT: - ANSWER-Increases risk of renal failure
QUESTION: Recommendations for preventing retained surgical items include all of the following
EXCEPT: - ANSWER-Utilizing a multidisciplinary team to resolve incorrect counts
QUESTION: 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
QUESTION: 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
QUESTION: 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
QUESTION: 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her Do Not Resuscitate (DNR) status NOT be rescinded.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
QUESTION: 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.
QUESTION: 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. - ANSWER-"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.
QUESTION: 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 this sentence: The risk of the surgical hazard of
_________________ can be mitigated through _______________________. - ANSWER-wrong patient,
wrong site, and wrong side surgery; site marking and presurgical checklists
QUESTION: A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider
and perioperative nurse. A hand-off report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The first element of information that
should be presented in the hand-off report is: - ANSWER-patient identification and procedure performed.
QUESTION: If a staff person receives a needlestick injury, what is the first corrective action? -
ANSWER-Wash wound with soap and water; flush mucous membranes.
, QUESTION: Contact with infected patients or infectious material places healthcare workers at risk for
occupational-acquired infection. Which communicable disease are healthcare workers at risk for
acquiring or transmitting? - ANSWER-Seasonal influenza
QUESTION: Select the appropriate nursing action that supports hands-free instrument passing and sharps
safety. - ANSWER-Create a neutral hands-free area between the scrub person and surgeon with a basin or
magnetic mat.
QUESTION: Select the guideline that complements the design of the culture of safety model. -
ANSWER-Incorporate safe practices into your daily work when handling sharps.
QUESTION: A neutral zone is a predetermined location on the surgical field where sharps are placed for
retrieval by the surgeon. Which of the following is a best practice for the use of the neutral zone? -
ANSWER-Announce the transfer of each sharp before placing it in the neutral zone.
QUESTION: Which of the following may be a consequence of high-dose or full-body radiation? -
ANSWER-Nausea, vomiting, and diarrhea
QUESTION: Exposure to blood-borne pathogens occurs during all phases of the perioperative process.
Observing safety precautions during all phases of surgery, from setup to cleanup, reduces the number of
injuries and exposures for all OR personnel. For the prevention of sharps injuries in the pre-procedure and
post-procedure phases, which safe handling practices reflect appropriate nursing actions? - ANSWER-
Use standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination cleanup area.
Do not place hands or fingers into a container to dispose of a device.
Inspect the sharps container for overfilling before discarding disposable sharps in it.
QUESTION: Which list of medications best reflects medications indicated for latex sensitivity therapeutic
management? - ANSWER-Epinephrine, prednisone, and a beta-agonist inhaler
QUESTIONS AND CORRECT DETAILED
ANSWERS 100% PASS
QUESTION: 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
QUESTION: Peri-operative hypothermia is an important issue for all anesthetized patients because of all
of the following EXCEPT: - ANSWER-Increases risk of renal failure
QUESTION: Recommendations for preventing retained surgical items include all of the following
EXCEPT: - ANSWER-Utilizing a multidisciplinary team to resolve incorrect counts
QUESTION: 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
QUESTION: 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
QUESTION: 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
QUESTION: 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
QUESTION: 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.
QUESTION: 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. - ANSWER-"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.
QUESTION: 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 this sentence: The risk of the surgical hazard of
_________________ can be mitigated through _______________________. - ANSWER-wrong patient,
wrong site, and wrong side surgery; site marking and presurgical checklists
QUESTION: A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider
and perioperative nurse. A hand-off report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The first element of information that
should be presented in the hand-off report is: - ANSWER-patient identification and procedure performed.
QUESTION: If a staff person receives a needlestick injury, what is the first corrective action? -
ANSWER-Wash wound with soap and water; flush mucous membranes.
, QUESTION: Contact with infected patients or infectious material places healthcare workers at risk for
occupational-acquired infection. Which communicable disease are healthcare workers at risk for
acquiring or transmitting? - ANSWER-Seasonal influenza
QUESTION: Select the appropriate nursing action that supports hands-free instrument passing and sharps
safety. - ANSWER-Create a neutral hands-free area between the scrub person and surgeon with a basin or
magnetic mat.
QUESTION: Select the guideline that complements the design of the culture of safety model. -
ANSWER-Incorporate safe practices into your daily work when handling sharps.
QUESTION: A neutral zone is a predetermined location on the surgical field where sharps are placed for
retrieval by the surgeon. Which of the following is a best practice for the use of the neutral zone? -
ANSWER-Announce the transfer of each sharp before placing it in the neutral zone.
QUESTION: Which of the following may be a consequence of high-dose or full-body radiation? -
ANSWER-Nausea, vomiting, and diarrhea
QUESTION: Exposure to blood-borne pathogens occurs during all phases of the perioperative process.
Observing safety precautions during all phases of surgery, from setup to cleanup, reduces the number of
injuries and exposures for all OR personnel. For the prevention of sharps injuries in the pre-procedure and
post-procedure phases, which safe handling practices reflect appropriate nursing actions? - ANSWER-
Use standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination cleanup area.
Do not place hands or fingers into a container to dispose of a device.
Inspect the sharps container for overfilling before discarding disposable sharps in it.
QUESTION: Which list of medications best reflects medications indicated for latex sensitivity therapeutic
management? - ANSWER-Epinephrine, prednisone, and a beta-agonist inhaler
