NIFA FINAL EXAM LATEST UPDATE 2025 QUESTIONS AND
VERIFIED CORRECT ANSWERS GRADED A+
triad of boundaries of the hesselbach triangle - Answer- deep epigastric vessels laterally
inguinal ligament inferiorly
rectus abdominis medially
which duct joins the common bile duct as it enters the duodenum at the hepatopancreatic or major
duodenal papilla - Answer- pancreatic duct
which of the following is NOT included in the carotid system of arteries - Answer- ascending pharyngeal
artery
impaired nutritional status is highly prevalent
Mini Nutritional Assessment - Answer- serum albumin level
innervation of the lungs is part of what system - Answer- autonomic nervous system
age related skin changes - Answer- gently lift, not slide, the patient to and from the OR bed
MIS in pediatric patients - Answer- pediatric patients having MIS procedures have less prevalence of
adhesion formation
patient presents with an acoustic neuroma will demonstrate which symptoms - Answer- unilateral
deafness
the right and left coronary arteries originate in the corresponding sinuses of valsava which are located -
Answer- posterior to the cusps of the aortic valve
Most common endocrine problem in the US - Answer- thyroid nodule
incision in which region to gain access to the pancreas - Answer- right subcostal
,which drug is associated with increased rate of cardio toxicity - Answer- bupivicaine
Jan Stuyvesant, a surgical technologist, was the scrub person during a robotic-assisted laparoscopic
cholecystectomy. She locked the robotic endoscissor into the adaptor on the robotic arm and positioned
the tip end into the trocar port in order for the surgeon to dissect the cystic duct and artery, while the
surgical assistant placed the clips on the cystic duct and artery. As she reached across the sterile field to
insert the cholangiocatheter through the port, the anesthesia provider accidentally made contact with the
distal end of the catheter as he stood up to reach the monitor controls. The contaminated end of the
catheter touched the endoscopic clip applier, the endoscissor connector that the surgeon was using, the
glove of the assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their gown and
gloves and covered the port area with a sterile towel. What was the rationale for the surgeon to - Answer-
the surgeon was not in contact with the sterile field because he worked from the robotic console
correct attachment of the capsule to the knee joint - Answer- upper end of the fibular and distally to the
condyles of the femur
the internal mammary arteries are located - Answer- they diverge from the subclavian arteries behind the
sternum
select the statement that best reflects the ideal living-related donor candidate - Answer- an identical twin
or sibling or parent, ABO and HLA compatibility, good health
Closed thoracostomy will require: - Answer- chest catheters and water-seal drainage
where do the perforating vessels arise from - Answer- lateral circumflex artery
Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to
medical therapy. She is scheduled for a subtotal thyroidectomy. What condition, a complication of
Graves' disease, is her probable indication for a subtotal thyroidectomy? - Answer- tracheal obstruction
recommended long-term pain management in the elderly includes - Answer- opioid analgesics
indication for damage control surgery - Answer- coagulopathy
,open commissurotomy - Answer- have valve replacement instruments available
a () should be placed between neural tissue and the suction tip - Answer- cottonoid
an example of antithyroid drugs that would be administered during a thyroid storm crisis would be -
Answer- propylthiouracil and methimazole
which substance that supplies energy sources to the brain and body - Answer- glycogen
which is not a symptom of compartment syndrome - Answer- moderate pain
select the areas where percutaneous CPB would be indicated - Answer- cardiac catheterization unit or
intensive care unit
the scaphoid links the proximal row of carpal bones as it - Answer- stabilizes and coordinates the
movement of the proximal and distal rows
the pyramidal lobe of the thyroid is described as - Answer- a thin upward protrusion of thyroid tissue
from the isthmus.
the great saphenous vein branches off of which vessel - Answer- book page 883
Why will the perioperative nurse ensure availability of hemodynamic monitoring equipment and supplies
for the patient having thoracic surgery? - Answer- decreased surface area of the lung for perfusion can be
anticipated
what modality is not considered within the scope of naturopathic medicine - Answer- biofeedback
After retracting the nerve roots, this structure is incised before getting to the disc. - Answer- posterior
longitudinal ligament
what structure is NOT commonly injured in penetrating trauma - Answer- spleen
, osteomalacia is due to a deficiency of () that can be treated by () - Answer- vitamin D, dietary
supplements and exposure to sunlight
among the treatment options for tricuspid valve disease ; what type of prosthetic graft would be created or
implanted - Answer- a mitral prosthesis
after closure of the arteriotomy during carotid endarterectomy is complete, which clamp is removed last -
Answer- the internal carotid
for indirect hernia repair, the - Answer- hernia contents are reduced to the abdominal cavity
a patient having a major vascular procedure will require which of the following interventions that are not
required of a major gastrointestinal case - Answer- rapid infusion pumps and blood products present in
the OR
commonly implicated in SAH, the vessels of the circle of willis include - Answer- posterior
communicating artery
the formation of the hernia at a site of weakness is due to any number of conditions that cause - Answer-
increased pressure within the abdomen
which of the following is NOT a reason to convert a case from laparoscopic to an open abdominal case -
Answer- lack or warmer for insufflation gas
select the procedure that is designed for the relief of pharyngeal obstruction - Answer- tonsillectomy
proper placement of the personal radiation dosimeter - Answer- on the trunk under the apron and at the
collar level outside the apron
by what mechanism does chest catheters and drainage systems use to remove fluid and air from the
pleural cavity - Answer- gravity
VERIFIED CORRECT ANSWERS GRADED A+
triad of boundaries of the hesselbach triangle - Answer- deep epigastric vessels laterally
inguinal ligament inferiorly
rectus abdominis medially
which duct joins the common bile duct as it enters the duodenum at the hepatopancreatic or major
duodenal papilla - Answer- pancreatic duct
which of the following is NOT included in the carotid system of arteries - Answer- ascending pharyngeal
artery
impaired nutritional status is highly prevalent
Mini Nutritional Assessment - Answer- serum albumin level
innervation of the lungs is part of what system - Answer- autonomic nervous system
age related skin changes - Answer- gently lift, not slide, the patient to and from the OR bed
MIS in pediatric patients - Answer- pediatric patients having MIS procedures have less prevalence of
adhesion formation
patient presents with an acoustic neuroma will demonstrate which symptoms - Answer- unilateral
deafness
the right and left coronary arteries originate in the corresponding sinuses of valsava which are located -
Answer- posterior to the cusps of the aortic valve
Most common endocrine problem in the US - Answer- thyroid nodule
incision in which region to gain access to the pancreas - Answer- right subcostal
,which drug is associated with increased rate of cardio toxicity - Answer- bupivicaine
Jan Stuyvesant, a surgical technologist, was the scrub person during a robotic-assisted laparoscopic
cholecystectomy. She locked the robotic endoscissor into the adaptor on the robotic arm and positioned
the tip end into the trocar port in order for the surgeon to dissect the cystic duct and artery, while the
surgical assistant placed the clips on the cystic duct and artery. As she reached across the sterile field to
insert the cholangiocatheter through the port, the anesthesia provider accidentally made contact with the
distal end of the catheter as he stood up to reach the monitor controls. The contaminated end of the
catheter touched the endoscopic clip applier, the endoscissor connector that the surgeon was using, the
glove of the assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their gown and
gloves and covered the port area with a sterile towel. What was the rationale for the surgeon to - Answer-
the surgeon was not in contact with the sterile field because he worked from the robotic console
correct attachment of the capsule to the knee joint - Answer- upper end of the fibular and distally to the
condyles of the femur
the internal mammary arteries are located - Answer- they diverge from the subclavian arteries behind the
sternum
select the statement that best reflects the ideal living-related donor candidate - Answer- an identical twin
or sibling or parent, ABO and HLA compatibility, good health
Closed thoracostomy will require: - Answer- chest catheters and water-seal drainage
where do the perforating vessels arise from - Answer- lateral circumflex artery
Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to
medical therapy. She is scheduled for a subtotal thyroidectomy. What condition, a complication of
Graves' disease, is her probable indication for a subtotal thyroidectomy? - Answer- tracheal obstruction
recommended long-term pain management in the elderly includes - Answer- opioid analgesics
indication for damage control surgery - Answer- coagulopathy
,open commissurotomy - Answer- have valve replacement instruments available
a () should be placed between neural tissue and the suction tip - Answer- cottonoid
an example of antithyroid drugs that would be administered during a thyroid storm crisis would be -
Answer- propylthiouracil and methimazole
which substance that supplies energy sources to the brain and body - Answer- glycogen
which is not a symptom of compartment syndrome - Answer- moderate pain
select the areas where percutaneous CPB would be indicated - Answer- cardiac catheterization unit or
intensive care unit
the scaphoid links the proximal row of carpal bones as it - Answer- stabilizes and coordinates the
movement of the proximal and distal rows
the pyramidal lobe of the thyroid is described as - Answer- a thin upward protrusion of thyroid tissue
from the isthmus.
the great saphenous vein branches off of which vessel - Answer- book page 883
Why will the perioperative nurse ensure availability of hemodynamic monitoring equipment and supplies
for the patient having thoracic surgery? - Answer- decreased surface area of the lung for perfusion can be
anticipated
what modality is not considered within the scope of naturopathic medicine - Answer- biofeedback
After retracting the nerve roots, this structure is incised before getting to the disc. - Answer- posterior
longitudinal ligament
what structure is NOT commonly injured in penetrating trauma - Answer- spleen
, osteomalacia is due to a deficiency of () that can be treated by () - Answer- vitamin D, dietary
supplements and exposure to sunlight
among the treatment options for tricuspid valve disease ; what type of prosthetic graft would be created or
implanted - Answer- a mitral prosthesis
after closure of the arteriotomy during carotid endarterectomy is complete, which clamp is removed last -
Answer- the internal carotid
for indirect hernia repair, the - Answer- hernia contents are reduced to the abdominal cavity
a patient having a major vascular procedure will require which of the following interventions that are not
required of a major gastrointestinal case - Answer- rapid infusion pumps and blood products present in
the OR
commonly implicated in SAH, the vessels of the circle of willis include - Answer- posterior
communicating artery
the formation of the hernia at a site of weakness is due to any number of conditions that cause - Answer-
increased pressure within the abdomen
which of the following is NOT a reason to convert a case from laparoscopic to an open abdominal case -
Answer- lack or warmer for insufflation gas
select the procedure that is designed for the relief of pharyngeal obstruction - Answer- tonsillectomy
proper placement of the personal radiation dosimeter - Answer- on the trunk under the apron and at the
collar level outside the apron
by what mechanism does chest catheters and drainage systems use to remove fluid and air from the
pleural cavity - Answer- gravity
