NIFA Perioperative Quiz 1
1. Recommended practices for sponge, sharp and instru- Institutional Policy
ment counts should follow which of the following?
a. JCAHO rules
b. Institutional policy
c. Legislation
d. CDC recommendations
2. Of the following choices, which would not be a consid- scrub person preference
eration for choosing suture?
a. type of procedure
b. the tissue being reapproximated
c. type of reapproximation
d. scrub person preference
3. Your patient had an episode of vomiting during anes- Bronchospasm
thesia induction and was effectively suctioned by anes-
thesia. Upon extubation, the patient presented with
coughing, wheezing, dyspnea, use of accessory mus-
cles, and tachypnea. What is this patient most likely
experiencing?
a. Airway obstruction
b. Bronchospasm
c. Laryngospasm
d. Irritated airway
4. The area between the surgeon and scrub person des- neutral zone
ignated for passing sharps safely is referred to as the:
a. sharps zone
b. hands-free zone
c. neutral zone
d. safety zone
, NIFA Perioperative Quiz 1
5. The immature blood-brain barrier and decreased pro- . Opioids and hypnotics
tein binding in infants increase their sensitivity to
which group of medications?
a. Anticholinergics, parasympatholytics
b. Antidysrhythmic agents
c. Opioids and hypnotics
d. Adrenergics
6. Select all of the potentially harmful effects of extreme increased intraocular
45-degree Trendelenburg in a robotic procedure from pressure, decreased
the following. pulmonary complaince,
a. increased intraocular pressure, decreased pul- shearing
monary complaince, shearing
b. Pelvic pressure from abdominal organs, finger in-
jury from hands pressed against thighs, popliteal pres-
sure within stirrups
c. Facial edema, decreased ICP. shearing injuries
d. Heel pressure injury from stirrup boot, hyperabduc-
tion injury to the arms, pulmonary embolism.
7. Laryngospasm is a serious complication often seen in suctioning, IV succinyl-
the PACU setting. What is the ideal immediate and last choline administration,
resort response by the anesthesia provider or peri- and reintubation
anesthesia nurse in an emerging patient who has been
in spasm for over 1 minute?
a. gentle stimulation and bag-valve mask ventilation
with oxygen
b. suctioning, IV succinylcholine administration, and
reintubation
c. emergency tracheostomy with a cricothyrotomy ap-
proach
, NIFA Perioperative Quiz 1
d. IV bronchodilator administration and nebulized oxy-
gen treatment in the PACU
8. The ideal suture material is one that has handling char- pliability
acteristics such as
a. memory
b. plasticity
c. pliability
d. capillarity
9. Which members of the surgical team can be held liable The entire surgical team
in litigation for retained foreign bodies?
Select one:
a. the entire team
b. the surgeon
c. the scrub person
d. the scrub person and the circulator
10. Albert Janson, a 325-pound patient, is scheduled for a self-retaining retractor
a 6-hour abdominal surgery. While assessing Mr. Jen- post clamped to the OR
nings in the preoperative holding area, the perioper- bed rail and tightened
ative nurse is concerned about the risk for pressure against the patient's side
injury because of the weight of the patient's body
pressing against the surface of the OR bed for a long
surgery. Which of the following factors might the RNFA
recognize as having the potential to produce pres-
sure?
a. the scrub person leaning with his or her forearm on
the Mayo stand
b. a self-retaining retractor post clamped to the OR bed
rail and tightened against the patient's side
c. towel clamps used to secure the drapes at the ab-
1. Recommended practices for sponge, sharp and instru- Institutional Policy
ment counts should follow which of the following?
a. JCAHO rules
b. Institutional policy
c. Legislation
d. CDC recommendations
2. Of the following choices, which would not be a consid- scrub person preference
eration for choosing suture?
a. type of procedure
b. the tissue being reapproximated
c. type of reapproximation
d. scrub person preference
3. Your patient had an episode of vomiting during anes- Bronchospasm
thesia induction and was effectively suctioned by anes-
thesia. Upon extubation, the patient presented with
coughing, wheezing, dyspnea, use of accessory mus-
cles, and tachypnea. What is this patient most likely
experiencing?
a. Airway obstruction
b. Bronchospasm
c. Laryngospasm
d. Irritated airway
4. The area between the surgeon and scrub person des- neutral zone
ignated for passing sharps safely is referred to as the:
a. sharps zone
b. hands-free zone
c. neutral zone
d. safety zone
, NIFA Perioperative Quiz 1
5. The immature blood-brain barrier and decreased pro- . Opioids and hypnotics
tein binding in infants increase their sensitivity to
which group of medications?
a. Anticholinergics, parasympatholytics
b. Antidysrhythmic agents
c. Opioids and hypnotics
d. Adrenergics
6. Select all of the potentially harmful effects of extreme increased intraocular
45-degree Trendelenburg in a robotic procedure from pressure, decreased
the following. pulmonary complaince,
a. increased intraocular pressure, decreased pul- shearing
monary complaince, shearing
b. Pelvic pressure from abdominal organs, finger in-
jury from hands pressed against thighs, popliteal pres-
sure within stirrups
c. Facial edema, decreased ICP. shearing injuries
d. Heel pressure injury from stirrup boot, hyperabduc-
tion injury to the arms, pulmonary embolism.
7. Laryngospasm is a serious complication often seen in suctioning, IV succinyl-
the PACU setting. What is the ideal immediate and last choline administration,
resort response by the anesthesia provider or peri- and reintubation
anesthesia nurse in an emerging patient who has been
in spasm for over 1 minute?
a. gentle stimulation and bag-valve mask ventilation
with oxygen
b. suctioning, IV succinylcholine administration, and
reintubation
c. emergency tracheostomy with a cricothyrotomy ap-
proach
, NIFA Perioperative Quiz 1
d. IV bronchodilator administration and nebulized oxy-
gen treatment in the PACU
8. The ideal suture material is one that has handling char- pliability
acteristics such as
a. memory
b. plasticity
c. pliability
d. capillarity
9. Which members of the surgical team can be held liable The entire surgical team
in litigation for retained foreign bodies?
Select one:
a. the entire team
b. the surgeon
c. the scrub person
d. the scrub person and the circulator
10. Albert Janson, a 325-pound patient, is scheduled for a self-retaining retractor
a 6-hour abdominal surgery. While assessing Mr. Jen- post clamped to the OR
nings in the preoperative holding area, the perioper- bed rail and tightened
ative nurse is concerned about the risk for pressure against the patient's side
injury because of the weight of the patient's body
pressing against the surface of the OR bed for a long
surgery. Which of the following factors might the RNFA
recognize as having the potential to produce pres-
sure?
a. the scrub person leaning with his or her forearm on
the Mayo stand
b. a self-retaining retractor post clamped to the OR bed
rail and tightened against the patient's side
c. towel clamps used to secure the drapes at the ab-
