NIFA Perioperative ACTUAL TEST QUIZ 70 QUESTIONS WITH DETAILED ANSWERS LATEST ALREADY GRADED A+

NIFA Perioperative ACTUAL TEST QUIZ 70 QUESTIONS WITH DETAILED ANSWERS 2025 2026 LATEST ALREADY GRADED A+ Of the following choices, which would not be a consideration for choosing suture? A. Type of procedure B. The tissue being reapproximated C. Type of re-approximation D. Scrub person preference - CORRECT ANS >>D. Scrub person preference A 19yo M received an IV peripheral nerve block for an ORIF of an ankle fracture. The anaesthesia provider injected a distal dorsal vein of the pt's right foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet around the upper thigh. The surgeon noticed that the cuff seemed to be deflating and anticipated that the patient would initially complain of which of the following? A. Metallic taste in his mouth B. Seizures C. Dizziness D. Respiratory arrest - CORRECT ANS >>A. Metallic taste in his mouth Your patient was presented with the prepared informed consent for during the discussion with her surgeon concerning her scheduled surgery. Before signing the consent form, the patient informed the surgeon that they did not want any medical students or surgical residents performing any parts of the procedure other than assisting and did not want photographs taken. The surgeon agreed and crossed out those portions of the form. The patient initialled them prior to signing the consent. Your patient was exercising which patient right? A. Understanding and rights under the Patient Self-Determination Act B Right to informed consent C. Autonomy to protect herself from negligence and malpractice D. Hope that everyone would Honor HIPPA - CORRECT ANS >>B. Right to informed consent Hypothermia is a common side effect of surgery and the peri-anaesthesia setting. The most common and effective method to prevent hypothermia is through the use of: A. Applying blankets to the OR bed prior to the patient arrival B. Forced air-warming blankets C. Continuous fluid-circulating blankets or warm-water mattresses D. Wrapping the patient's head with warm blankets - CORRECT ANS >>B. Forced air warming blankets Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal immediate and last resort response by the anaesthesia provider or paranesthesia RN 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 approach D. IV bronchodilator administration and nebulized oxygen treatment in the PACU - CORRECT ANS >>B Suctioning, IV succinylcholine administration, and reintubation Which of the following suture choices would be the best suited for intestinal anastomosis based on the quantities of excellent handling capability, high tensile strength that decreases after 1 yr, and is not a true nonabsorbable suture? A. Vicryl B. Prolene C. Monocryl D. Silk - CORRECT ANS >>D. Silk The surgical hand scrub is designed to render the hands, nails, and arms: A. Surgically clean B. Aseptic C. Sterile D. Decontaminated - CORRECT ANS >>A. Surgically clean Alexanders 15th P 108 After prepping the face, neck, and upper chest for a radical neck dissection using an alcohol-based prep stick, the protective towels around the site were removed. The RNFA applied the head drape and completed draping the patient. During the pre-incision surgical time-out, the fire risk score was determined to be high. When the surgeon noticed an area of the neck that did not look prepped, she asked for a new prep stick to complete the prep area, taking care not to moisten the head drape. After handing off the used prep stick she asked for the scalpel. What step was omitted in this process? A. The new prep area was not given time to dry B. The time-out should have been repeated with the surgoen scrubbed C. The patient should have been re-prepped and re-draped with all new drapes D. The scrub person should have given the surgeon a sterile towel to cover the unprepped area - CORRECT ANS >>A. The area was not given time to dry The instrument tips in laproscopic instruments are designed to produce the same tissue effects as a traditional instrument used for the open surgery. Instrument manufacturers have attempted to make their products effecient by cobining functions. An appropriate combined function for a laproscopic instrument would be A. Ultrasound capability in a suturing forceps B. Electrosurgery conduction through the tips of a babcock grasper C. Blunt dissection with a smooth, rounded edge of the closed endoscopic scissors D. Suction and irrigation combined with an argon beam coagulation handpiece. - CORRECT ANS >> C. Blunt dissection with the smooth, rounded edge of the closed endoscopic scissors Suture permanently attached to the needle are referred to as A. Engineered crimp B. Controlled release C. Reverse cutting D. Swaged - CORRECT ANS >>D. Swaged The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed through the muscle and fascia layer, she asked the circulating RN to increase the cut and coagulation modes on the ESU. What measure could the scrub person take to enhance energy delivery? A. Unwrap the ESU cord from around the tower damp handle B. Clean the charred tissue from the active electrode blade. C. Change the settings to blend mode D. Replace the active electrode blade with a coated blade. - CORRECT ANS >>B. Clean the charred tissue from the active electrode blade Which of the following is not a characteristic of silk suture? A. Soft B. Handling ability C. Knot security D. Memory - CORRECT ANS >>D. Memory Alexanders 15th p 189 Of the following, which measure, supported by evidence, has been identified to reduce SSI's and affect surgical outcomes? A. Antibiotics given IV within 1 hr of the incision for every procedure with an incision or entered body system B. Tobramycin and methyl methacrylate bead implants into deep orthopaedic incisions at risk for osteomyelitis C. Bacitracin ointment on a clean subcuticular sutured incision as part of the dressing D. Vancomycin paste applied to cut edges of the sternum in cardiac surgery - CORRECT ANS >>A. Antibiotics given within 1 hr of incision for every procedure with an incision of entered body system Recommended practice for sponge, sharp and instrument counts should follow which of the following? A. JACHO rules B. Institutional policy C. Legislation D. CDC recommendations - CORRECT ANS >>B. Institutional policy A reverse cutting needle is preferred for A. Cutaneous B. Ophthalmic C. Microsurgical D. Plastics - CORRECT ANS >>A. Cutaneous