NIFA Perioperative quiz Test Questions With 100% Verified Solutions

NIFA Perioperative quiz Test Questions With 100% Verified Solutions Which of the following is a true statement about the use of liquids in the OR? A. Use of volitile liquids such as acetone is limited to cleaning and they must be properly stored B. Flammable liquids are prohobited in the OR unless an ESU is in use C. Skin prepping solutions can cause chemical burns D. Betadine skin prep does not cause chemical burns - ANSWER C. Skin prepping solution can cause chemical burns Alexander 15th p33 This hemostatic device offers a rapid and secure method of clamping arteries, veins, nerves, and other small structures. This device remains in the patient, is not counted, and is made of a metal that is not compatible with MRI. Select the correct hemostatic device that fits this description. A. Hemostat B. Alligator forcep C. Ligating clip D. Bulldog clamp - ANSWER C. Ligating clip Alexanders 15th p198 The most commonly used medication for local anesthesia is? A. Lidocaine B. Tetracaine C. Marcaine D. Cocaine HCL - ANSWER A. Lidocaine Alexanders 15 p150 Linda Gardner is highly allergic to latex and the anesthesia provider plans to give Linda prophylactic medications before anesthesia. What medications might be administered to Linda in the preoperative holding area? A. Epinepherine and an H2-blocker B. Vasopressin and atropine C. Prednisone and a beta-agonist inhaler D. Dimethylxanthine - ANSWER C. Prednisone and a beta-agonist inhaler Alexander 15 p66 When a patient absorbs an unsafe amount of local anesthetic into the bloodstream, a catastrophic outcome is possible. Treatment for LAST includes the use of which of the following? A. Lipids B. LR bolus of 500cc C. NS Bolus of 500CC D. Diphenhydramine - ANSWER A. Lipids Alexanders 15 p147 From the following, select an advantage polyester suture has over other nonabsorbable sutures. A. Greater tinsile strength B. Greater tissue reactivity C. Able to absorb tissue fluids D. decreased knot slippage - ANSWER A. Greater tinsile strength Alexanders 15th p190 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 ____________. A. Over, Body B. Under, Mattress C. Over, Mattress D. Around, OR bedrail - ANSWER A. Over, Body Alexanders 15th p163 In several studies, it was determined that the risk of contamination and subsequent infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves, as opposed to wearing one pair. Select the correct statement that refers to double gloving in terms of a best practice. A. The American College of Surgeons endorses double gloving for all surgery and invasive procedures B. Wearing two glove layers permits re-gloving using the closed-glove technique for a contaminated glove. C. Wearing a glove liner between both layers of gloves may eliminate the risk of perforation to the inner glove, protecting the wearer from sharps injury. D. The AORN publication titled Recommended Practices for Prevention of Transmissible Infections in the Perioperative Practice Setting recommends the DoubleGlove procedure during invasive procedures. - ANSWER A. The American College of Surgeons endorses gloving for all surgery and invasive procedures. Alexanders 15th p113 An instrument that is used to occlude a vessel is know as: A. Hemostat B. Occluding clamp C. Kocher D. Forceps - ANSWER A. Hemostat Alexanders 15th 201 ________ Precautions apply to blood, all body fluids, and excretions (except sweat), regardless of whether they contain visible blood, mucous membranes, and non-intact skin. A. Hospital B. Standard C. Isolation D. Contact - ANSWER B. Standard Alexanders 15th p62 From the following, choose the correct statement regarding close gloving. A. Closed gloving can only be used for the initial gloving B. Closed gloving requires two people to execute without contamination C. There is an increased risk of contamination if the thumbs are not extended D. Closed gloving requires the hands to be kept in direct view - ANSWER A. Closed gloving can only be used for initial gloving Alexanders 15th p95-96 During the preliminary sponge count on closure of a repair of a ruptured aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. Select the appropriate communication that the circulating nurse must employ in addressing the entire team during this count discrepancy. A. "Stop everything! I'm missing a couple of sponges. They are not in the trash or back table. Check the wound". B. "I think you are missing 2 sponges. Shall I call X-Ray while the scrub person checks her table again? Doctor, please check the incision site. C. "We have a count discrepancy. We started with 70 sponges and find only 68. We are missing 2 lap sponges". D. " Ive called X-Ray because we are short 2 lap sponges. I've called the charge RN to get someone to help me check the trash and linen. The rapid response team is on the way. - ANSWER C. We have a count discrepancy. We started with 70 sponges and find only 68. We are missing 2 lap sponges. Alexanders 15th p32 Select from the following medication that is used for PONV and has the potential for prolonged QT interval. A. Scopolamine patch B. Dolasteran C. Droperidol D. Prochlorperazine - ANSWER C. Droperidol Alexanders 15th p 277 The type of wound closure that occurs when approximation of the wound edges does not occur for 3 or more days after a surgical procedure.