NIFA STUDY GUIDE QUESTIONS AND
ANSWERS VERIFIED 100% CORRECT
Which list of medications best reflects medications indicated for latex sensitivity
therapeutic management? - ANSWER Epinephrine, prednisone, and a beta-agonist
inhaler
While antibiotics have been credited with saving lives, misuse of antibiotics has
contributed to the evolution of multidrug-resistant organisms (MDROs). Select the
antibiotic application that has evident to support it as a best practice and not, potentially,
a misuse of antibiotics. - ANSWER Antibiotics given intravenously within 1 hour of the
incision for every procedure with an incision or entered body system.
With the production of more steam in the sterilizer chamber, the pressure increases as
well. The steam should contain little or no entrapped liquid water. Steam quality is the
term that describes the amount of water mixed with the steam. The constitution of high-
quality steam would be measured by: - ANSWER <3% of the mixture is liquid water.
A 47-year-old man was admitted to the emergency department (ED) with respiratory
symptoms, facial and upper body abrasions, burns, and moist lesions after a small
package, delivered to his office, exploded and sprayed him dried powder and glass
shards. In response to the reported mechanism of injury, the ED team sequestered him
in a secluded area away from the rest of the patients. The team believed that this was
highly suspicious of a bio-terrorism event. The epidemiologist was called, and the
patient was transferred to a negative-pressure isolation room and placed on standard,
contact, airborne, and droplet precautions. Based on these actions, which
microorganism agents might be suspected to be involved? - ANSWER Anthrax and
smallpox
Qualities of an effective packaging material must include several key characteristics.
Select the three most important qualities. - ANSWER Good steam penetration and
removal, good microbial barrier, aseptic presentation.
The design of the physical space within an OR attempts to minimize horizontal surfaces
by placing cabinets flush with the wall. This prevents dust settling on multiple surfaces
and decreases the areas that have to be monitored and cleaned. Another concern with
horizontal surfaces is that is turbulence from staff movement and activity plus door
movement, when it opens and closes, can: - ANSWER mobilizing resting dust from
these surfaces.
, An 86-year-old male was admitted to the intensive care unit (ICU) 3 weeks ago for heart
failure and intractable atrial fibrillation. He has had diarrhea for 4 days that has cultured
C. difficile. The transmission-based precautions sign on the door to his room alerts the
staff to employ which practice precaution? - ANSWER Both standard precautions and
contact precautions
Closed gloving is the technique of choice for the initial donning of sterile gloves by the
scrubbed team member; however: - ANSWER it can only be used for the initial gloving.
the final step, after decontamination and before sterilization, is the prep, pack, and wrap
process. The sterile processing technologist has taken the laparotomy set from the
washer/decontaminator to prepare for sterilization. Select the most appropriate order
that the instrument set must travel before reaching the steam sterilizer. - ANSWER
Inspect, inventory against list, assemble, place integrators, wrap and tape
A patient undergoing a laparoscopic Nissen fundoplication procedure will be positioned
in both high and low lithotomy during the procedure. After the patient is re-positioned
into lo lithotomy, the perioperative nurse should: - ANSWER reassess the patient for
body alignment, tissue integrity, and pressure areas.
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2 male
with early-stage prostatic cancer, was intubated and positioned for a roboticassisted
laparoscopic radical prostatectomy. The initial position for insertion of the trocars was
supine with arms tucked and secured within under-mattress sled arm positioners
padded with gel. His hands were placed in a natural position with the fingers wrapped
around gauze rolls and touching his lateral thighs. The new anesthesia provider, who
had never seen a robotic prostatectomy, was concerned about anesthesia implications
when the patient would be repositioned into extreme Trendelenburg for the dissection
and anastomosis. The circulating nurse assured her that they would implement
protective measures and work together to ensure the best patient outcome. Select all of
the potentially harmful effects of extreme 45-degree Trendelenburg in a robotic
procedure. - ANSWER Respiratory compromise and ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the
patient in the preoperative holding area, the perioperative nurse is concerned about the
risk for pressure injury because of the weight of the patient's body pressing against the
surface of the operating room bed for a long surgery. Which of these other factors may
also produce pressure? - ANSWER A self-retianing retractor post clamped to the OR
bed rail and tightened against the patient's side.
Prolonged lithotomy positioning can result in neuropathies of the legs. The most
frequently injured nerves are the obturator, sciatic, femoral, and __________nerve,
ANSWERS VERIFIED 100% CORRECT
Which list of medications best reflects medications indicated for latex sensitivity
therapeutic management? - ANSWER Epinephrine, prednisone, and a beta-agonist
inhaler
While antibiotics have been credited with saving lives, misuse of antibiotics has
contributed to the evolution of multidrug-resistant organisms (MDROs). Select the
antibiotic application that has evident to support it as a best practice and not, potentially,
a misuse of antibiotics. - ANSWER Antibiotics given intravenously within 1 hour of the
incision for every procedure with an incision or entered body system.
With the production of more steam in the sterilizer chamber, the pressure increases as
well. The steam should contain little or no entrapped liquid water. Steam quality is the
term that describes the amount of water mixed with the steam. The constitution of high-
quality steam would be measured by: - ANSWER <3% of the mixture is liquid water.
A 47-year-old man was admitted to the emergency department (ED) with respiratory
symptoms, facial and upper body abrasions, burns, and moist lesions after a small
package, delivered to his office, exploded and sprayed him dried powder and glass
shards. In response to the reported mechanism of injury, the ED team sequestered him
in a secluded area away from the rest of the patients. The team believed that this was
highly suspicious of a bio-terrorism event. The epidemiologist was called, and the
patient was transferred to a negative-pressure isolation room and placed on standard,
contact, airborne, and droplet precautions. Based on these actions, which
microorganism agents might be suspected to be involved? - ANSWER Anthrax and
smallpox
Qualities of an effective packaging material must include several key characteristics.
Select the three most important qualities. - ANSWER Good steam penetration and
removal, good microbial barrier, aseptic presentation.
The design of the physical space within an OR attempts to minimize horizontal surfaces
by placing cabinets flush with the wall. This prevents dust settling on multiple surfaces
and decreases the areas that have to be monitored and cleaned. Another concern with
horizontal surfaces is that is turbulence from staff movement and activity plus door
movement, when it opens and closes, can: - ANSWER mobilizing resting dust from
these surfaces.
, An 86-year-old male was admitted to the intensive care unit (ICU) 3 weeks ago for heart
failure and intractable atrial fibrillation. He has had diarrhea for 4 days that has cultured
C. difficile. The transmission-based precautions sign on the door to his room alerts the
staff to employ which practice precaution? - ANSWER Both standard precautions and
contact precautions
Closed gloving is the technique of choice for the initial donning of sterile gloves by the
scrubbed team member; however: - ANSWER it can only be used for the initial gloving.
the final step, after decontamination and before sterilization, is the prep, pack, and wrap
process. The sterile processing technologist has taken the laparotomy set from the
washer/decontaminator to prepare for sterilization. Select the most appropriate order
that the instrument set must travel before reaching the steam sterilizer. - ANSWER
Inspect, inventory against list, assemble, place integrators, wrap and tape
A patient undergoing a laparoscopic Nissen fundoplication procedure will be positioned
in both high and low lithotomy during the procedure. After the patient is re-positioned
into lo lithotomy, the perioperative nurse should: - ANSWER reassess the patient for
body alignment, tissue integrity, and pressure areas.
A 68-year-old, American Society of Anesthesiologists (ASA) physical status (OS)-2 male
with early-stage prostatic cancer, was intubated and positioned for a roboticassisted
laparoscopic radical prostatectomy. The initial position for insertion of the trocars was
supine with arms tucked and secured within under-mattress sled arm positioners
padded with gel. His hands were placed in a natural position with the fingers wrapped
around gauze rolls and touching his lateral thighs. The new anesthesia provider, who
had never seen a robotic prostatectomy, was concerned about anesthesia implications
when the patient would be repositioned into extreme Trendelenburg for the dissection
and anastomosis. The circulating nurse assured her that they would implement
protective measures and work together to ensure the best patient outcome. Select all of
the potentially harmful effects of extreme 45-degree Trendelenburg in a robotic
procedure. - ANSWER Respiratory compromise and ventilation resistance
Shearing injury to soft tissues
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the
patient in the preoperative holding area, the perioperative nurse is concerned about the
risk for pressure injury because of the weight of the patient's body pressing against the
surface of the operating room bed for a long surgery. Which of these other factors may
also produce pressure? - ANSWER A self-retianing retractor post clamped to the OR
bed rail and tightened against the patient's side.
Prolonged lithotomy positioning can result in neuropathies of the legs. The most
frequently injured nerves are the obturator, sciatic, femoral, and __________nerve,
