NIFA EXAM SCRIPT 2026 TESTED QUESTIONS
AND ANSWERS GUARANTEED TO PASS
◉ Reprocessing (flashing) instruments in the OR is high risk because:
Answer: OR personnel not properly trained to reprocess instruments
◉ To safely transfer and position patients in a manner that prevents
shearing, personnel should use a mechanical lifting device for a supine-
to-supine transfer of a patient weighing more than: Answer: 157 lbs
◉ _______________ should be the primary decision makers for what
equipment and supplies are purchased and stocked in the difficult airway
management cart. Answer: Anesthesia personnel
◉ Proper specimen management techniques prevent errors and include
all of the following EXCEPT: Answer: Receiving specimens from the
surgical field then affixing patient label to each
◉ Preventing surgical fires is a top priority for all OR personnel and
members of the surgical team should perform all of the following duties
EXCEPT: Answer: Perform a weekly fire risk assessment
,◉ Peri-operative hypothermia is an important issue for all anesthetized
patients because of all of the following EXCEPT: Answer: Increases
risk of renal failure
◉ Recommendations for preventing retained surgical items include all
of the following EXCEPT: Answer: Utilizing a multidisciplinary team
to resolve incorrect counts
◉ Select the appropriate order for administering blood and blood
products. Answer: Verify informed consent for blood, verify patient
identification and blood type and unit numbers against blood tag and
requisition slip with second licensed person, sign slips
◉ Weighing sponges is a valuable tool for meticulous calculation of
blood and fluid loss when conducted correctly and used in appropriate
circumstances. Select the response that correctly reflects the best
practice in weighing sponges. Answer: Keep a running total blood loss
calculated from available sponges during procedure
◉ Laparoscopic procedures that emergently convert to open procedures
place the patient at risk for unintentional retained foreign objects
(RFOs). What new and evolving risk reduction strategy could prevent
RFOs and frustrating, time-consuming miscount adventures at the end of
these procedures? Answer: Replacing or tagging sponges and
laparotomy instruments with radiofrequency identification (RFID) chips
, ◉ A female patient with end-stage pancreatic cancer was admitted from
hospice for a celiac plexus block to treat intractable pain. She had a
Whipple procedure 18 months earlier and enjoyed a good quality of life
until 3 weeks ago. She wanted to be able to complete "getting her things
in order" and saying good-bye to her friends and family while enjoying
her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and
knew what was best for herself. The patient was taking full advantage of
what provision for her care? Answer: PSDA and advance directives
◉ A patient was presented with the prepared informed consent form
during the discussion with her surgeon concerning her scheduled
vaginal-assisted laparoscopic hysterectomy. She demonstrated and
verbalized that she understood all of the tenets of the procedure, risks,
expected outcome, complications, and procedural process. Before she
signed the consent form, she informed the surgeon that she did not want
any medical students or surgical residents performing any parts of the
procedure other than assisting and did not want any photographs of her
body taken. The surgeon agreed, and she crossed out those portions of
the form and initialed them before she signed. The patient was
exercising her: Answer: right to informed consent.
◉ Early on, during the preliminary sponge count on closure of a repair
of a ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. He had meticulously maintained
accountability for all sponges and instruments discarded from the sterile
field and bagged each sponge carefully. He immediately turned and
addressed the entire team in a clear voice. Select the appropriate
AND ANSWERS GUARANTEED TO PASS
◉ Reprocessing (flashing) instruments in the OR is high risk because:
Answer: OR personnel not properly trained to reprocess instruments
◉ To safely transfer and position patients in a manner that prevents
shearing, personnel should use a mechanical lifting device for a supine-
to-supine transfer of a patient weighing more than: Answer: 157 lbs
◉ _______________ should be the primary decision makers for what
equipment and supplies are purchased and stocked in the difficult airway
management cart. Answer: Anesthesia personnel
◉ Proper specimen management techniques prevent errors and include
all of the following EXCEPT: Answer: Receiving specimens from the
surgical field then affixing patient label to each
◉ Preventing surgical fires is a top priority for all OR personnel and
members of the surgical team should perform all of the following duties
EXCEPT: Answer: Perform a weekly fire risk assessment
,◉ Peri-operative hypothermia is an important issue for all anesthetized
patients because of all of the following EXCEPT: Answer: Increases
risk of renal failure
◉ Recommendations for preventing retained surgical items include all
of the following EXCEPT: Answer: Utilizing a multidisciplinary team
to resolve incorrect counts
◉ Select the appropriate order for administering blood and blood
products. Answer: Verify informed consent for blood, verify patient
identification and blood type and unit numbers against blood tag and
requisition slip with second licensed person, sign slips
◉ Weighing sponges is a valuable tool for meticulous calculation of
blood and fluid loss when conducted correctly and used in appropriate
circumstances. Select the response that correctly reflects the best
practice in weighing sponges. Answer: Keep a running total blood loss
calculated from available sponges during procedure
◉ Laparoscopic procedures that emergently convert to open procedures
place the patient at risk for unintentional retained foreign objects
(RFOs). What new and evolving risk reduction strategy could prevent
RFOs and frustrating, time-consuming miscount adventures at the end of
these procedures? Answer: Replacing or tagging sponges and
laparotomy instruments with radiofrequency identification (RFID) chips
, ◉ A female patient with end-stage pancreatic cancer was admitted from
hospice for a celiac plexus block to treat intractable pain. She had a
Whipple procedure 18 months earlier and enjoyed a good quality of life
until 3 weeks ago. She wanted to be able to complete "getting her things
in order" and saying good-bye to her friends and family while enjoying
her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and
knew what was best for herself. The patient was taking full advantage of
what provision for her care? Answer: PSDA and advance directives
◉ A patient was presented with the prepared informed consent form
during the discussion with her surgeon concerning her scheduled
vaginal-assisted laparoscopic hysterectomy. She demonstrated and
verbalized that she understood all of the tenets of the procedure, risks,
expected outcome, complications, and procedural process. Before she
signed the consent form, she informed the surgeon that she did not want
any medical students or surgical residents performing any parts of the
procedure other than assisting and did not want any photographs of her
body taken. The surgeon agreed, and she crossed out those portions of
the form and initialed them before she signed. The patient was
exercising her: Answer: right to informed consent.
◉ Early on, during the preliminary sponge count on closure of a repair
of a ruptured abdominal aortic aneurysm, the circulating nurse was
unable to account for 2 lap sponges. He had meticulously maintained
accountability for all sponges and instruments discarded from the sterile
field and bagged each sponge carefully. He immediately turned and
addressed the entire team in a clear voice. Select the appropriate
