PERIOPERATIVE PROFICIENCY:
NIFA-ALIGNED A+ QUIZ STUDY
GUIDE – 2026/2027
Risk factors for postoperative nausea and vomiting should be
assessed preoperatively. Which of the following is a risk factor
for PONV?
A. Male gender
B. Female gender
C. Postoperative use of NSAIDS
D. Surgery under 60 minutes - THE CORRECT ANSWER-B. Female
gender
Alexanders 16th p269
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 - THE
CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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
____________.
NIFA-ALIGNED A+ QUIZ STUDY
GUIDE – 2026/2027
Risk factors for postoperative nausea and vomiting should be
assessed preoperatively. Which of the following is a risk factor
for PONV?
A. Male gender
B. Female gender
C. Postoperative use of NSAIDS
D. Surgery under 60 minutes - THE CORRECT ANSWER-B. Female
gender
Alexanders 16th p269
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 - THE
CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT 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
____________.
