NIFA Perioperative Quiz 2 With Correct
Answers
It |is |important |for |the |RNFA |to |be |aware |of |a |potential |ESU |safety |hazard |when |assisting |with |
endoscopic |surgery. |Choose |from |the |following |a |potential |safety |hazard.
Select |one:
a. |Battery |powered |ESU |device |with |limited |power |remaining
b. |Insulation |failure
c. |Lack |of |ESU |pad |application
d. |AEM |use
Insulation |failure
Ketamine |is |a |short-acting |induction |and |IV |or |IM |maintenance |agent |that |allows |patients |to |
maintain |their |airways. |It |is |a |suitable |agent |to |use |with |small |children |and |burn |patients. |
Which |of |the |following |would |be |a |concern |with |large |doses |of |Ketamine?
Select |one:
a. |prolonged |duration
b. |thrombocytopenia
c. |respiratory |depression
d. |myotonic |movements
Respiratory |Depression
A |reverse |cutting |needle |is |preferred |for |___________suturing.
Select |one:
a. |cutaneous
b. |ophthalmic
c. |microsurgical
d. |plastics
Cutaneous
During |the |process |of |performing |the |spinal, |the |anesthesia |provider |inadvertently |inserted |
the |spinal |needle |into |the |subarachnoid |space, |not |noticing |the |error |until |the |entire |syringe |
of |lidocaine |was |emptied |into |the |patient. |The |patient |immediately |experienced |rapid |onset |of
|hypotension, |bradycardia, |and |apnea. |The |resulting |condition |is |called |_______ |and |now |must
|be |managed |with |________.
Select |one:
a. |total |subarachnoid |syndrome; |mechanical |ventilation
, b. |hypotensive |apnea |episode; |tracheostomy |and |humidified |positive. |end-expiratory |pressure |
(PEEP)
c. |cardiogenic |shock; |ACLS |protocol
d. |total |spinal |anesthesia; |general |endotracheal |anesthesia
total |spinal |anesthesia; |general |endotracheal |anesthesia
Postoperative |hypothermia |is |defined |as |a |temperature |less |than:
Select |one:
a. |98.6
b. |96.8
c. |97.6
d. |97.2
96.8
The |new |general |surgery |fellow |placed |the |three |trocar |ports |for |the |laparoscopic |
appendectomy. |The |procedure |was |completed |without |incident; |however, |on |postoperative |
day |1, |the |patient |demonstrated |signs |and |symptoms |of |sepsis. |What |might |have |been |the |
unusual |occurrence |that |could |have |resulted |in |patient |sepsis?
Select |one:
a. |Unrecognized |appendiceal |rupture.
b. |Significant |break |in |sterile |technique.
c. |Inadvertent |trocar |puncture |through |the |bowel |on |insertion.
d. |Recent |H1N1 |outbreak |on |the |surgery |unit |at |the |hospital.
Inadvertent |trocar |puncture |through |the |bowel |on |insertion.
The |most |accurate |method |for |routine |post-operative |temperature |monitoring |is |via:
Select |one:
a. |Tympanic |membrane
b. |Distal |esophagus
c. |Nasopharynx
d. |Oral
Oral
Due |to |the |BMI |of |the |patient, |the |case |you |are |participating |in |was |converted |to |open |
laparotomy. |Your |surgeon |is |uncertain |as |to |which |self-retaining |retractor |is |available |within |
the |facility. |From |the |following, |which |is |an |appropriate |suggestion?
Select |one:
a. |Large |wide |Deavers
Answers
It |is |important |for |the |RNFA |to |be |aware |of |a |potential |ESU |safety |hazard |when |assisting |with |
endoscopic |surgery. |Choose |from |the |following |a |potential |safety |hazard.
Select |one:
a. |Battery |powered |ESU |device |with |limited |power |remaining
b. |Insulation |failure
c. |Lack |of |ESU |pad |application
d. |AEM |use
Insulation |failure
Ketamine |is |a |short-acting |induction |and |IV |or |IM |maintenance |agent |that |allows |patients |to |
maintain |their |airways. |It |is |a |suitable |agent |to |use |with |small |children |and |burn |patients. |
Which |of |the |following |would |be |a |concern |with |large |doses |of |Ketamine?
Select |one:
a. |prolonged |duration
b. |thrombocytopenia
c. |respiratory |depression
d. |myotonic |movements
Respiratory |Depression
A |reverse |cutting |needle |is |preferred |for |___________suturing.
Select |one:
a. |cutaneous
b. |ophthalmic
c. |microsurgical
d. |plastics
Cutaneous
During |the |process |of |performing |the |spinal, |the |anesthesia |provider |inadvertently |inserted |
the |spinal |needle |into |the |subarachnoid |space, |not |noticing |the |error |until |the |entire |syringe |
of |lidocaine |was |emptied |into |the |patient. |The |patient |immediately |experienced |rapid |onset |of
|hypotension, |bradycardia, |and |apnea. |The |resulting |condition |is |called |_______ |and |now |must
|be |managed |with |________.
Select |one:
a. |total |subarachnoid |syndrome; |mechanical |ventilation
, b. |hypotensive |apnea |episode; |tracheostomy |and |humidified |positive. |end-expiratory |pressure |
(PEEP)
c. |cardiogenic |shock; |ACLS |protocol
d. |total |spinal |anesthesia; |general |endotracheal |anesthesia
total |spinal |anesthesia; |general |endotracheal |anesthesia
Postoperative |hypothermia |is |defined |as |a |temperature |less |than:
Select |one:
a. |98.6
b. |96.8
c. |97.6
d. |97.2
96.8
The |new |general |surgery |fellow |placed |the |three |trocar |ports |for |the |laparoscopic |
appendectomy. |The |procedure |was |completed |without |incident; |however, |on |postoperative |
day |1, |the |patient |demonstrated |signs |and |symptoms |of |sepsis. |What |might |have |been |the |
unusual |occurrence |that |could |have |resulted |in |patient |sepsis?
Select |one:
a. |Unrecognized |appendiceal |rupture.
b. |Significant |break |in |sterile |technique.
c. |Inadvertent |trocar |puncture |through |the |bowel |on |insertion.
d. |Recent |H1N1 |outbreak |on |the |surgery |unit |at |the |hospital.
Inadvertent |trocar |puncture |through |the |bowel |on |insertion.
The |most |accurate |method |for |routine |post-operative |temperature |monitoring |is |via:
Select |one:
a. |Tympanic |membrane
b. |Distal |esophagus
c. |Nasopharynx
d. |Oral
Oral
Due |to |the |BMI |of |the |patient, |the |case |you |are |participating |in |was |converted |to |open |
laparotomy. |Your |surgeon |is |uncertain |as |to |which |self-retaining |retractor |is |available |within |
the |facility. |From |the |following, |which |is |an |appropriate |suggestion?
Select |one:
a. |Large |wide |Deavers
