NIFA COMPLETE STUDY GUIDE 2026 CORE
FINANCE AND ACCOUNTING CONCEPTS
AND VERIFIED SOLUTIONS
◉ 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
FINANCE AND ACCOUNTING CONCEPTS
AND VERIFIED SOLUTIONS
◉ 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
