CFCI ACTUAL TEST QUESTIONS WITH
COMPLETE ANSWER KEY
●● The National Patient Safety Goals directed at improving staff
communication review the need for
A. ensuring important test results are communicated to the right person
on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the
postanesthesia care unit
D. Conducting a daily huddle on the unit
Answer: A, ensuring important test results are communicated to the right
person on time
●● Which of the following is a potential contraindication to the use of a
pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved
Answer: C. Sickle cell anemia
●● Which of the following is part of the surgical check list
,A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses
Answer: B. Whether any special equipment, devices or implants will be
needed
●● A pt taking ginger preoperatively is at risk for surgical complications
that include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction
Answer: B. Bradycardia
●● A patient is on long term acetyl salicylic acid therapy. Preoperatively,
the pt should be counselled to discontinue taking the medication
_________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks
Answer: B. 2 weeks
,●● A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet
Answer: A. previous history of stroke
●● Actively warming surgical patients with forced air to prevent
hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision
Answer: C. in the preoperative holding area
●● Which of the following indicators demonstrates a patient who is at
increased risk of developing a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status
Answer: D. Poor preoperative nutritional status
, ●● Based on data collected during the patient assessment, the
perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions
Answer: B. formulates a nursing diagnosis
●● Liquid peracetic acid low-temperature sterilant is used for devices
that meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed
Answer: C. Device must be aerated
●● During surgery the patients respirations become increasingly
shallow, and the pupils become smaller and smaller until they are
pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
COMPLETE ANSWER KEY
●● The National Patient Safety Goals directed at improving staff
communication review the need for
A. ensuring important test results are communicated to the right person
on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the
postanesthesia care unit
D. Conducting a daily huddle on the unit
Answer: A, ensuring important test results are communicated to the right
person on time
●● Which of the following is a potential contraindication to the use of a
pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved
Answer: C. Sickle cell anemia
●● Which of the following is part of the surgical check list
,A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses
Answer: B. Whether any special equipment, devices or implants will be
needed
●● A pt taking ginger preoperatively is at risk for surgical complications
that include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction
Answer: B. Bradycardia
●● A patient is on long term acetyl salicylic acid therapy. Preoperatively,
the pt should be counselled to discontinue taking the medication
_________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks
Answer: B. 2 weeks
,●● A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet
Answer: A. previous history of stroke
●● Actively warming surgical patients with forced air to prevent
hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision
Answer: C. in the preoperative holding area
●● Which of the following indicators demonstrates a patient who is at
increased risk of developing a pressure ulcer during a surgical procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status
Answer: D. Poor preoperative nutritional status
, ●● Based on data collected during the patient assessment, the
perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions
Answer: B. formulates a nursing diagnosis
●● Liquid peracetic acid low-temperature sterilant is used for devices
that meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed
Answer: C. Device must be aerated
●● During surgery the patients respirations become increasingly
shallow, and the pupils become smaller and smaller until they are
pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
