NIFA FINAL EXAM STUDY GUIDE
WITH COMPLETE SOLUTIONS
peripheral nerve block for ankle ORIF would complain if which symptom - Answer✔✔-metallic
taste in mouth
positioning arms correctly to avoid pressure on the elbow to prevent - Answer✔✔-ulnar nerve
injury
positioning device for bariatric patients prior to intubation - Answer✔✔-upper body ramp
depolarizing muscle relaxant that produces generalized fasciculations - Answer✔✔-
succinylcholine
hemostatic device offers rapid and secure method of clamping, metal and MRI compatible -
Answer✔✔-ligating clip
positioning device for head cases - Answer✔✔-mayfield head positioner
suture permanently attached at the end of the needle referred to as - Answer✔✔-swaged
overpressurization can lead to - Answer✔✔-hypercarbaria
most commonly used local anesthetic - Answer✔✔-lidocaine
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double gloving - Answer✔✔-the american college of surgeons endorses double gloving for all
surgery and invasive procedures
anesthesia that lets patients maintain their own airway and be easily aroused from sleep -
Answer✔✔-moderate sedation / analgesia
who requires two patient identifiers on specimen labels - Answer✔✔-JCO
factor with high influence on wound healing that the surgical team can control - Answer✔✔-
tissue handling
patient at highest risk for hypothermia in perianesthesia phase - Answer✔✔-3 week old
neonate for cardiac anomaly
suture best suited for intestinal anastomosis - Answer✔✔-vicryl
trailing a new insuflation system, over-pressurization leads to - Answer✔✔-hypercarbia
process of decontamination begins when - Answer✔✔-at completion of the surgical procedure
which injury is NOT related to a patient being placed in the lateral position - Answer✔✔-
compression of abdominal cavity
primary substance found in epidermis that protects body from fluid loss and invasion of
pathogens - Answer✔✔-keratin
correct statement regarding closed gloving - Answer✔✔-closed gloving can only be used for
initial gloving
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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
what measure can be taken to prevent aspiration based on patient's history - Answer✔✔-cricoid
pressure during induction
on factor that describes high incidence of musculoskeletal disorders among surgical techs and
nurses - Answer✔✔-the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex - Answer✔✔-puritis, edema, erythema and
visicles 6-48 hours after exposure
patient reports latex allergy, carries epi pen and beta-agonist inhaler - Answer✔✔-true latex
allergy
191.18 kg patient scheduled for surgery; interventions to enhance patient safety - Answer✔✔-
use of an OR bed to accommodate patient weight and size
risk reduction strategy to reduce sharps injury - Answer✔✔-passing sharp items using neutral /
hands free techniques instead of passing hand to hand
self retaining retractor for large patient - Answer✔✔-bookwalter
silk loses tensile strength after what period of time - Answer✔✔-1 year
physical characteristic of suture - Answer✔✔-knot strength
appropriate steps to remove sterile gown - Answer✔✔-wipe gloves clean, untie side of gown,
grasp gown at one shoulder seam
practice for sponge, sharp, and instrument counts follows: - Answer✔✔-institutional policy
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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis -
Answer✔✔-inadvertent trocar puncture through bowel on insertion
risk factor for PONV - Answer✔✔-FEMALE GENDER
source of radiation in OR - Answer✔✔-C arm
ideal suture material is one that has handling characteristics such as - Answer✔✔-pliability
NOT a characteristic of silk suture - Answer✔✔-memory
risk reduction strategy to reduce RSI - Answer✔✔-replacing or tagging sponges and laparotomy
instruments with RFID chips
skin injuries related to shearing occur when the patient is in what position - Answer✔✔-
trendelenburg
intracorporeal suture technique uses suture tying process analogous to - Answer✔✔-instrument
tying
health professionals should employ which strategy to reduce risk of allergic reaction to latex -
Answer✔✔-use powder free gloves that have low levels of protein and chemical allergens
patient right regarding consent - Answer✔✔-right to informed consent
patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve
block - Answer✔✔-a toxic overdose to local anesthetic, monitoring and increasing flow rate in
IV saline
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