NIFA FINAL EXAM
peripheral nerve block for ankle ORIF would complain if which symptom ANS: metallic taste in mouth
positioning arms correctly to avoid pressure on the elbow to prevent ANS: ulnar nerve injury
positioning device for bariatric patients prior to intubation ANS: upper body ramp
depolarizing muscle relaxant that produces generalized fasciculations ANS: succinylcholine
hemostatic device offers rapid and secure method of clamping, metal and MRI compatible ANS: ligating
clip
positioning device for head cases ANS: mayfield head positioner
suture permanently attached at the end of the needle referred to as ANS: swaged
overpressurization can lead to ANS: hypercarbaria
most commonly used local anesthetic ANS: lidocaine
double gloving ANS: 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 ANS:
moderate sedation / analgesia
who requires two patient identifiers on specimen labels ANS: JCO
,factor with high influence on wound healing that the surgical team can control ANS: tissue handling
patient at highest risk for hypothermia in perianesthesia phase ANS: 3 week old neonate for cardiac
anomaly
suture best suited for intestinal anastomosis ANS: vicryl
trailing a new insuflation system, over-pressurization leads to ANS: hypercarbia
process of decontamination begins when ANS: at completion of the surgical procedure
which injury is NOT related to a patient being placed in the lateral position ANS: compression of
abdominal cavity
primary substance found in epidermis that protects body from fluid loss and invasion of pathogens ANS:
keratin
correct statement regarding closed gloving ANS: closed gloving can only be used for initial gloving
what measure can be taken to prevent aspiration based on patient's history ANS: cricoid pressure
during induction
on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses
ANS: the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex ANS: puritis, edema, erythema and visicles 6-48
hours after exposure
,patient reports latex allergy, carries epi pen and beta-agonist inhaler ANS: true latex allergy
191.18 kg patient scheduled for surgery; interventions to enhance patient safety ANS: use of an OR bed
to accommodate patient weight and size
risk reduction strategy to reduce sharps injury ANS: passing sharp items using neutral / hands free
techniques instead of passing hand to hand
self retaining retractor for large patient ANS: bookwalter
silk loses tensile strength after what period of time ANS: 1 year
physical characteristic of suture ANS: knot strength
appropriate steps to remove sterile gown ANS: wipe gloves clean, untie side of gown, grasp gown at
one shoulder seam
practice for sponge, sharp, and instrument counts follows: ANS: institutional policy
laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis ANS: inadvertent
trocar puncture through bowel on insertion
risk factor for PONV ANS: FEMALE GENDER
source of radiation in OR ANS: C arm
, ideal suture material is one that has handling characteristics such as ANS: pliability
NOT a characteristic of silk suture ANS: memory
risk reduction strategy to reduce RSI ANS: replacing or tagging sponges and laparotomy instruments
with RFID chips
skin injuries related to shearing occur when the patient is in what position ANS: trendelenburg
intracorporeal suture technique uses suture tying process analogous to ANS: instrument tying
health professionals should employ which strategy to reduce risk of allergic reaction to latex ANS: use
powder free gloves that have low levels of protein and chemical allergens
patient right regarding consent ANS: right to informed consent
patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block
ANS: a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline
select the intervention that is an engineered control factor to protect patient from hypothermia ANS:
set ambient room temp between 68-73
CO2 gas is used to insufflate to: ANS: 9 L/min, 14-16 mm Hg
treatment for LAST includes ANS: lipids
correct order of removal for soiled sterile attire ANS: gown, gloves, mask
peripheral nerve block for ankle ORIF would complain if which symptom ANS: metallic taste in mouth
positioning arms correctly to avoid pressure on the elbow to prevent ANS: ulnar nerve injury
positioning device for bariatric patients prior to intubation ANS: upper body ramp
depolarizing muscle relaxant that produces generalized fasciculations ANS: succinylcholine
hemostatic device offers rapid and secure method of clamping, metal and MRI compatible ANS: ligating
clip
positioning device for head cases ANS: mayfield head positioner
suture permanently attached at the end of the needle referred to as ANS: swaged
overpressurization can lead to ANS: hypercarbaria
most commonly used local anesthetic ANS: lidocaine
double gloving ANS: 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 ANS:
moderate sedation / analgesia
who requires two patient identifiers on specimen labels ANS: JCO
,factor with high influence on wound healing that the surgical team can control ANS: tissue handling
patient at highest risk for hypothermia in perianesthesia phase ANS: 3 week old neonate for cardiac
anomaly
suture best suited for intestinal anastomosis ANS: vicryl
trailing a new insuflation system, over-pressurization leads to ANS: hypercarbia
process of decontamination begins when ANS: at completion of the surgical procedure
which injury is NOT related to a patient being placed in the lateral position ANS: compression of
abdominal cavity
primary substance found in epidermis that protects body from fluid loss and invasion of pathogens ANS:
keratin
correct statement regarding closed gloving ANS: closed gloving can only be used for initial gloving
what measure can be taken to prevent aspiration based on patient's history ANS: cricoid pressure
during induction
on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses
ANS: the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex ANS: puritis, edema, erythema and visicles 6-48
hours after exposure
,patient reports latex allergy, carries epi pen and beta-agonist inhaler ANS: true latex allergy
191.18 kg patient scheduled for surgery; interventions to enhance patient safety ANS: use of an OR bed
to accommodate patient weight and size
risk reduction strategy to reduce sharps injury ANS: passing sharp items using neutral / hands free
techniques instead of passing hand to hand
self retaining retractor for large patient ANS: bookwalter
silk loses tensile strength after what period of time ANS: 1 year
physical characteristic of suture ANS: knot strength
appropriate steps to remove sterile gown ANS: wipe gloves clean, untie side of gown, grasp gown at
one shoulder seam
practice for sponge, sharp, and instrument counts follows: ANS: institutional policy
laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis ANS: inadvertent
trocar puncture through bowel on insertion
risk factor for PONV ANS: FEMALE GENDER
source of radiation in OR ANS: C arm
, ideal suture material is one that has handling characteristics such as ANS: pliability
NOT a characteristic of silk suture ANS: memory
risk reduction strategy to reduce RSI ANS: replacing or tagging sponges and laparotomy instruments
with RFID chips
skin injuries related to shearing occur when the patient is in what position ANS: trendelenburg
intracorporeal suture technique uses suture tying process analogous to ANS: instrument tying
health professionals should employ which strategy to reduce risk of allergic reaction to latex ANS: use
powder free gloves that have low levels of protein and chemical allergens
patient right regarding consent ANS: right to informed consent
patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block
ANS: a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline
select the intervention that is an engineered control factor to protect patient from hypothermia ANS:
set ambient room temp between 68-73
CO2 gas is used to insufflate to: ANS: 9 L/min, 14-16 mm Hg
treatment for LAST includes ANS: lipids
correct order of removal for soiled sterile attire ANS: gown, gloves, mask
