NIFA PERIOPERATIVE QUIZ 2025/
2026 QUESTIONS WITH VERIFIED
ANSWERS
Suture permanently attached to the needle are referred to as
A. Engineered crimp
B. Controlled release
C. Reverse cutting
D. Swaged - correct answer -D. Swaged
Alexanders 15 P 191
The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous
tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating RN to increase the cut and
coagulation modes on the ESU. What measure could the scrub person take to enhance energy
delivery?
A. Unwrap the ESU cord from around the tower damp handle
B. Clean the charred tissue from the active electrode blade.
C. Change the settings to blend mode
D. Replace the active electrode blade with a coated blade. - correct answer -B. Clean the
charred tissue from the active electrode blade
Alexanders 15th P 233
Which of the following is not a characteristic of silk suture?
,A. Soft
B. Handling ability
C. Knot security
D. Memory - correct answer -D. Memory
Alexanders 15th p 189
Of the following, which measure, supported by evidence, has been identified to reduce SSI's
and affect surgical outcomes?
A. Antibiotics given IV within 1 hr of the incision for every procedure with an incision or entered
body system
B. Tobramycin and methylmethacrylate bead implants into deep orthopedic incisions at risk for
osteomyelitis
C. Bacitracin ointment on a clean subcuticular sutured incision as part of the dressing
D. Vancomycin paste applied to cut edges of the sternum in cardiac surgery - correct answer -A.
Antibiotics given within 1 hr of incision for every procedure with an incision of entered body
system
Alexanders 15th P 77
Recommended practice for sponge, sharp and instrument counts should follow which of the
following?
A. JACHO rules
B. Institutional policy
C. Legislation
D. CDC recommendations - correct answer -B. Institutional policy
Alexander 15th P 29
, A reverse cutting needle is preferred for __________ suturing
A. Cutaneous
B. Opthalmic
C. Microsurgical
D. Plastics - correct answer -A. Cutaneous
Alexanders 15th P 192
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 _____.
A. Total subarachnoid syndrome, mechanical ventilation
B. Hypotensive apnea episode, tracheostomy and humidified positive end-expiratory pressure
C. Cardiogenic shock, ACLS protocol
D. Total spinal anesthesia, general endotracheal anesthesia. - correct answer -D. Total spinal
anesthesia, general endotracheal anesthesia
Care of the patient in surgery 15th P 145
When buried in tissue, silk loses its tinsile strength after what period of time?
A. 6 months
B. 1yr
C. 90 days
D. 2 qwwka - correct answer -B. 1 Yr
2026 QUESTIONS WITH VERIFIED
ANSWERS
Suture permanently attached to the needle are referred to as
A. Engineered crimp
B. Controlled release
C. Reverse cutting
D. Swaged - correct answer -D. Swaged
Alexanders 15 P 191
The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous
tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed
through the muscle and fascia layer, she asked the circulating RN to increase the cut and
coagulation modes on the ESU. What measure could the scrub person take to enhance energy
delivery?
A. Unwrap the ESU cord from around the tower damp handle
B. Clean the charred tissue from the active electrode blade.
C. Change the settings to blend mode
D. Replace the active electrode blade with a coated blade. - correct answer -B. Clean the
charred tissue from the active electrode blade
Alexanders 15th P 233
Which of the following is not a characteristic of silk suture?
,A. Soft
B. Handling ability
C. Knot security
D. Memory - correct answer -D. Memory
Alexanders 15th p 189
Of the following, which measure, supported by evidence, has been identified to reduce SSI's
and affect surgical outcomes?
A. Antibiotics given IV within 1 hr of the incision for every procedure with an incision or entered
body system
B. Tobramycin and methylmethacrylate bead implants into deep orthopedic incisions at risk for
osteomyelitis
C. Bacitracin ointment on a clean subcuticular sutured incision as part of the dressing
D. Vancomycin paste applied to cut edges of the sternum in cardiac surgery - correct answer -A.
Antibiotics given within 1 hr of incision for every procedure with an incision of entered body
system
Alexanders 15th P 77
Recommended practice for sponge, sharp and instrument counts should follow which of the
following?
A. JACHO rules
B. Institutional policy
C. Legislation
D. CDC recommendations - correct answer -B. Institutional policy
Alexander 15th P 29
, A reverse cutting needle is preferred for __________ suturing
A. Cutaneous
B. Opthalmic
C. Microsurgical
D. Plastics - correct answer -A. Cutaneous
Alexanders 15th P 192
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 _____.
A. Total subarachnoid syndrome, mechanical ventilation
B. Hypotensive apnea episode, tracheostomy and humidified positive end-expiratory pressure
C. Cardiogenic shock, ACLS protocol
D. Total spinal anesthesia, general endotracheal anesthesia. - correct answer -D. Total spinal
anesthesia, general endotracheal anesthesia
Care of the patient in surgery 15th P 145
When buried in tissue, silk loses its tinsile strength after what period of time?
A. 6 months
B. 1yr
C. 90 days
D. 2 qwwka - correct answer -B. 1 Yr
