NIFA STUDY GUIDE QUESTIONS AND
ANSWERS 2024
If a staff person receives a needlestick injury, what is the first corrective
action? - ANS-Wash wound with soap and water; flush mucous
membranes.
Contact with infected patients or infectious material places healthcare
workers at risk for occu...
NIFA STUDY GUIDE QUESTIONS AND
ANSWERS 2024
If a staff person receives a needlestick injury, what is the first corrective
action? - ANS-Wash wound with soap and water; flush mucous
membranes.
Contact with infected patients or infectious material places healthcare
workers at risk for occupational-acquired infection. Which
communicable disease are healthcare workers at risk for acquiring or
transmitting? - ANS-Seasonal influenza
Select the appropriate nursing action that supports hands-free
instrument passing and sharps safety. - ANS-Create a neutral hands-
free area between the scrub person and surgeon with a basin or
magnetic mat.
Select the guideline that complements the design of the culture of
safety model. - ANS-Incorporate safe practices into your daily work
when handling sharps.
A neutral zone is a predetermined location on the surgical field where
sharps are placed for retrieval by the surgeon. Which of the following is
a best practice for the use of the neutral zone? - ANS-Announce the
transfer of each sharp before placing it in the neutral zone.
Which of the following may be a consequence of high-dose or full-body
radiation? - ANS-Nausea, vomiting, and diarrhea
Exposure to blood-borne pathogens occurs during all phases of the
perioperative process. Observing safety precautions during all phases of
surgery, from setup to cleanup, reduces the number of injuries and
,exposures for all OR personnel. For the prevention of sharps injuries in
the pre-procedure and post-procedure phases, which safe handling
practices reflect appropriate nursing actions? - ANS-Use standardized
sterile field setups throughout the surgical service department.
The number one patient safety issue identified in a survey of peri-
operative nurses is preventing: - ANS-Wrong site/procedure/patient
surgery
Reprocessing (flashing) instruments in the OR is high risk because: -
ANS-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: - ANS-157 lbs
_______________ should be the primary decision makers for what
equipment and supplies are purchased and stocked in the difficult
airway management cart. - ANS-Anesthesia personnel
Proper specimen management techniques prevent errors and include
all of the following EXCEPT: - ANS-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: - ANS-Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized
patients because of all of the following EXCEPT: - ANS-Increases risk of
renal failure
, Recommendations for preventing retained surgical items include all of
the following EXCEPT: - ANS-Utilizing a multidisciplinary team to resolve
incorrect counts
Select the appropriate order for administering blood and blood
products. - ANS-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. - ANS-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? - ANS-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? - ANS-PSDA and advance
directives
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