2024-2025 NIFA TEST BANK WITH 1000
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS/ NIFA
CERTIFICATION TEST 2024/2025
(BRAND NEW!)
A patient presents to the OR with an injury to the anterior chest from blunt force
trauma. The RNFA can expect damage to which
of the following areas?
Select one:
a. Left ventricle
b. Right ventricle
c, Left atrium
d. Right atrium
b. Right ventricle
In the OR, the role of the scrub person may be filled by:
a. the circulating nurse
b. The RNFA
c. a CNA
d. a ST or CST
d. a ST or CST
The person who develops the patient's plan of care is the:
a. surgeon, using the physcian's pick list.
b. circulating nurse, consulting HIPPA
c. pre-admission nurse, using the PNDS
d. preoperative nurse, using the PNDS
c. pre-admission nurse, using the PNDS
Upon arrival at a medical facility for surgery, considerable anxiety may be
experienced by patients who:
a. do not have enough information about their surgical procedure.
pg. 1
,b. have had prior surgeries
c. do not have serious illness
d. meet any or all of the criteria above.
d. meet any or all of the criteria above.
The circulating nurse's role is to:
a. conduct the instrument, sponge, and sharp counts with the scrub nurse.
b. remain at the patient's side to reassure the patient.
c. gather positioning equipment.
d. begin entering data on the periop record.
d. begin entering data on the periop record
NOT appearing on the pre-admission nurse's questionnaire is the patient's"
a. History of allergies
b. limitation in movement
c. BP and HR
d. surgeon's name
c. BP and HR
Patient confidentiality is NOT breeched when the:
a. preoperative nurse tells the family that the patient is overweight.
b. circulating nurse reminds the PACU nurse that the patient has Alzheimer's
c. pre-admission nurse asks the CNA over lunch if Mrs. Smith's extreme anxiety
delayed her procedure.
d. surgeon interviews the pre-operative patient in the presence of strangers without
asking the patient.
b. circulating nurse reminds the PACU nurse that the patient has Alzheimer's
A technique NOT to use when interviewing the preoperative patient is to:
a. carefully avoid acknowledging the patient's feelings of anger or fear.
b. be aware of body language.
c. repeat the patient's statements
d. introduce yourself to family members.
a. carefully avoid acknowledging the patient's feelings of anger or fear.
In the semi restricted area of the OR:
a. traffic is limited to authorized personnel and patients.
pg. 2
,b. there are areas where instruments may be stored or processed.
c. is where peripheral support areas are maintained.
d. all of the above conditions apply.
d. all of the above conditions apply.
Marissa Walton is transferred to the OR from the burn unit for debridement of the
partial-thickness burn areas and a dressing change under anesthesia. What
important preparation for the procedure should be performed before Marissa
arrives in the OR?
Select one:
a. Procure the allograft skin from the freezer and begin the thaw process.
b. Procure a basic plastic instrument set plus a knife dermatome and sterile mineral
oil.
c. Prewarm the OR to above the ambient high temperature for an adult.
X d. Collaborate with the anesthesia provider to determine fluid replacement
requirements.
*Alexander's pp. 823*
To decrease risk of contamination, AORN recommends that a sterile field be
a. prepared in the room adjacent to where it will be used
b. prepared as close as possible to the start time of the procedure
c. prepared no more than 60 minutes before the start time of the procedure.
d. covered and left for up to 2 hours of a procedure is unexpectedly delayed.
b. prepared as close as possible to the start time of the procedure
While assisting during a surgery, a team member observes that an instrument in a
set is clamped shut. The rest of the instruments in the set are unclamped, as
expected. The chemical sterilization indicators have changed as expected. The
team member has already passed other instruments in the pack to the surgeon. To
take corrective action, the team member should:
a. unclamp the instrument
b. use a sterile sponge or towel to pick up the clamped instrument and set it aside,
then continue using the rest of the pack.
c. set the instrument and the rest of the pack aside, and discuss the event with the
team when the procedure is over.
d. remove the entire set and any other instruments the set may have come in
pg. 3
, contact with; change gloves; and notify the team right away, so that additional
corrective steps can be taken if needed.
d. remove the entire set and any other instruments the set may have come in
contact with; change gloves; and notify the team right away, so that additional
corrective steps can be taken if needed.
True or False: AORN and OSHA are working together to prevent exposure to
blood-borne diseases, reduce ergonomic injuries and prevent exposure to smoke
plume.
True.
Identify the potential complications related to laparoscopic surgery.
Select all that apply
a. Pneumonia
b. Hypoxemia
c. Hypercarbia
d. Cardiac dysrhythmia
e. Hypocarbia
f. CO2 embolism
B, C, D, & F
Which region of the patient's abdomen is traditionally used to established
pneumoperitoneum for laparoscopic surgery?
a. periumbilical
b. supraumbilical
c. subumbilical
d. umbilical
a. periumbilical
In addition to the surgon, which surgical team members wear sterile gowns and
gloves during the procedure? select all that apply
a. Anesthesia Care Provider
b. Circulation nurse
c. Scrub person
d. Surgical assistant
C&D
pg. 4
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