NIFA FINAL EXAM/ NEWEST 2024 ACTUAL EXAM QUESTIONS
WITH CORRECT VERIFIED ANSWERS/ REATED +
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
The OR is a danger-prone area for both patients and staff. Providing a safe environment of care for the
patient involves identifying, mitigating, and managing the hazards inherent in surgical care. Choose the
answer below that completes the blanks in this sentence: The risk of the surgical hazard of
_________________ can be mitigated through _______________________. - ANS - wrong patient,
wrong site, and wrong side surgery; site marking and presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider and
perioperative nurse. A hand-off report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The first element of information that
should be presented in the hand-off report is: - ANS - patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? - ANS - Wash wound
with soap and water; flush mucous membranes.
A percutaneous method of instituting femoral vein-femoral artery cardiopulmonary bypass (CPB) can be
used for minimally invasive (or conventional open) procedures and in emergency situations where the
environment is not conducive to traditional CPB methods. Select the areas where percutaneous CPB
would be indicated - ANS - Cardiac catheterization unit and intensive care unit
Which two similar hernia repair approaches reestablish the integrity of the transversalis fascia and
simultaneously reestablish and strengthen the posterior inguinal floor by sewing the transversalis fascia
to the Poupart ligament? - ANS - The McVay or the Cooper ligament repair
, 2
Identify the class of medications that can increase the risk or severity of a reaction to contrast media -
ANS - Beta Blockers
The recommended length of time for inflation of an upper extremity tourniquet on a patient under 50
years old is_______while the recommended pressure is _____. - ANS - 1 hour; 250-300 mmHg
continuous tourniquet pressure less than 1 hour on the upper extremity and less than 2 hours on the
thigh. Tourniquet pressure should not exceed the recommended maximum cuff pressure limits of 300 to
350 mm Hg for the thigh and 250 to 300 mm Hg for the arm and the lower leg.
the statement that reflects a true special consideration for skin preparation before facial surgery. - ANS -
Leave the eyebrows and eyelashes intact to preserve facial appearance and expression.
A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli instruments
added to the standard thyroid or neck dissection setup, a 30-degree endoscope, and an ultrasonic
(harmonic) scalpel with scissors to ligate and divide the vessels. An important risk reduction strategy for
any minimally invasive procedure would be - ANS - consider and plan for the possibility of conversion to
open thyroidectomy
Peri-operative hypothermia is an important issue for all anesthetized patients because of all of the
following EXCEPT: - ANS - Increases risk of renal failure
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
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
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