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NIFA Final Exam Questions Study Guide_
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- NIFA
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- Penn State
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NIFA Final Exam Questions_Study Guide_SWStudy online at https://quizlet.com/_fdd6wp
1. To promote facility-wide best practices in sterile technique, AORN recom-
mends that registered nurses:: a. practice collaboration, leadership, and team-
work in the perioperative environment
b. take part in ongoing quality assurance, monitoring, and performance activities
designed to improve the performance of sterile technique
c. help establish a culture in which concerns about breaches in sterile technique are
communicated immediately and appropriately
d. all of the above
2. Team building can increase efficiency and productivity resulting in:: a. im-
proved outcomes in delivery of services
b. higher staff morale
c. increased patient satisfaction
d. all of the above
3. A thorough preoperative assessment is critical during which the perioper-
ative nurse
must identify unique patient considerations that may require additional pre-
cautions or
contraindications related to MIS procedures. This assessment must include
identification of risk factors related to 1. Extreme positioning 2. Prevention of
venous
stasis 3. Informed consent. 4. Fluid management: a. 3 and 4
b. 1 and 2
c. 1, 2, 3, and 4
d. 1, 2, and 4
4. When counting needles in a multiple needle suture pack:: a. it is safe to
assume that the package count is correct
b. the empty suture package may be used to reconcile a discrepancy in the count
c. only the scrub person is responsible for counting the needles
d. the scrub person should verify the number of needles when the package is opened
5. The electrosurgical dispersive pad should be applied ________________.: a.
on a rough, irregular body surface
b. to a muscular area
c. to a bony prominence
d. to an area of moisture
6. When gathering information about medications that the patient is taking, it
is important to include:: a. physician prescribed medications
b. over the counter medications and vitamins
c. herbal medications that the patient may be taking
d. all of the above
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7. ECG leads can be the site of alternate burns. What actions can help prevent
these?: a. make sure that hard electrical contact engages the patient and the ground
b. use electrodes that concentrate the current
c. locate ECG leads as far as possible from the operative site
d. place ground pad as far away from the operative site as possible
8. When decontaminating and cleaning a pneumatically powered surgical in-
strument: a. the gas hose should remain attached to the handpiece.
b. all of the above.
c. a detergent/disinfectant solution should be use
d. the outside should be dried with lint free towels.
9. One of the two strongest layers in tissue closure includes the:
Core Curriculum for the RN First Assistant, 5th ed., p. 75: a. Subcutaneous
tissue
b. Fascia
c. Retinacullum
d. Muscle
10. The RNFA should be aware of the possibility that a laparoscopic case could
become an open case. A reason for this conversion in a cholecystectomy
would be for which of the following reasons?
Core Curriculum for the RN First Assistant, 5th ed., p. 103: a. An extremely thin
walled gallbladder
b. Previous left colon surgery
c. A gallbladder that contains sludge
d. Inability to remove a stone from the CBD via ERCP
11. A patient has the following lab values noted intraoperatively. pH < 7.35,
PCO2<35
mmHg, HCO3 < 22 mEq/L. This patient is in:
Core Curriculum for the RN First Assistant, 5th ed., p. 314: a. Respiratory
Alkalosis
b. Respiratory Acidosis
c. Metabolic Alkalosis
d. Metabolic Acidosis
12. All of the following wound healing complications are attributed to smoking
except:
Core Curriculum for the RN First Assistant, 5th ed., p. 86: a. Increased blood
viscosity
b. Decreased blood viscosity
c. Diminshed collagen synthesis
d. Infection
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13. The usual dry time for most skin preps is ___________minutes.
Core Curriculum for the RN First Assistant, 5th ed., p. 47: a. 2-3
b. 1-3
c. 3-5
d. 3-4
14. Due to excellent healing results with minimal scarring, which suturing
technique is commonly chosen for plastic surgery?
Core Curriculum for the RN First Assistant, 5th ed., p. 65: a. Subdermal
b. Running locking
c. Subcuticular
d. Intradermal
15. The aortic root is located:
Core Curriculum for the RN First Assistant, 5th ed., p. 243: a. At the junction of
the pulmonary artery and the left atrium
b. At the junction of the pulmonary artery and the right atrium
c. At the junction of the origin of the ascending aorta and the left ventricle
d. At the junction of the origin of the ascending aorta and the right ventricle
16. Suture should be selected based on which of the following?
Core Curriculum for the RN First Assistant, 5th ed., p. 61: a. Tissue resistance
b. Surgical outcome
c. Ease of handling
d. Potential for scarring
17. The humidity levels of the OR should range between _____% and ______%.
Core Curriculum for the RN First Assistant, 5th ed., p. 320: a. 40-70
b. 35-60
c. 30-70
d. 30-65
18. The "Gold Standard" for open hernia repair is called the:
Core Curriculum for the RN First Assistant, 5th ed., p. 115: a. McVay Repair
b. TAPP Repair
c. Bassini Repair
d. Lichtenstein Repair
19. The RNFA should be prepared to assist with the ______________surgical
procedure if a patient needs surgical intervention for the treatment of atrial
fibrillation. Core Curriculum for the RN First Assistant, 5th ed., p. 248: a.
DeBakey
b. Nodal
c. Pathway
d. Maze
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20. The most commonly used incision for Cesarean section is the:
Core Curriculum for the RN First Assistant, 5th ed., p. 112: a. Vertical
b. Pfannensteil
c. Unfrumbilical
d. Suprapubic
21. There are disease processes that cause aortic aneurysms to develop.
Which of the following is not noted within this list of causative disease
processes? Core Curriculum for the RN First Assistant, 5th ed., p. 257: a.
Marfan Syndrome
b. Rheumatic Fever
c. Turner Syndrome
d. Scleroderma
22. When intra-operative cholangiograms are performed, the cholangiogram
catheter is placed in the :
Core Curriculum for the RN First Assistant, 5th ed., p. 108: a. Cystic duct
b. Hatmanns pouch
c. Common hepatic duct
d. Common bile duct
23. Another name for the left colic flexure is _____.
Core Curriculum for the RN First Assistant, 5th ed., p. 130: a. Ligament of Treitz
b. Colic gutter
c. Hepatic flexure
d. Splenic flexure
24. A patient does not disclose the use of ephedra to the anesthesiologist
during the preoperative visit. If Halothane is used during the procedure, the
patient is at an increased risk for:
Core Curriculum for the RN First Assistant, 5th ed., p. 308: a. Vasoconstriction
b. MI
c. Ventricular Arrythmias
d. Vasospasm
25. Injury to this particular layer of vascular tissue can initiate spasm and
thrombosis. Which layer must the RNFA be especially careful when handling?
Core Curriculum for the RN First Assistant, 5th ed., p. 249: a. Tunica Externa
b. Endothelium
c. Tunica Media
d. Subendothelium
26. Physicians must consider which of the following options when determin-
ing the best treatment option for breast cancer surgery.
Core Curriculum for the RN First Assistant, 5th ed., p. 121: a. Size of tumor
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