This text is a compilation of perioperative quiz questions related to various aspects of surgical procedures, patient care, safety protocols, and anesthesia. The questions cover topics such as recommended practices for sponge, sharp, and instrument counts, types of suture, patient reactions during ...
NIFA PERIOPERATIVE QUIZ 1 \2 EXAM QUESTIONS WITH ACTUAL VERIFIED
ANSWERS ALREADY GRADED A+ NEWEST EDITION |FREQUENTLY TESTED
QUESTIONS
Recommended practices for sponge, sharp and instrument counts should follow which of the following?
a. JCAHO rules
b. Institutional policy
c. Legislation
d. CDC recommendations
Institutional Policy
Of the following choices, which would not be a consideration for choosing suture?
a. type of procedure
b. the tissue being reapproximated
c. type of reapproximation
d. scrub person preference
scrub person preference
Your patient had an episode of vomiting during anesthesia induction and was effectively suctioned by
anesthesia. Upon extubation, the patient presented with coughing, wheezing, dyspnea, use of accessory
muscles, and tachypnea. What is this patient most likely experiencing?
a. Airway obstruction
b. Bronchospasm
c. Laryngospasm
,d. Irritated airway
Bronchospasm
The area between the surgeon and scrub person designated for passing sharps safely is referred to as
the:
a. sharps zone
b. hands-free zone
c. neutral zone
d. safety zone
neutral zone
The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity to
which group of medications?
a. Anticholinergics, parasympatholytics
b. Antidysrhythmic agents
c. Opioids and hypnotics
d. Adrenergics
. Opioids and hypnotics
Select all of the potentially harmful effects of extreme 45-degree Trendelenburg in a robotic procedure
from the following.
a. increased intraocular pressure, decreased pulmonary complaince, shearing
b. Pelvic pressure from abdominal organs, finger injury from hands pressed against thighs, popliteal
pressure within stirrups
c. Facial edema, decreased ICP. shearing injuries
d. Heel pressure injury from stirrup boot, hyperabduction injury to the arms, pulmonary embolism.
,Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal immediate and
last resort response by the anesthesia provider or perianesthesia nurse in an emerging patient who has
been in spasm for over 1 minute?
a. gentle stimulation and bag-valve mask ventilation with oxygen
b. suctioning, IV succinylcholine administration, and reintubation
c. emergency tracheostomy with a cricothyrotomy approach
d. IV bronchodilator administration and nebulized oxygen treatment in the PACU
suctioning, IV succinylcholine administration, and reintubation
The ideal suture material is one that has handling characteristics such as
a. memory
b. plasticity
c. pliability
d. capillarity
pliability
Which members of the surgical team can be held liable in litigation for retained foreign bodies?
Select one:
a. the entire team
b. the surgeon
c. the scrub person
d. the scrub person and the circulator
The entire surgical team
, Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery. While assessing Mr.
Jennings in the preoperative holding area, the perioperative nurse is concerned about the risk for
pressure injury because of the weight of the patient's body pressing against the surface of the OR bed
for a long surgery. Which of the following factors might the RNFA recognize as having the potential to
produce pressure?
a. the scrub person leaning with his or her forearm on the Mayo stand
b. a self-retaining retractor post clamped to the OR bed rail and tightened against the patient's side
c. towel clamps used to secure the drapes at the abdomen
d. full-leg sequential compression wraps on both legs throughout the entire surgery
a self-retaining retractor post clamped to the OR bed rail and tightened against the patient's side
While Fowler's position offers the best respiratory excursion for the patient, the patient is at higher risk
for _______ because of dependent pooling in the hips and legs.
Select one:
a. Venous thrombosis
b. Sacral ischemia
c. Pressure ulcer formation to the heels
d. Pitting edema
Venous thrombosis
During a hysteroscopy, sterile saline is used to expand the intrauterine compartment and enhance
visualization. The perioperative nurse is concerned that approximately 500 ml of fluid was unaccounted
for and alerted the surgeon and RNFA. The nurse's motive for this surveillance is to:
Select one:
a. determine the potential for intravasation
b. determine the potential for extravasation
c. determine the potential for hyernatremia
d. determine the potential for tachycardia
determine the potential for intravasation
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