NIFA STUDY GUIDE EXAM QUESTIONS AND ANSWERS.

NIFA STUDY GUIDE EXAM QUESTIONS
AND ANSWERS


The Inumber Ione Ipatient Isafety Iissue Iidentified Iin Ia Isurvey Iof Iperi-operative Inurses Iis
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Ipreventing: I- Icorrect IAnswers I✔✔ I-Wrong Isite/procedure/patient Isurgery
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Reprocessing I(flashing) Iinstruments Iin Ithe IOR Iis Ihigh Irisk Ibecause: I- Icorrect IAnswers I✔✔ I-OR
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Ipersonnel Inot Iproperly Itrained Ito Ireprocess Iinstruments
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To Isafely Itransfer Iand Iposition Ipatients Iin Ia Imanner Ithat Iprevents Ishearing, Ipersonnel Ishould
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Iuse Ia Imechanical Ilifting Idevice Ifor Ia Isupine-to-supine Itransfer Iof Ia Ipatient Iweighing Imore Ithan:
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I- Icorrect IAnswers I✔✔ I-157 Ilbs
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_______________ Ishould Ibe Ithe Iprimary Idecision Imakers Ifor Iwhat Iequipment Iand Isupplies Iare
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Ipurchased Iand Istocked Iin Ithe Idifficult Iairway Imanagement Icart. I- Icorrect IAnswers I✔✔ I-
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Anesthesia Ipersonnel kr




Proper Ispecimen Imanagement Itechniques Iprevent Ierrors Iand Iinclude Iall Iof Ithe Ifollowing IEXCEPT:
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I- Icorrect IAnswers I✔✔ I-Receiving Ispecimens Ifrom Ithe Isurgical Ifield Ithen Iaffixing Ipatient Ilabel Ito
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Ieach
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Preventing Isurgical Ifires Iis Ia Itop Ipriority Ifor Iall IOR Ipersonnel Iand Imembers Iof Ithe Isurgical Iteam
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Ishould Iperform Iall Iof Ithe Ifollowing Iduties IEXCEPT: I- Icorrect IAnswers I✔✔ I-Perform Ia Iweekly
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Ifire Irisk Iassessment
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Peri-operative Ihypothermia Iis Ian Iimportant Iissue Ifor Iall Ianesthetized Ipatients Ibecause Iof Iall Iof
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Ithe Ifollowing IEXCEPT: I- Icorrect IAnswers I✔✔ I-Increases Irisk Iof Irenal Ifailure
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Recommendations Ifor Ipreventing Iretained Isurgical Iitems Iinclude Iall Iof Ithe Ifollowing IEXCEPT: I-
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Icorrect IAnswers I✔✔ I-Utilizing Ia Imultidisciplinary Iteam Ito Iresolve Iincorrect Icounts
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Select Ithe Iappropriate Iorder Ifor Iadministering Iblood Iand Iblood Iproducts. I- Icorrect IAnswers I✔✔
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I-Verify Iinformed Iconsent Ifor Iblood, Iverify Ipatient Iidentification Iand Iblood Itype Iand Iunit
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Inumbers Iagainst Iblood Itag Iand Irequisition Islip Iwith Isecond Ilicensed Iperson, Isign Islips
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Weighing Isponges Iis Ia Ivaluable Itool Ifor Imeticulous Icalculation Iof Iblood Iand Ifluid Iloss Iwhen
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Iconducted Icorrectly Iand Iused Iin Iappropriate Icircumstances. ISelect Ithe Iresponse Ithat Icorrectly
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, Ireflects Ithe Ibest Ipractice Iin Iweighing Isponges. I- Icorrect IAnswers I✔✔ I-Keep Ia Irunning Itotal
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Iblood Iloss Icalculated Ifrom Iavailable Isponges Iduring Iprocedure
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Laparoscopic Iprocedures Ithat Iemergently Iconvert Ito Iopen Iprocedures Iplace Ithe Ipatient Iat Irisk
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Ifor Iunintentional Iretained Iforeign Iobjects I(RFOs). IWhat Inew Iand Ievolving Irisk Ireduction Istrategy
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Icould Iprevent IRFOs Iand Ifrustrating, Itime-consuming Imiscount Iadventures Iat Ithe Iend Iof Ithese
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Iprocedures? I- Icorrect IAnswers I✔✔ I-Replacing Ior Itagging Isponges Iand Ilaparotomy Iinstruments
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Iwith Iradiofrequency Iidentification I(RFID) Ichips
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A Ifemale Ipatient Iwith Iend-stage Ipancreatic Icancer Iwas Iadmitted Ifrom Ihospice Ifor Ia Iceliac Iplexus
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Iblock Ito Itreat Iintractable Ipain. IShe Ihad Ia IWhipple Iprocedure I18 Imonths Iearlier Iand Ienjoyed Ia
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Igood Iquality Iof Ilife Iuntil I3 Iweeks Iago. IShe Iwanted Ito Ibe Iable Ito Icomplete I"getting Iher Ithings
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Iin Iorder" Iand Isaying Igood-bye Ito Iher Ifriends Iand Ifamily Iwhile Ienjoying Iher Ilast Idays Ipain-free.
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IThe Ipatient Iinsisted Ithat Iher IDo INot IResuscitate I(DNR) Istatus INOT Ibe Irescinded. IShe Iwas
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Iconscious Iand Icompetent Iand Iknew Iwhat Iwas Ibest Ifor Iherself. IThe Ipatient Iwas Itaking Ifull
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Iadvantage Iof Iwhat Iprovision Ifor Iher Icare? I- Icorrect IAnswers I✔✔ I-PSDA Iand Iadvance Idirectives
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A Ipatient Iwas Ipresented Iwith Ithe Iprepared Iinformed Iconsent Iform Iduring Ithe Idiscussion Iwith
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Iher Isurgeon Iconcerning Iher Ischeduled Ivaginal-assisted Ilaparoscopic Ihysterectomy. IShe
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Idemonstrated Iand Iverbalized Ithat Ishe Iunderstood Iall Iof Ithe Itenets Iof Ithe Iprocedure, Irisks,
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Iexpected Ioutcome, Icomplications, Iand Iprocedural Iprocess. IBefore Ishe Isigned Ithe Iconsent Iform,
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Ishe Iinformed Ithe Isurgeon Ithat Ishe Idid Inot Iwant Iany Imedical Istudents Ior Isurgical Iresidents
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Iperforming Iany Iparts Iof Ithe Iprocedure Iother Ithan Iassisting Iand Idid Inot Iwant Iany Iphotographs
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Iof Iher Ibody Itaken. IThe Isurgeon Iagreed, Iand Ishe Icrossed Iout Ithose Iportions Iof Ithe Iform Iand
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Iinitialed Ithem Ibefore Ishe Isigned. IThe Ipatient Iwas Iexercising Iher: I- Icorrect IAnswers I✔✔ I-right
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Ito Iinformed Iconsent.
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Early Ion, Iduring Ithe Ipreliminary Isponge Icount Ion Iclosure Iof Ia Irepair Iof Ia Iruptured Iabdominal
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Iaortic Ianeurysm, Ithe Icirculating Inurse Iwas Iunable Ito Iaccount Ifor I2 Ilap Isponges. IHe Ihad
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Imeticulously Imaintained Iaccountability Ifor Iall Isponges Iand Iinstruments Idiscarded Ifrom Ithe
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Isterile Ifield Iand Ibagged Ieach Isponge Icarefully. IHe Iimmediately Iturned Iand Iaddressed Ithe Ientire
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Iteam Iin Ia Iclear Ivoice. ISelect Ithe Iappropriate Icommunication Ithat Ithe Icirculating Inurse Imust
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Iemploy Iduring Ithis Icount Idiscrepancy. I- Icorrect IAnswers I✔✔ I-"We Ihave Ia Icount Idiscrepancy.
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IWe Istarted Iwith I70 Isponges Iand Ifind Ionly I68. IWe Iare Imissing I2 Ilap Isponges. IEveryone, Iplease
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Icheck Iyour Iareas.
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The IOR Iis Ia Idanger-prone Iarea Ifor Iboth Ipatients Iand Istaff. IProviding Ia Isafe Ienvironment Iof Icare
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Ifor Ithe Ipatient Iinvolves Iidentifying, Imitigating, Iand Imanaging Ithe Ihazards Iinherent Iin Isurgical
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Icare. IChoose Ithe Ianswer Ibelow Ithat Icompletes Ithe Iblanks Iin Ithis Isentence: IThe Irisk Iof Ithe
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Isurgical Ihazard Iof I_________________ Ican Ibe Imitigated Ithrough I_______________________. I-
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Icorrect IAnswers I✔✔ I-wrong Ipatient, Iwrong Isite, Iand Iwrong Iside Isurgery; Isite Imarking Iand
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Ipresurgical Ichecklists
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