NIFA STUDY GUIDE EXAM WITH
ACTUAL QUESTION AND ANSWERS
2024/2025{FOR A+ GRADES}
The number one patient safety issue identified in a survey of
peri-operative nurses is preventing: - ANSWER>>>>>Wrong
site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk
because: - ANSWER>>>>>OR personnel not properly trained
to reprocess instruments
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: - ANSWER>>>>>157 lbs
_______________ should be the primary decision makers
for what equipment and supplies are purchased and stocked
in the difficult airway management cart. -
ANSWER>>>>>Anesthesia personnel
Proper specimen management techniques prevent errors
and include all of the following EXCEPT: -
ANSWER>>>>>Receiving specimens from the surgical field
then affixing patient label to each
Preventing surgical fires is a top priority for all OR personnel
and members of the surgical team should perform all of the
,following duties EXCEPT: - ANSWER>>>>>Perform a weekly
fire risk assessment
Peri-operative hypothermia is an important issue for all
anesthetized patients because of all of the following
EXCEPT: - ANSWER>>>>>Increases risk of renal failure
Recommendations for preventing retained surgical items
include all of the following EXCEPT: - ANSWER>>>>>Utilizing
a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and
blood products. - ANSWER>>>>>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
Weighing sponges is a valuable tool for meticulous
calculation of blood and fluid loss when conducted correctly
and used in appropriate circumstances. Select the response
that correctly reflects the best practice in weighing sponges.
- ANSWER>>>>>Keep a running total blood loss calculated
from available sponges during procedure
Laparoscopic procedures that emergently convert to open
procedures place the patient at risk for unintentional
retained foreign objects (RFOs). What new and evolving risk
reduction strategy could prevent RFOs and frustrating, time-
consuming miscount adventures at the end of these
procedures? - ANSWER>>>>>Replacing or tagging sponges
, and laparotomy instruments with radiofrequency
identification (RFID) chips
A female patient with end-stage pancreatic cancer was
admitted from hospice for a celiac plexus block to treat
intractable pain. She had a Whipple procedure 18 months
earlier and enjoyed a good quality of life until 3 weeks ago.
She wanted to be able to complete "getting her things in
order" and saying good-bye to her friends and family while
enjoying her last days pain-free. The patient insisted that
her Do Not Resuscitate (DNR) status NOT be rescinded. She
was conscious and competent and knew what was best for
herself. The patient was taking full advantage of what
provision for her care? - ANSWER>>>>>PSDA and advance
directives
A patient was presented with the prepared informed
consent form during the discussion with her surgeon
concerning her scheduled vaginal-assisted laparoscopic
hysterectomy. She demonstrated and verbalized that she
understood all of the tenets of the procedure, risks,
expected outcome, complications, and procedural process.
Before she signed the consent form, she informed the
surgeon that she did not want any medical students or
surgical residents performing any parts of the procedure
other than assisting and did not want any photographs of
her body taken. The surgeon agreed, and she crossed out
those portions of the form and initialed them before she
signed. The patient was exercising her: - ANSWER>>>>>right
to informed consent.
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