NIFA FINAL TEST PAPER 2026 QUESTIONS
AND ANSWERS GRADED A PLUS
◉ Qualities of an effective packaging material must include several
key characteristics. Select the three most important qualities.
Answer: Good steam penetration and removal, good microbial
barrier, aseptic presentation.
◉ The design of the physical space within an OR attempts to
minimize horizontal surfaces by placing cabinets flush with the wall.
This prevents dust settling on multiple surfaces and decreases the
areas that have to be monitored and cleaned. Another concern with
horizontal surfaces is that is turbulence from staff movement and
activity plus door movement, when it opens and closes, can:
Answer: mobilizing resting dust from these surfaces.
◉ An 86-year-old male was admitted to the intensive care unit (ICU)
3 weeks ago for heart failure and intractable atrial fibrillation. He
has had diarrhea for 4 days that has cultured C. difficile. The
transmission-based precautions sign on the door to his room alerts
the staff to employ which practice precaution?
Answer: Both standard precautions and contact precautions
,◉ Closed gloving is the technique of choice for the initial donning of
sterile gloves by the scrubbed team member; however:
Answer: it can only be used for the initial gloving.
◉ the final step, after decontamination and before sterilization, is
the prep, pack, and wrap process. The sterile processing technologist
has taken the laparotomy set from the washer/decontaminator to
prepare for sterilization. Select the most appropriate order that the
instrument set must travel before reaching the steam sterilizer.
Answer: Inspect, inventory against list, assemble, place integrators,
wrap and tape
◉ A patient undergoing a laparoscopic Nissen fundoplication
procedure will be positioned in both high and low lithotomy during
the procedure. After the patient is re-positioned into lo lithotomy,
the perioperative nurse should:
Answer: reassess the patient for body alignment, tissue integrity,
and pressure areas.
◉ A 68-year-old, American Society of Anesthesiologists (ASA)
physical status (OS)-2 male with early-stage prostatic cancer, was
intubated and positioned for a robotic-assisted laparoscopic radical
prostatectomy. The initial position for insertion of the trocars was
supine with arms tucked and secured within under-mattress sled
arm positioners padded with gel. His hands were placed in a natural
position with the fingers wrapped around gauze rolls and touching
, his lateral thighs. The new anesthesia provider, who had never seen
a robotic prostatectomy, was concerned about anesthesia
implications when the patient would be repositioned into extreme
Trendelenburg for the dissection and anastomosis. The circulating
nurse assured her that they would implement protective measures
and work together to ensure the best patient outcome. Select all of
the potentially harmful effects of extreme 45-degree Trendelenburg
in a robotic pr
Answer: Respiratory compromise and ventilation resistance
Shearing injury to soft tissues
◉ A 325-pound male is scheduled for a 6-hour abdominal surgery.
While assessing the patient 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 operating room bed for a long surgery. Which of these
other factors may also produce pressure?
Answer: A self-retianing retractor post clamped to the OR bed rail
and tightened against the patient's side.
◉ Prolonged lithotomy positioning can result in neuropathies of the
legs. The most frequently injured nerves are the obturator, sciatic,
femoral, and __________nerve, which can result in injury from _________.
Answer: common peroneal; full leg pneumatic compression sleeves
AND ANSWERS GRADED A PLUS
◉ Qualities of an effective packaging material must include several
key characteristics. Select the three most important qualities.
Answer: Good steam penetration and removal, good microbial
barrier, aseptic presentation.
◉ The design of the physical space within an OR attempts to
minimize horizontal surfaces by placing cabinets flush with the wall.
This prevents dust settling on multiple surfaces and decreases the
areas that have to be monitored and cleaned. Another concern with
horizontal surfaces is that is turbulence from staff movement and
activity plus door movement, when it opens and closes, can:
Answer: mobilizing resting dust from these surfaces.
◉ An 86-year-old male was admitted to the intensive care unit (ICU)
3 weeks ago for heart failure and intractable atrial fibrillation. He
has had diarrhea for 4 days that has cultured C. difficile. The
transmission-based precautions sign on the door to his room alerts
the staff to employ which practice precaution?
Answer: Both standard precautions and contact precautions
,◉ Closed gloving is the technique of choice for the initial donning of
sterile gloves by the scrubbed team member; however:
Answer: it can only be used for the initial gloving.
◉ the final step, after decontamination and before sterilization, is
the prep, pack, and wrap process. The sterile processing technologist
has taken the laparotomy set from the washer/decontaminator to
prepare for sterilization. Select the most appropriate order that the
instrument set must travel before reaching the steam sterilizer.
Answer: Inspect, inventory against list, assemble, place integrators,
wrap and tape
◉ A patient undergoing a laparoscopic Nissen fundoplication
procedure will be positioned in both high and low lithotomy during
the procedure. After the patient is re-positioned into lo lithotomy,
the perioperative nurse should:
Answer: reassess the patient for body alignment, tissue integrity,
and pressure areas.
◉ A 68-year-old, American Society of Anesthesiologists (ASA)
physical status (OS)-2 male with early-stage prostatic cancer, was
intubated and positioned for a robotic-assisted laparoscopic radical
prostatectomy. The initial position for insertion of the trocars was
supine with arms tucked and secured within under-mattress sled
arm positioners padded with gel. His hands were placed in a natural
position with the fingers wrapped around gauze rolls and touching
, his lateral thighs. The new anesthesia provider, who had never seen
a robotic prostatectomy, was concerned about anesthesia
implications when the patient would be repositioned into extreme
Trendelenburg for the dissection and anastomosis. The circulating
nurse assured her that they would implement protective measures
and work together to ensure the best patient outcome. Select all of
the potentially harmful effects of extreme 45-degree Trendelenburg
in a robotic pr
Answer: Respiratory compromise and ventilation resistance
Shearing injury to soft tissues
◉ A 325-pound male is scheduled for a 6-hour abdominal surgery.
While assessing the patient 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 operating room bed for a long surgery. Which of these
other factors may also produce pressure?
Answer: A self-retianing retractor post clamped to the OR bed rail
and tightened against the patient's side.
◉ Prolonged lithotomy positioning can result in neuropathies of the
legs. The most frequently injured nerves are the obturator, sciatic,
femoral, and __________nerve, which can result in injury from _________.
Answer: common peroneal; full leg pneumatic compression sleeves
