NIFA EXAM STUDY GUIDE WITH ALL CORRECT & 100%
VERIFIED ANSWERS |ACTUAL COMPLETE UPDATE |
ALREADY GRADED A+
The number one patient safety issue identified in a survey of peri-operative nurses is
preventing: ✔Correct Answer-Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: ✔Correct 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:
✔Correct Answer-157 lbs
_______________ should be the primary decision makers for what equipment and supplies are
purchased and stocked in the difficult airway management cart. ✔Correct Answer-Anesthesia
personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: ✔Correct 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: ✔Correct 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: ✔Correct Answer-Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following EXCEPT:
✔Correct Answer-Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. ✔Correct 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. ✔Correct 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? ✔Correct 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? ✔Correct 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: ✔Correct Answer-right to
informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdominal
aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
meticulously maintained accountability for all sponges and instruments discarded from the
sterile field and bagged each sponge carefully. He immediately turned and addressed the entire
team in a clear voice. Select the appropriate communication that the circulating nurse must
employ during this count discrepancy. ✔Correct Answer-"We have a count discrepancy. We
started with 70 sponges and find only 68. We are missing 2 lap sponges. Everyone, please check
your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment of care
for the patient involves identifying, mitigating, and managing the hazards inherent in surgical
care. Choose the answer below that completes the blanks in this sentence: The risk of the
surgical hazard of _________________ can be mitigated through _______________________.
✔Correct Answer-wrong patient, wrong site, and wrong side surgery; site marking and
presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider and
perioperative nurse. A hand-off report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The first element of information
VERIFIED ANSWERS |ACTUAL COMPLETE UPDATE |
ALREADY GRADED A+
The number one patient safety issue identified in a survey of peri-operative nurses is
preventing: ✔Correct Answer-Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: ✔Correct 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:
✔Correct Answer-157 lbs
_______________ should be the primary decision makers for what equipment and supplies are
purchased and stocked in the difficult airway management cart. ✔Correct Answer-Anesthesia
personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: ✔Correct 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: ✔Correct 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: ✔Correct Answer-Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following EXCEPT:
✔Correct Answer-Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. ✔Correct 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. ✔Correct 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? ✔Correct 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? ✔Correct 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: ✔Correct Answer-right to
informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdominal
aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
meticulously maintained accountability for all sponges and instruments discarded from the
sterile field and bagged each sponge carefully. He immediately turned and addressed the entire
team in a clear voice. Select the appropriate communication that the circulating nurse must
employ during this count discrepancy. ✔Correct Answer-"We have a count discrepancy. We
started with 70 sponges and find only 68. We are missing 2 lap sponges. Everyone, please check
your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment of care
for the patient involves identifying, mitigating, and managing the hazards inherent in surgical
care. Choose the answer below that completes the blanks in this sentence: The risk of the
surgical hazard of _________________ can be mitigated through _______________________.
✔Correct Answer-wrong patient, wrong site, and wrong side surgery; site marking and
presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider and
perioperative nurse. A hand-off report was given, using situation, background, assessment,
recommendation (SBAR) format, to the accepting PACU nurse. The first element of information
