NIFA PERIOPERATIVE 2026 TEST EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Which statement about surgical dressings is true?
A.Surgical dressings cushion and protect the wound from trauma and gross
contamination, and absorb drainage.
B. Surgical dressings cover the wound to maintain moisture to promote granulation
C. Surgical dressings maintain tension on the suture line to prevent dehiscence
D. Surgical dressings protect surrounding drapes, linens, and clothing from
contamination. - ✔✔A. Surgical dressings cushion and protect the wound from trauma
and gross contamination, and absorb drainage.
Alexander 15th p266
✔✔Which of the following absorbable suture has the best tensile strength?
A. Surgical gut
B. Polypropylene
C. Surgical silk
D. Polydioxanone - ✔✔D. Polydioxanone or PDS
✔✔A type of suture to help eliminate tension on the primary suture line is known as:
A. Retention
B. Interrupted
C. Subcuticular
D. Buried - ✔✔A. Retention
Alex 15th p193
✔✔A common dysrythmia after surgery is:
A. SVT
B. Sinus Tachycardia
C. Bradycardia
D. Atrial Fibrillation - ✔✔B. Sinus Tachycardia
Alexanders 15th P 275
, ✔✔The new general surgery fellow placed the three trocar ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on post op
day 1, the patient demonstrated signs and symptoms of sepsis. What might have been
the unusual occurrence that could ave resulted in patient sepsis?
A. Unrecognized appendiceal rupture.
B. Significant break in sterile technique
C. Inadvertent trocar puncture through the bowel on insertion
D. Recent H1N1 outbreak on the surgery unit at the hospital - ✔✔C. Inadvertent trocar
puncture through the bowel on insertion
✔✔Once a count discrepancy is identified, an important step scrubbed team member
should do to aid in resolving the discrepancy is which of the following:
A. Allowing the circulator to search the sterile drapes and drape folds
B. Continue closure of the incision
C. Order intraoperative imaging
D. Notify the charge RN - ✔✔C. Order intraoperative imaging
Alexanders 15th P32
✔✔A 19yo M received an IV peripheral nerve block for an ORIF of an ankle fracture.
The anesthesia provider injected a distal dorsal vein of the pt's right foot with 2%
lidocaine, after placing a single cuffed pneumatic tourniquet around the upper thigh. The
surgeon noticed that the cuff seemed to be deflating and anticipated that the patient
would initially complain of which of the following?
A. Metallic taste in his mouth
B. Seizures
C. Dizziness
D. Respiratory arrest - ✔✔A. Metallic taste in his mouth
Alexanders 15th P 148
✔✔Your patient was presented with the prepared informed consent for during the
discussion with her surgeon concerning her scheduled surgery. Before signing the
consent form, the patient informed the surgeon that they did not want any medical
students or surgical residents performing any parts of the procedure other than assisting
and did not want photographs taken. The surgeon agreed and crossed out those
portions of the form. The patient initialed them prior to signing the consent. Your patient
was exercising which patient right?
A. Understanding and rights under the Patient Self-Determination Act
B Right to informed consent
C. Autonomy to protect herself from negligence and malpractice
D. Hope that everyone would honor HIPPA - ✔✔B. Right to informed consent
Alexanders 15th Pg 41
✔✔Hypothermia is a common side effect of surgery and the peri-anesthesia setting.
The most common and effective method to prevent hypothermia is through the use of:
A. Applying blankets to the OR bed prior to the patient arrival
QUESTIONS AND ANSWERS SURE A+
✔✔Which statement about surgical dressings is true?
A.Surgical dressings cushion and protect the wound from trauma and gross
contamination, and absorb drainage.
B. Surgical dressings cover the wound to maintain moisture to promote granulation
C. Surgical dressings maintain tension on the suture line to prevent dehiscence
D. Surgical dressings protect surrounding drapes, linens, and clothing from
contamination. - ✔✔A. Surgical dressings cushion and protect the wound from trauma
and gross contamination, and absorb drainage.
Alexander 15th p266
✔✔Which of the following absorbable suture has the best tensile strength?
A. Surgical gut
B. Polypropylene
C. Surgical silk
D. Polydioxanone - ✔✔D. Polydioxanone or PDS
✔✔A type of suture to help eliminate tension on the primary suture line is known as:
A. Retention
B. Interrupted
C. Subcuticular
D. Buried - ✔✔A. Retention
Alex 15th p193
✔✔A common dysrythmia after surgery is:
A. SVT
B. Sinus Tachycardia
C. Bradycardia
D. Atrial Fibrillation - ✔✔B. Sinus Tachycardia
Alexanders 15th P 275
, ✔✔The new general surgery fellow placed the three trocar ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on post op
day 1, the patient demonstrated signs and symptoms of sepsis. What might have been
the unusual occurrence that could ave resulted in patient sepsis?
A. Unrecognized appendiceal rupture.
B. Significant break in sterile technique
C. Inadvertent trocar puncture through the bowel on insertion
D. Recent H1N1 outbreak on the surgery unit at the hospital - ✔✔C. Inadvertent trocar
puncture through the bowel on insertion
✔✔Once a count discrepancy is identified, an important step scrubbed team member
should do to aid in resolving the discrepancy is which of the following:
A. Allowing the circulator to search the sterile drapes and drape folds
B. Continue closure of the incision
C. Order intraoperative imaging
D. Notify the charge RN - ✔✔C. Order intraoperative imaging
Alexanders 15th P32
✔✔A 19yo M received an IV peripheral nerve block for an ORIF of an ankle fracture.
The anesthesia provider injected a distal dorsal vein of the pt's right foot with 2%
lidocaine, after placing a single cuffed pneumatic tourniquet around the upper thigh. The
surgeon noticed that the cuff seemed to be deflating and anticipated that the patient
would initially complain of which of the following?
A. Metallic taste in his mouth
B. Seizures
C. Dizziness
D. Respiratory arrest - ✔✔A. Metallic taste in his mouth
Alexanders 15th P 148
✔✔Your patient was presented with the prepared informed consent for during the
discussion with her surgeon concerning her scheduled surgery. Before signing the
consent form, the patient informed the surgeon that they did not want any medical
students or surgical residents performing any parts of the procedure other than assisting
and did not want photographs taken. The surgeon agreed and crossed out those
portions of the form. The patient initialed them prior to signing the consent. Your patient
was exercising which patient right?
A. Understanding and rights under the Patient Self-Determination Act
B Right to informed consent
C. Autonomy to protect herself from negligence and malpractice
D. Hope that everyone would honor HIPPA - ✔✔B. Right to informed consent
Alexanders 15th Pg 41
✔✔Hypothermia is a common side effect of surgery and the peri-anesthesia setting.
The most common and effective method to prevent hypothermia is through the use of:
A. Applying blankets to the OR bed prior to the patient arrival
