NIFA 2024 STUDY GUIDE COMPREHENSIVE
QUESTIONS AND VERIFIED CORRECT ANSWERS
GRADE A+
Which of the following is an important statement regarding the prevention of degenerative
orthopedic conditions
Weight-bearing activities and joint movement prevent cartilage from becoming thin or damaged
The cerebellar tentorium supports which structures of the cerebral hemispheres
Temporal lobe
the surgeon makes an incision through which of the following to access the cremaster
muscle, inguinal canal, and cord structures
External oblique muscle
a physical barrier used in the prevention of adhesions that can take up to 2 weeks to absorb
Interseed
Tissue reaction characteristics that need considered when choosing suture include
The number one patient safety issue identified in a survey of peri-operative
nurses is preventing:
Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because:
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:
157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart.
Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT:
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:
Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients
because of all of the following EXCEPT:
Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the
following EXCEPT:
Utilizing a multidisciplinary team to resolve incorrect counts
The nerve supply for the female pelvis comes from the autonomic nerves that enter the
pelvis through the
Superior hypogastric plexus
Absorption
The diagnostic test that is performed to differentiate between acute and chronic thrombosis
,Digital subtraction angiography
Morbidity and mortality may be greater with penetrating trauma because identification of
injuries may be more difficult when injuries are less obvious. In the case of an adult victim
with a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant
of the lower abdomen, what is the MOI and description of the possible injuries
enetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to
manage increasing intracranial pressure (ICP). What is an appropriate diuretic medication
to give and what nursing actions would be indicated for an older adult patient with
traumatic brain injury, increased ICP, and a history of congestive heart failure (CHF)
Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the public be
aware and educated about dietary supplements and potential harmful effects
Unknown substances may be present in these products.
a possible benefit to the paramedian incision
decreased risk for hernia
An example of an indication for liver transplantation would be
primary hepatic cancer
he largest part of the mammary gland rests on the
Pectoralis major muscle and serratus anterior
During ventriculoperitoneal shunt placement,
The unit is soaked in NS & antibiotic solution, never lubricated.
Patients with chronic venous insufficiency (CVI) are not typically treated surgically as
often as patients with arterial disease because:
CVI is not life-threatening or limb-threatening
35% of the refractive power of the eye is credited to which part of the eye
Lens
Oculocardiac reflex (OCR) is an intraoperative emergency that can occur during eye
surgery. Select the definition of the response and contributing factor(s)
Trigeminal-vagal response caused by pressure on the globe or retrobulbar block
The perioperative nurse must be prepared for which additional procedure when head and
neck surgery is performed?
Tracheostomy
The perioperative nurse preparing for a procedure where STSGs will be taken to cover
several large burn areas will need to have available:
sterile mineral oil, tongue blades, and a mesher dermatome
the correct term to describe the inward turning of one or both eyes
Esotropia
The nerve supply for the female pelvis comes from the autonomic nerves that enter the
pelvis through the
Superior hypogastric plexus
which surgical approach reduces the morbidity and mortality in removal of an acoustic
tumor
Translabyrinthine approach
, Pt with hepatobiliary disease, The perioperative nurse, during the preoperative assessment,
questions and examines the patient for signs and symptoms of jaundice, petechiae, and
lethargy and:
review chart for bleeding and coagulation times and the platelet count.
The external ear canal lining
reduces bacterial levels in the outer ear
Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the most
appropriate statement about miotic and mydriatic drugs
Mydriatic drugs, such as phenylephrine, dilate the pupil.
Vascular access in pediatric patients may be established intraoperatively for short-term
(weeks) or long-term (months, years) use
Central venous line
What is the term for the bloodless plane that contains loose areolar tissue and permits
mobility of the scalp
Subgaleal space
Pericardial tamponade includes which of the following signs or symptoms
Narrow pulse pressure
Which statement regarding level III and level IV trauma centers best describes the
difference between the two types of centers
A level III trauma center provides advanced cardiac life support (ACLS), surgery, stabilization,
and transfer, while a level IV only provides ACLS services before immediate transfer to a higher
level center
A percutaneous method of instituting femoral vein-femoral artery cardiopulmonary bypass
(CPB) can be used for minimally invasive (or conventional open) procedures and in
emergency situations where the environment is not conducive to traditional CPB methods.
Select the areas where percutaneous CPB would be indicated
Cardiac catheterization unit and intensive care unit
Which two similar hernia repair approaches reestablish the integrity of the transversalis
fascia and simultaneously reestablish and strengthen the posterior inguinal floor by sewing
the transversalis fascia to the Poupart ligament?
The McVay or the Cooper ligament repair
Identify the class of medications that can increase the risk or severity of a reaction to
contrast media
Beta Blockers
The recommended length of time for inflation of an upper extremity tourniquet on a
patient under 50 years old is_______while the recommended pressure is _____.
1 hour; 250-300 mmHg
continuous tourniquet pressure less than 1 hour on the upper extremity and less than 2 hours on
the thigh. Tourniquet pressure should not exceed the recommended maximum cuff pressure
limits of 300 to 350 mm Hg for the thigh and 250 to 300 mm Hg for the arm and the lower leg.
the statement that reflects a true special consideration for skin preparation before facial
surgery.
Leave the eyebrows and eyelashes intact to preserve facial appearance and expression.
A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli
instruments added to the standard thyroid or neck dissection setup, a 30-degree endoscope,
QUESTIONS AND VERIFIED CORRECT ANSWERS
GRADE A+
Which of the following is an important statement regarding the prevention of degenerative
orthopedic conditions
Weight-bearing activities and joint movement prevent cartilage from becoming thin or damaged
The cerebellar tentorium supports which structures of the cerebral hemispheres
Temporal lobe
the surgeon makes an incision through which of the following to access the cremaster
muscle, inguinal canal, and cord structures
External oblique muscle
a physical barrier used in the prevention of adhesions that can take up to 2 weeks to absorb
Interseed
Tissue reaction characteristics that need considered when choosing suture include
The number one patient safety issue identified in a survey of peri-operative
nurses is preventing:
Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because:
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:
157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart.
Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT:
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:
Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients
because of all of the following EXCEPT:
Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the
following EXCEPT:
Utilizing a multidisciplinary team to resolve incorrect counts
The nerve supply for the female pelvis comes from the autonomic nerves that enter the
pelvis through the
Superior hypogastric plexus
Absorption
The diagnostic test that is performed to differentiate between acute and chronic thrombosis
,Digital subtraction angiography
Morbidity and mortality may be greater with penetrating trauma because identification of
injuries may be more difficult when injuries are less obvious. In the case of an adult victim
with a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant
of the lower abdomen, what is the MOI and description of the possible injuries
enetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis
With injury to the brain, swelling may occur quickly, requiring aggressive decisions to
manage increasing intracranial pressure (ICP). What is an appropriate diuretic medication
to give and what nursing actions would be indicated for an older adult patient with
traumatic brain injury, increased ICP, and a history of congestive heart failure (CHF)
Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis
Because herbal products are so readily available and have such widespread media
attention, many people think that they can safely self-medicate. Why should the public be
aware and educated about dietary supplements and potential harmful effects
Unknown substances may be present in these products.
a possible benefit to the paramedian incision
decreased risk for hernia
An example of an indication for liver transplantation would be
primary hepatic cancer
he largest part of the mammary gland rests on the
Pectoralis major muscle and serratus anterior
During ventriculoperitoneal shunt placement,
The unit is soaked in NS & antibiotic solution, never lubricated.
Patients with chronic venous insufficiency (CVI) are not typically treated surgically as
often as patients with arterial disease because:
CVI is not life-threatening or limb-threatening
35% of the refractive power of the eye is credited to which part of the eye
Lens
Oculocardiac reflex (OCR) is an intraoperative emergency that can occur during eye
surgery. Select the definition of the response and contributing factor(s)
Trigeminal-vagal response caused by pressure on the globe or retrobulbar block
The perioperative nurse must be prepared for which additional procedure when head and
neck surgery is performed?
Tracheostomy
The perioperative nurse preparing for a procedure where STSGs will be taken to cover
several large burn areas will need to have available:
sterile mineral oil, tongue blades, and a mesher dermatome
the correct term to describe the inward turning of one or both eyes
Esotropia
The nerve supply for the female pelvis comes from the autonomic nerves that enter the
pelvis through the
Superior hypogastric plexus
which surgical approach reduces the morbidity and mortality in removal of an acoustic
tumor
Translabyrinthine approach
, Pt with hepatobiliary disease, The perioperative nurse, during the preoperative assessment,
questions and examines the patient for signs and symptoms of jaundice, petechiae, and
lethargy and:
review chart for bleeding and coagulation times and the platelet count.
The external ear canal lining
reduces bacterial levels in the outer ear
Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the most
appropriate statement about miotic and mydriatic drugs
Mydriatic drugs, such as phenylephrine, dilate the pupil.
Vascular access in pediatric patients may be established intraoperatively for short-term
(weeks) or long-term (months, years) use
Central venous line
What is the term for the bloodless plane that contains loose areolar tissue and permits
mobility of the scalp
Subgaleal space
Pericardial tamponade includes which of the following signs or symptoms
Narrow pulse pressure
Which statement regarding level III and level IV trauma centers best describes the
difference between the two types of centers
A level III trauma center provides advanced cardiac life support (ACLS), surgery, stabilization,
and transfer, while a level IV only provides ACLS services before immediate transfer to a higher
level center
A percutaneous method of instituting femoral vein-femoral artery cardiopulmonary bypass
(CPB) can be used for minimally invasive (or conventional open) procedures and in
emergency situations where the environment is not conducive to traditional CPB methods.
Select the areas where percutaneous CPB would be indicated
Cardiac catheterization unit and intensive care unit
Which two similar hernia repair approaches reestablish the integrity of the transversalis
fascia and simultaneously reestablish and strengthen the posterior inguinal floor by sewing
the transversalis fascia to the Poupart ligament?
The McVay or the Cooper ligament repair
Identify the class of medications that can increase the risk or severity of a reaction to
contrast media
Beta Blockers
The recommended length of time for inflation of an upper extremity tourniquet on a
patient under 50 years old is_______while the recommended pressure is _____.
1 hour; 250-300 mmHg
continuous tourniquet pressure less than 1 hour on the upper extremity and less than 2 hours on
the thigh. Tourniquet pressure should not exceed the recommended maximum cuff pressure
limits of 300 to 350 mm Hg for the thigh and 250 to 300 mm Hg for the arm and the lower leg.
the statement that reflects a true special consideration for skin preparation before facial
surgery.
Leave the eyebrows and eyelashes intact to preserve facial appearance and expression.
A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli
instruments added to the standard thyroid or neck dissection setup, a 30-degree endoscope,
