NIFA FINAL EXAM NEWEST 2024 ACTUAL EXAM / 120
QUESTIONS WITH CORRECT VERIFIED ANSWERS
1. The number one patient safety issue identified in a survey of peri-operative
nurses is preventing:: Wrong site/procedure/patient surgery
2. Reprocessing (flashing) instruments in the OR is high risk because:: OR
personnel not properly trained to reprocess instruments
3. 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
4. _______________ should be the primary decision makers for what equipment
and supplies are purchased and stocked in the difficult airway management cart.:
Anesthesia personnel
5. 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
6. 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
7. Peri-operative hypothermia is an important issue for all anesthetized patients
because of all of the following EXCEPT:: Increases risk of renal failure 8.
Recommendations for preventing retained surgical items include all of the following
EXCEPT:: Utilizing a multidisciplinary team to resolve incorrect counts 9. Select the
appropriate order for administering blood and blood products.: 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
10. 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.: Keep a
running total blood loss calculated from available sponges during procedure
11. 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?: Replacing or
tagging sponges and laparotomy instruments with radiofrequency identification (RFID)
chips
12. 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?: PSDA and advance directives
13. 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:: right to informed consent.
14. 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.: "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.
15. 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 _______________________.: wrong patient, wrong site, and
wrong side surgery; site marking and presurgical checklists
16. 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 that should be presented in
the hand-off report is:: patient identification and procedure performed.
17. If a staff person receives a needlestick injury, what is the first corrective
action?: Wash wound with soap and water; flush mucous membranes.
18. Contact with infected patients or infectious material places healthcare
workers at risk for occupational-acquired infection. Which communicable disease
are healthcare workers at risk for acquiring or transmitting?: Seasonal influenza
QUESTIONS WITH CORRECT VERIFIED ANSWERS
1. The number one patient safety issue identified in a survey of peri-operative
nurses is preventing:: Wrong site/procedure/patient surgery
2. Reprocessing (flashing) instruments in the OR is high risk because:: OR
personnel not properly trained to reprocess instruments
3. 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
4. _______________ should be the primary decision makers for what equipment
and supplies are purchased and stocked in the difficult airway management cart.:
Anesthesia personnel
5. 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
6. 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
7. Peri-operative hypothermia is an important issue for all anesthetized patients
because of all of the following EXCEPT:: Increases risk of renal failure 8.
Recommendations for preventing retained surgical items include all of the following
EXCEPT:: Utilizing a multidisciplinary team to resolve incorrect counts 9. Select the
appropriate order for administering blood and blood products.: 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
10. 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.: Keep a
running total blood loss calculated from available sponges during procedure
11. 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?: Replacing or
tagging sponges and laparotomy instruments with radiofrequency identification (RFID)
chips
12. 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?: PSDA and advance directives
13. 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:: right to informed consent.
14. 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.: "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.
15. 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 _______________________.: wrong patient, wrong site, and
wrong side surgery; site marking and presurgical checklists
16. 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 that should be presented in
the hand-off report is:: patient identification and procedure performed.
17. If a staff person receives a needlestick injury, what is the first corrective
action?: Wash wound with soap and water; flush mucous membranes.
18. Contact with infected patients or infectious material places healthcare
workers at risk for occupational-acquired infection. Which communicable disease
are healthcare workers at risk for acquiring or transmitting?: Seasonal influenza
