NIFA STUDY GUIDE ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
[DETAILED ANSWERS] 2024 UPDATED
VERSION |ALREADY GRADED A+
The number one patient safety issue identified in a survey of peri-operative
nurses is preventing: - ANSWER>>Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - 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: - ANSWER>>157 lbs
_______________ should be the primary decision makers for what equipment
and supplies are purchased and stocked in the difficult airway management cart. -
ANSWER>>Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: - 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: -
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: - ANSWER>>Increases risk of renal failure
,Recommendations for preventing retained surgical items include all of the
following EXCEPT: - ANSWER>>Utilizing a multidisciplinary team to resolve
incorrect counts
Select the appropriate order for administering blood and blood products. -
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. -
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? -
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? - 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: - 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. - 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 _______________________. - 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 that should be presented
QUESTIONS AND CORRECT ANSWERS
[DETAILED ANSWERS] 2024 UPDATED
VERSION |ALREADY GRADED A+
The number one patient safety issue identified in a survey of peri-operative
nurses is preventing: - ANSWER>>Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - 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: - ANSWER>>157 lbs
_______________ should be the primary decision makers for what equipment
and supplies are purchased and stocked in the difficult airway management cart. -
ANSWER>>Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: - 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: -
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: - ANSWER>>Increases risk of renal failure
,Recommendations for preventing retained surgical items include all of the
following EXCEPT: - ANSWER>>Utilizing a multidisciplinary team to resolve
incorrect counts
Select the appropriate order for administering blood and blood products. -
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. -
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? -
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? - 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: - 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. - 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 _______________________. - 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 that should be presented
