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NIFA STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NIFA STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (121) 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 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 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 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 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

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3/18/25, 7:26 NIFA STUDY GUIDE |
AM

NIFA STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED

Terms in this set (121)




The number one patient Wrong site/procedure/patient surgery

safety issue identified in a

survey of peri-operative

nurses is preventing:

Reprocessing (flashing) instruments OR personnel not properly trained to reprocess instruments

in the OR is high risk because:

To safely transfer and position 157 lbs

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:

_________should be the primary Anesthesia personnel

decision

makers for what equipment and

supplies are purchased and

stocked in the difficult airway

management cart.

Proper specimen management Receiving specimens from the surgical field then affixing patient label to each

techniques prevent errors and

include all of the following

EXCEPT:

Preventing surgical fires is a top Perform a weekly fire risk assessment

priority for all OR personnel and

1/26

,3/18/25, 7:26 NIFA STUDY GUIDE |
AM
members of the surgical team

should perform all of the

following duties EXCEPT:

Peri-operative hypothermia is an Increases risk of renal failure

important issue for all

anesthetized patients because of

all of the following EXCEPT:

Recommendations for preventing Utilizing a multidisciplinary team to resolve incorrect counts

retained surgical items include

all of the following EXCEPT:

Verify informed consent for blood, verify patient identification and
Select the appropriate order
blood type and unit numbers against blood tag and requisition slip
for administering blood and blood
with second licensed person, sign slips
products.

Weighing sponges is a valuable Keep a running total blood loss calculated from available sponges during

tool for meticulous calculation of procedure

blood and fluid loss when

conducted correctly and used in

appropriate circumstances. Select

the response that correctly

reflects the best practice in

weighing sponges.

Laparoscopic procedures that Replacing or tagging sponges and laparotomy instruments with

emergently convert to open radiofrequency identification (RFID) chips

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
2/26

, 3/18/25, 7:26 NIFA STUDY GUIDE |
AM
procedures?

A female patient with end-stage PSDA and advance directives

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?

A patient was presented with right to informed consent.

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,

3/26

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