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NIFA FINAL EXAM QUESTIONS_STUDY GUIDE_SW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NIFA FINAL EXAM QUESTIONS_STUDY GUIDE_SW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (200) To promote facility-wide best practices in sterile technique, AORN recommends that registered nurses: a. practice collaboration, leadership, and teamwork in the perioperative environment b. take part in ongoing quality assurance, monitoring, and performance activities designed to improve the performance of sterile technique c. help establish a culture in which concerns about breaches in sterile technique are communicated immediately and appropriately d. all of the above Team building can increase efficiency and productivity resulting in: a. improved outcomes in delivery of services b. higher staff morale c. increased patient satisfaction d. all of the above A thorough preoperative assessment is critical during which the perioperative nurse must identify unique patient considerations that may require additional precautions or contraindications related to MIS procedures. This assessment must include identification of risk factors related to 1. Extreme positioning 2. Prevention of venous stasis 3. Informed consent. 4. Fluid management a. 3 and 4 b. 1 and 2 c. 1, 2, 3, and 4 d. 1, 2, and 4 When counting needles in a multiple needle suture pack: a. it is safe to assume that the package count is correct b. the empty suture package may be used to reconcile a discrepancy in the count c. only the scrub person is responsible for counting the needles d. the scrub person should verify the number of needles when the package is opened The electrosurgical dispersive pad should be applied _. a. on a rough, irregular body surface b. to a muscular area c. to a bony prominence d. to an area of moisture When gathering information about medications that the patient is taking, it is important to include: a. physician prescribed medications b. over the counter medications and vitamins c. herbal medications that the patient may be taking d. all of the above ECG leads can be the site of alternate burns. What actions can help prevent these? a. make sure that hard electrical contact engages the patient and the ground b. use electrodes that concentrate the current c. locate ECG leads as far as possible from the operative site d. place ground pad as far away from the operative site as possible When decontaminating and cleaning a pneumatically powered surgical instrument a. the gas hose should remain attached to the handpiece. b. all of the above. c. a detergent/disinfectant solution should be use d. the outside should be dried with lint free towels. One of the two strongest layers in tissue closure includes the: Core Curriculum for the RN First Assistant, 5th ed., p. 75 a. Subcutaneous tissue b. Fascia c. Retinacullum d. Muscle The RNFA should be aware of the possibility that a laparoscopic case could become an open case. A reason for this conversion in a cholecystectomy would be for which of the following reasons? Core Curriculum for the RN First Assistant, 5th ed., p. 103 a. An extremely thin walled gallbladder b. Previous left colon surgery c. A gallbladder that contains sludge d. Inability to remove a stone from the CBD via ERCP A patient has the following lab values noted intraoperatively. pH 7.35, PCO235 mmHg, HCO3 22 mEq/L. This patient is in: Core Curriculum for the RN First Assistant, 5th ed., p. 314 a. Respiratory Alkalosis b. Respiratory Acidosis c. Metabolic Alkalosis d. Metabolic Acidosis All of the following wound healing complications are attributed to smoking except: Core Curriculum for the RN First Assistant, 5th ed., p. 86 a. Increased blood viscosity b. Decreased blood viscosity c. Diminshed collagen synthesis d. Infection The usual dry time for most skin preps is _ minutes. Core Curriculum for the RN First Assistant, 5th ed., p. 47 a. 2-3 b. 1-3 c. 3-5 d. 3-4 Due to excellent healing results with minimal scarring, which suturing technique is commonly chosen for plastic surgery? Core Curriculum for the RN First Assistant, 5th ed., p. 65 a. Subdermal b. Running locking c. Subcuticular d. Intradermal The aortic root is located: Core Curriculum for the RN First Assistant, 5th ed., p. 243 a. At the junction of the pulmonary artery and the left atrium b. At the junction of the pulmonary artery and the right atrium c. At the junction of the origin of the ascending aorta and the left ventricle d. At the junction of the origin of the ascending aorta and the right ventricle Suture should be selected based on which of the following? Core Curriculum for the RN First Assistant, 5th ed., p. 61 a. Tissue resistance b. Surgical outcome c. Ease of handling d. Potential for scarring The humidity levels of the OR should range between _____% and %. Core Curriculum for the RN First Assistant, 5th ed., p. 320 a. 40-70 b. 35-60 c. 30-70 d. 30-65 The "Gold Standard" for open hernia repair is called the: Core Curriculum for the RN First Assistant, 5th ed., p. 115 a. McVay Repair b. TAPP Repair c. Bassini Repair d. Lichtenstein Repair The RNFA should be prepared to assist with the surgical procedure if a patient needs surgical intervention for the treatment of atrial fibrillation. Core Curriculum for the RN First Assistant, 5th ed., p. 248 a. DeBakey b. Nodal c. Pathway d. Maze

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3/18/25, 7:30 NIFA Final Exam Questions_Study Guide_SW |
AM



NIFA FINAL EXAM QUESTIONS_STUDY GUIDE_SW EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (200)


a.practice collaboration, leadership, and teamwork in the perioperative environment
b. take part in ongoing quality assurance, monitoring, and performance
To promote facility-wide best practices
activities designed to improve the performance of sterile technique
in sterile technique, AORN recommends
c. help establish a culture in which concerns about breaches in sterile technique
that registered nurses:
are communicated immediately and appropriately
d.all of the above

a.improved outcomes in delivery of services
Team building can increase efficiency and b. higher staff morale
productivity resulting in: c. increased patient satisfaction
d.all of the above

A thorough preoperative assessment is a.3 and 4
critical during which the perioperative b. 1 and 2
nurse c. 1, 2, 3, and 4
must identify unique patient considerations d. 1, 2, and 4
that may require additional precautions or
contraindications related to MIS
procedures. This assessment must include
identification of risk factors related to 1.
Extreme positioning 2. Prevention of
venous
stasis 3. Informed consent. 4. Fluid
management




a.it is safe to assume that the package count is correct
b. the empty suture package may be used to reconcile a discrepancy in the count
When counting needles in a multiple
c. only the scrub person is responsible for counting the needles
needle suture pack:
d. the scrub person should verify the number of needles when the package
is opened

a.on a rough, irregular body surface
The electrosurgical dispersive pad should b. to a muscular area
be applied___________. c. to a bony prominence
d. to an area of moisture

a.physician prescribed medications
When gathering information about
b. over the counter medications and vitamins
medications that the patient is taking, it is
c. herbal medications that the patient may be taking
important to include:
d.all of the above

a.make sure that hard electrical contact engages the patient and the ground
ECG leads can be the site of alternate
b. use electrodes that concentrate the current
burns. What actions can help prevent
c.locate ECG leads as far as possible from the operative site
these?
d. place ground pad as far away from the operative site as possible

a.the gas hose should remain attached to the handpiece.
When decontaminating and cleaning a b. all of the above.
pneumatically powered surgical instrument c. a detergent/disinfectant solution should be use
d. the outside should be dried with lint free towels.

1/15

, 3/18/25, 7:30 NIFA Final Exam Questions_Study Guide_SW |
AM
One of the two strongest layers in tissue a.Subcutaneous tissue
closure includes the: b. Fascia
Core Curriculum for the RN First Assistant, c. Retinacullum
5th ed., p. 75 d. Muscle

The RNFA should be aware of the a.An extremely thin walled gallbladder
possibility that a laparoscopic case b. Previous left colon surgery
could become an open case. A reason c.A gallbladder that contains sludge
for this conversion in a cholecystectomy d.Inability to remove a stone from the CBD via ERCP
would be for which of the following
reasons?
Core Curriculum for the RN First Assistant,
5th ed., p. 103
A patient has the following lab values a.Respiratory Alkalosis
noted intraoperatively. pH < 7.35, PCO2<35 b. Respiratory Acidosis
mmHg, HCO3 < 22 mEq/L. This patient is in: c. Metabolic Alkalosis
Core Curriculum for the RN First Assistant, d.Metabolic Acidosis
5th ed., p. 314

All of the following wound healing a.Increased blood viscosity
complications are attributed to smoking b. Decreased blood viscosity
except: c. Diminshed collagen synthesis
Core Curriculum for the RN First Assistant, d. Infection
5th ed., p. 86

The usual dry time for most skin preps is a.2-3
________minutes. b.1-3
Core Curriculum for the RN First Assistant, c. 3-5
5th ed., p. 47 d. 3-4

Due to excellent healing results with a. Subdermal
minimal scarring, which suturing technique b. Running locking
is commonly chosen for plastic c. Subcuticular
surgery? Core Curriculum for the RN First d. Intradermal
Assistant, 5th ed., p. 65

a.At the junction of the pulmonary artery and the left atrium
The aortic root is located:
b.At the junction of the pulmonary artery and the right atrium
Core Curriculum for the RN First Assistant,
c. At the junction of the origin of the ascending aorta and the left ventricle
5th ed., p. 243
d.At the junction of the origin of the ascending aorta and the right ventricle


Suture should be selected based on which a.Tissue resistance
of the following? b. Surgical outcome
Core Curriculum for the RN First Assistant, c.Ease of handling
5th ed., p. 61 d. Potential for scarring

The humidity levels of the OR should a.40-70
range between _____% and %. b. 35-60
Core Curriculum for the RN First Assistant, c.30-70
5th ed., p. 320 d. 30-65

The "Gold Standard" for open hernia repair a. McVay Repair
is called the: b.TAPP Repair
Core Curriculum for the RN First Assistant, c. Bassini Repair
5th ed., p. 115 d.Lichtenstein Repair




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