NIFA PERIOPERATIVE (ACTUAL 2025/2026) EXAM QUESTIONS
AND CORRECT 100% DETAILED ANSWERS ALREADY GRADED
A+
During the preliminary sponge count on closure of a repair of
a ruptured aortic aneurysm, the circulating nurse was unable
to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
addressing the entire team during this count discrepancy.
A. "Stop everything! I'm missing a couple of sponges. They are
not in the trash or back table. Check the wound".
B. "I think you are missing 2 sponges. Shall I call X-Ray while
the scrub person checks her table again? Doctor, please check
the incision site.
C. "We have a count discrepancy. We started with 70 sponges
and find only 68. We are missing 2 lap sponges".
D. " Ive called X-Ray because we are short 2 lap sponges. I've
called the charge RN to get someone to help me check the
trash and linen. The rapid response team is on the way. - --
Answers---C. We have a count discrepancy. We started with
70 sponges and find only 68. We are missing 2 lap sponges.
Alexanders 15th p32
Select from the following medication that is used for PONV and
has the potential for prolonged QT interval.
A. Scopolamine patch
B. Dolasteran
,C. Droperidol
D. Prochlorperazine - --Answers---C. Droperidol
Alexanders 15th p 277
The type of wound closure that occurs when approximation of
the wound edges does not occur for 3 or more days after a
surgical procedure.
A. Primary Intention
B. Secondary intention
C. Granulation and contraction
D. Third Intention - --Answers---D. Third Intention or Delayed
primary closure
Alexanders 15 p256
Which statement about surgical dressings is true?
A.Surgical dressings cushion and protect the wound from
trauma and gross contamination, and absorb drainage.
B. Surgical dressings cover the wound to maintain moisture to
promote granulation
C. Surgical dressings maintain tension on the suture line to
prevent dehiscence
D. Surgical dressings protect surrounding drapes, linens, and
clothing from contamination. - --Answers---A. Surgical
dressings cushion and protect the wound from trauma and
gross contamination, and absorb drainage.
Alexander 15th p266
, Which of the following absorbable suture has the best tensile
strength?
A. Surgical gut
B. Polypropylene
C. Surgical silk
D. Polydioxanone - --Answers---D. Polydioxanone or PDS
A type of suture to help eliminate tension on the primary
suture line is known as:
A. Retention
B. Interrupted
C. Subcuticular
D. Buried - --Answers---A. Retention
Alex 15th p193
A common dysrythmia after surgery is:
A. SVT
B. Sinus Tachycardia
C. Bradycardia
D. Atrial Fibrillation - --Answers---B. Sinus Tachycardia
Alexanders 15th P 275
The new general surgery fellow placed the three trocar ports
for the laparoscopic appendectomy. The procedure was
completed without incident; however, on post op day 1, the
patient demonstrated signs and symptoms of sepsis. What
AND CORRECT 100% DETAILED ANSWERS ALREADY GRADED
A+
During the preliminary sponge count on closure of a repair of
a ruptured aortic aneurysm, the circulating nurse was unable
to account for 2 lap sponges. Select the appropriate
communication that the circulating nurse must employ in
addressing the entire team during this count discrepancy.
A. "Stop everything! I'm missing a couple of sponges. They are
not in the trash or back table. Check the wound".
B. "I think you are missing 2 sponges. Shall I call X-Ray while
the scrub person checks her table again? Doctor, please check
the incision site.
C. "We have a count discrepancy. We started with 70 sponges
and find only 68. We are missing 2 lap sponges".
D. " Ive called X-Ray because we are short 2 lap sponges. I've
called the charge RN to get someone to help me check the
trash and linen. The rapid response team is on the way. - --
Answers---C. We have a count discrepancy. We started with
70 sponges and find only 68. We are missing 2 lap sponges.
Alexanders 15th p32
Select from the following medication that is used for PONV and
has the potential for prolonged QT interval.
A. Scopolamine patch
B. Dolasteran
,C. Droperidol
D. Prochlorperazine - --Answers---C. Droperidol
Alexanders 15th p 277
The type of wound closure that occurs when approximation of
the wound edges does not occur for 3 or more days after a
surgical procedure.
A. Primary Intention
B. Secondary intention
C. Granulation and contraction
D. Third Intention - --Answers---D. Third Intention or Delayed
primary closure
Alexanders 15 p256
Which statement about surgical dressings is true?
A.Surgical dressings cushion and protect the wound from
trauma and gross contamination, and absorb drainage.
B. Surgical dressings cover the wound to maintain moisture to
promote granulation
C. Surgical dressings maintain tension on the suture line to
prevent dehiscence
D. Surgical dressings protect surrounding drapes, linens, and
clothing from contamination. - --Answers---A. Surgical
dressings cushion and protect the wound from trauma and
gross contamination, and absorb drainage.
Alexander 15th p266
, Which of the following absorbable suture has the best tensile
strength?
A. Surgical gut
B. Polypropylene
C. Surgical silk
D. Polydioxanone - --Answers---D. Polydioxanone or PDS
A type of suture to help eliminate tension on the primary
suture line is known as:
A. Retention
B. Interrupted
C. Subcuticular
D. Buried - --Answers---A. Retention
Alex 15th p193
A common dysrythmia after surgery is:
A. SVT
B. Sinus Tachycardia
C. Bradycardia
D. Atrial Fibrillation - --Answers---B. Sinus Tachycardia
Alexanders 15th P 275
The new general surgery fellow placed the three trocar ports
for the laparoscopic appendectomy. The procedure was
completed without incident; however, on post op day 1, the
patient demonstrated signs and symptoms of sepsis. What
