NIFA Perioperative quiz Study Guide Questions And Answers Verified 100% Correct

IFA Perioperative quiz Study Guide Questions And Answers Verified 100% Correct Hypothermia is a common side effect of surgery and the peri-anesthesia setting. The most common and effective method to prevent hypothermia is through the use of: A. Applying blankets to the OR bed prior to the patient arrival B. Forced air-warming blankets C. Continious fluid-circulating blankets or warm-water mattresses D. Wrapping the patient's head with warm blankets - ANSWER B. Forced air-warming blankets Alexanders 15th P 10 Laryngospasm is a serious complication often seen in the PACU setting. What is the ideal immediate and last resort response by the anesthesia provider or perianesthesia RN in an emerging patient who has been in spasm for over 1 minute? A. Gentle stimulation and bag valve mask ventilation with oxygen B. Suctioning, IV succinylcholine administration, and reintubation C. Emergency tracheostomy with a cricothyrotomy approach D. IV bronchodilator administration and nebulized oxygen treatment in the PACU - ANSWER B Suctioning, IV succinylcholine administration, and reintubation Which of the following suture choices would be the best suited for intestinal anastamosis based on the quantities of excellent handling capability, high tinsile strength that decreases after 1 yr, and is not a true nonabsorbable suture? A. Vicryl B. Prolene C. Monocryl D. Silk - ANSWER D. Silk Alexanders 15th P189 The surgical hand scrub is designed to render the hands, nails, and arms: A. Surgically clean B. Aseptic C. Sterile D. Decontaminated - ANSWER A. Surgically clean Alexanders 15th P 108 After prepping the face, neck, and upper chest for a radical neck dissection using an alcohol based prep stick, the protective towels around the site were removed. The RNFA applied the head drape and completed draping the patient. During the preincision surgical time-out, the fire risk score was determined to be high. When the surgeon noticed an area of the neck that did not look prepped, she asked for a new prep stick to complete the prep area, taking care not to moisten the head drape. After handing off the used prep stick she asked for the scalpel. What step was omitted in this process? A. The new prep area was not given time to dry B. The time-out should have been repeated with the surgoen scrubbed C. The patient should have been re-prepped and re-draped with all new drapes D. The scrub person should have given the surgeon a sterile towel to cover the unprepped area - ANSWER A. The area was not given time to dry AORN Guidelines for Perioperative Practice 2019 Patient skin antisepsis, IVe. The instrument tips in laproscopic instruments are designed to produce the same tissue effects as a traditional instrument used for the open surgery. Instrument manufacturers have attempted to make their products effecient by cobining functions. An appropriate combined function for a laproscopic instrument would be A. Ultrasound capability in a suturing forceps B. Electrosurgery conduction through the tips of a babcock grasper C. Blunt dissection with a smooth, rounded edge of the closed endoscopic scissors D. Suction and irrigation combined with an argon beam coagulation handpiece. - ANSWER C. Blunt dissection with the smooth, rounded edge of the closed endoscopic scissors Alexanders 15th P 214 Suture permanently attached to the needle are referred to as A. Engineered crimp B. Controlled release C. Reverse cutting D. Swaged - ANSWER D. Swaged Alexanders 15 P 191 The surgeon used the ESU in mono polar mode to cut and coagulate through the subcutaneous tissue on opening the abdomen during a bariatric bypass procedure. As she began to proceed through the muscle and fascia layer, she asked the circulating RN to increase the cut and coagulation modes on the ESU. What measure could the scrub person take to enhance energy delivery? A. Unwrap the ESU cord from around the tower damp handle B. Clean the charred tissue from the active electrode blade. C. Change the settings to blend mode D. Replace the active electrode blade with a coated blade. - ANSWER B. Clean the charred tissue from the active electrode blade Alexanders 15th P 233 Which of the following is not a characteristic of silk suture? A. Soft B. Handling ability C. Knot security D. Memory - ANSWER D. Memory Alexanders 15th p 189 Of the following, which measure, supported by evidence, has been identified to reduce SSI's and affect surgical outcomes? A. Antibiotics given IV within 1 hr of the incision for every procedure with an incision or entered body system B. Tobramycin and methylmethacrylate bead implants into deep orthopedic incisions at risk for osteomyelitis C. Bacitracin ointment on a clean subcuticular sutured incision as part of the dressing D. Vancomycin paste applied to cut edges of the sternum in cardiac surgery - ANSWER A. Antibiotics given within 1 hr of incision for every procedure with an incision of entered body system Alexanders 15th P 77 Recommended practice for sponge, sharp and instrument counts should follow which of the following? A. JACHO rules B. Institutional policy C. Legislation D. CDC recommendations - ANSWER B. Institutional policy Alexander 15th P 29 A reverse cutting needle is preferred for __________ suturing A. Cutaneous B. Opthalmic C. Microsurgical D. Plastics - ANSWER A. Cutaneous Alexanders 15th P 192 During the process of performing the spinal, the anesthesia provider inadvertently inserted the spinal needle into the subarachnoid space, not noticing the error until the entire syringe of lidocaine was emptied into the patient. The patient immediately experienced rapid onset of hypotension, bradycardia, and apnea. The resulting condition is called ____ and now must be managed with _____. A. Total subarachnoid syndrome, mechanical ventilation B. Hypotensive apnea episode, tracheostomy and humidified positive end-expiratory pressure C. Cardiogenic shock, ACLS protocol D. Total spinal anesthesia, general endotracheal anesthesia. - ANSWER D. Total spinal anesthesia, general endotracheal anesthesia Care of the patient in surgery 15th P 145