NIFA STUDY GUIDE EXAM QUESTIONS
WITH VERIFIED SOLUTION 100%
CORRECT.
The number one patient safety issue identified in a survey of peri-operative nurses
is preventing: < ANS >Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: < ANS >OR
personnel not properly trained to reprocess instruments
PR
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: < ANS >157 lbs
should be the primary decision makers for what equipment and
O
supplies are purchased and stocked in the difficult airway management cart. < ANS
>Anesthesia personnel
FD
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: < ANS >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: < ANS >Perform a
O
weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients
C
because of all of the following EXCEPT: < ANS >Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following
EXCEPT: < ANS >Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. < ANS
>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. < ANS
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
,>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? < ANS >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
PR
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? < ANS >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
O
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
FD
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: < ANS >right to informed
consent.
O
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
C
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. < ANS >"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
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
, mitigated through . < ANS >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 in the hand-off
report is: < ANS >patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? <
ANS >Wash wound with soap and water; flush mucous membranes.
Contact with infected patients or infectious material places healthcare workers at
risk for occupational-acquired infection. Which communicable disease are
healthcare workers at risk for acquiring or transmitting? < ANS >Seasonal influenza
PR
Select the appropriate nursing action that supports hands-free instrument passing
and sharps safety. < ANS >Create a neutral hands-free area between the scrub
person and surgeon with a basin or magnetic mat.
Select the guideline that complements the design of the culture of safety model. <
O
ANS >Incorporate safe practices into your daily work when handling sharps.
A neutral zone is a predetermined location on the surgical field where sharps are
placed for retrieval by the surgeon. Which of the following is a best practice for the
FD
use of the neutral zone? < ANS >Announce the transfer of each sharp before
placing it in the neutral zone.
Which of the following may be a consequence of high-dose or full-body radiation? <
ANS >Nausea, vomiting, and diarrhea
O
Exposure to blood-borne pathogens occurs during all phases of the perioperative
process. Observing safety precautions during all phases of surgery, from setup to
C
cleanup, reduces the number of injuries and exposures for all OR personnel. For the
prevention of sharps injuries in the pre-procedure and post-procedure phases, which
safe handling practices reflect appropriate nursing actions? < ANS >Use
standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination
cleanup area.
Do not place hands or fingers into a container to dispose of a device.
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
WITH VERIFIED SOLUTION 100%
CORRECT.
The number one patient safety issue identified in a survey of peri-operative nurses
is preventing: < ANS >Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: < ANS >OR
personnel not properly trained to reprocess instruments
PR
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: < ANS >157 lbs
should be the primary decision makers for what equipment and
O
supplies are purchased and stocked in the difficult airway management cart. < ANS
>Anesthesia personnel
FD
Proper specimen management techniques prevent errors and include all of the
following EXCEPT: < ANS >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: < ANS >Perform a
O
weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients
C
because of all of the following EXCEPT: < ANS >Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following
EXCEPT: < ANS >Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. < ANS
>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. < ANS
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
,>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? < ANS >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
PR
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? < ANS >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
O
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
FD
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: < ANS >right to informed
consent.
O
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
C
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. < ANS >"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
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
, mitigated through . < ANS >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 in the hand-off
report is: < ANS >patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? <
ANS >Wash wound with soap and water; flush mucous membranes.
Contact with infected patients or infectious material places healthcare workers at
risk for occupational-acquired infection. Which communicable disease are
healthcare workers at risk for acquiring or transmitting? < ANS >Seasonal influenza
PR
Select the appropriate nursing action that supports hands-free instrument passing
and sharps safety. < ANS >Create a neutral hands-free area between the scrub
person and surgeon with a basin or magnetic mat.
Select the guideline that complements the design of the culture of safety model. <
O
ANS >Incorporate safe practices into your daily work when handling sharps.
A neutral zone is a predetermined location on the surgical field where sharps are
placed for retrieval by the surgeon. Which of the following is a best practice for the
FD
use of the neutral zone? < ANS >Announce the transfer of each sharp before
placing it in the neutral zone.
Which of the following may be a consequence of high-dose or full-body radiation? <
ANS >Nausea, vomiting, and diarrhea
O
Exposure to blood-borne pathogens occurs during all phases of the perioperative
process. Observing safety precautions during all phases of surgery, from setup to
C
cleanup, reduces the number of injuries and exposures for all OR personnel. For the
prevention of sharps injuries in the pre-procedure and post-procedure phases, which
safe handling practices reflect appropriate nursing actions? < ANS >Use
standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination
cleanup area.
Do not place hands or fingers into a container to dispose of a device.
NIFA STUDY GUIDE EXAM WITH VERIFIED SOLUTION 100% CORRECT.
