NIFA FINAL EXAM LATEST UPDATE 2024-2025 QUESTIONS AND VERIFIED CORRECT ANSWERS GUARANTEED, Exams of Nursing

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NIFA FINAL EXAM LATEST UPDATE 2024- 2025 QUESTIONS AND VERIFIED CORRECT ANSWERS GUARANTEED A+ "triangle" anotomic landmark that is knowns by the 3 C's - CORRECT ANSWER: Calot's 9 y/o diabetic patient with insulin pump comes for surgery; what should be considered - CORRECT ANSWER: bipolar 35% of the refractive power of the eye is credited to which part of the eye - CORRECT ANSWER: lens 51 y/o male with hepatobiliary disease; pre op assessment includes - CORRECT ANSWER: review his chart for bleeding and coagulation times and platelet count 191.18 kg patient scheduled for surgery; interventions to enhance patient safety - CORRECT ANSWER: use of an OR bed to accommodate patient weight and size a () should be placed between neural tissue and the suction tip - CORRECT ANSWER: cottonoid a long bone fracture in a child can have devastating consequences... - CORRECT ANSWER: epiphyseal plate a patient having a major vascular procedure will require which of the following interventions that are not required of a major gastrointestinal case - CORRECT ANSWER: rapid infusion pumps and blood products present in the OR a positive Kehr's sign is - CORRECT ANSWER: left shoulder pain a rapid rise in thyroid hormone levels is caused by - CORRECT ANSWER: thyroid and parathyroid surgery radioiodine therapy / contrast dye withdrawal of antithyroid drug therapy vigorous thyroid palpitation thyroid hormone medication a reason for conversion of lap cholecystectomy to open - CORRECT ANSWER: inability to remove a stone from the CBD via ERCP a tear in the meningeal artery results in the formation of () hematoma - CORRECT ANSWER: epidural AAAs commonly occur - CORRECT ANSWER: below the renal arteries and the aortic bifurcation AAAs occur primarily in what area - CORRECT ANSWER: between renal arteries and the aortic bifurcation ABCDE - CORRECT ANSWER: D = a brief neurologic exam; E = exposure to reveal all life-threatening injuries abdominal trauma case; instrument set needed besides a vascular set - CORRECT ANSWER: laparotomy set abnormal pupillary reflex in the patient's right eye - CORRECT ANSWER: compression of the oculomotor nerve absences of distinct teniae serves as visual landmark for - CORRECT ANSWER: upper margin of rectum absolute contraindication for a cholecystectomy is - CORRECT ANSWER: uncontrolled coagulopathy absolute contraindication for cholecystectomy - CORRECT ANSWER: uncontrolled coagulopathies Access to the substernal compartment is typically facilitated by: - CORRECT ANSWER: using long instruments through a regular thyroid incision administration of cyclogyl should be used in caution in which patient group - CORRECT ANSWER: down's syndrome advantage of an open rather than closed reduction technique - CORRECT ANSWER: direct observation and verification of fracture alignment after closure of the arteriotomy during carotid endarterectomy is complete, which clamp is removed last - CORRECT ANSWER: the internal carotid After retracting the nerve roots, this structure is incised before getting to the disc. - CORRECT ANSWER: posterior longitudinal ligament age related skin changes - CORRECT ANSWER: gently lift, not slide, the patient to and from the OR bed allergic contact dermatitis with natural rubber latex - CORRECT ANSWER: puritis, edema, erythema and visicles 6-48 hours after exposure alternative treatment for patients with chronic pulmonary emphysema - CORRECT ANSWER: lung volume reduction surgery appropriate action if the doctor is delayed after the room ad instruments have been opened - CORRECT ANSWER: cover the instruments with a sterile drape and have the scrub nurse continually visually observe the room for breaches in sterility appropriate intervention for preschool age children - CORRECT ANSWER: allow them to play with their own mask and place on their stuffed bunny's face appropriate nursing action in the event of a lost airway after anesthesia induction and before intubation - CORRECT ANSWER: assist the anesthesia provider with securing the airway while applying cricoid pressure appropriate steps to remove sterile gown - CORRECT ANSWER: wipe gloves clean, untie side of gown, grasp gown at one shoulder seam appropriate way to address a count discrepancy - CORRECT ANSWER: we have a count discrepancy, we started with 70 sponges and find only 68, we are missing 2 sponges area between the surgeon and the scrub person for passing sharps safely - CORRECT ANSWER: neutral zone arterial supply for the scalp - CORRECT ANSWER: external carotid artery ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - CORRECT ANSWER: maintenance of fracture hematoma assessing pediatric trauma patient for level of consciousness - CORRECT ANSWER: use a modified GCS for children At a regional MH testing center Davis Washington is undergoing a muscle biopsy for suspected genetic predisposition to malignant hyperthermia. The anesthesia provider will provide light intravenous (IV) sedation while the surgeon infiltrates the biopsy site with a local anesthetic. This will facilitate Davis' tolerance of the procedure and minimize his risk for an MH episode. What is the current correct name for this anesthesia modality? - CORRECT ANSWER: MAC aubrey Scheel - CORRECT ANSWER: explain the signs and symptoms of an incarcerated hernia and appropriate action baby boy doe; achieve ad maintain normothermia - CORRECT ANSWER: provide a radiant heat lamp during placement of monitoring lines and induction benefit of patient undergoing SILS procedure - CORRECT ANSWER: less post op pain benefit to paramedian incision - CORRECT ANSWER: decreased risk for hernia benefit to patient undergoing SILS procedure - CORRECT ANSWER: less post operative pain best description of a successful skin graft outcome - CORRECT ANSWER: the recipient site develops a new blood supply from the base of the wound best practice for double gloving - CORRECT ANSWER: the CDC endorses double gloving for all surgery and invasive procedures best practice for keeping instruments free of blood and bioburden during procedure - CORRECT ANSWER: wipe instruments with a sponge moistened with sterile water after each use Biologically based therapies classified as therapeutic nutrition - CORRECT ANSWER: diets of Dr.s Atkins, Pritikin, and Well BLANK precautions apply to blood, all body fluids, secretions, and excretions regardless of - CORRECT ANSWER: standard blood at the urinary meatus when attempting to insert a catheter - CORRECT ANSWER: discontinue catheter insertion blood supply to the jejunum and ileum come entirely from branches of the - CORRECT ANSWER: superior mesenteric artery blood supply to the transverse colon - CORRECT ANSWER: middle colic artery bloodless plane that contains loose areolar tissue and permits mobility of scalp - CORRECT ANSWER: subgleal space bloodless plane that contains loose areolar tissue and permits mobility of scalp - CORRECT ANSWER: subgleal space bone graft sealed in a sterile labeled envelope from a tissue transplant company stores in a vacuum sealed freezer and monitored with an alarm - CORRECT ANSWER: allograft borders of the triangle of calot - CORRECT ANSWER: hepatic duct, cystic duct, inferior edge of right lobe of the liver both adenoids and tonsils consist of - CORRECT ANSWER: lymphoid tissue boundaries for skin prep for patient receiving liver transplant - CORRECT ANSWER: neck to midthigh, bedline to bedline upper end of the fibular and distally to the condyles of the femur correct branch of the left main coronary artery - CORRECT ANSWER: circumflex coronary artery correct flow of bile from the gallbladder - CORRECT ANSWER: cystic duct, common duct, ampulla of vater, duodenum correct order of removal for soiled sterile attire - CORRECT ANSWER: gown, gloves, mask correct path of cardiac conduction system - CORRECT ANSWER: SA, AV< bundle of his, purkinjie fibers correct rationale for not using methylene blue as a skin marker in the neurosurgical OR - CORRECT ANSWER: methylene blue produces an inflammatory reaction in CNS tissue correct regarding non-absorbable suture - CORRECT ANSWER: increased reactive properties in tissue correct specimen care and handling - CORRECT ANSWER: avoid placing specimens for frozen section in formalin correct statement regarding closed gloving - CORRECT ANSWER: closed gloving can only be used for initial gloving correct statement regarding trigone of bladder - CORRECT ANSWER: forms the base of the bladder cranial nerve responsible for pupillary reaction - CORRECT ANSWER: cranial nerve III cranial nerve that, if injured in surgery, results in vocal cord paralysis - CORRECT ANSWER: x cryosurgery can be used to treat cancers of the - CORRECT ANSWER: lung cutting suture knots of non absorbable suture - CORRECT ANSWER: 1/2 inch damage to cranial nerve VII - CORRECT ANSWER: drooping of the corned of the mouth Dan clements - CORRECT ANSWER: polyglactin Definitive information about the extent and location of ischemic heart disease can be obtained from which of the following tests - CORRECT ANSWER: cardiac catheterization depolarizing muscle relaxant that produces generalized fasciculations - CORRECT ANSWER: succinylcholine describe the internal inguinal ring - CORRECT ANSWER: a natural opening in the transversalis fascia desirable characteristic that influences surgeon's choice of graft - CORRECT ANSWER: hypoallergenic device used during anesthesia to confirm successful endotracheal tube placement and gas exchange - CORRECT ANSWER: capnometer difference between open aortic aneurysm repair and EVAR - CORRECT ANSWER: the prosthetic endograft or stent graft is introduced into the aneurysm through a surgically exposed femoral artery disadvantage of harrington rods - CORRECT ANSWER: rod breakage is increased discharge planning for patient who underwent endovascular surgery going home on anticoagulation therapy - CORRECT ANSWER: do not use tools such as saws or hammers which could lead to an accident distinguishing characteristic of large intestine - CORRECT ANSWER: teniae coli, haustra, epiploic appendages documentation requirement unique to vascular surgery - CORRECT ANSWER: clamp application and removed times double gloving - CORRECT ANSWER: the american college of surgeons endorses double gloving for all surgery and invasive procedures drug to give if patient is unresponsive to treatment methods to reduce laryngospasm - CORRECT ANSWER: succ dry time for most skin preps - CORRECT ANSWER: 3-5 minutes ductal ectasia is difficult to distinguish from cancer because it presents with - CORRECT ANSWER: a hard irregular mass, nipple discharge, and enlarged axillary nodes dura fold that separates right and left cerebral hemispheres - CORRECT ANSWER: falx cerebri during a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using - CORRECT ANSWER: flexion, adduction, external rotation ideal suture material is one that has handling characteristics such as - CORRECT ANSWER: pliability identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord - CORRECT ANSWER: cremaster Identify the marginal boundaries of the breasts - CORRECT ANSWER: Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line identify the purpose of colon resection surgery - CORRECT ANSWER: relieve an obstruction If a sterile glove becomes contaminated during a procedure, what action should the surgical technologist take? - CORRECT ANSWER: reglove with assisted gloving technique if PMMA is not used, what replacement product, element, or substances is - CORRECT ANSWER: autologous bone graft if PMMA is not used, which replacement product, element, or substance is - CORRECT ANSWER: autologous bone graft impaired nutritional status is highly prevalent Mini Nutritional Assessment - CORRECT ANSWER: serum albumin level important information to be communicated about a drain to the PACU or ICU nurs - CORRECT ANSWER: location and type of drain in the pulmonary circulatory system... where does the blood from the lungs flow next? - CORRECT ANSWER: through the pulmonary veins to the left atrium inadvertent injury to which nerve would cause vocal cord paralysis - CORRECT ANSWER: recurrent nerve incision for a modified radical mastectomy - CORRECT ANSWER: oblique elliptical incision with lateral extension towards axilla incision for a splenectomy - CORRECT ANSWER: left subcostal Incision for open cholecystectomy - CORRECT ANSWER: right subcostal incision for removing cancerous testis - CORRECT ANSWER: midportion of scrotum incision in which region to gain access to the pancreas - CORRECT ANSWER: right subcostal incision used for a lumbar laminectomy - CORRECT ANSWER: midline directly over the appropriate lumbar spines incision used for a open appendectomy - CORRECT ANSWER: mcburney indication for damage control surgery - CORRECT ANSWER: coagulopathy indication for liver transplant - CORRECT ANSWER: primary hepatic cancer chronic hepatocellular disease chronic cholestatic disease metabolic liver disease acute fulminant liver disease inborn errors of metabolism indirect hernias occur () to the deep epigastric vessels - CORRECT ANSWER: laterally inflammation of the gallbladder - CORRECT ANSWER: cholecystitis injury can be avoided by tucking the draw sheet () the arm and under the () - CORRECT ANSWER: over, the body injury to the anterior chest from blunt force trauma, damage to what area - CORRECT ANSWER: right ventricle innermost membrane of the brain - CORRECT ANSWER: pia mater innervation of the lungs is part of what system - CORRECT ANSWER: autonomic innervation of the lungs is part of what system - CORRECT ANSWER: autonomic nervous system instillation of local anesthetic into the subarachnoid space - CORRECT ANSWER: spinal anesthesia instrument used to occlude a vessel - CORRECT ANSWER: hemostat instruments that do not fall under the categories of clamps, retractors, or cutting instruments are - CORRECT ANSWER: accessory or ancillary instruments intervention provided for elderly patient's skeleton - CORRECT ANSWER: position the patient using appropriate padding and joint protection devices intracorporeal suture technique uses suture tying process analogous to - CORRECT ANSWER: instrument tying jacob sutzkever - CORRECT ANSWER: infected wound Jan Stuyvesant, a surgical technologist, was the scrub person during a robotic-assisted laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on the robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect the cystic duct and artery, while the surgical assistant placed the clips on the cystic duct and artery. As she reached across the sterile field to insert the cholangiocatheter through the port, the anesthesia provider accidentally made contact with the distal end of the catheter as he stood up to reach the monitor controls. The contaminated end of the catheter touched the endoscopic clip applier, the endoscissor connector that the surgeon was using, the glove of the assistant, and Jan's gown sleeve. The surgeon ordered everyone to change their gown and gloves and covered the port area with a sterile towel. What was the rationale for the surgeon to - CORRECT ANSWER: the surgeon was not in contact with the sterile field because he worked from the robotic console JCAHO model of risk management includes - CORRECT ANSWER: all of the above jennings; skin injury - CORRECT ANSWER: friction from his elbows rubbing over the sheets when slip up in bed key component of the culture of safety in regards to blood exposure - CORRECT ANSWER: a goal of the culture of safety is to reduce the risk of blood exposure and sharps injuries to staff laceration on the neck that involves the lower trachea; which structure can be involved - CORRECT ANSWER: brachiocephalic artery laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - CORRECT ANSWER: inadvertent trocar puncture through bowel on insertion largest salivary gland - CORRECT ANSWER: parotid latex allergy reaction is best prevented by - CORRECT ANSWER: limiting exposure to latex layer before reaching the rectus abdominis muscle - CORRECT ANSWER: scarpa's fascia left and right lobes of the liver are divided by - CORRECT ANSWER: falciform ligament length of time for inflation of an upper extremity tourniquet on a patient under 50 years old - CORRECT ANSWER: 1 hour, 250-300 mmHg ligament that connects the laminae of the spine - CORRECT ANSWER: ligamentum flavum lesions are mapped, excised, and examined by frozen section until clear margins are found MOI / kinematics of head on collision where the head hits the windshield and the chest hits the steering wheel - CORRECT ANSWER: acceleration/deceleration; injury to the anterior and posterior brain and internal thoracic organs and vessels monofilament suture that does not require the surgeon to tie knots - CORRECT ANSWER: barbed most accurate method for post op temp monitoring - CORRECT ANSWER: oral most common complication following ACDF - CORRECT ANSWER: difficulty swallowing most common complication of Meckel's diverticulum - CORRECT ANSWER: GI bleeding most common congenital cyst found in the neck - CORRECT ANSWER: thyroglossal duct cysts Most common endocrine problem in the US - CORRECT ANSWER: thyroid nodule most common method to prevent hypothermia is through the use of - CORRECT ANSWER: forces air warming blankets most common non emergent surgery in USA - CORRECT ANSWER: cholecystectomy most common pattern of hearing loss in older adults - CORRECT ANSWER: bilateral symmetric sensorineural most common size needle for skin closure - CORRECT ANSWER: 3/8 most common used incision for C section - CORRECT ANSWER: pfannensteil most commonly fractures carpal bone - CORRECT ANSWER: scaphoid most commonly injured intra-abdominal organ in blunt trauma - CORRECT ANSWER: spleen most commonly performed procedure in general surgery - CORRECT ANSWER: cholecystectomy most commonly used local anesthetic - CORRECT ANSWER: lidocaine most commonly used method of sterilization - CORRECT ANSWER: steam sterilization most commonly used pediatric premedication - CORRECT ANSWER: versed most important qualities for packaging materials - CORRECT ANSWER: good sterilant penetration and air removal, microbial barrier, aseptic presentation most likely reason for avascular necrosis in 80 y/o woman following hip fracture - CORRECT ANSWER: femoral neck fracture most stable and rigid fixation of a fracture - CORRECT ANSWER: locked plating system mulitple trauma wound patient, what is appropriate for rapid preparation of this patient - CORRECT ANSWER: prep patient from suprasternal notch to mid thigh B muscle critical in stabilization of knee joint - CORRECT ANSWER: quad must consider which of the following when decided treatment for breast cancer - CORRECT ANSWER: size of tumor nasal polypectomies use microdebriders which remove polyps by the mechanism of - CORRECT ANSWER: morcellating needle aspiration of suspicious breast mass - CORRECT ANSWER: the aspirate fluid is cytologically examined nerve supply for female pelvis comes from - CORRECT ANSWER: superior hypogastric plexus nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - CORRECT ANSWER: superior hypogastric plexus nerves in the lower extremity not commonly implicated in positioning related neuropathies - CORRECT ANSWER: popliteal New synthetic polymers such as PDS provide wound support up to months - CORRECT ANSWER: 3 nipple discharge is more commonly associated with benign lesions than with cancer; however, discharge is usually significant only if it is spontaneous, persistent, and - CORRECT ANSWER: bloody norma miller - CORRECT ANSWER: determine the potential for intravasation NOT a characteristic of silk suture - CORRECT ANSWER: memory NOT a common problem requiring neurosurgical intervention in infants and children - CORRECT ANSWER: craniocephalus orthopedic diagnosis that is a complex deformity and diagnosed prenatally through ultrasound or at birth - CORRECT ANSWER: club foot osteomalacia is due to a deficiency of () that can be treated by () - CORRECT ANSWER: vitamin D, dietary supplements and exposure to sunlight outcome indicator that would best reflect that the goal of maintained fluid balance was attained - CORRECT ANSWER: blood pressure within acceptable range ovarian artery is a branch of which vessel - CORRECT ANSWER: aorta overactive thyroid conditions; which has an increased risk of development that can lead to premature death - CORRECT ANSWER: atrial fibrillation overpressurization can lead to - CORRECT ANSWER: hypercarbaria Paget's disease , the degenerative process results in - CORRECT ANSWER: rapid, disorganized bone remodeling Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to medical therapy. She is scheduled for a subtotal thyroidectomy. What condition, a complication of Graves' disease, is her probable indication for a subtotal thyroidectomy? - CORRECT ANSWER: tracheal obstruction parameters of a comprehensive respiratory assessment - CORRECT ANSWER: rate, rhythm, and breath sounds patient at highest risk for hypothermia in perianesthesia phase - CORRECT ANSWER: 3 week old neonate for cardiac anomaly patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - CORRECT ANSWER: a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline patient having cardiac surgery, consider all of the following except: - CORRECT ANSWER: RBCcount? patient most likely to have a true latex allergy - CORRECT ANSWER: patient with spina bifida patient presents with an acoustic neuroma will demonstrate which symptoms - CORRECT ANSWER: unilateral deafness patient reports latex allergy, carries epi pen and beta-agonist inhaler - CORRECT ANSWER: true latex allergy patient right regarding consent - CORRECT ANSWER: right to informed consent patient safety strategy that reduces medication errors - CORRECT ANSWER: tracing origin and insertion of all tubes and catheters patient schedule for nasal surgery using epinephrine; what should be considered - CORRECT ANSWER: cardiac history patient scheduled for thyroidectomy, which tray should be readily available - CORRECT ANSWER: trach tray patient uses ephedra, if halothane is used during procedure, patient is at risk for - CORRECT ANSWER: ventricular arrhythmias patient with C Diff is on what kind of precautions - CORRECT ANSWER: contact precautions patient with CVI is not often treated surgically because - CORRECT ANSWER: CVI is not life threatening or limb threatening patients with acute arterial insufficiency present with 6 Ps; occlusion can be result of which condition - CORRECT ANSWER: rupture of an unstable atherosclerotic plaque pelvic diaphragm - CORRECT ANSWER: it is an indirect supportive attachment to the uterus pelvic floor consist of which muscle group - CORRECT ANSWER: levator ani and coccygeal muscles pelvic floor consists of - CORRECT ANSWER: levator ani and coccygeal muscle perineal glands that secrete mucus - CORRECT ANSWER: bartholin glands peripheral nerve block for ankle ORIF would complain if which symptom - CORRECT ANSWER: metallic taste in mouth peritoneal fold that connect the appendix to the ileum - CORRECT ANSWER: mesoappendix person responsible for marking the patient - CORRECT ANSWER: surgeon phagocytic cells of the liver - CORRECT ANSWER: kupffer cells physical barrier used in prevention of adhesions that can take up to two weeks to absorb and is indicated in most open procedures - CORRECT ANSWER: NOT seprafilm interceed? physical characteristic of suture - CORRECT ANSWER: knot strength plausible anesthetic mechanism of action - CORRECT ANSWER: synaptic transmission of nerve impulses in the CNS is inhibited pneumonic AMPLE - CORRECT ANSWER: allergies, medications, PMH, last meal, event leading to injury point of insertion for iliopsoas muscle - CORRECT ANSWER: lesser trochanter positioning arms correctly to avoid pressure on the elbow to prevent - CORRECT ANSWER: ulnar nerve injury positioning considerations for a patient undergoing TRAM flap reconstruction - CORRECT ANSWER: raise head of bed to low fowlers flex position to reduce stretching on abdominal donor graft wound site positioning device for bariatric patients - CORRECT ANSWER: upper body ramp positioning device for bariatric patients prior to intubation - CORRECT ANSWER: upper body ramp positioning device for head cases - CORRECT ANSWER: mayfield head positioner possible benefit to paramedian incision - CORRECT ANSWER: decreased risk for hernia postoperative infection in any joint replacement is - CORRECT ANSWER: usually catastrophic potential for limb shortening and malformation when the fracture line involes the - CORRECT ANSWER: epiphyseal plate potential risk associated with pneumoperitoneum - CORRECT ANSWER: gas embolus into an exposed blood vessel during the procedure practice designed to prevent unique MIS problem - CORRECT ANSWER: direct coupling practice for sponge, sharp, and instrument counts follows: - CORRECT ANSWER: institutional policy select the list of direct care anesthesia providers - CORRECT ANSWER: anesthesia provider, AA, CRNA select the order for administering blood and blood products - CORRECT ANSWER: verify informed consent for blood, ..... select the procedure that is designed for the relief of pharyngeal obstruction - CORRECT ANSWER: tonsillectomy select the statement that best reflects the ideal living-related donor candidate - CORRECT ANSWER: an identical twin or sibling or parent, ABO and HLA compatibility, good health select the true statement about application and operation of the pneumatic tourniquet - CORRECT ANSWER: cuffs should overlap a minimum of 3 inches and a maximum of 6 inches select the true statement about dacryocystorhinostomy (DCR) - CORRECT ANSWER: DCR establishes a new passageway for tear drainage into the nasal cavity self retaining retractor for large patient - CORRECT ANSWER: bookwalter SEP monitoring is used during which procedure - CORRECT ANSWER: posterior spinal fusion Shawna Bolten, a perioperative nurse, relieved the circulating nurse in OR 5 where they were about to begin a circumcision on a 17-year-old patient under general anesthesia. After she received the hand-off report from the circulating nurse, she noticed an empty vial of lidocaine 1% with epinephrine 1:100,000 by the computer, where she had signed herself in as the relief nurse. During the hand-off report the scrub person showed her the medication cup on the sterile field. It was labeled "lidocaine 1%." The scrub person had drawn up 10 ml in a syringe to hand to the surgeon for a penile block. Shawna's immediate response should be: - CORRECT ANSWER: alert the team that lidocaine with epi was accidently placed on the back table sherry ames - CORRECT ANSWER: conscious sedation / analgesia sign or symptom anesthesia would report in a patient experiencing TURP syndrome - CORRECT ANSWER: hypertension signs of symptoms of TURP syndrome - CORRECT ANSWER: seizures silk loses tensile strength after what period of time - CORRECT ANSWER: 1 year silk, when buried in tissue, loses its tensile strength after - CORRECT ANSWER: 1 year singular bones in the cranial cavity - CORRECT ANSWER: frontal, ethmoid, sphenoid, occipital skin injuries are often overlooked or not linked to surgery because - CORRECT ANSWER: injuries often have a delay in appearance skin injuries related to shearing occur when the patient is in what position - CORRECT ANSWER: trendelenburg source of radiation in OR - CORRECT ANSWER: C arm sponge counts should be performed - CORRECT ANSWER: before the procedure, before closure of each body cavity, before wound closure, at skin closure statement about surgical dressings - CORRECT ANSWER: cushion and protect the wound from trauma and gross contamination, and absorb drainage statement about the liver, pancreas, and spleen that is true - CORRECT ANSWER: all three are solid organs and are very vascular statement regarding doppler is true - CORRECT ANSWER: water soluble gel is needed when the doppler is used on intact skin statement regarding fallopian tube cancer - CORRECT ANSWER: fallopian tube cancer is very rare, with an incidence of less than 1% statement that best reflects the functional components of the GI tract - CORRECT ANSWER: alimentary canal extends from the mouth to the anus strength layer of the skin - CORRECT ANSWER: dermis structure located within the cancellous bone that is important for weight bearing and providing strength to withstand stresses placed on the bone - CORRECT ANSWER: trabeculae structure that supports the uterus and contains uterine artery and vein - CORRECT ANSWER: cardinal ligaments structures located in the inguinal canal - CORRECT ANSWER: spermatic cord and round ligament structures located within the broad ligaments - CORRECT ANSWER: fallopian tubes, ureters, uterine vessels structures that form the mouth - CORRECT ANSWER: cheeks, hard palate, mandible, tongue surgery to repair ruptured diverticulum has a wound classification of - CORRECT ANSWER: contaminated wound; class III surgical consents should be written on what grade level - CORRECT ANSWER: 5th surgical hand scrubs should have what attibute - CORRECT ANSWER: inhibit the regrowth of microorganisms surgically created AV fistulas are also referred to as () and are indicated for enabling () - CORRECT ANSWER: arteriovenous shunt, hemodialysis susan graton - CORRECT ANSWER: impaired transfer ability suture best suited for intestinal anastomosis - CORRECT ANSWER: vicryl suture best suited for intestinal anastomosis based on handling capability, high tensile strength that decreases after 1 year and is not a true non- absorbable - CORRECT ANSWER: silk suture permanently attached at the end of the needle referred to as - CORRECT ANSWER: swaged suture that helps eliminate tension of primary suture line - CORRECT ANSWER: retention symptoms for hypothyroidism - CORRECT ANSWER: dry skin, edema, constipation, depression tear to the meningeal artery results in what kind of hematoma - CORRECT ANSWER: epidural technique primarily used for women having prophylactic mastectomy with immediate reconstruction - CORRECT ANSWER: nipple sparing technique that minimizes drag and wear on the suture material and needle - CORRECT ANSWER: double armed teniae coli consist of how many longitudinal bands of muscle - CORRECT ANSWER: 3 tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - CORRECT ANSWER: 2-3 The part of the femur that is most susceptible to fracture in conjunction with osteoporosis is: - CORRECT ANSWER: femoral neck the patient scheduled for a stapedotomy will typically not have a surgical diagnosis of - CORRECT ANSWER: tympanic membrane rupture ? the perioperative nurse - CORRECT ANSWER: all of the above the primary objective of varicose vein surgery for a patient with secondary disease is to prevent - CORRECT ANSWER: ulceration, edema, pain, fatigue the purpose of triple endoscopy is usually diagnostic. a critical role of the periop nurse during this complex diagnostic procedure is - CORRECT ANSWER: identifying, containing, and labeling all specimens accurately the pyramidal lobe of the thyroid is described as - CORRECT ANSWER: a thin upward protrusion of thyroid tissue from the isthmus. the renal artery and vein enter the kidney o the medial side through a concave area known as the - CORRECT ANSWER: hilum the right and left coronary arteries originate in the corresponding sinuses of valsava which are located - CORRECT ANSWER: posterior to the cusps of the aortic valve the roof of the inguinal canal consist of () while the () makes up the major support of the floor of the inguinal canal - CORRECT ANSWER: external oblique aponeurosis, transversalis aponeurosis and fascia the roof of the inguinal canal consists of the () while the () makes up the major support for the floor of the inguinal canal - CORRECT ANSWER: external oblique aponeurosis, transversalis aponeurosis and fascia the scaphoid links the proximal row of carpal bones as it - CORRECT ANSWER: stabilizes and coordinates the movement of the proximal and distal rows The science of plastic and reconstructive surgery, which means to mold or create form and shape, improves appearance and body image through an understanding of: - CORRECT ANSWER: the anatomy and biology of tissue the spleen's function in the defense of the body is achieved by - CORRECT ANSWER: phagocytosis the stapler designed to close the end of a hollow organ - CORRECT ANSWER: TA the supraglottis, glottis, and subglottis represent three portions of the - CORRECT ANSWER: larynx the surgeon asks you why she is not removing the posterior part of the patient's thyroid gland - CORRECT ANSWER: so that the patient does not develop hypocalcemia the teniae coli consist of how many longitudinal bands of muscle - CORRECT ANSWER: 3 the transverse colon meets the descending colon at what point - CORRECT ANSWER: splenic flexure there are blank main coronary arteries which originate in the blank - CORRECT ANSWER: 2, sinuses of valsalva this gram stain designation is based on the - CORRECT ANSWER: physical and chemical properties of the cell wall thyroglossal duct exists as a pretracheal cystic pouch attached to what structure - CORRECT ANSWER: hyoid tissue reaction characteristics that need to be considered when choosing suture - CORRECT ANSWER: absorption Today's surgeons skilled in microsurgery can successfully anastomose the ends of a vessel or nerve measuring less than: - CORRECT ANSWER: 1 mm total thyroidectomy is the desired surgical treatment for patients with - CORRECT ANSWER: thyroid cancer trailing a new insuflation system, over-pressurization leads to - CORRECT ANSWER: hypercarbia transsphenoidal hypophysectomy - CORRECT ANSWER: hypopituitarism and small pituitary tumors transthoracic esophagectomy with lymph node dissection for cancer of esophagus; which approach - CORRECT ANSWER: upper midline abdominal and right thoracotomy treatment for LAST includes - CORRECT ANSWER: lipids treatments for a fire fighter who experienced full thickness burns - CORRECT ANSWER: debridement and allograft placement during initial healing triad of anatomic sites of abdominal wall weakness with a potential for hernias - CORRECT ANSWER: inguinal canal, fermoral rings, umbilicus triad of boundaries of the hesselbach triangle - CORRECT ANSWER: deep epigastric vessels laterally inguinal ligament inferiorly rectus abdominis medially trigeminal nerve provides motor innervation for which muscle group - CORRECT ANSWER: muscle of mastication Trina Gasterson, herbal supplement - CORRECT ANSWER: echinacea true statement about pigtail catheter that describes its indications for use - CORRECT ANSWER: it can deliver large amount of contrast medium through its side holes Tui Nyguen, a 32-year-old gravida 2 para 2, is scheduled for a hysteroscopy for heavy bleeding of 2 weeks' duration, and possible retrieval of a displaced IUD. She is tired and weak from blood loss and has marked anemia. contraindication for planned hysteroscopy? - CORRECT ANSWER: heavy bleeding umbilical hernias occur as a result of a defect in the - CORRECT ANSWER: linea alba UPPP is performed to relieve OSA and snoring; common indications for UPPP - CORRECT ANSWER: o2 saturation below 80, apnea index worse than 20 use of PMMA can result in which adverse reaction - CORRECT ANSWER: transient hypotension uses of suture - CORRECT ANSWER: ligate, suture, and close tissue velour grafts are impregnated with which of the following - CORRECT ANSWER: gelatin velour grafts are impregnated with which substance to ease handling with the need to preclot - CORRECT ANSWER: gelatin vena cava filter; insertion approaches - CORRECT ANSWER: right jugular and right femoral venous structure that prevents blood backflow - CORRECT ANSWER: semilunar intimal folds vessels of the circle of willis include - CORRECT ANSWER: posterior communicating artery what composes the lining of the herniated abdominal sac - CORRECT ANSWER: peritoneum which injury is NOT related to a patient being placed in the lateral position - CORRECT ANSWER: compression of abdominal cavity which intervention is age appropriate for toddlers - CORRECT ANSWER: give only simple choices and involve them in actions when possible which is not a complication of stent placement - CORRECT ANSWER: sclerosis which is NOT a risk factor for developing ventral hernias - CORRECT ANSWER: male gender which is not a symptom of compartment syndrome - CORRECT ANSWER: moderate pain which is NOT an event that would adversely affect pulse ox reading - CORRECT ANSWER: hypertension which is not included in the terrible triad - CORRECT ANSWER: PCL tear which is true about the use of liquids in the OR - CORRECT ANSWER: skin prepping solutions can cause chemical burns which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - CORRECT ANSWER: amylase, lipase which layer or the uterus contains the lymphatics - CORRECT ANSWER: myometrium which listen inhalation agent is th best choice for pediatric anesthesia - CORRECT ANSWER: sevo which members of the team can be held liable for a retained foreign object - CORRECT ANSWER: the entire team which nodes of the lymphatic system are responsible for drainage from the mouth, lips, and external nose - CORRECT ANSWER: submandibular which ocular blocks carries the highest risk - CORRECT ANSWER: retrobulbar block which of the following documentation requirements is unique to vascular surgery - CORRECT ANSWER: clamp application and removed times which of the following is a radiation reduction technique - CORRECT ANSWER: fluoroscopy equipment is required to have an audible alarm after 5 minutes of use which of the following is incorrect pertaining to lung segments - CORRECT ANSWER: there are 5 segments on the right and 3 segments on the left which of the following is NOT a reason to convert a case from laparoscopic to an open abdominal case - CORRECT ANSWER: lack or warmer for insufflation gas which of the following is not contained in the anterior mediastinum - CORRECT ANSWER: Great Vessels which of the following is not contained in the anterior mediastinum - CORRECT ANSWER: Great Vessels which of the following is not included in the bony pelvis - CORRECT ANSWER: ileum which of the following is NOT included in the carotid system of arteries - CORRECT ANSWER: ascending pharyngeal artery which of the following operations requires general anesthesia - CORRECT ANSWER: MVR which of the following pressure points are included in an assessment to prevent pressure injury - CORRECT ANSWER: genitals, knees, toes, and eyes which of the following regarding PMMA is NOT an effect on local tissue - CORRECT ANSWER: skin burns due to exothermic reaction which of the following regarding specimen labeling is a regulatory requirement - CORRECT ANSWER: biohazard information which of these items identify this structure as large intestine and not small - CORRECT ANSWER: teniae coli, haustra, epiploic appendages which organization has strict guidelines for tracking implant devices - CORRECT ANSWER: FDA which should not be considered for choice of suture - CORRECT ANSWER: the scrub persons preference which statement about the prostate best reflects its location, size and weight - CORRECT ANSWER: the prostate sits below the base of the bladder, is 4 cm at the base and weighs 20-30 grams which statement regarding risk factors for developing vascular disease is true - CORRECT ANSWER: arteriosclerosis is a natural part of the aging process which substance that supplies energy sources to the brain and body - CORRECT ANSWER: glycogen which sulci is of particular anatomic importance during surgery - CORRECT ANSWER: lateral sulcus which surgical approach reduces morbidity and mortality in removal of an acoustic tumor - CORRECT ANSWER: translabryinthine approach which three pairs of nerves are subject to toxic, inflammatory, vascular, and neoplastic lesions - CORRECT ANSWER: third, fourth, sixth which type of bleeding is more difficult to control - CORRECT ANSWER: venous because veins have a thinner muscle layer whipple procedure is removal of () as treatment for () - CORRECT ANSWER: lower half of the common bile duct, pancreatic cancer who requires two patient identifiers on specimen labels - CORRECT ANSWER: JCO why must evidence be placed in a paper bag and not a plastic bag - CORRECT ANSWER: why must evidence be placed in a paper bag and not a plastic bag - CORRECT ANSWER: plastic bags may trap moisture and allow mold growth, destroying evidence Why will the perioperative nurse ensure availability of hemodynamic monitoring equipment and supplies for the patient having thoracic surgery? - CORRECT ANSWER: decreased surface area of the lung for perfusion can be anticipated Within a steam sterilizer, at a temperature of 100° C (212° F), the water condensation and the steam are the same temperature. This scientific phenomenon is called and will . - CORRECT ANSWER: steam saturation, not kill microorganisms wound classification for breast surgery - CORRECT ANSWER: clean You examine a comatose patient in the emergency room. His wife relates that her husband was struck accidentally in his "temple" by a baseball. After an initial period of unconsciousness, he seemed to be okay but later became drowsy and comatose. You suspect that the patient is suffering from: - CORRECT ANSWER: epidural hematoma young children are predisposed to increased vagal tones which can be induced by - CORRECT ANSWER: painful stimuli such as eye surgery or abdominal retraction