NIFA Perioperative Exam With 100% Correct And Verified Answers, Exams of Advanced Education

Download NIFA Perioperative Exam With 100% Correct And Verified Answers and more Exams Advanced Education in PDF only on Docsity! NIFA Perioperative Exam With 100% Correct And Verified Answers Of the following choices, which would not be a consideration for choosing suture? A. Type of procedure B. The tissue being reapproximated C. Type of reapproximation D. Scrub person preference - Correct Answer-D. Scrub person preference Alexanders 15th P192 Which of the following is not an event that would adversely affect the pulse ox reading? A. Hypothermia B. Hypertension C. Vasoconstriction D. Hypovolemia - Correct Answer-B. Hypertension Alexanders 15th P132 Skin injuries related to shearing occur most commonly as a result of which of the following positions? A. Trendelenburg B. Prone C. Lateral D. Lithotomy - Correct Answer-A. Trendelenburg Alexanders 15th P165 A basic anesthesia monitoring device that is used during general anesthesia to confirm successful endotracheal tube placement and determine the presence of gas exchange is the: A. Pulse oximetry device B. Stethoscope C. Capnometer/end-tidal CO2 monitor D. Post-intubation arterial blood gas - Correct Answer-C. Capnometer/ The immature blood-brain barrier and decreased protein binding in infants increase their sensitivity to which group of medications? A. anticholinergics, parasympathetics B. Antidysrhythmic agents C. Opioids and hypnotics D. Adrenerics - Correct Answer-C. Opioids and hypnotics Alexander 15th p1009 Proper care and handling of surgical specimens is imperative for correct diagnosis, treatment, and prognosis planning of the patient. Select the response that best reflects correct specimen care and handling. A. Label consecutive specimens B. Send all specimens to the lab together as one pickup, including the frozen sections C. Avoid placing specimens for frozen section in formalin D. Neutralize formalin/formaldehyde spills with glycerin and call the hazmat team. - Correct Answer-C. Avoid placing specimens for frozen section in formalin Alexander 15th p32 From the following, choose the types of anesthesia that will allow patients to tolerate potentially uncomfortable procedures while maintaining their own airway and be easily aroused from light sleep. A. Moderate anesthesia care B. Local infiltraion C. Moderate sedation/analgesia D. Regional anesthesia - Correct Answer-C. Moderate Sedation/analgesia Alexander 15th P130 Risk factors for postoperative nausea and vomiting should be assessed preoperatively. Which of the following is a risk factor for PONV? A. Male gender B. Female gender C. Postoperative use of NSAIDS D. Surgery under 60 minutes - Correct Answer-B. Female gender Alexanders 16th p269 Which of the following is a true statement about the use of liquids in the OR? A. Use of volitile liquids such as acetone is limited to cleaning and they must be properly stored B. Flammable liquids are prohobited in the OR unless an ESU is in use C. Skin prepping solutions can cause chemical burns D. Betadine skin prep does not cause chemical burns - Correct Answer-C. Skin prepping solution can cause chemical burns Alexander 15th p33 This hemostatic device offers a rapid and secure method of clamping arteries, veins, nerves, and other small structures. This device remains in the patient, is not counted, and is made of a metal that is not compatible with MRI. Select the correct hemostatic device that fits this description. A. Hemostat B. Alligator forcep C. Ligating clip D. Bulldog clamp - Correct Answer-C. Ligating clip Alexanders 15th p198 The most commonly used medication for local anesthesia is? A. Lidocaine B. Tetracaine way. - Correct Answer-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 - Correct Answer-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 - Correct Answer-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. - Correct Answer-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 - Correct Answer-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 - Correct Answer-A. Retention Alex 15th p193 A common dysrythmia after surgery is: A. SVT B. Sinus Tachycardia C. Bradycardia D. Atrial Fibrillation - Correct Answer-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 might have been the unusual occurrence that could ave resulted in patient sepsis? A. Unrecognized appendiceal rupture. B. Significant break in sterile technique C. Inadvertent trocar puncture through the bowel on insertion D. Recent H1N1 outbreak on the surgery unit at the hospital - Correct Answer-C. Inadvertent trocar puncture through the bowel on insertion Once a count discrepancy is identified, an important step scrubbed team member should do to aid in resolving the discrepancy is which of the following: A. Allowing the circulator to search the sterile drapes and drape folds B. Continue closure of the incision C. Order intraoperative imaging D. Notify the charge RN - Correct Answer-C. Order intraoperative imaging Alexanders 15th P32 A 19yo M received an IV peripheral nerve block for an ORIF of an ankle fracture. The anesthesia provider injected a distal dorsal vein of the pt's right foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet around the upper thigh. The surgeon noticed that the cuff seemed to be deflating and anticipated that the patient would initially complain of which of the following? A. Metallic taste in his mouth B. Seizures C. Dizziness D. Respiratory arrest - Correct Answer-A. Metallic taste in his mouth Alexanders 15th P 148 Your patient was presented with the prepared informed consent for during the discussion with her surgeon concerning her scheduled surgery. Before signing the consent form, the patient informed the surgeon that they did not want any medical students or surgical residents performing any parts of the procedure other than assisting and did not want photographs taken. The surgeon agreed and crossed out those portions of the form. The patient initialed them prior to signing the consent. Your patient was exercising which patient right? A. Understanding and rights under the Patient Self-Determination Act B Right to informed consent C. Autonomy to protect herself from negligence and malpractice D. Hope that everyone would honor HIPPA - Correct Answer-B. Right to informed consent Alexanders 15th Pg 41 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 - Correct 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 - Correct 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 - Correct 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 - Correct 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 pre- incision 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 B. Cover the instruments with a sterile drape and have the scrub RN continually visually observe the room for breaches in sterility C. Do not cover open supplies and have the scrub RN continually visually observe the room for breaches in sterility D. Do not cover open supplies. Assign any OR personnel to observe the room for breaches in sterility. - Correct Answer-A. Cover the instruments with a sterile drape AORN, Sterile technique, Maintaining a sterile Field, p 1039-1041 Healthcare professionals should employ which strategy to reduce their risk of allergic reaction to latex in the preoperative environment? A. Use power-free gloves that have low levels of protein and chemical allergens B. Use sterile oil-based hand creams before donning gloves if latex gloves must be worn C. Use cotton under gloves if latex gloves must be worn D. Wear an OR hat without elastic headband and do not wear rubber tennis shoes - Correct Answer-A. Use power-free gloves that have low levels of protein and chemical allergens Alexanders 15th P 65 During you preoperative assessment, the patient reports a latex allergy and they always carry an epi pen adn a beta-agonist inhaler. What type of latex allergy does this patient have? A. Allergy contact dermatitis B. Irritant contact dermatitis C. True latex allergy D. Combined effect latex allergy - Correct Answer-C. True latex allergy Alexanders 15th p54 Which member of the surgical team can be held liable in litigation for retained foreign bodies? A. The entire team B. The surgeon C. The scrub person D. The scrub person and the circulatior - Correct Answer-A. The entire team AORN Perioperative Practice, Retained surgical items, 1.2 All perioperative team members are responsible for the prevention of RSI's Ketamine is a short activg induction and IV/IM maintenance agent that allows patients to maintain their airways. It is a suitable agent to use with small children and burn patients. Which of the following would be a concern with large doses of ketamine? A. Prolonged duration B. Thrombocytopenia C. Respiratory depression D. Myotonic movements - Correct Answer-C. Respiratory depression Alexanders 15th p 138 OSHA requires a healthcare organizations protect their workers from exposure. At minimum, the exposure control plan must include which of the following? A. Contact precautions, PPE, and record keeping B. Universal precautions, PPE, and record-keeping C. Standard precautions, record keeping and measures to prevent overexposure D. Universal precautions, procedures to prevent exposure, and protocols for cleaning/decontamination - Correct Answer-C. Standard precautions, record keeping and measures to prevent overexposure Alexander 15 p 54-55