NIFA PERIOPERATIVE EXAM-with 100% verified solutions-2024-2025.docx, Exams of Advanced Education

Download NIFA PERIOPERATIVE EXAM-with 100% verified solutions-2024-2025.docx and more Exams Advanced Education in PDF only on Docsity! NIFA PERIOPERATIVE EXAM-with 100% verified solutions-2024- 2025 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 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 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 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 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 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. 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 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 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 C. Skin prepping solution can cause chemical burns Alexander 15th p33 Precautions apply to blood, all body fluids, and excretions (except sweat), regardless of whether they contain visible blood, mucous membranes, and non-intact skin. A. Hospital B. Standard C. Isolation D. Contact B. Standard Alexanders 15th p62 From the following, choose the correct statement regarding close gloving. A. Closed gloving can only be used for the initial gloving B. Closed gloving requires two people to execute without contamination C. There is an increased risk of contamination if the thumbs are not extended D. Closed gloving requires the hands to be kept in direct view A. Closed gloving can only be used for initial gloving Alexanders 15th p95-96 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. 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 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 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. 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 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 A. Retention Alex 15th p193