NIFA Perioperative quiz WITH 100% solution, Exams of Nursing

Download NIFA Perioperative quiz WITH 100% solution and more Exams Nursing in PDF only on Docsity! NIFA Perioperative quiz WITH 100% solution 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 Answers ✅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 Answers ✅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 NIFA Perioperative quiz WITH 100% solution D. Lithotomy - Correct Answers ✅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 Answers ✅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 Answers ✅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. NIFA Perioperative quiz WITH 100% solution Alexanders 15th p198 The most commonly used medication for local anesthesia is? A. Lidocaine B. Tetracaine C. Marcaine D. Cocaine HCL - Correct Answers ✅A. Lidocaine Alexanders 15 p150 Linda Gardner is highly allergic to latex and the anesthesia provider plans to give Linda prophylactic medications before anesthesia. What medications might be administered to Linda in the preoperative holding area? A. Epinepherine and an H2-blocker B. Vasopressin and atropine C. Prednisone and a beta-agonist inhaler D. Dimethylxanthine - Correct Answers ✅C. Prednisone and a beta- agonist inhaler Alexander 15 p66 When a patient absorbs an unsafe amount of local anesthetic into the bloodstream, a catastrophic outcome is possible. Treatment for LAST includes the use of which of the following? NIFA Perioperative quiz WITH 100% solution A. Lipids B. LR bolus of 500cc C. NS Bolus of 500CC D. Diphenhydramine - Correct Answers ✅A. Lipids Alexanders 15 p147 From the following, select an advantage polyester suture has over other nonabsorbable sutures. A. Greater tinsile strength B. Greater tissue reactivity C. Able to absorb tissue fluids D. decreased knot slippage - Correct Answers ✅A. Greater tinsile strength Alexanders 15th p190 While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy access to the patient by the scrubbed team, improper positioning and securing of the arms can result in significant injury. Injury can be avoided by tucking the draw sheet ___________ the arm and under the ____________. A. Over, Body B. Under, Mattress C. Over, Mattress NIFA Perioperative quiz WITH 100% solution D. Around, OR bedrail - Correct Answers ✅A. Over, Body Alexanders 15th p163 In several studies, it was determined that the risk of contamination and subsequent infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves, as opposed to wearing one pair. Select the correct statement that refers to double gloving in terms of a best practice. A. The American College of Surgeons endorses double gloving for all surgery and invasive procedures B. Wearing two glove layers permits re-gloving using the closed-glove technique for a contaminated glove. C. Wearing a glove liner between both layers of gloves may eliminate the risk of perforation to the inner glove, protecting the wearer from sharps injury. D. The AORN publication titled Recommended Practices for Prevention of Transmissible Infections in the Perioperative Practice Setting recommends the Double-Glove procedure during invasive procedures. - Correct Answers ✅A. The American College of Surgeons endorses gloving for all surgery and invasive procedures. Alexanders 15th p113 An instrument that is used to occlude a vessel is know as: A. Hemostat NIFA Perioperative quiz WITH 100% solution C. Droperidol D. Prochlorperazine - Correct Answers ✅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 Answers ✅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 Answers ✅A. Surgical dressings NIFA Perioperative quiz WITH 100% solution 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 Answers ✅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 Answers ✅A. Retention Alex 15th p193 A common dysrythmia after surgery is: A. SVT B. Sinus Tachycardia C. Bradycardia NIFA Perioperative quiz WITH 100% solution D. Atrial Fibrillation - Correct Answers ✅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 Answers ✅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 Answers ✅C. Order intraoperative imaging NIFA Perioperative quiz WITH 100% solution D. IV bronchodilator administration and nebulized oxygen treatment in the PACU - Correct Answers ✅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 Answers ✅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 Answers ✅A. Surgically clean Alexanders 15th P 108 NIFA Perioperative quiz WITH 100% solution 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 D. The scrub person should have given the surgeon a sterile towel to cover the unprepped area - Correct Answers ✅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 NIFA Perioperative quiz WITH 100% solution 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. - Correct Answers ✅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 - Correct Answers ✅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. NIFA Perioperative quiz WITH 100% solution 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. - Correct Answers ✅D. Total spinal anesthesia, general endotracheal anesthesia Care of the patient in surgery 15th P 145 When buried in tissue, silk loses its tinsile strength after what period of time? A. 6 months B. 1yr C. 90 days D. 2 qwwka - Correct Answers ✅B. 1 Yr Alexanders 15th P 189 What is the appropriate action if the delayed after the room and instruments have been opened? NIFA Perioperative quiz WITH 100% solution A. Cover the instruments with a sterile drape. 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 Answers ✅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 Answers ✅A. Use power-free gloves that have low levels of protein and chemical allergens Alexanders 15th P 65 NIFA Perioperative quiz WITH 100% solution 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 Answers ✅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 Answers ✅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