NIFA PERIOPERATIVE QUIZ 1 AND QUIZ 2 ALL
QUESTIONS AND CORRECT DETAILED ANSWERS
LATEST 2024-2025 VERSION | ALREADY A GRADED |
NEW AND REVISED
1. Recommended practices for sponge, sharp and instrument counts
should follow which of the following?
a. JCAHO rules
b. Institutional policy
c. Legislation
d. CDC recommendations: Institutional Policy
2. 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: scrub person preference
3. Your patient had an episode of vomiting during anesthesia
induction and was effectively suctioned by anesthesia. Upon extubation,
the patient pre- sented with coughing, wheezing, dyspnea, use of
accessory muscles, and tachypnea. What is this patient most likely
experiencing?
,a. Airway obstruction
b. Bronchospasm
c. Laryngospasm
d. Irritated airway: Bronchospasm
4. The area between the surgeon and scrub person designated for
passing sharps safely is referred to as the:
a. sharps zone
b. hands-free zone
c. neutral zone
d. safety zone: neutral zone
5. The immature blood-brain barrier and decreased protein binding in
infants increase their sensitivity to which group of medications?
a. Anticholinergics, parasympatholytics
b. Antidysrhythmic agents
c. Opioids and hypnotics
d. Adrenergics: . Opioids and hypnotics
6. Select all of the potentially harmful effects of extreme 45-degree
Trendelen- burg in a robotic procedure from the following.
a. increased intraocular pressure, decreased pulmonary complaince,
shearing
b. Pelvic pressure from abdominal organs, finger injury from hands
pressed against thighs, popliteal pressure within stirrups
c. Facial edema, decreased ICP. shearing injuries
d. Heel pressure injury from stirrup boot, hyperabduction injury to
the arms,
,pulmonary embolism.: increased intraocular pressure, decreased
pulmonary complaince, shearing
7. 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 nurse 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: suctioning, IV succinylcholine administration, and
reintubation
8. The ideal suture material is one that has handling characteristics
such as
a. memory
b. plasticity
c. pliability
d. capillarity: pliability
9. Which members of the surgical team can be held liable in litigation
for retained foreign bodies?
Select one:
a. the entire team
, b. the surgeon
c. the scrub person
d. the scrub person and the circulator: The entire surgical team
10. Albert Janson, a 325-pound patient, is scheduled for a 6-hour
abdominal surgery. While assessing Mr. Jennings in the preoperative
holding area, the perioperative nurse is concerned about the risk for
pressure injury because of the weight of the patient's body pressing
against the surface of the OR bed for a long surgery. Which of the
following factors might the RNFA recognize as having the potential to
produce pressure?
a. the scrub person leaning with his or her forearm on the Mayo stand
b. a self-retaining retractor post clamped to the OR bed rail and
tightened against the patient's side
c. towel clamps used to secure the drapes at the abdomen
d. full-leg sequential compression wraps on both legs throughout the
entire surgery: a self-retaining retractor post clamped to the OR bed rail
and tightened against the patient's side
11. While Fowler's position offers the best respiratory excursion for
the pa- tient, the patient is at higher risk for because of dependent
pooling in the hips and legs.
Select one:
a. Venous thrombosis
b. Sacral ischemia
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