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2023 NIFA Final Exam with Answers (493 Solved Questions)

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    NIFA FINAL EXAM 2023 /Questions And Answers (A+) Quiz : peripheral nerve block for ankle ORIF would complain if which symptom - √Answer :metallic taste in mouth Quiz :positioning arms correctly to avoid pressure on the elbow to prevent - √Answer :ulnar nerve injury Quiz :positioning device for bariatric patients prior to intubation - √Answer :upper body ramp Quiz :depolarizing muscle relaxant that produce s generalized fasciculations - √Answer :succinylcholine Quiz :hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - √Answer :ligating clip Quiz :positioning device for head cases - √Answer :mayfield head positio ner Quiz :suture permanently attached at the end of the needle referred to as - √Answer :swaged Quiz :overpressurization can lead to - √Answer :hypercarbaria

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    Quiz :most commonly used local anesthetic - √Answer :lidocaine Quiz :double gloving - √Answer :the american college of surgeons endorses double gloving for all surgery and invasive procedures Quiz :anesthesia that lets patients maintain their own airway and be easily aroused from sleep - √Answer :moderate sedat ion / analgesia Quiz :who requires two patient identifiers on specimen labels - √Answer :JCO Quiz :factor with high influence on wound healing that the surgical team can control - √Answer :tissue handling Quiz :patient at highest risk for hypothe rmia in perianesthesia phase - √Answer :3 week old neonate for cardiac anomaly Quiz :suture best suited for intestinal anastomosis - √Answer :vicryl Quiz :trailing a new insuflation system, over - pressurization leads to - √Answer :hypercarbia Qu iz :process of decontamination begins when - √Answer :at completion of the surgical procedure Quiz :which injury is NOT related to a patient being placed in the lateral position - √Answer :compression of abdominal cavity Quiz :primary substance fou nd in epidermis that protects body from fluid loss and invasion of pathogens - √Answer :keratin Quiz :correct statement regarding closed gloving - √Answer :closed gloving can only be used for initial gloving Quiz :what measure can be taken to preve nt aspiration based on patient's history - √Answer :cricoid pressure during induction Quiz :on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses - √Answer :the cumulative effect of repeated patient hand ling events q

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    Quiz :allergic contact dermatitis with natural rubber latex - √Answer :puritis, edema, erythema and visicles 6 - 48 hours after exposure Quiz :patient reports latex allergy, carries epi pen and beta - agonist inhaler - √Answer :true latex allergy Quiz :191.18 kg patient scheduled for surgery; interventions to enhance patient safety - √Answer :use of an OR bed to accommodate patient wei ght and size Quiz :risk reduction strategy to reduce sharps injury - √Answer :passing sharp items using neutral / hands free techniques instead of passing hand to hand Quiz :self retaining retractor for large patient - √Answer :bookwalter Quiz :s ilk loses tensile strength after what period of time - √Answer :1 year Quiz :physical characteristic of suture - √Answer :knot strength Quiz :appropriate steps to remove sterile gown - √Answer :wipe gloves clean, untie side of gown, grasp gown at one shoulder seam Quiz :practice for sponge, sharp, and instrument counts follows: - √Answer :institutional policy Quiz :laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - √Answer :inadvertent trocar puncture th rough bowel on insertion Quiz :risk factor for PONV - √Answer :FEMALE GENDER Quiz :source of radiation in OR - √Answer :C arm Quiz :ideal suture material is one that has handling characteristics such as - √Answer :pliability Quiz :NOT a chara cteristic of silk suture - √Answer :memory

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    Quiz :risk reduction strategy to reduce RSI - √Answer :replacing or tagging sponges and laparotomy instruments with RFID chips Quiz :skin injuries related to shearing occur when the patient is in what position - √Answer :trendelenburg Quiz :intracorporeal suture technique uses suture tying process analogous to - √Answer :instrument tying Quiz :health professionals should employ which strategy to reduce risk of allergic reaction to latex - √Answer :use powder free gloves that have low levels of protein and chemical allergens Quiz :patient right regarding consent - √Answer :right to informed consent Quiz :patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - √Answer :a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline Quiz :select the intervention that is an engineered control facto r to protect patient from hypothermia - √Answer :set ambient room temp between 68 - 73 Quiz :CO2 gas is used to insufflate to: - √Answer :9 L/min, 14 - 16 mm Hg Quiz :treatment for LAST includes - √Answer :lipids Quiz :correct order of removal for soiled sterile attire - √Answer :gown, gloves, mask Quiz :sponge counts should be performed - √Answer :before the procedure, before closure of each body cavity, before wound closure, at skin closure Quiz :suture that helps eliminate tension of prim ary suture line - √Answer :retention Quiz :tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - √Answer :2 - 3 Quiz :concern with large doses of ketamine - √Answer :respiratory depression

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    Quiz :patient having cardiac surgery, consider all of the following except: - √Answer :RBCcount? Quiz :there are blank main coronary arteries which originate in the blank - √Answer :2, sinuses of valsalva Quiz :most stable and rigid fixation of a fracture - √Answer :locked plating system Quiz :NOT included in the retroperitoneal space - √Answer :spleen Quiz :filtering mechanism if located in which region of the kidney - √Answer :renal cortex ? Quiz :damage to cranial nerve VII - √Answ er :drooping of the corned of the mouth Quiz :which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - √Answer :amylase, lipase Quiz :absolute contraindication for a cholecystectomy is - √Answer :uncon trolled coagulopathy Quiz :ductal ectasia is difficult to distinguish from cancer because it presents with - √Answer :a hard irregular mass, nipple discharge, and enlarged axillary nodes Quiz :wound classification for breast surgery - √Answer :clea n Quiz :correct path of cardiac conduction system - √Answer :SA, AV< bundle of his, purkinjie fibers Quiz :branch of the left main coronary artery - √Answer :circumflex coronary artery Quiz :patient with CVI is not often treated surgically becaus e - √Answer :CVI is not life threatening or limb threatening Quiz :venous structure that prevents blood backflow - √Answer :semilunar intimal folds

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    Quiz :communication with anesthesia in cases involving facial nerves - √Answer :muscle relaxants, paralytic agents, and some local anesthetics must be avoided Quiz :primary function of three thyroid hormones - √Answer :regulate energy metabolism Quiz :absences of distinct teniae ser ves as visual landmark for - √Answer :upper margin of rectum Quiz :lymphatics of small bowel and portions of colon are located in - √Answer :mesentary Quiz :point of insertion for iliopsoas muscle - √Answer :lesser trochanter Quiz :femoral hern ias occur more frequently in - √Answer :women Quiz :minimally invasive technique used to remove thyroid tumors deep in the mediastinum - √Answer :thoracoscopy Quiz :colon wall has 5 layers which include - √Answer :mucosa Quiz :possible benefit to paramedian incision - √Answer :decreased risk for hernia Quiz :transthoracic esophagectomy with lymph node dissection for cancer of esophagus; which approach - √Answer :upper midline abdominal and right thoracotomy Quiz :burn patient; preparatio n performed before patient comes to OR - √Answer :prewarm the OR to above the ambient high temp for adult Quiz :distinguishing characteristic of large intestine - √Answer :teniae coli, haustra, epiploic appendages Quiz :51 y/o male with hepatobilia ry disease; pre op assessment includes - √Answer :review his chart for bleeding and coagulation times and platelet count

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    Quiz :boundaries for skin prep for patient receiving liver transplant - √Answer :neck to midthigh, bedline to bedline Quiz :during kidney transplant prior to clamping vessels, drugs given - √Answer :heparin and mannitol Quiz :hernias that occur in the heselbach's triangle - √Answer :direct inguinal hernia Quiz :incision for removing cancerous testis - √Answer : midportion of scrotum Quiz :correct statement regarding trigone of bladder - √Answer :forms the base of the bladder Quiz :nerve supply for female pelvis comes from - √Answer :superior hypogastric plexus Quiz :tear to the meningeal artery results in what kind of hematoma - √Answer :epidural Quiz :bloodless plane that contains loose areolar tissue and permits mobility of scalp - √Answer :subgleal space Quiz :vessels of the circle of willis include - √Answer :posterior communicating artery Quiz :cranial nerve responsible for pupillary reaction - √Answer :cranial nerve III Quiz :primary divisions of nerve are known as - √Answer :rami Quiz :disadvantage of harrington rods - √Answer :rod breakage is increased Quiz :nerves in the l ower extremity not commonly implicated in positioning related neuropathies - √Answer :popliteal Quiz :use of PMMA can result in which adverse reaction - √Answer :transient hypotension

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    Quiz :ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDU LLARY REAMING - √Answer :maintenance of fracture hematoma Quiz :closed reduction is the treatment of choice for fractures because - √Answer :decreased opportunity for infection Quiz :most commonly used pediatric premedication - √Answer :versed Quiz :child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - √Answer :perform careful assessment of family hx to identify risk for developing MH Quiz :congenital anomaly that best reflects indications of fetal surgery - √Answer :congenital diaphragmatic hernia Quiz :scoring range for GCS - √Answer :15, 3 Quiz :pneumonic AMPLE - √Answer :allergies, medications, PMH, last meal, event leading to injury Quiz :why must eviden ce be placed in a paper bag and not a plastic bag - √Answer : Quiz :mulitple trauma wound patient, what is appropriate for rapid preparation of this patient - √Answer :prep patient from suprasternal notch to mid thigh B Quiz :why must evidence be p laced in a paper bag and not a plastic bag - √Answer :plastic bags may trap moisture and allow mold growth, destroying evidence Quiz :person responsible for marking the patient - √Answer :surgeon Quiz :concept of risk management - √Answer :all of the above Quiz :patient safety strategy that reduces medication errors - √Answer :tracing origin and insertion of all tubes and catheters Quiz :contributing factors to friction and shearing - √Answer :transfer process from OR bed to stretcher

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    Qu iz :most common pattern of hearing loss in older adults - √Answer :bilateral symmetric sensorineural Quiz :skin injuries are often overlooked or not linked to surgery because - √Answer :injuries often have a delay in appearance Quiz :the perioperative nurse - √Answer :all of the above Quiz :JCAHO model of risk management includes - √Answer :all of the above Quiz :cutting suture knots of non absorbable suture - √Answer :1/2 inch Quiz :most common complication followin g ACDF - √Answer :difficulty swallowing Quiz :humidity levels in the OR range between - √Answer :40 - 70 Quiz :complication that can occur as a result of rapid high pressure is - √Answer :hypotension Quiz :dry time for most skin preps - √Answer :3 - 5 minutes Quiz :structures located within the broad ligaments - √Answer :fallopian tubes, ureters, uterine vessels Quiz :most common size needle for skin closure - √Answer :3/8 Quiz :one of the two strongest layers in tissue closure - √Answ er :fascia Quiz :aortic root is located - √Answer :at the junction of the origin of the ascending aorta and the left ventricle Quiz :a reason for conversion of lap cholecystectomy to open - √Answer :inability to remove a stone from the CBD via ERCP Quiz :must consider which of the following when decided treatment for breast cancer - √Answer :size of tumor

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    Quiz :absolute contraindication for cholecystectomy - √Answer :uncontrolled coagulopathies Quiz :most common used incision for C section - √Answer :pfannensteil Quiz :another name for the left colonic flexure - √Answer :splenic flexure Quiz :what structures comprise the medial border of Hesselbach's triangle - √Answer :lateral edge of the rectus abdominal muscle Quiz :ligament that connects the laminae of the spine - √Answer :ligamentum flavum Quiz :medication used in cardiac surgery to prevent spasms of vessels - √Answer :papaverine Quiz :muscle critical in stabilization of knee joint - √Answer :quad Quiz :borders of the triangle of calot - √Answer :hepatic duct, cystic duct, inferior edge of right lobe of the liver Quiz :during a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using - √Answer :flexion, adduction, external rotation Quiz :identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord - √Answer :cremaster Quiz :technique primarily used for women having prophylactic ma stectomy with immediate reconstruction - √Answer :nipple sparing Quiz :patient uses ephedra, if halothane is used during procedure, patient is at risk for - √Answer :ventricular arrhythmias Quiz :left and right lobes of the liver are divided by - √Answer :falciform ligament Quiz :of the nerves associated with thyroid gland, which can be affected by compression resulting from enlarged left atrium - √Answer :NOT right recurrent

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    left recurrent ? Quiz :positioning considerations for a patient undergoing TRAM flap reconstruction - √Answer :raise head of bed to low fowlers flex position to reduce stretching on abdominal donor graft wound site Quiz :fine needle aspiration of suspicious breast in males - √Answer :aspirate fluid is cytologically examined Quiz :incision for a modified radical mastectomy - √Answer :oblique elliptical incision with lateral extension towards axilla Quiz :patients with acute arterial insufficiency present with 6 Ps; occlusion can be result of which condition - √Answer :rupture of an unstable atherosclerotic plaque Quiz :desirable characteristic that influences surgeon's choice of graft - √Answer :hypoallergenic Quiz :discharge planning for patient who unde rwent endovascular surgery going home on anticoagulation therapy - √Answer :do not use tools such as saws or hammers which could lead to an accident Quiz :first major branch of the internal carotid artery - √Answer :ophthalmic artery Quiz :velour g rafts are impregnated with which of the following - √Answer :gelatin Quiz :statement regarding doppler is true - √Answer :water soluble gel is needed when the doppler is used on intact skin Quiz :AAAs occur primarily in what area - √Answer :betwe en renal arteries and the aortic bifurcation Quiz :correct branch of the left main coronary artery - √Answer :circumflex coronary artery Quiz :documentation requirement unique to vascular surgery - √Answer :clamp application and removed times

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    Qui z :presence of a bruit on auscultation of a blood vessel - √Answer :blood flow is disrupted Quiz :boundary between buccal cavity and lingual cavity - √Answer :teeth Quiz :which surgical approach reduces morbidity and mortality in removal of an acoustic tumor - √Answer :translabryinthine approach Quiz :patient schedule for nasal surgery using epinephrine; what should be considered - √Answer :cardiac history Qu iz :patient scheduled for thyroidectomy, which tray should be readily available - √Answer :trach tray Quiz :which ocular blocks carries the highest risk - √Answer :retrobulbar block Quiz :UPPP is performed to relieve OSA and snoring; common indicat ions for UPPP - √Answer :o2 saturation below 80, apnea index worse than 20 Quiz :benefit to patient undergoing SILS procedure - √Answer :less post operative pain Quiz :hernia that involves both a direct and indirect hernia - √Answer :pantaloon he rnia Quiz :which is NOT a risk factor for developing ventral hernias - √Answer :male gender Quiz :innervation of the lungs is part of what system - √Answer :autonomic Quiz :blood supply to the jejunum and ileum come entirely from branches of the - √Answer :superior mesenteric artery Quiz :blood supply to the transverse colon - √Answer :middle colic artery Quiz :rationale for technique in tumor removal/cancer procedures is - √Answer :prevent mechanical metastasis

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    Quiz :the renal artery and vein enter the kidney o the medial side through a concave area known as the - √Answer :hilum Quiz :best description of a successful skin graft outcome - √Answer :the recipient site develops a new blood supply from the base of the wound Quiz :statement about the liver, pancreas, and spleen that is true - √Answer :all three are solid organs and are very vascular Quiz :"triangle" anotomic landmark that is knowns by the 3 C's - √Answer :Calot's Quiz :most common complication of Meckel's diverticulum - √Answer :GI bleeding Quiz :layer before reaching the rectus abdominis muscle - √Answer :scarpa's fascia Quiz :structures located in the inguinal canal - √Answer :spermatic cord and round ligament Quiz :cancer in the urothelial layer of the bladder - √Answer :inner Quiz :the inner thoracic lymph nodes can also be a channel for - √Answer :spread of metastasis Quiz :the mediastinal surface of the lungs contains a structure known as - √Answer :hilum Quiz :the adrenal glands can be located by their shapes, which are - √Answer :triangular, crescent Quiz :most commonly injured intra - abdominal organ in blunt trauma - √Answer :spleen Quiz :statement that best reflects the funct ional components of the GI tract - √Answer :alimentary canal extends from the mouth to the anus Quiz :The mesh - plug open hernia repair technique is indicated for which type(s) of hernias? - √Answer :recurrent indirect inguinal hernias

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