2023 NIFA Final Exam with Answers (493 Solved Questions)

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NIFA FINAL EXAM2023/Questions And Answers(A+)Quiz :peripheral nerve block for ankle ORIF would complain if which symptom-√Answer :metallic taste in mouthQuiz :positioning arms correctly to avoid pressure on the elbow to prevent-√Answer :ulnar nerve injuryQuiz :positioning device for bariatric patients prior to intubation-√Answer:upper body rampQuiz :depolarizing muscle relaxant that produces generalized fasciculations-√Answer :succinylcholineQuiz :hemostatic device offers rapid and secure method of clamping, metaland MRI compatible-√Answer :ligating clipQuiz :positioning device for head cases-√Answer :mayfield head positionerQuiz :suture permanently attached at the end of the needle referred to as-√Answer :swagedQuiz :overpressurization can lead to-√Answer :hypercarbaria

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Quiz :most commonly used local anesthetic-√Answer :lidocaineQuiz :double gloving-√Answer :the american college of surgeons endorsesdouble gloving for all surgery and invasive proceduresQuiz :anesthesia that lets patients maintain their own airway and be easilyaroused from sleep-√Answer :moderate sedation / analgesiaQuiz :who requires two patient identifiers on specimen labels-√Answer :JCOQuiz :factor with high influence on wound healing that the surgical team cancontrol-√Answer :tissue handlingQuiz :patient at highest risk for hypothermia in perianesthesia phase-√Answer :3 week old neonate for cardiac anomalyQuiz :suture best suited for intestinal anastomosis-√Answer :vicrylQuiz :trailing a new insuflation system, over-pressurization leads to-√Answer :hypercarbiaQuiz :process of decontamination begins when-√Answer :at completion ofthe surgical procedureQuiz :which injury is NOT related to a patient being placed in the lateralposition-√Answer :compression of abdominal cavityQuiz :primary substance found in epidermis that protects body from fluid lossand invasion of pathogens-√Answer :keratinQuiz :correct statement regarding closed gloving-√Answer :closed glovingcan only be used for initial glovingQuiz :what measure can be taken to prevent aspiration based on patient'shistory-√Answer :cricoid pressure during inductionQuiz :on factor that describes high incidence of musculoskeletal disordersamong surgical techs and nurses-√Answer :the cumulative effect of repeatedpatient handling events q

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Quiz :allergic contact dermatitis with natural rubber latex-√Answer :puritis,edema, erythema and visicles 6-48 hours after exposureQuiz :patient reports latex allergy, carries epi pen and beta-agonist inhaler-√Answer :true latex allergyQuiz :191.18 kg patient scheduled for surgery; interventions to enhancepatient safety-√Answer :use of an OR bed to accommodate patient weightand sizeQuiz :risk reduction strategy to reduce sharps injury-√Answer :passing sharpitems using neutral / hands free techniques instead of passing hand to handQuiz :self retaining retractor for large patient-√Answer :bookwalterQuiz :silk loses tensile strength after what period of time-√Answer :1 yearQuiz :physical characteristic of suture-√Answer :knot strengthQuiz :appropriate steps to remove sterile gown-√Answer :wipe gloves clean,untie side of gown, grasp gown atone shoulder seamQuiz :practice for sponge, sharp, and instrument counts follows:-√Answer:institutional policyQuiz :laparoscopic trocars placed by resident; unusual occurance that couldlead to sepsis-√Answer :inadvertent trocar puncture through bowel oninsertionQuiz :risk factor for PONV-√Answer :FEMALE GENDERQuiz :source of radiation in OR-√Answer :C armQuiz :ideal suture material is one that has handling characteristics such as-√Answer :pliabilityQuiz :NOT a characteristic of silk suture-√Answer :memory

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Quiz :risk reduction strategy to reduce RSI-√Answer :replacing or taggingsponges and laparotomy instruments with RFID chipsQuiz :skin injuries related to shearing occur when the patient is in whatposition-√Answer :trendelenburgQuiz :intracorporeal suture technique uses suture tying process analogous to-√Answer :instrument tyingQuiz :health professionals shouldemploy which strategy to reduce risk ofallergic reaction to latex-√Answer :use powder free gloves that have lowlevels of protein and chemical allergensQuiz :patient right regarding consent-√Answer :right to informed consentQuiz :patient hasnumb and tingly mouth, lips and tongue, and metallic tasteafter peripheral nerve block-√Answer :a toxic overdose to local anesthetic,monitoring and increasing flow rate in IV salineQuiz :select the intervention that is an engineered control factor to protectpatient from hypothermia-√Answer :set ambient room temp between 68-73Quiz :CO2 gas is used to insufflate to:-√Answer :9 L/min, 14-16 mm HgQuiz :treatment for LAST includes-√Answer :lipidsQuiz :correct order of removal forsoiled sterile attire-√Answer :gown,gloves, maskQuiz :sponge counts should be performed-√Answer :before the procedure,before closure of each body cavity, before wound closure, at skin closureQuiz :suture that helps eliminate tension of primary suture line-√Answer:retentionQuiz :tensile strength of lactic and glycolic acid polymers is sufficient for howmany weeks-√Answer :2-3Quiz :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 valsalvaQuiz :most stable and rigid fixation of afracture-√Answer :locked platingsystemQuiz :NOT included in the retroperitoneal space-√Answer :spleenQuiz :filtering mechanism if located in which region of the kidney-√Answer:renal cortex ?Quiz :damage to cranial nerve VII-√Answer :drooping of the corned of themouthQuiz :which lab values are indicative of acute pancreatitis resulting fromblockage in the ampulla of vater-√Answer :amylase, lipaseQuiz :absolute contraindication for a cholecystectomy is-√Answer:uncontrolled coagulopathyQuiz :ductal ectasia is difficult to distinguish from cancer because it presentswith-√Answer :a hard irregular mass, nipple discharge, and enlarged axillarynodesQuiz :wound classification for breast surgery-√Answer :cleanQuiz :correct path of cardiac conduction system-√Answer :SA, AV< bundle ofhis, purkinjie fibersQuiz :branch of the left main coronary artery-√Answer :circumflex coronaryarteryQuiz :patient with CVI is not often treated surgically because-√Answer :CVI isnot life threatening or limb threateningQuiz :venous structure that prevents blood backflow-√Answer :semilunarintimal folds

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Quiz :communication with anesthesiain cases involving facial nerves-√Answer :muscle relaxants, paralytic agents, and some local anesthetics mustbe avoidedQuiz :primary function of three thyroid hormones-√Answer :regulate energymetabolismQuiz :absences of distinct teniae serves as visual landmark for-√Answer:upper margin of rectumQuiz :lymphatics of small bowel and portions of colon are located in-√Answer :mesentaryQuiz :point of insertion for iliopsoas muscle-√Answer :lesser trochanterQuiz :femoral hernias occur more frequently in-√Answer :womenQuiz :minimally invasive technique used to remove thyroid tumors deep in themediastinum-√Answer :thoracoscopyQuiz :colon wall has 5 layers which include-√Answer :mucosaQuiz :possible benefitto paramedian incision-√Answer :decreased risk forherniaQuiz :transthoracic esophagectomy with lymph node dissection for cancer ofesophagus; which approach-√Answer :upper midline abdominal and rightthoracotomyQuiz :burn patient; preparation performed before patient comes to OR-√Answer :prewarm the OR to above the ambient high temp for adultQuiz :distinguishing characteristic of large intestine-√Answer :teniae coli,haustra, epiploic appendagesQuiz :51 y/o male with hepatobiliary disease; pre op assessment includes-√Answer :review his chart for bleeding and coagulation times and plateletcount

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Quiz :boundaries for skin prep for patient receiving liver transplant-√Answer:neck to midthigh, bedline to bedlineQuiz :during kidney transplant prior to clamping vessels, drugs given-√Answer :heparin and mannitolQuiz :hernias that occur in the heselbach's triangle-√Answer :direct inguinalherniaQuiz :incision for removing cancerous testis-√Answer :midportion ofscrotumQuiz :correct statement regarding trigone of bladder-√Answer :forms thebase of the bladderQuiz :nerve supply for female pelvis comes from-√Answer :superiorhypogastric plexusQuiz :tear to the meningeal artery resultsin what kind of hematoma-√Answer :epiduralQuiz :bloodless plane that contains loose areolar tissue and permits mobilityof scalp-√Answer :subgleal spaceQuiz :vessels of the circle of willis include-√Answer :posteriorcommunicating arteryQuiz :cranial nerve responsible for pupillary reaction-√Answer :cranial nerveIIIQuiz :primary divisions of nerve are known as-√Answer :ramiQuiz :disadvantage of harrington rods-√Answer :rod breakage is increasedQuiz :nerves in the lower extremity not commonly implicated in positioningrelated neuropathies-√Answer :poplitealQuiz :use of PMMA can result in which adverse reaction-√Answer :transienthypotension

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Quiz :ASPECT OF BONE HEALING THAT IS PRESERVED THROUGHINTRAMEDULLARY REAMING-√Answer :maintenance of fracture hematomaQuiz :closed reduction is the treatment of choice for fractures because-√Answer :decreased opportunity for infectionQuiz :most commonly used pediatric premedication-√Answer :versedQuiz :child is being pre oped for surgery and nurse notices mild myotoniacongenita; appropriate risk reduction strategy would be-√Answer :performcareful assessment of family hx to identify risk for developing MHQuiz :congenital anomaly that bestreflects indications of fetal surgery-√Answer :congenital diaphragmatic herniaQuiz :scoring range for GCS-√Answer :15, 3Quiz :pneumonic AMPLE-√Answer :allergies, medications, PMH, last meal,event leading to injuryQuiz :why must evidence be placed in a paper bag and not a plastic bag-√Answer :Quiz :mulitple trauma wound patient, what is appropriate for rapidpreparation of this patient-√Answer :prep patient from suprasternal notch tomid thigh BQuiz :why must evidence be placed in a paper bag and not a plastic bag-√Answer :plastic bags may trap moisture and allow mold growth, destroyingevidenceQuiz :person responsible for marking the patient-√Answer :surgeonQuiz :concept of risk management-√Answer :all ofthe aboveQuiz :patient safety strategy that reduces medication errors-√Answer:tracing origin and insertion of all tubes and cathetersQuiz :contributing factors to friction and shearing-√Answer :transfer processfrom OR bed to stretcher

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Quiz :most common pattern of hearing loss in older adults-√Answer:bilateral symmetric sensorineuralQuiz :skin injuries are often overlooked or not linked to surgery because-√Answer :injuries often have a delay in appearanceQuiz :the perioperative nurse-√Answer :all of the aboveQuiz :JCAHO model of risk management includes-√Answer :all of the aboveQuiz :cutting suture knots of non absorbable suture-√Answer :1/2 inchQuiz :most common complication following ACDF-√Answer :difficultyswallowingQuiz :humidity levels in the OR range between-√Answer :40-70Quiz :complication that can occur as a result of rapid high pressure is-√Answer :hypotensionQuiz :dry time for most skin preps-√Answer:3-5 minutesQuiz :structures located within the broad ligaments-√Answer :fallopiantubes, ureters, uterine vesselsQuiz :most common size needle for skin closure-√Answer :3/8Quiz :one of the two strongest layers in tissue closure-√Answer :fasciaQuiz :aortic root is located-√Answer :at the junction of the origin of theascending aorta and the left ventricleQuiz :a reason for conversion of lap cholecystectomy to open-√Answer:inability to remove a stone from the CBD via ERCPQuiz :must consider which of the following when decided treatment for breastcancer-√Answer :size of tumor

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Quiz :absolute contraindication for cholecystectomy-√Answer :uncontrolledcoagulopathiesQuiz :most common used incision for C section-√Answer :pfannensteilQuiz :another name for the left colonic flexure-√Answer :splenic flexureQuiz :what structures comprise the medial border of Hesselbach's triangle-√Answer :lateral edge ofthe rectus abdominal muscleQuiz :ligament that connects the laminae of the spine-√Answer :ligamentumflavumQuiz :medication used in cardiac surgery to prevent spasms of vessels-√Answer :papaverineQuiz :muscle critical in stabilization ofknee joint-√Answer :quadQuiz :borders of the triangle of calot-√Answer :hepatic duct, cystic duct,inferior edge of right lobe of the liverQuiz :during a THA using the posterior lateral approach, the RNFA willdislocate the head of the femurusing-√Answer :flexion, adduction, externalrotationQuiz :identify the fascia which is an extension of the internal oblique muscleand covers the spermatic cord-√Answer :cremasterQuiz :technique primarily used for women having prophylactic mastectomywith immediate reconstruction-√Answer :nipple sparingQuiz :patient uses ephedra, if halothane is used during procedure, patient is atrisk for-√Answer :ventricular arrhythmiasQuiz :left and right lobes of the liver are divided by-√Answer :falciformligamentQuiz :of the nerves associated with thyroid gland, which can be affected bycompression resulting from enlarged left atrium-√Answer :NOT rightrecurrent

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left recurrent ?Quiz :positioning considerations for a patient undergoing TRAM flapreconstruction-√Answer :raise head of bed to low fowlers flex position toreduce stretching on abdominal donor graft wound siteQuiz :fine needle aspiration of suspicious breast inmales-√Answer :aspiratefluid is cytologically examinedQuiz :incision for a modified radical mastectomy-√Answer :oblique ellipticalincision with lateral extension towards axillaQuiz :patients with acute arterial insufficiency present with 6Ps; occlusion canbe result of which condition-√Answer :rupture of an unstable atheroscleroticplaqueQuiz :desirable characteristic that influences surgeon's choice of graft-√Answer :hypoallergenicQuiz :discharge planning for patient who underwent endovascular surgerygoing home on anticoagulation therapy-√Answer :do not use tools such assaws or hammers which could lead to an accidentQuiz :first major branch of the internal carotid artery-√Answer :ophthalmicarteryQuiz :velour grafts are impregnated with which of the following-√Answer:gelatinQuiz :statement regarding doppler is true-√Answer :water soluble gel isneeded when the doppler is used on intact skinQuiz :AAAs occur primarily in what area-√Answer :between renal arteriesand the aortic bifurcationQuiz :correct branch of the left main coronary artery-√Answer :circumflexcoronary arteryQuiz :documentation requirement unique to vascular surgery-√Answer:clamp application and removed times

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Quiz :presence of a bruit on auscultation of a blood vessel-√Answer :bloodflow is disruptedQuiz :boundary between buccal cavity and lingual cavity-√Answer :teethQuiz :which surgical approach reduces morbidity and mortality in removal ofan acoustic tumor-√Answer :translabryinthine approachQuiz :patient schedule for nasal surgery using epinephrine; what should beconsidered-√Answer :cardiac historyQuiz :patient scheduled for thyroidectomy, which tray should be readilyavailable-√Answer :trach trayQuiz :which ocular blocks carries the highest risk-√Answer :retrobulbar blockQuiz :UPPP is performed to relieve OSA and snoring; common indications forUPPP-√Answer :o2 saturation below 80, apnea index worse than 20Quiz :benefit to patient undergoing SILS procedure-√Answer :less postoperative painQuiz :hernia that involves both a direct and indirect hernia-√Answer:pantaloon herniaQuiz :which is NOT a risk factor for developing ventral hernias-√Answer:male genderQuiz :innervation of the lungs is part of what system-√Answer :autonomicQuiz :blood supply to the jejunum and ileum come entirely from branches ofthe-√Answer :superior mesenteric arteryQuiz :blood supply to the transverse colon-√Answer :middle colic arteryQuiz :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 aconcave area known as the-√Answer :hilumQuiz :best description of a successful skin graft outcome-√Answer :therecipient site develops a new blood supply from the baseof the woundQuiz :statement about the liver, pancreas, and spleen that is true-√Answer:all three are solid organs and are very vascularQuiz :"triangle" anotomic landmark that is knowns by the 3 C's-√Answer:Calot'sQuiz :most common complication of Meckel's diverticulum-√Answer :GIbleedingQuiz :layer before reaching the rectus abdominis muscle-√Answer :scarpa'sfasciaQuiz :structures located in the inguinal canal-√Answer :spermatic cord androundligamentQuiz :cancer in the urothelial layer of the bladder-√Answer :innerQuiz :the inner thoracic lymph nodes can also be a channel for-√Answer:spread of metastasisQuiz :the mediastinal surface of the lungs contains a structure known as-√Answer :hilumQuiz :the adrenal glands can be located by their shapes, which are-√Answer:triangular, crescentQuiz :most commonly injured intra-abdominal organ in blunt trauma-√Answer :spleenQuiz :statement that best reflects the functional components of the GI tract-√Answer :alimentary canal extends from the mouth to the anusQuiz :The mesh-plug open hernia repair technique is indicated for whichtype(s) of hernias?-√Answer :recurrent indirect inguinal hernias
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