Download NIFA Practice Test B1 | 100% Correct Answers | Verified | Latest 2024 Version and more Exams Nursing in PDF only on Docsity!
NIFA Practice Test B1 | 100% Correct
Answers | Verified | Latest 2024 Version
what statements regarding vascular clamps are true? select all that apply - ✔✔a. vascular clamps are designed to partiall occlude blood flow. b. vascular clamps are designed to totally occlude blood flow. c. all vascular clamps are designed to hold vessels securely without trauma. what incision is used for lumbar laminectomy - ✔✔a. midline direcly over the appropriate lumbar spine Franklin hardy with mulitple moles skin lesions - ✔✔the perioperative nurse recognized his signs and symptoms of bupivicaine and lidocaine toxicity and began immediate treatment with airway support. when cathing a female patient the periop nurse must locate the urethra. - ✔✔mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening. tui nyugen 32 year old hysteroscopy patient. What patient safety info relevant to hysteroscopy should be given to the receiving relief nurse before break? - ✔✔a. a review of the amount of hyskon infused and fluid received back b. a reminder to monitor for discrepancies over 500ml which of the following is incorrect pertaining to the pancreas - ✔✔a. the superior mesenteric artery lies anterior to its neck. a number of screening tools have been developed for comprehensive geriatric assessment (CGA) - ✔✔d. indentifying at-risk individuals blunt force to the larnyz can result in fracture and impose immediate airway obstruction - ✔✔a. assist the anesthesia provider with securing the airway while applying cricoid pressure
recommended long-term pain management in the elderly includes - ✔✔c. opoid analgesics (low potential for addiction) select the statement that most correctly matches a risk factor for adhesions with an appropriate preventitive strategy - ✔✔c. patients with endometriosis may be best served with a laparoscopic approach another name for the left colic flexure is - ✔✔splenic flexure which of the following is not typically visable in a PA chest radiograph - ✔✔a. the interventricular septum an exapmple of an indicaiton for liver transplantation would be - ✔✔d. primary hepatic cancer which of the following associations is correct - ✔✔e. pancreatic cancer-rarely metastasizes replantation is an attempt to reattach a completely amputated digit or other body part. good candidates for replantation are those with the following amputations - ✔✔a. almost any body part of a child what mechanisms do chest catheters and drainage systems use to remove fluid and air from the pleural cavity - ✔✔c. expiratory pressure and gravity study comparing tep and tapp techniques. - ✔✔b. mesh infection rate was low with both techniques d. there was no apparent difference in teh rate of hernia recurrence upon palpating the anterior abdominal wall of a patient you notice an intense reflexive muscular contraction in the abdominal muscles which is not correct> - ✔✔d. it is best observed when the patient is perfectly supine. this tissue is concerned with the formation of red blood cells - ✔✔c. red marrow
scoring range for the GCS, the best possible score is _____ and the worst possible score is ______. - ✔✔a. 15, 3 Marissa Walton is a 6-year-old girl with full-thickness burns involving both lower legs, circumferentially, excluding her feet, over less than 2% of her body surface area (BSA) and partial-thickness burns over less than 15% of her BSA, after her clothes caught fire during a camping trip when she stepped into the campfire. Based on the American Burn Association and the "Rule of Nines" classifications, Marissa's burns would be classified as ______________ with a burn surface area percentage of approximately ______________. - ✔✔c. minor 9% A direct inguinal hernia is located _____. - ✔✔a. Inside Hesselbach's triangle Following an argument with his wife in which a man backed through a glass storm door resulting in deep laceration of his buttocks, he is having great difficulty walking. To better understand the nature of his disability, you ask him to stand on one foot. By doing so, you are doing all of the following except: - ✔✔d. evaluating the function of the gluteus maximus. A broad range of implant materials are used in plastic and reconstructive surgery. Select the implant that represents a biologic composition of a surgical implan - ✔✔a. Autologous human tissue A variety of implantable devices are used in aesthetic and reconstructive plastic surgery procedures. Tracking of these devices is critical to patient safety. Institutions must report any incident of death or serious injury relating to the use of a medical device. What regulatory agency, commission, or act mandates this process when medical devices fail or cause injury? - ✔✔d. Safe Medical Device Act All of the following may be associated with a "heart block" except: - ✔✔a. section of the superior part of the thoracic sympathetic trunk. A plain radiograph of a patient following a knife wound to the left side of his neck showed elevation of the left hemidiaphragm, narrowing of the left intercostals spaces, and displacement of the trachea to the left. You suspect: - ✔✔b. pneumothorax due to knife penetration of the cervical pleura. This tissue contains fat cells. - ✔✔c. yellow marrow
When using the posterolateral incisional approach, which muscles are retracted anteriorly to expose the femoral fracture site - ✔✔c. Vastus lateralis and vastus intermedius What structure traverses the opening indicated by the arrow in the following figure? - ✔✔c. Aorta Non-union can be caused when bone graft isn't used to fill a bony deficit at the fracture site - ✔✔true Which of the following is incorrect pertaining to the hamstrings? - ✔✔d. One of them is partially innervated by the common fibular division of the sciatic nerve. Baby Boy Doe is a newborn found outside of the emergency department (ED). He is hypothermic and has several deep lacerations across his back, abdomen, and legs that will require surgical repair. He is transferred to the surgical bay of the ED and prepared for anesthesia induction. What risk reduction strategies are appropriate during the preanesthetic phase to achieve and maintain normothermia? - ✔✔b. Provide a radiant heat lamp during placement of monitoring lines and induction Trina Gasterson, a 7-year-old girl recovering from a successful kidney transplant, is visited by her perioperative nurse on her day of discharge. While they conversed, Trina's mother opened a bottle of herbal supplement tablets from a local nutrition and dietary supplement store, whose label the nurse recognized - ✔✔a. Astragalus, licorice, and echinacea When preparing for pars plana vitrectomy in the posterior segment, the perioperative nurse must be aware that a combined scleral buckling procedure may be necessary. Other important information the perioperative nurse should know before preparing the OR for the procedure includes the location of the ocular problem, the surgeon's plan to address the problem, and the instrumentation and biomedical equipment and devices to be used. Technologic advances in ophthalmic surgery require that perioperative nurses be familiar with complex biomedical equipment. A best practice, stated below, relevant to the safe use of complex equipment would be: - ✔✔b. demonstrate competence with equipment and check each piece carefully before the patient arrives in the OR. Herbal, orthomolecular, individual biologic therapies and special dietary treatments are encompassed in biologically based therapies. Which of the biologically based therapies listed below are classified as therapeutic nutrition? - ✔✔a. The diets of Drs. Atkins, Pritikin, and Weil
quiet and respectful manner the nurse said, "The staff at our facility are concerned about your safety. We know that many things can happen in our lives that affect our mental and physical health." This technique is an appropriate method of establishing a sense of __________ with the patient while conveying caring and concern. - ✔✔b. normalizing Of the three salivary glands, which one is the largest? - ✔✔d. Parotid Jordan Gribbins, a 69-year-old pipe smoker with a history of cardiac disease and atrial rhythm disturbance, is scheduled for a supratentorial craniotomy and is securely positioned in a semisitting position. The perioperative nurse and anesthesia provider have discussed the anesthesia plan and Mr. Gribbin's surgical and anesthesia risks, and agree that he is at risk for venous air embolism (VAE). Sequential compression devices have been placed on both legs. Pulmonary lines have been placed and the nurse has prepared an area for preparation of TEE (transesophageal electrocardiography), if needed. During the procedure, Mr. Gribbins reacted with decreases in arterial pressure and end-tidal CO2. Precordial "washing machine" sounds emanated from the Doppler. What should the perioperative nurse anticipate as a possible next response? - ✔✔c. Reposition the patient in left lateral decubitus position to entrap air in the right atrium. Select the name of the procedure that the patient in the picture is positioned for - ✔✔c. Stereotactic brain biopsy Identify the dura fold that separates the right and left cerebral hemispheres. - ✔✔c. Falx cerebelli All of the following are true of the mediastinum except: - ✔✔?b. it contains the lungs Specific malignant conditions that may require splenectomy include all EXCEPT _____. - ✔✔d. Carcinoma of left kidney Steven Morganstein, a 51-year-old male with hepatobiliary disease, is scheduled for surgery. The perioperative nurse, during the preoperative assessment, questions and examines the patient for signs and symptoms of jaundice, petechiae, and lethargy and: - ✔✔a. reviews his chart for bleeding and coagulation times and the platelet count Wilber Johnson, an 84-year-old retired musician of Jamaican descent, was seen by his family practice physician for urinary problems. His physician performed a digital rectal exam (DRE), which was abnormal,
ordered a PSA, and referred him to a urologist. Wilber's PSA was 12 ng/ml. His transrectal prostatic biopsy was positive. The biopsy specimen determined a Gleason score of 10 and his AUA score was D2. Based on this clinical diagnostic information, what is the best surgical treatment plan for Wilber? - ✔✔d. No surgery. Wilber is not a candidate for surgery What type of drainage is placed in the common bile duct after a CBDE is performed? - ✔✔d. T-tube The 3-teniae coli converge at what point? - ✔✔b. The cecum at the base of the appendix What major artery supplies the descending colon? - ✔✔a. Inferior mesenteric Colles' (wrist) fracture is a dorsally angulated fracture of the distal end of the radius. Most of these fractures can be managed successfully with closed reduction and immobilization, but external fixation is especially useful in the case of a comminuted intra-articular fracture. Internal fixation with Kirschner wires (K wires) is indicated when the distal end of the radius is severely comminuted and displaced. Select the nursing considerations for a patient with a Colles' fracture fixation. - ✔✔b. Provide soft tissue instruments in OR and casting supplies available outside OR. The brainstem is located in the posterior fossa and forms the floor of the fourth ventricle. It is the site of many ascending and descending fiber tracts that allow for communication among the structures of the brain and between the brain and spinal cord. The brainstem consists of what three structures? - ✔✔b. Midbrain, pons, and medulla oblongata Which of the following associations pertaining to the dural venous sinuses is incorrect? - ✔✔a. arachnoid granulations—calcifications of arachnoid mater within the sinuses associated with arteriosclerosis The adrenal glands lie retroperitoneally beneath the diaphragm, capping the medial aspects of the superior pole of each kidney. The adrenal medulla secretes ______________ while the adrenal cortex secretes ____________ and ____________. - ✔✔a. epinephrine; steroids and hormones Many gynecologic conditions and diseases cause chronic pelvic pain. Both surgical and nonsurgical therapies include invasive manipulations. Select the least invasive treatment option for chronic pelvic pain that is recommended by the Agency for Healthcare Research and Quality (AHRQ). - ✔✔c. Trigger point injections and acupuncture
assessment the nurse learned of Camilla's many varied co-morbid conditions, including prior vascular procedures, fibromyalgia, diabetes, and eczema. The nurse noted one of Camilla's many nursing diagnoses as: Risk for Bleeding related to surgical incision(s), tissue dissection, altered coagulation function, and inadvertent hypothermia. As a result of this diagnosis, the nurse implemented measures to have blood available, measure and report blood loss, assist with the use of the autotransfusion system per protocol, and have topical h - ✔✔a. chest tube drainage less than 100 mL/hr. The superior mesenteric artery:_____ - ✔✔b. is accompanied by the superior mesenteric vein on its right. During a laminectomy what is the preferred form of hemostasis? - ✔✔c. Cottonoid strips or patties What is similar in patient teaching about postoperative care for both endovascular aortic aneurysm repair and abdominal aortic aneurysm resection? - ✔✔c. no lifting of more than 5 lb for 6 weeks What is an indication for total hip replacement? - ✔✔a. Arthritis The anterolateral abdominal wall consists of an arrangement of muscles, fascial layers, and muscular aponeuroses lined interiorly by peritoneum and exteriorly by skin. The key landmark of the _____________ designates the roof of the inguinal canal and the key landmark of the __________ designates the floor of the inguinal canal. - ✔✔a. external oblique aponeurosis; transversalis aponeurosis and fascia The thoracic cavity is an airtight compartment. The lateral walls are formed by 12 pairs of ribs. Each hemithorax contains 11 external intercostal muscles and 11 internal intercostal muscles. What accompanies each intercostal muscle? - ✔✔c. an artery, vein, and nerve Which of the following will the perioperative nurse be sure to have when setting up for a mediastinoscopy? - ✔✔c. suture and needle holders Which of the following is incorrect pertaining to the pattern of referred pain typically associated with angina pectoris? - ✔✔d. may be felt in left fingers
An abdominal perineal resection, or APR, for a patient at high risk for colon cancer without anal/rectal involvement (e.g., familial adenopolyposis [FAP]) can be accomplished through an open laparotomy or laparoscopic-assisted ileoanal pull-through approach, per surgeon preference and appropriate patient selection. Which of these statements about approaches for APR is correct? - ✔✔c. Both procedures require only an abdominal skin incision(s) as the rectal segment is removed and anastomosed intraluminally While the pancreas' function is carbohydrate metabolism with the production of insulin and digestive enzymes, the spleen's function is primarily ___________ with the production of _______________. - ✔✔a. immunologic; leukocytes Which of the following is incorrect pertaining to the umbilicus? - ✔✔e. The umbilicus is in the L dermatome. Which of the following is incorrect pertaining to the CSF? - ✔✔a. It returns to the venous system by passing into the vertebral venous plexuses. The renal artery and vein enter and exit the kidney on the medial side of the organ through a concave area known as the: - ✔✔c. hilum. Marla, the perioperative nurse circulating for a skin contracture release of the ear on a 5-year-old boy, transfers 0.25% bupivacaine via syringe to the scrub person's sterile back table. The scrub person, Jake, questions why she is not giving him bupivacaine with epinephrine, since there may be bleeding expected at the incision site. Marla's reply to Jake is based on the fact that: - ✔✔a. epinephrine is contraindicated in areas with limited vascularity, such as the ears Osteomalacia is a metabolic bone disease characterized by inadequate mineralization of bone, which leads to a reduced absorption of calcium and phosphorus. This malabsorptive condition is due to a deficiency of ______________ that can be treated by __________________. - ✔✔b. vitamin D; dietary supplements and exposure to sunlight Local anesthesia, or monitored anesthesia care (MAC), is used for most ophthalmic surgery. The local anesthetic regimen, administered by the operative surgeon, is typically a combination of anesthesia delivery methods, or routes. Select the anesthetic plan that is administered by the surgeon before the start of surgery. - ✔✔b. Topical anesthetic eye drops, subconjunctival infiltration, and retrobulbar block
