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NUR 425 Exam 1 Study |Questions and Answers| 2026

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What is informed consent? permission granted in the knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment with full knowledge of the possible risks and benefits. Who is responsible for obtaining informed consent? physician What can the nurse do in terms of informed consent? re-teach what the physician has taught already and obtain signature after patient has received teaching from physician What are the four goals of the pre-op assessment? who completes this assessment? 1- determine PT understanding of surgery, complications, interventions, answer questions, and provide appropriate education 2- confirm informed consent 3- determine PT anxiety level/source and manage accordingly 4- obtain relevant info like PT identity, verify NPO status, meds taken, health history, allergies, and family support level ***completed by the perioperative nurses in the preop area What diagnostics should be completed before surgery? - Lab assessments: blood typing, metabolic panel, coagulation studies, CBC, urine tests for glucose, blood, proteins, specific gravity, ketone presence, and HGH in women of child bearing age - Radiologic assessments: MRI, CAT scan, ultrasound, x-ray, or ECG How long should a PT be NPO prior to surgery? 8 hr for solid foods, 2 hrs for clear liquids Why should a patient be NPO prior to surgery? to reduce risk for aspiration? What medication can be given before surgery? corticosteroids, anti-convulsants, and insulin What might cause a surgery to be held? NPO status has not been followed, diagnostics come back showing issues with clotting or low blood cell counts, patient expresses withdrawal of consent What is the best way to handle patient anxiety about surgery? express that their concern is normal and encourage them to speak with the surgeon about their concerns. EDUCATION ALLEVIATES ANXIETY What items should be removed prior to surgery? why? jewelry, body piercings, makeup, deodorant, perfume/cologne, hair pins, dentures, contacts, glasses, prosthetics ***everything besides underwear, pacemaker, and lines electrocautery unit is used to cauterize incisions, metal may cause electrical conduction to surrounding tissues What should be verified during the time out? correct patient, procedure, and site what area should be maintained as sterile to maintain surgical asepsis?

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NUR 425 Exam 1 Study |Questions and Answers| 2026
What is informed consent?
permission granted in the knowledge of the possible consequences, typically that
which is given by a patient to a doctor for treatment with full knowledge of the
possible risks and benefits.


Who is responsible for obtaining informed consent?
physician


What can the nurse do in terms of informed consent?
re-teach what the physician has taught already and obtain signature after patient
has received teaching from physician


What are the four goals of the pre-op assessment? who completes this
assessment?
1- determine PT understanding of surgery, complications, interventions, answer
questions, and provide appropriate education
2- confirm informed consent
3- determine PT anxiety level/source and manage accordingly
4- obtain relevant info like PT identity, verify NPO status, meds taken, health
history, allergies, and family support level

***completed by the perioperative nurses in the preop area


What diagnostics should be completed before surgery?
- Lab assessments: blood typing, metabolic panel, coagulation studies, CBC, urine
tests for glucose, blood, proteins, specific gravity, ketone presence, and HGH in
women of child bearing age

- Radiologic assessments: MRI, CAT scan, ultrasound, x-ray, or ECG




NUR 425

, NUR 425


How long should a PT be NPO prior to surgery?
8 hr for solid foods, 2 hrs for clear liquids


Why should a patient be NPO prior to surgery?
to reduce risk for aspiration?


What medication can be given before surgery?
corticosteroids, anti-convulsants, and insulin


What might cause a surgery to be held?
NPO status has not been followed, diagnostics come back showing issues with
clotting or low blood cell counts, patient expresses withdrawal of consent


What is the best way to handle patient anxiety about surgery?
express that their concern is normal and encourage them to speak with the
surgeon about their concerns. EDUCATION ALLEVIATES ANXIETY


What items should be removed prior to surgery? why?
jewelry, body piercings, makeup, deodorant, perfume/cologne, hair pins,
dentures, contacts, glasses, prosthetics

***everything besides underwear, pacemaker, and lines

electrocautery unit is used to cauterize incisions, metal may cause electrical
conduction to surrounding tissues


What should be verified during the time out?
correct patient, procedure, and site


what area should be maintained as sterile to maintain surgical asepsis?


NUR 425

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