NSG 123 MED SURG 1 EXAM 3 2026 HERZING
ACTUAL TEST PAPER COMPLETE SOLUTIONS
VERIFIED
◉ When does "handoff" communication occur? Answer: any time
responsibility for a client is transferred to another person
◉ What does SBAR stand for? Answer: Situation, Diagnosis,
Background, Assessment of medical problems, recommendation
◉ What is pertinent information to include in "handoff" Answer:
advanced health care directives like DNI, DNR, full code; vital signs,
intake and output; review of plan of care; review of medications and
orders; abnormal assessments; changes in the client's condition;
discharge plan
◉ What is preoperative care? What nursing care occurs during
preoperative care? Answer: Care for the client before the surgery up
until they go into the operating room) (a pre operative assessment is
performed; the patient is educated on the procedure; informed consent is
signed; there is a handoff communication; and a pre-operative checklist
is completed
◉ What is intraoperative care? Answer: care for the client while the
operation is being performed
,◉ What is postoperative care Answer: any care performed after the
surgery
◉ Who is responsible for obtaining informed consent? Answer: surgeon
and anesthesiologist
◉ Who is responsible for making sure the client has all the information
needed to make an informed decision about the procedure? Answer: The
RN
◉ What are nursing responsibilities for patients prior to surgery (surgery
prep)? Answer: making sure the patient is NPO; skin preparation;
personal belonging
◉ Why do patients need to be NPO for surgery? Answer: risk of
aspiration during surgery because anesthesia depresses gag reflex
◉ What are the current NPO recommendations for solid foods and clear
liquids? Answer: 8 hours for solid food and 2hrs for clear liquids
◉ What skin preparation is done in order to prevent infection at the
surgical site? Answer: Chlorhexidine gluconate - CHG
,◉ The nurse preparing a client for surgery gives a handoff report by...
A. Completing a pre-operative checklist
B. Discussing the plan of care with the surgeon
C. Calling report to the Operating Room nurse
D. Documenting assessments in the client's electronic health record
Answer: A
◉ The nurse knows components of informed consent for a surgical
procedure must include [Select ALL that apply]:
A. Consent for anesthesia
B. The name of the surgery
C. Risks and benefits of the surgery
D. Consent for blood products
E. The name of the surgeon Answer: all
◉ Informed consent for a surgical procedure is obtained by the
A. Registered Nurse
B. Surgeon
C. Unit Secretary
D. Licensed Practical Nurse Answer: B
◉ A preoperative client is asking multiple questions about their surgery.
Which is the best nursing action?
, A. Notify the surgeon that the client has questions about the procedure
B. Give the client an educational pamphlet to review prior to surgery
C. Tell the client not to worry
D. Document subjective data in the electronic health record Answer: A
◉ What happens during intraoperative nursing care? Answer: surgical
scrub; donning of surgical attire; sterile field; surgical pause -time out
◉ What is the purpose of a surgical scrub? Answer: To minimize the risk
of infection to the client, it is essential that OR personnel who will be
directly involved in invasive surgical procedures follow appropriate
hand-hygiene and hand-scrub procedures
◉ What is the role of sterile team members? Answer: work within the
sterile field and have the responsibility for maintaining asepsis (absence
of bacteria, viruses, and other microorganisms) throughout the surgical
procedure
◉ What happens during a surgical time out Answer: (Mandatory:
Surgical time out is completed prior to the start of the procedure to
verify:
Correct client
Correct procedure
Correct site (laterality): procedure site marked with surgeon's initials
ACTUAL TEST PAPER COMPLETE SOLUTIONS
VERIFIED
◉ When does "handoff" communication occur? Answer: any time
responsibility for a client is transferred to another person
◉ What does SBAR stand for? Answer: Situation, Diagnosis,
Background, Assessment of medical problems, recommendation
◉ What is pertinent information to include in "handoff" Answer:
advanced health care directives like DNI, DNR, full code; vital signs,
intake and output; review of plan of care; review of medications and
orders; abnormal assessments; changes in the client's condition;
discharge plan
◉ What is preoperative care? What nursing care occurs during
preoperative care? Answer: Care for the client before the surgery up
until they go into the operating room) (a pre operative assessment is
performed; the patient is educated on the procedure; informed consent is
signed; there is a handoff communication; and a pre-operative checklist
is completed
◉ What is intraoperative care? Answer: care for the client while the
operation is being performed
,◉ What is postoperative care Answer: any care performed after the
surgery
◉ Who is responsible for obtaining informed consent? Answer: surgeon
and anesthesiologist
◉ Who is responsible for making sure the client has all the information
needed to make an informed decision about the procedure? Answer: The
RN
◉ What are nursing responsibilities for patients prior to surgery (surgery
prep)? Answer: making sure the patient is NPO; skin preparation;
personal belonging
◉ Why do patients need to be NPO for surgery? Answer: risk of
aspiration during surgery because anesthesia depresses gag reflex
◉ What are the current NPO recommendations for solid foods and clear
liquids? Answer: 8 hours for solid food and 2hrs for clear liquids
◉ What skin preparation is done in order to prevent infection at the
surgical site? Answer: Chlorhexidine gluconate - CHG
,◉ The nurse preparing a client for surgery gives a handoff report by...
A. Completing a pre-operative checklist
B. Discussing the plan of care with the surgeon
C. Calling report to the Operating Room nurse
D. Documenting assessments in the client's electronic health record
Answer: A
◉ The nurse knows components of informed consent for a surgical
procedure must include [Select ALL that apply]:
A. Consent for anesthesia
B. The name of the surgery
C. Risks and benefits of the surgery
D. Consent for blood products
E. The name of the surgeon Answer: all
◉ Informed consent for a surgical procedure is obtained by the
A. Registered Nurse
B. Surgeon
C. Unit Secretary
D. Licensed Practical Nurse Answer: B
◉ A preoperative client is asking multiple questions about their surgery.
Which is the best nursing action?
, A. Notify the surgeon that the client has questions about the procedure
B. Give the client an educational pamphlet to review prior to surgery
C. Tell the client not to worry
D. Document subjective data in the electronic health record Answer: A
◉ What happens during intraoperative nursing care? Answer: surgical
scrub; donning of surgical attire; sterile field; surgical pause -time out
◉ What is the purpose of a surgical scrub? Answer: To minimize the risk
of infection to the client, it is essential that OR personnel who will be
directly involved in invasive surgical procedures follow appropriate
hand-hygiene and hand-scrub procedures
◉ What is the role of sterile team members? Answer: work within the
sterile field and have the responsibility for maintaining asepsis (absence
of bacteria, viruses, and other microorganisms) throughout the surgical
procedure
◉ What happens during a surgical time out Answer: (Mandatory:
Surgical time out is completed prior to the start of the procedure to
verify:
Correct client
Correct procedure
Correct site (laterality): procedure site marked with surgeon's initials
