NSG 123 MED SURG 1 EXAM 3 2026 HERZING
COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET
◉ Intra-operative Phase: Answer: The intraoperative phase begins when
the patient is transferred onto the OR bed and ends with admission to the
PACU. Intraoperative nursing responsibilities involve acting as scrub
nurse, circulating nurse, or registered nurse first assistant
◉ Post-operative Phase: Answer: The postoperative phase begins with
the admission of the patient to the PACU and ends with a follow-up
evaluation in the clinical setting or home.
◉ Patients who need special consideration during surgery Answer: 1.
Older adults
2. Obese patients
3. Patients with disabilities
4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
◉ Surgeon Role in Consent Answer: The surgeon must also inform the
patient of the benefits, alternatives, possible risks, complications,
disfigurement, disability, and removal of body parts as well as what to
expect in the early and late postoperative periods.
,◉ Nurse Role in Consent Answer: Nurse witnesses consent being
signed.
The nurse clarifies the information provided, and if the patient requests
additional information, the nurse notifies the physician. The nurse
ascertains that the consent form has been signed before administering
psychoactive premedication
◉ What happens to a consent form once it is signed? Answer: The
signed consent form is placed in a prominent place on the patient's
medical record and accompanies the patient to the OR.
◉ Incompetent Patient Answer: Legal definition: individual who is not
autonomous and cannot give or withhold consent (e.g., individuals who
are cognitively impaired, mentally ill, or neurologically incapacitated).
◉ Ethical Considerations with Consent Answer: non-English speaking
patients, cognitive impairment, emergency surgery, language barriers
etc.
◉ Reasons surgery may be delayed or postponed Answer: 1. Poor
nutrition or hydration status
2. Respiratory Infection (elective surgery)
3. Infection
4. Anesthetic Allergies
, 5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids,
anticoagulants
◉ Perioperative Patient Teachings Answer: Discontinue smoking 30
days prior
Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
◉ What is done in the OR to maintain asepsis? Answer: All surgical
supplies are sterilized
All personal wash and scrub hands and arms with antiseptic soap
Only those who have taken proper sanitary precautions can touch
sterilized objects
Surgical team members wear long-sleeved, sterile gowns and gloves.
Head and hair are covered with a cap, and a mask
◉ Unrestricted Zone Answer: street clothes are allowed
◉ Semi-Restricted Zone Answer: where attire consists of scrub clothes
and caps
COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET
◉ Intra-operative Phase: Answer: The intraoperative phase begins when
the patient is transferred onto the OR bed and ends with admission to the
PACU. Intraoperative nursing responsibilities involve acting as scrub
nurse, circulating nurse, or registered nurse first assistant
◉ Post-operative Phase: Answer: The postoperative phase begins with
the admission of the patient to the PACU and ends with a follow-up
evaluation in the clinical setting or home.
◉ Patients who need special consideration during surgery Answer: 1.
Older adults
2. Obese patients
3. Patients with disabilities
4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
◉ Surgeon Role in Consent Answer: The surgeon must also inform the
patient of the benefits, alternatives, possible risks, complications,
disfigurement, disability, and removal of body parts as well as what to
expect in the early and late postoperative periods.
,◉ Nurse Role in Consent Answer: Nurse witnesses consent being
signed.
The nurse clarifies the information provided, and if the patient requests
additional information, the nurse notifies the physician. The nurse
ascertains that the consent form has been signed before administering
psychoactive premedication
◉ What happens to a consent form once it is signed? Answer: The
signed consent form is placed in a prominent place on the patient's
medical record and accompanies the patient to the OR.
◉ Incompetent Patient Answer: Legal definition: individual who is not
autonomous and cannot give or withhold consent (e.g., individuals who
are cognitively impaired, mentally ill, or neurologically incapacitated).
◉ Ethical Considerations with Consent Answer: non-English speaking
patients, cognitive impairment, emergency surgery, language barriers
etc.
◉ Reasons surgery may be delayed or postponed Answer: 1. Poor
nutrition or hydration status
2. Respiratory Infection (elective surgery)
3. Infection
4. Anesthetic Allergies
, 5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids,
anticoagulants
◉ Perioperative Patient Teachings Answer: Discontinue smoking 30
days prior
Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
◉ What is done in the OR to maintain asepsis? Answer: All surgical
supplies are sterilized
All personal wash and scrub hands and arms with antiseptic soap
Only those who have taken proper sanitary precautions can touch
sterilized objects
Surgical team members wear long-sleeved, sterile gowns and gloves.
Head and hair are covered with a cap, and a mask
◉ Unrestricted Zone Answer: street clothes are allowed
◉ Semi-Restricted Zone Answer: where attire consists of scrub clothes
and caps
