Latest NSG 2 exam 3 (Answer Guide)
TeamSTEPPS Team Strategies and Tools to Enhance Performance and
Patient Safety
National Patient Safety Goals (NPSGs) Goals issued by the Joint Commission to improve pt safety in
healthcare organizations nationwide
SBAR Situation, Background, Assessment, and Recommendations.
Surgical Care Improvement Project (SCIP) A national quality partnership of organizations to improve
surgical care and decrease complications
(D/C foley, hair removal)
Reasons for surgery: diagnostic/exploratory Determine origin or cause
Cell type cancer
(Biopsy, laparotomy)
Reasons for surgery: curative/ablative Resolves problem by repair or removal
(Appendectomy, hysterectomy)
[2026] Page 1 of 111
,Latest NSG 2 exam 3 (Answer Guide)
Reasons for surgery: Improves functional ability
restorative/reconstructive (Hip replacement)
Reasons for surgery: Palliative Relieves symptoms but doesn't cure
(Tumor debulking, thoracentesis)
Reasons for surgery: Cosmetic alters/enhances personal appearance
(Lipo, tummy tuck)
Reasons for surgery: preventative Mastectomy
Reasons for surgery: transplantation Organ transplants
Urgency of surgery: elective Planned for correction of a nonacute problem
Urgency of surgery: urgent requires prompt intervention; may be life threatening if
treatment is delayed more than 24-48 hr
Urgency of surgery: emergency performed immediately to preserve function or the life of the
client (severe bleeding, gunshot)
[2026] Page 2 of 111
,Latest NSG 2 exam 3 (Answer Guide)
Urgency of surgery: minimally invasive Laparoscopic (4-5 puncture in abd)
surgery
Urgency of surgery: robotic surgery Da Vinci
Surgical setting Ambulatory (majority) 23 hr surgery, same day admission
Inpatient, hospital based
preoperative period Begins @ surgery scheduling, ends upon entrance to surgical
suite
(70-90% done in ambu)
[2026] Page 3 of 111
, Latest NSG 2 exam 3 (Answer Guide)
Surgical consent Must be given voluntarily
Client understand:
Nature & reason for surgery
Underlying disease process/course
Who will perform surgery
Options & risks of
Risks of procedure & potential outcomes
Risks of anesthesia
Right to refuse or w/d consent
What will happen if deny
Surgical consent forms Anesthesia, blood transfusion, surgery all separate
Special consent for sterilization
Informed consent Surgeon responsible for form signature
Informed consent RN responsibilities Ensure consent signed
Clarification not detailed info surgery specific
Time, NPO/PO restrictions
May witness signature
[2026] Page 4 of 111
TeamSTEPPS Team Strategies and Tools to Enhance Performance and
Patient Safety
National Patient Safety Goals (NPSGs) Goals issued by the Joint Commission to improve pt safety in
healthcare organizations nationwide
SBAR Situation, Background, Assessment, and Recommendations.
Surgical Care Improvement Project (SCIP) A national quality partnership of organizations to improve
surgical care and decrease complications
(D/C foley, hair removal)
Reasons for surgery: diagnostic/exploratory Determine origin or cause
Cell type cancer
(Biopsy, laparotomy)
Reasons for surgery: curative/ablative Resolves problem by repair or removal
(Appendectomy, hysterectomy)
[2026] Page 1 of 111
,Latest NSG 2 exam 3 (Answer Guide)
Reasons for surgery: Improves functional ability
restorative/reconstructive (Hip replacement)
Reasons for surgery: Palliative Relieves symptoms but doesn't cure
(Tumor debulking, thoracentesis)
Reasons for surgery: Cosmetic alters/enhances personal appearance
(Lipo, tummy tuck)
Reasons for surgery: preventative Mastectomy
Reasons for surgery: transplantation Organ transplants
Urgency of surgery: elective Planned for correction of a nonacute problem
Urgency of surgery: urgent requires prompt intervention; may be life threatening if
treatment is delayed more than 24-48 hr
Urgency of surgery: emergency performed immediately to preserve function or the life of the
client (severe bleeding, gunshot)
[2026] Page 2 of 111
,Latest NSG 2 exam 3 (Answer Guide)
Urgency of surgery: minimally invasive Laparoscopic (4-5 puncture in abd)
surgery
Urgency of surgery: robotic surgery Da Vinci
Surgical setting Ambulatory (majority) 23 hr surgery, same day admission
Inpatient, hospital based
preoperative period Begins @ surgery scheduling, ends upon entrance to surgical
suite
(70-90% done in ambu)
[2026] Page 3 of 111
, Latest NSG 2 exam 3 (Answer Guide)
Surgical consent Must be given voluntarily
Client understand:
Nature & reason for surgery
Underlying disease process/course
Who will perform surgery
Options & risks of
Risks of procedure & potential outcomes
Risks of anesthesia
Right to refuse or w/d consent
What will happen if deny
Surgical consent forms Anesthesia, blood transfusion, surgery all separate
Special consent for sterilization
Informed consent Surgeon responsible for form signature
Informed consent RN responsibilities Ensure consent signed
Clarification not detailed info surgery specific
Time, NPO/PO restrictions
May witness signature
[2026] Page 4 of 111
