Blueprint Study Guide,
Notes & Practice
Questions (Fundamentals
Nursing Exam Prep 2026)
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Updated 2026 Questions and Answers
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, Incompetent Patient 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 non-English speaking patients, cognitive impairment, emergency surgery,
language barriers etc.
Reasons surgery may be delayed or postponed 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 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? 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 street clothes are allowed
Semi-Restricted Zone where attire consists of scrub clothes and caps
Restricted Zone where scrub clothes, shoe covers, caps, and masks are worn. The surgeons and
other surgical team members wear additional sterile clothing and protective
devices during surgery.
Circulating Nurse Role : the circulating nurse manages the OR and protects the patient's safety and health
by monitoring the activities of the surgical team, checking the OR conditions, and
continually assessing the patient for signs of injury and implementing appropriate
interventions. A foremost responsibility includes verifying consent; if not obtained,
surgery may not commence. The team is coordinated by the circulating nurse,
who ensures cleanliness, proper temperature, humidity, appropriate lighting, safe
function of equipment, and the availability of supplies and materials. circulating
nurse is responsible for ensuring that the second verification of the surgical
procedure and site takes place and is documented.