ATI MED SURGE PROCTORED
EXAM 2019 FORM B
1. The nurse is making a preoperative education appointment with a
patient. The patient asks if a family member should come to the
appointment. Which is the best response by the nurse?
a. “There is no need for an additional person at the appointment.”
b. “Your family can come and wait with you in the waiting room.”
c. “We recommend including family members at this appointment.”
d. “It is required that you have a family member at this appointment.”
ANS: C
Including family members in perioperative education is advisable. Often a
family member is a coach for postoperative exercises when the patient returns
from surgery. If anxious relatives do not understand routine postoperative
events, it is likely that their anxiety will heighten the patient’s fears and
concerns. Preoperative preparation of family members before surgery helps to
minimize anxiety and misunderstanding. An additional person is needed at the
appointment if at all possible, and he or she needs to be involved in the
process, not just
waiting in the waiting room; however, it is certainly not a requirement for
actually completing the surgery that someone comes to this appointment.
2. The nurse is reviewing the surgical consent with the patient during
preoperative education and finds the patient does not understand what
procedure will be completed. What is the nurse’s best next step?
a. Notify the health care provider about the patient’s question.
b. Explain the procedure that will be completed.
c. Continue with preoperative education.
d. Ask the patient to sign the form.
ANS: A
Surgery cannot be legally or ethically performed until the patient fully
understands the need for a procedure and all the implications. It is the
surgeon’s responsibility to explain the procedure, associated risks, benefits,
alternatives, and possible complications. It is important for the nurse to pause
with preoperative education to notify the health care provider of the patient’s
,questions. It is not within the nurse’s scope to explain the procedure. The
nurse can certainly reinforce what the health care provider has explained, but
the information needs to come from the health care provider. It is not prudent
to ask a patient to sign a form for a procedure that he/she does not
understand.
3. During preoperative assessment for a 7:30 AM (0730) surgery, the nurse
finds the patient drank a cup of coffee this morning. The nurse reports this
information to the anesthesia provider. Which action does the nurse anticipate
next?
a. A delay in or cancellation of surgery
b. Questions regarding components of the coffee
c. Additional questions about why
the patient had coffee Instructions
to determine what education was
provided in the
d. preoperative visit
ANS: A
The recommendations before nonemergent procedures requiring general and
regional anesthesia or sedation/ analgesia include fasting from intake of clear
liquids for 2 or more hours. A delay in or cancellation of surgery will be in
order for this case. Questions regarding components of the coffee, asking why,
and evaluating the preoperative education may all be items to be addressed,
especially from a performance improvement perspective, but at this time in
caring for this patient, a delay or cancellation is in order to prevent aspiration.
4. The nurse has administered a preoperative medication to the patient going
to surgery. Which action will the nurse take next?
a. Notify the operating suite that the medication has been given.
b. Instruct the patient to call for help to go to the restroom.
c. Waste any unused medication according to policy.
d. Ask the patient to sign the consent for surgery.
ANS: B
Once a preoperative medication has been administered, instruct the patient to
call for help when getting out of bed to prevent falls. For patient safety,
explain the purpose of a preoperative medication and its effects.
Notifying the operating suite that the medication has been given may be part
, of a facilities procedure but is not the best next step. It is important to have the
patient sign consents before the patient has received medication that may
make him/her drowsy. Wasting unused medication according to policy is
important but is not the best next step.
5. The nurse has completed a preoperative assessment for a patient going to
surgery and gathers assessment data. Which will be the most important next
step for the nurse to take?
a. Notify the operating suite that the patient has a latex allergy.
b. Document that the patient had a bath at home this morning.
c. Administer the ordered preoperative intravenous antibiotic.
d. Ask the nursing assistive personnel to obtain vital signs.
ANS: A
The most important step is notifying the operating suite of the patient’s latex
allergy. Many products that contain latex are used in the operating suite and
the postanesthesia care unit (PACU). When preparing for a patient with this
allergy, special considerations are required from preparation of the room to
the types of tubes, gloves, drapes, and instruments utilized. Obtaining vital
signs, documenting, and administering medications are all part of the process
and should be done—with the latex allergy in mind. However, making sure
that the patient has a safe environment is the first step.
6. The nurse is preparing a patient for a surgical procedure on the
right great toe. Which action will be mostimportant to include in this
patient’s preparation?
a. Place the patient in a clean surgical gown.
b. Ask the patient to remove all hairpins and cosmetics.
c. Ascertain that the surgical site has been correctly marked.
d. Determine where the family will be located during the procedure.
ANS: C
Because errors have occurred in the past with patients undergoing the wrong
surgery on the wrong site, the universal protocol guidelines have been
implemented and are used with all invasive procedures. Part of this protocol
includes marking the operative site with indelible ink. Knowing where the
family is during a procedure, placing the patient in a clean gown, and asking
the patient to remove all hairpins and cosmetics are important but are not
EXAM 2019 FORM B
1. The nurse is making a preoperative education appointment with a
patient. The patient asks if a family member should come to the
appointment. Which is the best response by the nurse?
a. “There is no need for an additional person at the appointment.”
b. “Your family can come and wait with you in the waiting room.”
c. “We recommend including family members at this appointment.”
d. “It is required that you have a family member at this appointment.”
ANS: C
Including family members in perioperative education is advisable. Often a
family member is a coach for postoperative exercises when the patient returns
from surgery. If anxious relatives do not understand routine postoperative
events, it is likely that their anxiety will heighten the patient’s fears and
concerns. Preoperative preparation of family members before surgery helps to
minimize anxiety and misunderstanding. An additional person is needed at the
appointment if at all possible, and he or she needs to be involved in the
process, not just
waiting in the waiting room; however, it is certainly not a requirement for
actually completing the surgery that someone comes to this appointment.
2. The nurse is reviewing the surgical consent with the patient during
preoperative education and finds the patient does not understand what
procedure will be completed. What is the nurse’s best next step?
a. Notify the health care provider about the patient’s question.
b. Explain the procedure that will be completed.
c. Continue with preoperative education.
d. Ask the patient to sign the form.
ANS: A
Surgery cannot be legally or ethically performed until the patient fully
understands the need for a procedure and all the implications. It is the
surgeon’s responsibility to explain the procedure, associated risks, benefits,
alternatives, and possible complications. It is important for the nurse to pause
with preoperative education to notify the health care provider of the patient’s
,questions. It is not within the nurse’s scope to explain the procedure. The
nurse can certainly reinforce what the health care provider has explained, but
the information needs to come from the health care provider. It is not prudent
to ask a patient to sign a form for a procedure that he/she does not
understand.
3. During preoperative assessment for a 7:30 AM (0730) surgery, the nurse
finds the patient drank a cup of coffee this morning. The nurse reports this
information to the anesthesia provider. Which action does the nurse anticipate
next?
a. A delay in or cancellation of surgery
b. Questions regarding components of the coffee
c. Additional questions about why
the patient had coffee Instructions
to determine what education was
provided in the
d. preoperative visit
ANS: A
The recommendations before nonemergent procedures requiring general and
regional anesthesia or sedation/ analgesia include fasting from intake of clear
liquids for 2 or more hours. A delay in or cancellation of surgery will be in
order for this case. Questions regarding components of the coffee, asking why,
and evaluating the preoperative education may all be items to be addressed,
especially from a performance improvement perspective, but at this time in
caring for this patient, a delay or cancellation is in order to prevent aspiration.
4. The nurse has administered a preoperative medication to the patient going
to surgery. Which action will the nurse take next?
a. Notify the operating suite that the medication has been given.
b. Instruct the patient to call for help to go to the restroom.
c. Waste any unused medication according to policy.
d. Ask the patient to sign the consent for surgery.
ANS: B
Once a preoperative medication has been administered, instruct the patient to
call for help when getting out of bed to prevent falls. For patient safety,
explain the purpose of a preoperative medication and its effects.
Notifying the operating suite that the medication has been given may be part
, of a facilities procedure but is not the best next step. It is important to have the
patient sign consents before the patient has received medication that may
make him/her drowsy. Wasting unused medication according to policy is
important but is not the best next step.
5. The nurse has completed a preoperative assessment for a patient going to
surgery and gathers assessment data. Which will be the most important next
step for the nurse to take?
a. Notify the operating suite that the patient has a latex allergy.
b. Document that the patient had a bath at home this morning.
c. Administer the ordered preoperative intravenous antibiotic.
d. Ask the nursing assistive personnel to obtain vital signs.
ANS: A
The most important step is notifying the operating suite of the patient’s latex
allergy. Many products that contain latex are used in the operating suite and
the postanesthesia care unit (PACU). When preparing for a patient with this
allergy, special considerations are required from preparation of the room to
the types of tubes, gloves, drapes, and instruments utilized. Obtaining vital
signs, documenting, and administering medications are all part of the process
and should be done—with the latex allergy in mind. However, making sure
that the patient has a safe environment is the first step.
6. The nurse is preparing a patient for a surgical procedure on the
right great toe. Which action will be mostimportant to include in this
patient’s preparation?
a. Place the patient in a clean surgical gown.
b. Ask the patient to remove all hairpins and cosmetics.
c. Ascertain that the surgical site has been correctly marked.
d. Determine where the family will be located during the procedure.
ANS: C
Because errors have occurred in the past with patients undergoing the wrong
surgery on the wrong site, the universal protocol guidelines have been
implemented and are used with all invasive procedures. Part of this protocol
includes marking the operative site with indelible ink. Knowing where the
family is during a procedure, placing the patient in a clean gown, and asking
the patient to remove all hairpins and cosmetics are important but are not
