Test Bank For Medical-Surgical Nursing, 8th Edition (Linton,
2023), Chapter 1-63 , 9780323826716 , All Chapters with
Answers and Rationals
What is ablative surgery? - ANSWER: Performed to remove dead tissue.
Ex: Removal of gall bladder.
What is diagnostic surgery? - ANSWER: Done to make an accurate diagnosis.
Ex: Biopsies.
What is reconstructive/restorative surgery? - ANSWER: Restores function to damaged to
malfunctioning tissue.
Ex: Breast reconstruction after mastectomy.
What is construction surgery? - ANSWER: Restores function lost because of a congenital defect.
Ex: Cleft palate.
What is cosmetic surgery? - ANSWER: Performed to improve a person's appearance.
Ex: Rhinoplasty.
What are the variables affecting surgical outcomes? - ANSWER: Age, nutritional status, medical
diagnoses, drugs, and habits.
When does the preoperative phase begin? - ANSWER: When the patient decides to have surgery.
What is included in the assessment of a preop patient? - ANSWER: Identifying data, HPI, past medical
history, review of symptoms, and a functional assessment.
The physical exam consists of: general survey, height and weight, vital signs, examining the skin,
thorax, abdomen, extremities, and noting any prostheses.
What is the most often used teaching method? - ANSWER: Direct patient teaching that a nurse
provides.
What does a consent form state? - ANSWER: That a patient has been informed of the procedure, any
alternative treatments, and the risks of undergoing the procedure.
When may a person not sign a consent form? - ANSWER: When they are confused, mentally
incompetent, or under the influence.
How old do you have to be to sign a consent form? - ANSWER: An adult, which varies by state.
What is the acronym for handing off a patient from one unit to another? - ANSWER: SBAR.
What does SBAR stand for? - ANSWER: Situation, background, assessment, recommendation.
What information should be exchanged when passing a patient from one unit to another? - ANSWER:
Pt diagnosis, surgical procedure to be performed, any relevant medical history, any meds given, any
blood administered, latest vital signs, any drains, and any IV access lines.
What is the universal protocol for preventing wrong site, wrong procedure, and wrong person during
surgery? - ANSWER: 1. Conduct a pre-procedure verification process. Confirm procedure, patient, site,
availability of all items, and documents needed.
2. Mark the procedure site where there is more than one possible location for the surgery to take
place.
3. Perform a time-out. All questions and concerns need to be addressed before the surgery. This must
be documented.
Who makes up the surgical team? - ANSWER: The surgeon, an assistant surgeon, a circulating RN, an
RN first assistant, an RN, LVN/LPN, or surg tech, the anesthesia care provider, and other technical
personnel depending on the surgery.
What is the role of a circulating RN? - ANSWER: Oversees the OR, assesses the patient, plans intraop
nursing care, funcitions as a patient advocate, they also do all of the documenting for the procedure.
2023), Chapter 1-63 , 9780323826716 , All Chapters with
Answers and Rationals
What is ablative surgery? - ANSWER: Performed to remove dead tissue.
Ex: Removal of gall bladder.
What is diagnostic surgery? - ANSWER: Done to make an accurate diagnosis.
Ex: Biopsies.
What is reconstructive/restorative surgery? - ANSWER: Restores function to damaged to
malfunctioning tissue.
Ex: Breast reconstruction after mastectomy.
What is construction surgery? - ANSWER: Restores function lost because of a congenital defect.
Ex: Cleft palate.
What is cosmetic surgery? - ANSWER: Performed to improve a person's appearance.
Ex: Rhinoplasty.
What are the variables affecting surgical outcomes? - ANSWER: Age, nutritional status, medical
diagnoses, drugs, and habits.
When does the preoperative phase begin? - ANSWER: When the patient decides to have surgery.
What is included in the assessment of a preop patient? - ANSWER: Identifying data, HPI, past medical
history, review of symptoms, and a functional assessment.
The physical exam consists of: general survey, height and weight, vital signs, examining the skin,
thorax, abdomen, extremities, and noting any prostheses.
What is the most often used teaching method? - ANSWER: Direct patient teaching that a nurse
provides.
What does a consent form state? - ANSWER: That a patient has been informed of the procedure, any
alternative treatments, and the risks of undergoing the procedure.
When may a person not sign a consent form? - ANSWER: When they are confused, mentally
incompetent, or under the influence.
How old do you have to be to sign a consent form? - ANSWER: An adult, which varies by state.
What is the acronym for handing off a patient from one unit to another? - ANSWER: SBAR.
What does SBAR stand for? - ANSWER: Situation, background, assessment, recommendation.
What information should be exchanged when passing a patient from one unit to another? - ANSWER:
Pt diagnosis, surgical procedure to be performed, any relevant medical history, any meds given, any
blood administered, latest vital signs, any drains, and any IV access lines.
What is the universal protocol for preventing wrong site, wrong procedure, and wrong person during
surgery? - ANSWER: 1. Conduct a pre-procedure verification process. Confirm procedure, patient, site,
availability of all items, and documents needed.
2. Mark the procedure site where there is more than one possible location for the surgery to take
place.
3. Perform a time-out. All questions and concerns need to be addressed before the surgery. This must
be documented.
Who makes up the surgical team? - ANSWER: The surgeon, an assistant surgeon, a circulating RN, an
RN first assistant, an RN, LVN/LPN, or surg tech, the anesthesia care provider, and other technical
personnel depending on the surgery.
What is the role of a circulating RN? - ANSWER: Oversees the OR, assesses the patient, plans intraop
nursing care, funcitions as a patient advocate, they also do all of the documenting for the procedure.
