MEDICAL SURGICAL ATI FINAL STUDY
GUIDE 2026 COMPLETE SOLVED
QUESTIONS 100% CORRECT
◉The term used for before surgery?
What is the nurses responsibility for this term? Answer:
Peroperative
Educator, advocate and health promotion.
◉What is the term used during surgery?
What is the nurses responsibility for this term Answer:
Intraoperative
Safety and advocacy.
◉What is the term used after surgery?
What is the nurses responsibility for this term? Answer:
Postoperative
On going evaluation and stabilization of clients, prevention of post-
op complications.
◉What are these things:
,1. Diagnostic: exploratory laparotomy.
2. Curative: fibroid tumors-hysterectomy.
3. Restorative: hip replacement.
4. Palliative surgery makes the client more comfortable. Does not
cure, ex. suprapubic catheter.
5. Cosmetic surgery reconstructs the skin and underlying structures,
ex. scar revision. Answer: Purpose of surgery
◉When would you collect these things:
-Hx and data collection.
-Age.
-Drugs and substance use (look for withdrawls)
-Medical hx, including cardiac and pulmonary hx (specifically
comorbities ex. DM and CAD).
-Previous surgeries and anasthesia.
-Blood donations (this will tell you if they may have a disease like
HIV)
-Discharge planning. Answer: Collaborative management
assessment
◉What are these things?
-Age.
-Medications.
,-Lifestyle.
-Chronic illness-inc. risk
-Prior surgical experiences-ex. anesthesia rx.
-Type of surgical procedure-ex. exploratory laparotomy inc. risk for
paralytic ileus. Answer: Risk factors based on assessment
◉What are these things:
-Baseline vital signs.
-Focus on problem areas identified by the clients hx on all body
systems affected by the surgical procedures.
-Report any abnormal assessment findings to the surgeon. Answer:
Physical Assessment/Clinical Manifestations
◉What is the common NRS Dx for pt's who are preoperative?
Answer: Lack of knowledge secondary to lack of surgical experience.
◉Who is responsible for obtaining a signed consent before sedation
is given and surgery is performed? Answer: The surgeon
◉What is the nurses role when a consent is being signed? Answer:
Clarify facts and witness client signature.
, ◉The nurse is responsible for making sure pt is NPO b/f surgery,
what happens if pt eats? Answer: Surgery get CX and by eating
increases the risk for pt to have aspiration.
◉How many hours does a pt have to be NPO b/f surgery? Answer:
Usually after midnight for 6-8 hours.
◉Can pt still take his meds even if he is NPO b/f his surgery?
Answer: Consult the physician and anesthesia for instructions,
especially for meds for DM, CAD, glaucoma, anticonvulsants,
antihypertensives, anticoagulants, antidepressants, or
corticosteroids.
◉Why are bowel or intestinal preperation performed b/f surgery?
Answer: to prevent injury to the colon and to reduce the number of
intestinal bacteria. An enema or laxative may be ordered by the
physician.
◉Do we shave the patient b/f surgery? Answer: It is viewed as
controversial.
◉Name things that you would teach the pt for postoperative.
Answer: -Breathing excerises, incentive spirometry, coughing and
splinting, leg procedures and exercises, antiembolism stockings, and
elastic wraps, early ambulation, and rang of motion exercises.
GUIDE 2026 COMPLETE SOLVED
QUESTIONS 100% CORRECT
◉The term used for before surgery?
What is the nurses responsibility for this term? Answer:
Peroperative
Educator, advocate and health promotion.
◉What is the term used during surgery?
What is the nurses responsibility for this term Answer:
Intraoperative
Safety and advocacy.
◉What is the term used after surgery?
What is the nurses responsibility for this term? Answer:
Postoperative
On going evaluation and stabilization of clients, prevention of post-
op complications.
◉What are these things:
,1. Diagnostic: exploratory laparotomy.
2. Curative: fibroid tumors-hysterectomy.
3. Restorative: hip replacement.
4. Palliative surgery makes the client more comfortable. Does not
cure, ex. suprapubic catheter.
5. Cosmetic surgery reconstructs the skin and underlying structures,
ex. scar revision. Answer: Purpose of surgery
◉When would you collect these things:
-Hx and data collection.
-Age.
-Drugs and substance use (look for withdrawls)
-Medical hx, including cardiac and pulmonary hx (specifically
comorbities ex. DM and CAD).
-Previous surgeries and anasthesia.
-Blood donations (this will tell you if they may have a disease like
HIV)
-Discharge planning. Answer: Collaborative management
assessment
◉What are these things?
-Age.
-Medications.
,-Lifestyle.
-Chronic illness-inc. risk
-Prior surgical experiences-ex. anesthesia rx.
-Type of surgical procedure-ex. exploratory laparotomy inc. risk for
paralytic ileus. Answer: Risk factors based on assessment
◉What are these things:
-Baseline vital signs.
-Focus on problem areas identified by the clients hx on all body
systems affected by the surgical procedures.
-Report any abnormal assessment findings to the surgeon. Answer:
Physical Assessment/Clinical Manifestations
◉What is the common NRS Dx for pt's who are preoperative?
Answer: Lack of knowledge secondary to lack of surgical experience.
◉Who is responsible for obtaining a signed consent before sedation
is given and surgery is performed? Answer: The surgeon
◉What is the nurses role when a consent is being signed? Answer:
Clarify facts and witness client signature.
, ◉The nurse is responsible for making sure pt is NPO b/f surgery,
what happens if pt eats? Answer: Surgery get CX and by eating
increases the risk for pt to have aspiration.
◉How many hours does a pt have to be NPO b/f surgery? Answer:
Usually after midnight for 6-8 hours.
◉Can pt still take his meds even if he is NPO b/f his surgery?
Answer: Consult the physician and anesthesia for instructions,
especially for meds for DM, CAD, glaucoma, anticonvulsants,
antihypertensives, anticoagulants, antidepressants, or
corticosteroids.
◉Why are bowel or intestinal preperation performed b/f surgery?
Answer: to prevent injury to the colon and to reduce the number of
intestinal bacteria. An enema or laxative may be ordered by the
physician.
◉Do we shave the patient b/f surgery? Answer: It is viewed as
controversial.
◉Name things that you would teach the pt for postoperative.
Answer: -Breathing excerises, incentive spirometry, coughing and
splinting, leg procedures and exercises, antiembolism stockings, and
elastic wraps, early ambulation, and rang of motion exercises.
