NRSG 3420 Exam 1
Quality and Safety Education for Nurses (QSEN) - correct answer develop curricula that
prepare future nurses with the knowledge, skills, and attitudes (KSA) required to continuously
improve the quality and safety of the HC system; competency in patient-centered care,
teamwork and collaboration, EBP, quality improvement, safety, and informatics
interprofessional collaborative practice - correct answer employing multiple health
professionals to work together with patients, families, and communities to deliver best
practices, thus ensuring best patient outcomes
interprofessional collaboration competency domains - correct answer community and
population oriented/patient and family centered care:
1. interprofessional teamwork and team-based practice
2. interprofessional communication practices
3. values/ethics for interprofessional practice
4. roles and responsibilities for collaborative practice
Maslow's Hierarchy of Needs - correct answer (level 1) Physiological Needs, (level 2) Safety and
Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self
Actualization
metacognition - correct answer thinking about one's own thinking or the awareness and
understanding of one's cognitive processes
critical thinking skills - correct answer Interpretation
Analysis
Inference
Evaluation
Explanation
Self-Regulation
ambulatory surgery - correct answer includes outpatient, same-day, or short-stay surgery that
does not require an overnight hospital stay
informed consent - correct answer the patient's autonomous decision about whether to
undergo a surgical procedure, based on the nature of the condition, the treatment options, and
the risks and benefits involved
intraoperative phase - correct answer period of time that begins with transfer of the patient to
the operating room area and continues until the patient is admitted to the postanesthesia care
unit
,NRSG 3420 Exam 1
perioperative phase - correct answer period of time that constitutes the surgical experience;
includes the preoperative, intraoperative, and postoperative phases of nursing care
postoperative phase - correct answer period of time that begins with the admission of the
patient to the postanesthesia care unit and ends after follow-up evaluation in the clinical
setting or home
preoperative phase - correct answer period of time from when the decision for surgical
intervention is made to when the patient is transferred to the operating room table
diagnostic surgery - correct answer biopsy, exploratory laparotomy, laparoscopy
surgical classifications - correct answer -Facilitating a diagnosis, a cure, or repair
-Reconstructive, cosmetic, or palliative
-Rehabilitative
-Based upon the degree of urgency involved: emergent, urgent, required, elective, and optional
medications that potentially affect surgical experience - correct answer corticosteroids,
anticoagulants, anticonvulsants, thyroid hormone, opioids, OTC/herbals, diuretics,
phenothiazines, tranquilizers, insulin, a/bs
geriatric considerations for surgery - correct answer more susceptible to temp changes and
skin breakdown
emergent surgery - correct answer Patient requires immediate attention; disorder may be life
threatening
e.g., severe bleeding, bladder or intestinal obstruction, fractured skull, GSW or stab wounds,
extensive burns
urgent surgery - correct answer patient requires prompt attention; within 24-30 hours
e.g., closed fracture, infected wound
required surgery - correct answer patient needs to have surgery; plan within a few weeks or
months
e.g., prostatic hyperplasia, thyroid disorder, cataracts
elective surgery - correct answer patient should have surgery, failure to have surgery not
catastrophic
, NRSG 3420 Exam 1
e.g., repair of scars, simple hernia, vaginal repair
optional surgery - correct answer decision rests with patient; personal preference
e.g., cosmetic
latex allergy can manifest as - correct answer rash, asthma, or anaphylactic shock
corticosteroid and anesthesia - correct answer CV collapse can occur if discontinued suddenly;
may need bolus of steroid IV before and after surgery
diuretics and anesthesia - correct answer may cause excessive respiratory depression from
electrolyte imbalance
circulating nurse - correct answer RN who coordinates and documents patient care in the OR:
monitor surgical team activities, checking OR conditions, assessing for signs of injury and
implementing interventions prn, verifying consent, monitor aseptic techniques, ensure time-out
occurs
malignant hyperthermia - correct answer triggered by exposure to most anesthetic agents
inducing drastic and uncontrolled increase in skeletal muscle oxidative metabolism that can
overwhelm the body's capacity to supply O2, remove CO2, and regulate body temperature,
eventually leading to circulatory collapse and death if untreated; often inherited
moderate sedation - correct answer involves the use of sedation to depress the LOC without
altering the pt's ability to maintain a patent airway and to response to physical stimuli and
verbal commands
RN first assistant - correct answer a member of the operating room team whose
responsibilities may include handling tissue, providing exposure at the operative field, suturing,
and maintaining hemostasis
scrub role - correct answer registered nurse, licensed practical nurse, or surgical technologist
who scrubs and dons sterile surgical attire, prepares instruments and supplies, and hands
instruments to the surgeon during the procedure
Unrestricted Zone of OR - correct answer - street clothing allowed
- patients family can say goodbye
semi-restricted zone - correct answer scrub clothes and caps
restricted zone - correct answer scrub clothes, shoe covers, caps, and masks
hyperoxia administration avoided to reduce - correct answer SSIs
Quality and Safety Education for Nurses (QSEN) - correct answer develop curricula that
prepare future nurses with the knowledge, skills, and attitudes (KSA) required to continuously
improve the quality and safety of the HC system; competency in patient-centered care,
teamwork and collaboration, EBP, quality improvement, safety, and informatics
interprofessional collaborative practice - correct answer employing multiple health
professionals to work together with patients, families, and communities to deliver best
practices, thus ensuring best patient outcomes
interprofessional collaboration competency domains - correct answer community and
population oriented/patient and family centered care:
1. interprofessional teamwork and team-based practice
2. interprofessional communication practices
3. values/ethics for interprofessional practice
4. roles and responsibilities for collaborative practice
Maslow's Hierarchy of Needs - correct answer (level 1) Physiological Needs, (level 2) Safety and
Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self
Actualization
metacognition - correct answer thinking about one's own thinking or the awareness and
understanding of one's cognitive processes
critical thinking skills - correct answer Interpretation
Analysis
Inference
Evaluation
Explanation
Self-Regulation
ambulatory surgery - correct answer includes outpatient, same-day, or short-stay surgery that
does not require an overnight hospital stay
informed consent - correct answer the patient's autonomous decision about whether to
undergo a surgical procedure, based on the nature of the condition, the treatment options, and
the risks and benefits involved
intraoperative phase - correct answer period of time that begins with transfer of the patient to
the operating room area and continues until the patient is admitted to the postanesthesia care
unit
,NRSG 3420 Exam 1
perioperative phase - correct answer period of time that constitutes the surgical experience;
includes the preoperative, intraoperative, and postoperative phases of nursing care
postoperative phase - correct answer period of time that begins with the admission of the
patient to the postanesthesia care unit and ends after follow-up evaluation in the clinical
setting or home
preoperative phase - correct answer period of time from when the decision for surgical
intervention is made to when the patient is transferred to the operating room table
diagnostic surgery - correct answer biopsy, exploratory laparotomy, laparoscopy
surgical classifications - correct answer -Facilitating a diagnosis, a cure, or repair
-Reconstructive, cosmetic, or palliative
-Rehabilitative
-Based upon the degree of urgency involved: emergent, urgent, required, elective, and optional
medications that potentially affect surgical experience - correct answer corticosteroids,
anticoagulants, anticonvulsants, thyroid hormone, opioids, OTC/herbals, diuretics,
phenothiazines, tranquilizers, insulin, a/bs
geriatric considerations for surgery - correct answer more susceptible to temp changes and
skin breakdown
emergent surgery - correct answer Patient requires immediate attention; disorder may be life
threatening
e.g., severe bleeding, bladder or intestinal obstruction, fractured skull, GSW or stab wounds,
extensive burns
urgent surgery - correct answer patient requires prompt attention; within 24-30 hours
e.g., closed fracture, infected wound
required surgery - correct answer patient needs to have surgery; plan within a few weeks or
months
e.g., prostatic hyperplasia, thyroid disorder, cataracts
elective surgery - correct answer patient should have surgery, failure to have surgery not
catastrophic
, NRSG 3420 Exam 1
e.g., repair of scars, simple hernia, vaginal repair
optional surgery - correct answer decision rests with patient; personal preference
e.g., cosmetic
latex allergy can manifest as - correct answer rash, asthma, or anaphylactic shock
corticosteroid and anesthesia - correct answer CV collapse can occur if discontinued suddenly;
may need bolus of steroid IV before and after surgery
diuretics and anesthesia - correct answer may cause excessive respiratory depression from
electrolyte imbalance
circulating nurse - correct answer RN who coordinates and documents patient care in the OR:
monitor surgical team activities, checking OR conditions, assessing for signs of injury and
implementing interventions prn, verifying consent, monitor aseptic techniques, ensure time-out
occurs
malignant hyperthermia - correct answer triggered by exposure to most anesthetic agents
inducing drastic and uncontrolled increase in skeletal muscle oxidative metabolism that can
overwhelm the body's capacity to supply O2, remove CO2, and regulate body temperature,
eventually leading to circulatory collapse and death if untreated; often inherited
moderate sedation - correct answer involves the use of sedation to depress the LOC without
altering the pt's ability to maintain a patent airway and to response to physical stimuli and
verbal commands
RN first assistant - correct answer a member of the operating room team whose
responsibilities may include handling tissue, providing exposure at the operative field, suturing,
and maintaining hemostasis
scrub role - correct answer registered nurse, licensed practical nurse, or surgical technologist
who scrubs and dons sterile surgical attire, prepares instruments and supplies, and hands
instruments to the surgeon during the procedure
Unrestricted Zone of OR - correct answer - street clothing allowed
- patients family can say goodbye
semi-restricted zone - correct answer scrub clothes and caps
restricted zone - correct answer scrub clothes, shoe covers, caps, and masks
hyperoxia administration avoided to reduce - correct answer SSIs
