KEISER UNIVERSITY NUR 1022C PERIOPERATIVE ATI &
MEDSURG QUESTIONS AND ANSWERS | COMPLETE
NURSING STUDY GUIDE 2026/2027
Perioperative
ATI Chapter 94 / Med-Surg Chapters 17, 18, &19
Week 1
Perioperative Nursing
• 3 phases –
o Preoperative: Begins with the decision to proceed with surgical intervention and
ends with transfer of the patient into the OR.
o Intraoperative: Begins when the patient is transferred to the OR bed and ends
with admission into the PACU.
o Postoperative: Begins with the admission of the patient into PACU and ends
with a follow up evaluation in the clinical setting or home.
Informed Consent
• Informed Consent is the patient’s autonomous decision about whether to undergo
a surgical procedure.
• Necessary in the following circumstances:
o Invasive procedures (surgical incision, biopsy, cystoscopy, or paracentesis)
o Procedures requiring sedation and/or anesthesia
o Nonsurgical procedure (arteriography)
o Procedures involving radiation
o Blood product administration
• Must be of legal age and mentally capable, otherwise is obtained from a surrogate,
who most often is a responsible family member.
Preoperative Assessment
• Detailed history: medical, surgical, tolerance of anesthesia, medication use,
complementary or alternative practices (herbals), substance use, psychosocial history,
and cultural history.
• Allergies: Medications, latex, contrast agents and food products.
o Allergies to banana or kiwi can indicate allergy to latex
o Eggs or soybean contraindication for use of Propofol for anesthesia
o Shellfish can result in a reaction to povidone-iodine.
• Anxiety Level: Regarding the procedure, support systems, and coping mechanisms
o Older patients can be more fearful due to financial concerns and lack of social
support.
• Baseline Data: Head-to-Toe assessment, vital signs, and oxygen saturations
• Venous Thromboembolism Risk: Evaluation based on surgical procedure, patient
history, and anticipated time to the client will be immobilized following surgery.
• Diagnostics:
o Urinalysis, Blood Type and cross-match, CBC, pregnancy test, clotting studies,
Electrolyte levels, Serum Creatinine and BUN, ABGs, Chest x-ray, 12-lead ECG.
• Patient Education:
MEDSURG QUESTIONS AND ANSWERS | COMPLETE
NURSING STUDY GUIDE 2026/2027
Perioperative
ATI Chapter 94 / Med-Surg Chapters 17, 18, &19
Week 1
Perioperative Nursing
• 3 phases –
o Preoperative: Begins with the decision to proceed with surgical intervention and
ends with transfer of the patient into the OR.
o Intraoperative: Begins when the patient is transferred to the OR bed and ends
with admission into the PACU.
o Postoperative: Begins with the admission of the patient into PACU and ends
with a follow up evaluation in the clinical setting or home.
Informed Consent
• Informed Consent is the patient’s autonomous decision about whether to undergo
a surgical procedure.
• Necessary in the following circumstances:
o Invasive procedures (surgical incision, biopsy, cystoscopy, or paracentesis)
o Procedures requiring sedation and/or anesthesia
o Nonsurgical procedure (arteriography)
o Procedures involving radiation
o Blood product administration
• Must be of legal age and mentally capable, otherwise is obtained from a surrogate,
who most often is a responsible family member.
Preoperative Assessment
• Detailed history: medical, surgical, tolerance of anesthesia, medication use,
complementary or alternative practices (herbals), substance use, psychosocial history,
and cultural history.
• Allergies: Medications, latex, contrast agents and food products.
o Allergies to banana or kiwi can indicate allergy to latex
o Eggs or soybean contraindication for use of Propofol for anesthesia
o Shellfish can result in a reaction to povidone-iodine.
• Anxiety Level: Regarding the procedure, support systems, and coping mechanisms
o Older patients can be more fearful due to financial concerns and lack of social
support.
• Baseline Data: Head-to-Toe assessment, vital signs, and oxygen saturations
• Venous Thromboembolism Risk: Evaluation based on surgical procedure, patient
history, and anticipated time to the client will be immobilized following surgery.
• Diagnostics:
o Urinalysis, Blood Type and cross-match, CBC, pregnancy test, clotting studies,
Electrolyte levels, Serum Creatinine and BUN, ABGs, Chest x-ray, 12-lead ECG.
• Patient Education:
