NSG 123 Exam One Blueprint
Latest NSG 123 Exam One Blueprint (Answer Guide)
Study online at https://quizlet.com/_a99pud
1. Pre-Operative The preoperative phase begins when the decision to proceed with surgical inter-
Phase vention is made and ends with the transfer of the patient onto the operating room
(OR) bed.
2. Intra-operative The intraoperative phase begins when the patient is transferred onto the OR
Phase: bed and ends with admission to the PACU. Intraoperative nursing responsibilities
involve acting as scrub nurse, circulating nurse, or registered nurse first assistant
3. Post-operative The postoperative phase begins with the admission of the patient to the PACU and
Phase: ends with a follow-up evaluation in the clinical setting or home.
4. Patients who 1. Older adults
need special con- 2. Obese patients
sideration during 3. Patients with disabilities
surgery 4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
5. Surgeon Role in The surgeon must also inform the patient of the benefits, alternatives, possible
Consent risks, complications, disfigurement, disability, and removal of body parts as well as
what to expect in the early and late postoperative periods.
6. Nurse Role in Nurse witnesses consent being signed.
Consent The nurse clarifies the information provided, and if the patient requests additional
information, the nurse notifies the physician. The nurse ascertains that the consent
form has been signed before administering psychoactive premedication
7. What happens to The signed consent form is placed in a prominent place on the patient's medical
a consent form record and accompanies the patient to the OR.
once it is signed?
8. Incompetent Pa-
tient
[2026] Page 1 of 13
, NSG 123 Exam One Blueprint
Latest NSG 123 Exam One Blueprint (Answer Guide)
Study online at https://quizlet.com/_a99pud
Legal definition: individual who is not autonomous and cannot give or withhold
consent (e.g., individuals who are cognitively impaired, mentally ill, or neurologi-
cally incapacitated).
9. Ethical Consider- non-English speaking patients, cognitive impairment, emergency surgery, lan-
ations with Con- guage barriers etc.
sent
10. Reasons surgery 1. Poor nutrition or hydration status
may be delayed 2. Respiratory Infection (elective surgery)
or postponed 3. Infection
4. Anesthetic Allergies
5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids, anticoagulants
11. Perioperative Pa- Discontinue smoking 30 days prior
tient Teachings Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
12. What is done in All surgical supplies are sterilized
the OR to main- All personal wash and scrub hands and arms with antiseptic soap
tain asepsis? Only those who have taken proper sanitary precautions can touch sterilized ob-
jects
Surgical team members wear long-sleeved, sterile gowns and gloves. Head and
hair are covered with a cap, and a mask
13. Unrestricted street clothes are allowed
Zone
14. Semi-Restricted where attire consists of scrub clothes and caps
Zone
[2026] Page 2 of 13
Latest NSG 123 Exam One Blueprint (Answer Guide)
Study online at https://quizlet.com/_a99pud
1. Pre-Operative The preoperative phase begins when the decision to proceed with surgical inter-
Phase vention is made and ends with the transfer of the patient onto the operating room
(OR) bed.
2. Intra-operative The intraoperative phase begins when the patient is transferred onto the OR
Phase: bed and ends with admission to the PACU. Intraoperative nursing responsibilities
involve acting as scrub nurse, circulating nurse, or registered nurse first assistant
3. Post-operative The postoperative phase begins with the admission of the patient to the PACU and
Phase: ends with a follow-up evaluation in the clinical setting or home.
4. Patients who 1. Older adults
need special con- 2. Obese patients
sideration during 3. Patients with disabilities
surgery 4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
5. Surgeon Role in The surgeon must also inform the patient of the benefits, alternatives, possible
Consent risks, complications, disfigurement, disability, and removal of body parts as well as
what to expect in the early and late postoperative periods.
6. Nurse Role in Nurse witnesses consent being signed.
Consent The nurse clarifies the information provided, and if the patient requests additional
information, the nurse notifies the physician. The nurse ascertains that the consent
form has been signed before administering psychoactive premedication
7. What happens to The signed consent form is placed in a prominent place on the patient's medical
a consent form record and accompanies the patient to the OR.
once it is signed?
8. Incompetent Pa-
tient
[2026] Page 1 of 13
, NSG 123 Exam One Blueprint
Latest NSG 123 Exam One Blueprint (Answer Guide)
Study online at https://quizlet.com/_a99pud
Legal definition: individual who is not autonomous and cannot give or withhold
consent (e.g., individuals who are cognitively impaired, mentally ill, or neurologi-
cally incapacitated).
9. Ethical Consider- non-English speaking patients, cognitive impairment, emergency surgery, lan-
ations with Con- guage barriers etc.
sent
10. Reasons surgery 1. Poor nutrition or hydration status
may be delayed 2. Respiratory Infection (elective surgery)
or postponed 3. Infection
4. Anesthetic Allergies
5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids, anticoagulants
11. Perioperative Pa- Discontinue smoking 30 days prior
tient Teachings Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
12. What is done in All surgical supplies are sterilized
the OR to main- All personal wash and scrub hands and arms with antiseptic soap
tain asepsis? Only those who have taken proper sanitary precautions can touch sterilized ob-
jects
Surgical team members wear long-sleeved, sterile gowns and gloves. Head and
hair are covered with a cap, and a mask
13. Unrestricted street clothes are allowed
Zone
14. Semi-Restricted where attire consists of scrub clothes and caps
Zone
[2026] Page 2 of 13
