BSNC 3000 Midterm questions with verified answers
What is the preoperative phase? Ans✔✔-Begins when decision to
proceed with surgery is made and ends with the transfer to OR
Where do pre-operative nurses work? Ans✔✔-PAC or surgical daycare
What is done in the pre-operative admission clinic (PAC)? Ans✔✔-
Preadmission assessment, blood work, anesthetic consult, medication
review, preoperative education
When does the patient go to the PAC? Ans✔✔-Few days/weeks before
surgery
What is included in the preadmission assessment? Ans✔✔-Health history
and physical assessment
What is included in the preadmission blood work/diagnostics? Ans✔✔-
CBC, electrolytes, urea, creatinine, GFR, fasting plasma glucose,
HbA1C, lipid profile, coagulation test, ECG (over 50years)
What is preoperative education? Ans✔✔-To explain what needs to be
done at home before surgery
What does NPO reduce the risk of during surgery? Ans✔✔-Decrease risk
of aspiration
,What are the general fasting guidelines? Ans✔✔-- No solid food 6+
hours before surgery
- Clear fluids up until 2hrs before surgery
- Fasting from all intake including meds for 2hrs before surgery
What is preoperative carbohydrate loading? Ans✔✔-Carbohydrate-rich
drink to keep patient in fed state
What does preoperative carbohydrate loading reduce? Ans✔✔-Hunger,
thirst, anxiety, postoperative insulin resistance, muscle protein loss
What is ERAS? Ans✔✔-Enhanced Recovery After Surgery
What does ERAS do? Ans✔✔-Decrease complications after surgery
Why would you stop an ACEi before surgery? Ans✔✔-Risk of
hypotension and bleeding
Why would you stop Ibuprofen before surgery? Ans✔✔-Risk of bleeding
Why would you stop Glyburide before surgery? Ans✔✔-Risk of
hypoglycemia
,What is completed in the pre-operative unit on the day of surgery?
Ans✔✔-Pre-op assessment and checklist, confirmation of informed
consent, IV line started, pre-op medications administered
What does the pre-op assessment do? Ans✔✔-- Creates a baseline for
post-op care
- Identifies abnormal findings
- Assesses for risk of complications
- Verifies informed consent
- Evaluates readiness for surgery
- Maintains patient safety
Do you remove hearing aides or dentures for surgery? Ans✔✔-Depends
on the surgery
Why do you remove nail polish and cosmetics before surgery? Ans✔✔-
May hide abnormal signs
Why do you remove all clothing for surgery? Ans✔✔-Easy access
Why do you record last void before surgery? Ans✔✔-Possible risk of
retention
What is G&S (group and screen)? Ans✔✔-Blood type test
, What is crossmatch? Ans✔✔-Looking for transfusion reactions
Who completes the informed consent form? Ans✔✔-Physician
What is the nurse's job with informed consent? Ans✔✔-Verify it's signed
Can you withdraw consent at anytime? Ans✔✔-Yes
What is informed consent? Ans✔✔-Patient's voluntary decision about
whether to undergo a health procedure
For non-emergency surgery, informed consent should include? Ans✔✔--
Description of procedure
- Who will perform
- Nature/reason of surgery
- Benefits/risks
- Alternative options
- What to expect post-op
Which of the following statements about the nurse's role in obtaining
informed consent before surgery is correct?
1. The nurse places the form on the chart for the physician to obtain
consent
2. The nurse describes the surgical procedure and asks the patient to sign
the consent form
What is the preoperative phase? Ans✔✔-Begins when decision to
proceed with surgery is made and ends with the transfer to OR
Where do pre-operative nurses work? Ans✔✔-PAC or surgical daycare
What is done in the pre-operative admission clinic (PAC)? Ans✔✔-
Preadmission assessment, blood work, anesthetic consult, medication
review, preoperative education
When does the patient go to the PAC? Ans✔✔-Few days/weeks before
surgery
What is included in the preadmission assessment? Ans✔✔-Health history
and physical assessment
What is included in the preadmission blood work/diagnostics? Ans✔✔-
CBC, electrolytes, urea, creatinine, GFR, fasting plasma glucose,
HbA1C, lipid profile, coagulation test, ECG (over 50years)
What is preoperative education? Ans✔✔-To explain what needs to be
done at home before surgery
What does NPO reduce the risk of during surgery? Ans✔✔-Decrease risk
of aspiration
,What are the general fasting guidelines? Ans✔✔-- No solid food 6+
hours before surgery
- Clear fluids up until 2hrs before surgery
- Fasting from all intake including meds for 2hrs before surgery
What is preoperative carbohydrate loading? Ans✔✔-Carbohydrate-rich
drink to keep patient in fed state
What does preoperative carbohydrate loading reduce? Ans✔✔-Hunger,
thirst, anxiety, postoperative insulin resistance, muscle protein loss
What is ERAS? Ans✔✔-Enhanced Recovery After Surgery
What does ERAS do? Ans✔✔-Decrease complications after surgery
Why would you stop an ACEi before surgery? Ans✔✔-Risk of
hypotension and bleeding
Why would you stop Ibuprofen before surgery? Ans✔✔-Risk of bleeding
Why would you stop Glyburide before surgery? Ans✔✔-Risk of
hypoglycemia
,What is completed in the pre-operative unit on the day of surgery?
Ans✔✔-Pre-op assessment and checklist, confirmation of informed
consent, IV line started, pre-op medications administered
What does the pre-op assessment do? Ans✔✔-- Creates a baseline for
post-op care
- Identifies abnormal findings
- Assesses for risk of complications
- Verifies informed consent
- Evaluates readiness for surgery
- Maintains patient safety
Do you remove hearing aides or dentures for surgery? Ans✔✔-Depends
on the surgery
Why do you remove nail polish and cosmetics before surgery? Ans✔✔-
May hide abnormal signs
Why do you remove all clothing for surgery? Ans✔✔-Easy access
Why do you record last void before surgery? Ans✔✔-Possible risk of
retention
What is G&S (group and screen)? Ans✔✔-Blood type test
, What is crossmatch? Ans✔✔-Looking for transfusion reactions
Who completes the informed consent form? Ans✔✔-Physician
What is the nurse's job with informed consent? Ans✔✔-Verify it's signed
Can you withdraw consent at anytime? Ans✔✔-Yes
What is informed consent? Ans✔✔-Patient's voluntary decision about
whether to undergo a health procedure
For non-emergency surgery, informed consent should include? Ans✔✔--
Description of procedure
- Who will perform
- Nature/reason of surgery
- Benefits/risks
- Alternative options
- What to expect post-op
Which of the following statements about the nurse's role in obtaining
informed consent before surgery is correct?
1. The nurse places the form on the chart for the physician to obtain
consent
2. The nurse describes the surgical procedure and asks the patient to sign
the consent form
