Perioperative Nursing - Exam 2 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Surgical Classification is done by: - CORRECT ANSWER - - Body System
- By purpose
- By degree of urgency
- By potential for infection
- By degree of risk
A male is admitted for acute abdominal pain related to gallbladder issues. The patient is intended
to have surgery today. He has a wife and three children, one whom is 18. He is complaining of
9/10 pain in his right upper quadrant and the nurse gives him 4 mg IV morphine push. 10
minutes later the doctor shows up to obtain consent and answer questions. Who should the nurse
accept as the legal signature on the consent? - CORRECT ANSWER - The patient's wife.
Can emancipated minors sign consents? - CORRECT ANSWER - Yes
Can two physicians sign a consent if an emergency? - CORRECT ANSWER - Yes
For surgical consent, can a witness signature be given through telelphone consent? - CORRECT
ANSWER - Yes
When must the consent order be on the chart? - CORRECT ANSWER - Prior to sending
the patient to the OR/procedure room
If on the surgical consent, right or left as applicable is missing, what must the nurse do? -
CORRECT ANSWER - The nurse must call MD to obtain clarification of order.
, What are the roles and responsibilities of a physician where surgical consent is concerned? -
CORRECT ANSWER - - Explanation and documentation of procedure, risks, benefits and
alternantives
- Order:
- Written
- Dictated to RN
What are the roles and responsibilites of a nurse where surgical consent is concerned/ -
CORRECT ANSWER - - Initiate and ensure proper completion of consent form:
- Ask pt if they had an informed consent discussion
- Witness of pt/legal guardian signature
- Do not leave any blank spaces on form
Who is the first choice for surrogate decision makers? - CORRECT ANSWER - The
medical POA or legal guardian
What is the order of acceptance for obtaining consents if no MPOA or LG? - CORRECT
ANSWER - 1. Pt's spouse - unless legally separated
2. Adult child of patient
3. Parent
4. If unmarried-domestic partner
5. Adult brother or sister
6. Close friend-special care, concern
Before the administration of preoperative meds the patient says, "I do not really understand what
the doctor said". What is the best action for the nurse to take? - CORRECT ANSWER -
Notify the surgeon that the informed consent process is not complete
In intraoperative care, regarding client safety, there needs to a final verification of correct
what(s)? - CORRECT ANSWER - - Client
ACTUAL Exam Questions and CORRECT
Answers
Surgical Classification is done by: - CORRECT ANSWER - - Body System
- By purpose
- By degree of urgency
- By potential for infection
- By degree of risk
A male is admitted for acute abdominal pain related to gallbladder issues. The patient is intended
to have surgery today. He has a wife and three children, one whom is 18. He is complaining of
9/10 pain in his right upper quadrant and the nurse gives him 4 mg IV morphine push. 10
minutes later the doctor shows up to obtain consent and answer questions. Who should the nurse
accept as the legal signature on the consent? - CORRECT ANSWER - The patient's wife.
Can emancipated minors sign consents? - CORRECT ANSWER - Yes
Can two physicians sign a consent if an emergency? - CORRECT ANSWER - Yes
For surgical consent, can a witness signature be given through telelphone consent? - CORRECT
ANSWER - Yes
When must the consent order be on the chart? - CORRECT ANSWER - Prior to sending
the patient to the OR/procedure room
If on the surgical consent, right or left as applicable is missing, what must the nurse do? -
CORRECT ANSWER - The nurse must call MD to obtain clarification of order.
, What are the roles and responsibilities of a physician where surgical consent is concerned? -
CORRECT ANSWER - - Explanation and documentation of procedure, risks, benefits and
alternantives
- Order:
- Written
- Dictated to RN
What are the roles and responsibilites of a nurse where surgical consent is concerned/ -
CORRECT ANSWER - - Initiate and ensure proper completion of consent form:
- Ask pt if they had an informed consent discussion
- Witness of pt/legal guardian signature
- Do not leave any blank spaces on form
Who is the first choice for surrogate decision makers? - CORRECT ANSWER - The
medical POA or legal guardian
What is the order of acceptance for obtaining consents if no MPOA or LG? - CORRECT
ANSWER - 1. Pt's spouse - unless legally separated
2. Adult child of patient
3. Parent
4. If unmarried-domestic partner
5. Adult brother or sister
6. Close friend-special care, concern
Before the administration of preoperative meds the patient says, "I do not really understand what
the doctor said". What is the best action for the nurse to take? - CORRECT ANSWER -
Notify the surgeon that the informed consent process is not complete
In intraoperative care, regarding client safety, there needs to a final verification of correct
what(s)? - CORRECT ANSWER - - Client
