Deck 19: Admission,preoperative,and Postoperative Procedures

Question 1

A surgical prep would be ordered by the:

A)consultant.
B)surgeon.
C)anesthesiologist.
D)nurse.

Answer 1

surgeon.

Question 2

In addition to patient name,sex,birth date,health record number,and patient account number,the identification bracelet worn by the patient will contain:

A)names of consulting doctors.
B)patient's diagnosis.
C)name of attending doctor.
D)Social Security number.

Answer 2

name of attending doctor.

Question 3

A patient who is assigned to a bed in the hospital for a period shorter than 24 hours is considered a(n):

A)outpatient.
B)pre-admit.
C)ambulatory patient.
D)inpatient.

Answer 3

outpatient.

Question 4

When a new patient arrives on the nursing unit,the HUC is generally responsible for:

A)contacting the dietary department to order a standard tray of food to welcome the patient.
B)placing the patient's valuables in an envelope and storing them in a drawer on the unit.
C)taking the patient's vital signs.
D)greeting the patient and promptly letting the nurse know of his or her arrival.

Question 5

A living will,which is executed by the patient,specifies:

A)what is to be done medically in the event of a terminal illness.
B)how the patient's financial assets are to be distributed at death.
C)the name of the person who is to handle the patient's financial matters while he or she is in the hospital.
D)the terms of the patient's indemnity insurance.

Question 6

A pediatric patient with a diagnosis of sickle cell anemia returns to the hospital unit at regular intervals for blood transfusions.These admissions most likely fall under the _____ category.

A)inpatient
B)urgent
C)outpatient
D)same-day admit

Question 7

If an unconscious,unidentified patient arrives in the emergency department requiring immediate surgery,the patient:

A)is not entered into the computer until identification can be made.
B)will be transferred to the county hospital,which is equipped to handle such matters.
C)will require two medical doctors to sign a consent certifying that surgery is medically necessary.
D)will not receive any treatment/surgery until positive identification has been established.

Question 8

A conditions of admission agreement (COA or C of A):

A)provides the patient's demographic information such as name,age,birth date,address,etc.
B)specifies the patient's desires regarding care should he or she become incapacitated and regarding end-of-life care.
C)provides information about the patient's past medical history and current health status.
D)is an agreement between the patient and the hospital that provides a legal consent for treatment.

Question 9

Which of the following statements is TRUE regarding the preoperative patient's routine?

A)The HUC shares no responsibility in preparation of the preoperative patient.
B)The patient must complete a preoperative checklist.
C)If the patient has not yet signed the COA but has signed the surgical consent,the surgery can proceed.
D)A current history and physical (H&P)must be completed,and findings must accompany the patient to surgery.

Question 10

Common to all admitting orders is an:

A)order for bed transfer.
B)order for social services.
C)order for physical therapy (PT).
D)admitting diagnosis.

Question 11

Which statement is TRUE regarding the procedure required for securing the patient's valuables?

A)The patient should be encouraged to leave the valuables in the hospital safe rather than to send them home with a responsible family member.
B)Valuables are placed in a numbered valuables envelope and placed in the hospital safe,and the patient is given a duplicate numbered claim check.
C)The patient's clothing,dentures,and other personal items not maintained in the safe are not accounted for in the patient record.
D)It is not necessary to witness the signature noted on the form that lists patient valuables.

Question 12

To avoid liability issues when two patients have similar names,the HUC would:

A)make sure the two patients are admitted to the same room.
B)place name alert labels on their charts.
C)make sure the two patients will have the same nurse.
D)not do anything,because each patient will have his or her own unique account and health record number.

Question 13

The advantage of admission day or same-day surgery is that the:

A)doctor determines the need for surgery on the same day it is performed.
B)patient's nurse will be the same one to care for the patient after surgery is completed.
C)cost of hospital admission is reduced.
D)patient can go home directly after the surgery.

Question 14

Color-coded wrist bands are used to:

A)indicate the patient's primary doctor.
B)communicate a certain health care status or an "alert" that a patient may have.
C)indicate whether the patient is a medical or a surgical patient.
D)indicate the specific diagnosis of the patient.

Question 15

Which statement is TRUE regarding surgical patients?

A)All surgical patients will be inpatients.
B)Diagnostic tests are performed as soon as possible following admission to the hospital.
C)All surgical patients will arrive at the hospital on the day before their procedure.
D)Coronary artery bypass graft (CABG)patients rarely receive preoperative teaching.

Question 16

If an unconscious,unidentified patient is admitted to a nursing unit and has doctor's orders for diagnostic tests to be completed,the HUC would:

A)not order the tests until the identity of the patient has been verified.
B)call Admitting to request that the patient be given an alias and a health record number,so the appropriate tests can be ordered.
C)call the ordering doctor to report that the tests cannot be ordered until the patient's identification has been established.
D)call the police to report a possible missing person.

Question 17

The anesthesiologist is most likely to order:

A)shaves,scrubs,and showers.
B)the consent noting the name of the surgery.
C)an enema for abdominal surgery.
D)preoperative medication.

Question 18

An example of an elective surgery is:

A)a patient who was struck by a car and suffered a fractured hip and requires surgery.
B)the patient's indigestion turned out to be a massive MI requiring a CABG.
C)the patient diagnosed with acute appendicitis who is scheduled for an immediate appendectomy.
D)the patient has been having chronic shoulder pain and an arthroplasty is indicated.

Question 19

Which of the following is TRUE regarding an emergency admission?

A)The emergency department record is sent to the nursing unit and is placed in the patient's chart.
B)Patients always enter the hospital directly from the doctor's office.
C)The emergency department doctor remains the patient's doctor throughout the hospital stay.
D)Any tests completed in the emergency department will have to be repeated when the patient is admitted to a nursing unit.

Question 20

Which of the following is TRUE regarding an outpatient admission?

A)The patient will not receive any definitive treatment.
B)The patient may stay for longer than 24 hours.
C)The patient is assigned to a bed and noted on the hospital census.
D)The patient will have his or her orders processed by the department that is providing care.

Question 21

Which of the following are patient preparations that may take place in the preoperative care unit?

A)Shaving of surgical area,starting of intravenous (IV)fluids,making of the initial incision
B)Visitation by surgeon and anesthesiologist,starting IV fluids,insertion of catheter
C)Preoperative breathing treatments given,starting of IV fluids,general anesthesia started
D)Enema given,starting of IV fluids,insertion of a catheter,visitation by surgeon and anesthesiologist

Question 22

Comorbidity is defined as:

A)the presence of one or more disorders in addition to a primary disorder.
B)sharing of common diseases among patients.
C)diseases that are common in a community.
D)diseases that are commonly fatal.

Question 23

A patient that was BIBA would have:

A)a diagnosis related to bowel issues.
B)a diagnosis related to bladder issues.
C)bilingual abilities.
D)arrived to the hospital in an ambulance.

Question 24

Asking a patient if he or she has an advanced directive is:

A)usually done prior to a patient's discharge.
B)required when a patient has a terminal diagnosis.
C)optional.
D)an admission/registration task.

Question 25

It is important for the HUC to monitor the patient's EMR consistently because:

A)there are tasks that the HUC may need to perform.
B)there may be personal messages from other staff members.
C)one of the responsibilities of the HUC is to check that each patient has updated progress notes.
D)someone has to monitor the system to ensure it is working correctly.

Question 26

To avoid errors and provide a safe surgical experience,the patient's surgeon,while in the preoperative care unit,will ask the patient:

A)where their surgeon attended medical school.
B)to state the surgery that is to be performed.
C)to identify their primary nurse for that day.
D)which other doctors have seen them for their current condition.

Question 27

A patient is admitted to the nursing unit from the emergency department with written doctor's orders.The HUC would find out which laboratory and x-ray orders were carried out in the emergency department by:

A)paging the emergency department doctor.
B)reading the emergency department record.
C)calling the emergency department nurse.
D)asking the patient's nurse.

Question 28

Which of the following orders are usually found in postoperative orders?

A)Shaving of surgical site,enemas,input and output (I&O),activity
B)Scrubs,showers,catheter orders,I&O
C)I&O,activity,positioning,vital signs,observation of surgical site
D)Enemas,IV fluids,insertion of catheter,scrubs,showers

Question 29

The purpose of the electronic patient status tracking board is to:

A)assist doctors in finding newly admitted patients.
B)assist nurses in keeping track of their assigned patients.
C)keep family and visitors aware of a patient's location on the nursing unit.
D)keep family and friends updated on the status of a surgical patient.

Question 30

An observation patient is one who is:

A)terminal and close to death.
B)mentally unstable.
C)assigned to a bed to receive care for a period shorter than 24 hours.
D)at risk of hurting others or himself or herself.

Question 31

The HUC may obtain the newly admitted patient's allergy information from the:

A)nurse's admission notes.
B)patient interview.
C)face or information sheet.
D)patient's doctor.

Question 32

When a newly admitted patient brings a requested echocardiogram (ECG)report from a previous doctor,the HUC working in a hospital using EMR would:

A)call the previous doctor to verify that the report is legitimate.
B)fax the report to the patient's admitting doctor.
C)scan the report into the patient's EMR.
D)send the report to health information management system department (HIMS)and write a note in the patient's EMR.

Question 33

Bariatric surgery is performed as treatment for:

A)obesity.
B)alcoholism.
C)gastric ulcers.
D)arterial sclerosis.