NCLEX-PN
NCLEX Practice Questions Perioperative Nursing Questions
Question 1 of 5
The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Taping the medal ensures safety (no loose objects) while respecting the client’s spiritual needs, per patient-centered care. Notification, removal, or policy citation are less accommodating.
Question 2 of 5
Which task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Removing clothing and jewelry is a non-invasive task within UAP scope. Checklist completion, vital signs, and teaching require nursing judgment.
Question 3 of 5
The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for further preoperative teaching?
Correct Answer: D
Rationale: Getting out of bed upright risks hip dislocation post-hip replacement; log-rolling is correct. Diaphragmatic breathing, foot exercises, and spirometry are appropriate.
Question 4 of 5
The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse implement?
Correct Answer: C
Rationale: Removing a potentially contaminated sponge from the sterile field edge is correct to maintain asepsis. Replacing, criticizing, or removing it immediately is incorrect.
Question 5 of 5
The circulating nurse is positioning clients for surgery. Which client has the greatest potential for nerve damage?
Correct Answer: D
Rationale: The lateral position risks brachial plexus or peroneal nerve damage due to pressure on dependent limbs, especially during prolonged surgery like nephrectomy. Other positions have lower nerve risks.