NCLEX-PN
NCLEX Questions on Perioperative Nursing Questions
Question 1 of 5
Which situation demonstrates the circulating nurse acting as the client's advocate?
Correct Answer: C
Rationale: Keeping the OR door closed maintains privacy and asepsis, advocating for client safety. Audio books, family updates, and name use are supportive but less critical.
Question 2 of 5
The nurse and the unlicensed assistive personnel (UAP) are working on the surgical unit. Which task can the nurse delegate to the UAP?
Correct Answer: A
Rationale: Taking vital signs is within UAP scope. Checking drains, hanging IVs, and ensuring pain relief require nursing assessment or licensure.
Question 3 of 5
The nurse is completing the preoperative checklist. Which laboratory value should be reported to the health-care provider immediately?
Correct Answer: B
Rationale: Glucose of 60 mg/dL indicates hypoglycemia, risking perioperative complications, requiring immediate HCP notification. Normal hemoglobin, WBC, and potassium are safe.
Question 4 of 5
The nurse is completing a preoperative assessment on a male client who states, 'I am allergic to codeine.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Asking about the reaction verifies the allergy type (e.g., anaphylaxis vs. nausea), guiding safe care. Bracelet, labeling, and documentation follow verification.
Question 5 of 5
The surgical client's vital signs are T 98°F, P 106, R 24, and BP 88/40. The client is awake and oriented times three (3) and the skin is pale and damp. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Tachycardia, hypotension, and pale, damp skin suggest hypovolemic shock; Trendelenburg position (feet elevated, head lowered) improves cerebral perfusion, the first intervention. Surgeon notification, IV fluids, and monitoring follow.