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Perioperative Care NCLEX Questions Questions
Question 1 of 5
A client who has undergone preadmission testing, has had blood drawn for serum lab studies, including a complete blood count, coagulation studies and electrolytes and creatine levels. Which lab result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
Correct Answer: B
Rationale: Hemoglobin, 8.0 g/dL,' as it's below normal (12-16 g/dL women, 14-18 g/dL men), risking poor oxygenation and possibly delaying surgery unlike 'sodium 141' (A), 'platelets 210,000' (C), or 'creatine 0.8' (D), all normal. In nursing, anemia flags intervention; B aligns with NCLEX Perioperative, prioritizing surgical readiness.
Question 2 of 5
Which statement is true regarding the patient who has given consent for a surgical procedure?
Correct Answer: A
Rationale: The true statement is that necessary information about the surgery's nature and reason has been provided , defining informed consent legally and ethically. Length of stay isn't part of consent; surgeon experience isn't required; nurses don't detail procedures that's the surgeon's role. The rationale centers on consent's purpose: patients must understand the procedure, risks, benefits, and alternatives to make autonomous decisions. Nursing ensures this process, often witnessing signatures, but doesn't deliver surgical specifics, distinguishing consent from administrative or experiential disclosures.
Question 3 of 5
Which nursing interventions are appropriate during stage 2 of anesthesia?
Correct Answer: B
Rationale: During stage 2 (excitement phase) of anesthesia, appropriate interventions include shielding from stimuli, protecting extremities, assisting anesthesia, and staying with the patient . Arrest preparation is stage 3; positioning and prepping occur earlier; traffic control is ongoing. The rationale focuses on stage 2's risks: patients may thrash or react, requiring protection from noise and injury. Nursing minimizes overstimulation, ensures safety, and supports anesthesia, aligning with this transitional phase's needs, distinct from deeper anesthesia or preparatory tasks.
Question 4 of 5
Which definition is appropriate for local anesthesia?
Correct Answer: C
Rationale: Local anesthesia involves injecting anesthetic into tissues around an incision . Choice A and D describe regional (nerve block); choice B is epidural. The rationale defines scope: local numbs a small area (e.g., lidocaine for suturing), distinct from broader nerve or spinal blocks. Nursing ensures precise application, minimizing systemic effects, enhancing minor procedure safety.
Question 5 of 5
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best first action?
Correct Answer: B
Rationale: The nurse's first action is applying pressure to control bleeding, an immediate threat. Notifying follows; UAP tasks and labs are secondary. The rationale prioritizes ABCs: hemorrhage risks shock; pressure stems flow, buying time for surgical intervention. Nursing acts swiftly, stabilizing the patient, aligning with emergency protocols, distinct from diagnostic or delegated steps.