NCLEX-PN
NCLEX Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
The 68-year-old client scheduled for intestinal surgery does not have clear fecal contents after three (3) tap water enemas. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Notifying the surgeon ensures guidance on proceeding, as unclear returns may indicate obstruction or inadequate prep, risking complications. More enemas, IV fluids, or electrolytes are secondary.
Question 2 of 5
The male client in the day surgery unit complains of difficulty urinating postoperatively. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Standing to void facilitates urination by using gravity, a non-invasive first step. Catheterization, IV fluids, and oral fluids are more invasive or secondary.
Question 3 of 5
Which violation of surgical asepsis would require immediate intervention by the circulating nurse?
Correct Answer: D
Rationale: Artificial nails harbor bacteria, violating asepsis and risking infection, requiring immediate intervention. Sterilized supplies, masks, and long-sleeved gowns (if non-sterile role) are appropriate.
Question 4 of 5
Which problem is appropriate for the nurse to identify for a client in the intraoperative phase of surgery?
Correct Answer: C
Rationale: Risk for injury (e.g., from positioning, equipment) is a primary intraoperative concern, per NANDA-I. Comfort, disuse, and gas exchange are more postoperative or anesthesia-related.
Question 5 of 5
The client received naloxone (Narcan), an opioid antagonist, in the postanesthesia care unit. Which nursing intervention should the nurse include in the care plan?
Correct Answer: D
Rationale: Narcan reverses opioid-induced respiratory depression, requiring frequent respiratory monitoring to detect recurrence. I&O, sleep aids, and verbalization are secondary.