NCLEX Questions on Perioperative Nursing

Extract:

Question 1 of 5

The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?

Correct Answer: D

Rationale: Recounting sponges verifies the discrepancy, the first step to ensure no retained objects. Notification, reporting, or manager contact follow if confirmed.

Question 2 of 5

The client one (1) day postoperative develops an elevated temperature. Which intervention would have priority for the client?

A. Encourage the client to deep breathe and cough every hour. B. Encourage the client to drink 200 mL of water every shift. C. Monitor the client's wound for drainage every eight (8) hours. D. Assess the urine output for color and clarity every four (4) hours.

Correct Answer: A

Rationale: Fever post-surgery often stems from atelectasis; deep breathing and coughing prevent respiratory complications, the priority. Hydration, wound monitoring, and urine assessment are secondary.

Question 3 of 5

Which situation is an example of the nurse fulfilling the role of client advocate?

A. The nurse brings the client pain medication when it is due. B. The nurse collaborates with other disciplines during the care conference. C. The nurse contacts the health-care provider when pain relief is not obtained. D. The nurse teaches the client to ask for medication before the pain gets to a '5.'

Correct Answer: C

Rationale: Contacting the HCP for inadequate pain relief advocates for the client’s comfort. Bringing medication, collaborating, and teaching are supportive but less advocacy-focused.

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?

A. Apply an allergy bracelet on the client's wrist. B. Label the client's allergies on the front of the chart. C. Ask the client what happens when he takes the codeine. D. Document the allergy on the medication administration record.

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

Which situation demonstrates the circulating nurse acting as the client's advocate?

A. Plays the client's favorite audio book during surgery. B. Keeps the family informed of the findings of the surgery. C. Keeps the operating room door closed at all times. D. Calls the client by the first name when the client is recovering.

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.

NCLEX Questions on Perioperative Nursing | Nurselytic

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