NCLEX-PN
NCLEX Questions on Perioperative Nursing Questions
Extract:
Question 1 of 5
The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement?
Correct Answer: B
Rationale: Tachycardia and hypotension suggest shock or arrhythmia, requiring a defibrillator for potential cardioversion. Dantrolene is for malignant hyperthermia, heparin for clotting, and glucose is unrelated.
Question 2 of 5
The nurse received a male client from the postanesthesia care unit. Which assessment data would warrant immediate intervention?
Correct Answer: A
Rationale: Tachycardia, tachypnea, and hypotension (80/40) suggest hypovolemic shock, requiring immediate intervention. Sleepiness, moderate pain, and low urine output are less urgent.
Question 3 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 4 of 5
The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement?
Correct Answer: B
Rationale: Tachycardia and hypotension suggest shock or arrhythmia, requiring a defibrillator for potential cardioversion. Dantrolene is for malignant hyperthermia, heparin for clotting, and glucose is unrelated.
Question 5 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.