NCLEX-PN
NCLEX Perioperative Nursing Questions Questions
Extract:
Question 1 of 5
The circulating nurse notes a discrepancy in the needle count. What intervention should the nurse implement first?
Correct Answer: A
Rationale: Informing the team prompts a recount and investigation, the first step to prevent retained needles. Assuming errors, ordering x-rays, or reporting are premature.
Question 2 of 5
Which activities are the circulating nurse's responsibilities in the operating room?
Correct Answer: A
Rationale: The circulating nurse monitors positioning, preps the site, and ensures safety, maintaining a non-sterile role. Medications, sterile field setup, and anesthesia tubing are other roles.
Question 3 of 5
The client is in the lithotomy position during surgery. Which nursing intervention should be implemented to decrease a complication from the positioning?
Correct Answer: B
Rationale: Lowering legs sequentially prevents rapid blood pressure drops from venous pooling, reducing circulatory complications in lithotomy. Fluids, stretcher elevation, and epinephrine are unrelated.
Question 4 of 5
The nurse is caring for a male client scheduled for abdominal surgery. Which interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: B,D,E
Rationale: Coughing/deep breathing prevents atelectasis, pain management enhances recovery, and PACU education reduces anxiety. Passive ROM is postoperative, and meals are not allowed in PACU.
Question 5 of 5
Which nursing intervention is the highest priority when administering pain medication to a client experiencing acute pain?
Correct Answer: C
Rationale: Checking allergies prevents adverse reactions, the highest safety priority. Vital signs, timing, and pain discussion follow.