NCLEX-PN
NCLEX Practice Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
The circulating nurse observes the surgeon tossing a bloody gauze sponge onto the sterile field. Which action should the circulating nurse implement first?
Correct Answer: C
Rationale: Telling the technologist ensures the contaminated sponge is removed from the sterile field, maintaining asepsis. Counting, new instruments, or trashing are secondary or incorrect.
Question 2 of 5
Which data indicate to the nurse the client who is one (1) day postoperative right total hip replacement is progressing as expected?
Correct Answer: D
Rationale: Clear lungs indicate no respiratory complications, expected post-hip replacement. Low urine output (20 mL/hr), paralysis/paresthesia, and mild hypotension suggest complications.
Question 3 of 5
Which statement explains the nurse's responsibility when obtaining informed consent for the client undergoing a surgical procedure?
Correct Answer: D
Rationale: The nurse ensures voluntary consent, verifying understanding and no coercion, per ethical standards. Detailed information, legal consultation, and risk lists are the HCP’s role.
Question 4 of 5
The nursing manager is making assignments for the OR. Which case should the manager assign to the inexperienced nurse?
Correct Answer: B
Rationale: Breast biopsy is a straightforward, low-risk procedure suitable for an inexperienced nurse. Open-heart, laser eye, and laparoscopic surgeries require advanced skills.
Question 5 of 5
Which action by the client indicates to the nurse preoperative teaching has been effective?
Correct Answer: A
Rationale: Using the incentive spirometer correctly prevents atelectasis, a key preoperative teaching goal. PCA use is postoperative, naming agents is unnecessary, and hourly ambulation is excessive.