NCLEX Perioperative Nursing Questions

Extract:

Question 1 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a surgery unit. Which task would be most appropriate to delegate to the UAP?

Correct Answer: D

Rationale: Assisting with a Betadine shower is a non-invasive task within UAP scope. Teaching, discussing plans, and assessing caregivers require nursing judgment.

Question 2 of 5

Which statement would be an expected outcome for the postoperative client who had general anesthesia?

A. The client will be able to sit in the chair for 30 minutes. B. The client will have a pulse oximetry reading of 97% on room air. C. The client will have a urine output of 30 mL per hour. D. The client will be able to distinguish sharp from dull sensations.

Correct Answer: B

Rationale: A pulse oximetry of 97% on room air indicates adequate oxygenation post-general anesthesia, a key outcome. Sitting, urine output, and sensation are secondary or unrelated.

Question 3 of 5

The nurse is completing the preoperative checklist on a client going to surgery. Which information should the nurse report to the surgeon?

A. The client understands the purpose of the surgery. B. The client stopped taking aspirin three (3) weeks ago. C. The client uses the oral supplements licorice and garlic. D. The client has mild levels of preoperative anxiety.

Correct Answer: C

Rationale: Licorice and garlic may increase bleeding risk or interact with anesthesia, requiring surgeon notification. Understanding, aspirin cessation, and mild anxiety are expected or safe.

Question 4 of 5

The client has undergone an abdominal perineal resection of the colon for colon cancer with a left lower quadrant colostomy. Which interventions should the nurse implement? Select all that apply.

A. Assess the stoma for color every four (4) hours and prn. B. Encourage the client to turn, cough, and deep breathe every two (2) hours. C. Maintain the head of the bed 30 to 40 degrees elevated at all times. D. Auscultate for bowel sounds every four (4) hours. E. Administer pain medications sparingly to prevent addiction.

Correct Answer: A,B,D

Rationale: Stoma assessment monitors viability, coughing/deep breathing prevents atelectasis, and bowel sound checks assess GI function. HOB elevation is case-specific, and sparing pain medication risks undertreatment.

Question 5 of 5

The client is in the lithotomy position during surgery. Which nursing intervention should be implemented to decrease a complication from the positioning?

A. Increase the intravenous fluids. B. Lower one leg at a time. C. Raise the foot of the stretcher. D. Administer epinephrine, a vasopressor.

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.

NCLEX Perioperative Nursing Questions | Nurselytic

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