NCLEX-PN
NCLEX Practice Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for further preoperative teaching?
Correct Answer: D
Rationale: Getting out of bed upright risks hip dislocation post-hip replacement; log-rolling is correct. Diaphragmatic breathing, foot exercises, and spirometry are appropriate.
Question 2 of 5
The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse implement?
Correct Answer: C
Rationale: Removing a potentially contaminated sponge from the sterile field edge is correct to maintain asepsis. Replacing, criticizing, or removing it immediately is incorrect.
Question 3 of 5
The circulating nurse is positioning clients for surgery. Which client has the greatest potential for nerve damage?
Correct Answer: D
Rationale: The lateral position risks brachial plexus or peroneal nerve damage due to pressure on dependent limbs, especially during prolonged surgery like nephrectomy. Other positions have lower nerve risks.
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 assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?
Correct Answer: C
Rationale: A respiratory rate of 8 suggests respiratory depression, a serious spinal anesthesia complication. L5 numbness is expected, absent pulse suggests vascular issues, and stable BP is normal.