NCLEX Questions on Perioperative Nursing

Extract:

Question 1 of 5

The nurse is completing a preoperative assessment on a male client who states, 'I am allergic to codeine.' Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Asking about the reaction verifies the allergy type (e.g., anaphylaxis vs. nausea), guiding safe care. Bracelet, labeling, and documentation follow verification.

Question 2 of 5

The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement?

A. Prepare ice packs and mix dantrolene sodium. B. Request the defibrillator be brought into the OR. C. Draw a PTT and prepare a heparin drip. D. Obtain finger stick blood glucose immediately.

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 3 of 5

The nurse is completing a preoperative assessment on a male client who states, 'I am allergic to codeine.' Which intervention should the nurse implement first?

A. Apply an allergy bracelet on the client's wrist. B. Label the client's allergies on the front of the chart. C. Ask the client what happens when he takes the codeine. D. Document the allergy on the medication administration record.

Correct Answer: C

Rationale: Asking about the reaction verifies the allergy type (e.g., anaphylaxis vs. nausea), guiding safe care. Bracelet, labeling, and documentation follow verification.

Question 4 of 5

The nurse is administering an opioid narcotic to the client. Which interventions should the nurse implement for client safety? Select all that apply.

A. Compare the hospital number on the MAR to the client's bracelet. B. Have a witness verify the wasted portion of the narcotic. C. Assess the client's vital signs prior to administration. D. Determine if the client has any allergies to medications. E. Clarify all pain medication orders with the health-care provider.

Correct Answer: A,B,C,D

Rationale: Verifying ID, witnessing waste, checking vital signs, and confirming allergies ensure opioid safety. Clarifying all orders is unnecessary unless unclear.

Question 5 of 5

Which situation is an example of the nurse fulfilling the role of client advocate?

A. The nurse brings the client pain medication when it is due. B. The nurse collaborates with other disciplines during the care conference. C. The nurse contacts the health-care provider when pain relief is not obtained. D. The nurse teaches the client to ask for medication before the pain gets to a '5.'

Correct Answer: C

Rationale: Contacting the HCP for inadequate pain relief advocates for the client’s comfort. Bringing medication, collaborating, and teaching are supportive but less advocacy-focused.

NCLEX Questions on Perioperative Nursing | Nurselytic

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