NCLEX-PN
NCLEX Questions on Perioperative Nursing Questions
Extract:
Question 1 of 5
The nurse is completing the preoperative checklist. Which laboratory value should be reported to the health-care provider immediately?
Correct Answer: B
Rationale: Glucose of 60 mg/dL indicates hypoglycemia, risking perioperative complications, requiring immediate HCP notification. Normal hemoglobin, WBC, and potassium are safe.
Question 2 of 5
The nurse clears the PCA pump and discovers the client has used only a small amount of medication during the shift. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Determining why the client underuses the PCA (e.g., misunderstanding, side effects) ensures effective pain management. Documentation alone, assuming no pain, or changing medication is premature.
Question 3 of 5
The nurse and the unlicensed assistive personnel (UAP) are working on the surgical unit. Which task can the nurse delegate to the UAP?
Correct Answer: A
Rationale: Taking vital signs is within UAP scope. Checking drains, hanging IVs, and ensuring pain relief require nursing assessment or licensure.
Question 4 of 5
The nurse must obtain surgical consent forms for the scheduled surgery. Which client would not be able to consent legally to surgery?
Correct Answer: D
Rationale: Legal consent requires mental competency; disorientation to the day suggests incapacity. Illiteracy, language barriers (with interpreters), and minors (with parental consent) do not preclude consent.
Question 5 of 5
The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?
Correct Answer: D
Rationale: Recounting sponges verifies the discrepancy, the first step to ensure no retained objects. Notification, reporting, or manager contact follow if confirmed.