NCLEX Questions on Perioperative Nursing | Nurselytic

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NCLEX Questions on Perioperative Nursing Questions

Extract:


Question 1 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 2 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 3 of 5

The nurse is assessing a client in the day surgery unit who states, 'I am really afraid of having this surgery. I'm afraid of what they will find.' Which statement would be the most therapeutic response by the nurse?

Correct Answer: C

Rationale: Asking about fears encourages the client to express concerns, fostering therapeutic communication. Reassurance, asking 'why,' or assuming feelings are less empathetic.

Question 4 of 5

The surgical client's vital signs are T 98°F, P 106, R 24, and BP 88/40. The client is awake and oriented times three (3) and the skin is pale and damp. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Tachycardia, hypotension, and pale, damp skin suggest hypovolemic shock; Trendelenburg position (feet elevated, head lowered) improves cerebral perfusion, the first intervention. Surgeon notification, IV fluids, and monitoring follow.

Question 5 of 5

The client one (1) day postoperative develops an elevated temperature. Which intervention would have priority for the client?

Correct Answer: A

Rationale: Fever post-surgery often stems from atelectasis; deep breathing and coughing prevent respiratory complications, the priority. Hydration, wound monitoring, and urine assessment are secondary.

Similar Questions

The three (3)-day postoperative client is complaining of unrelieved pain at the incision site one (1) hour after the administration of narcotic pain medication. Which action should the nurse implement first?
The nurse and the unlicensed assistive personnel (UAP) are working on the surgical unit. Which task can the nurse delegate to the UAP?
The nurse is administering an opioid narcotic to the client. Which interventions should the nurse implement for client safety? Select all that apply.
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?
Which problem should the nurse identify as priority for client who is one (1) day postoperative?

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