NCLEX-PN
NCLEX Practice Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
The postoperative client is transferred from the PACU to the surgical floor. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing vital signs establishes a baseline post-PACU, per ABCs. Antiembolism hose, drain attachment, and anesthesiologist report follow.
Question 2 of 5
The nurse is conducting an interview with a 75-year-old client admitted with acute pain. Which question would have priority when assisting with pain management?
Correct Answer: A
Rationale: Asking about past pain control identifies effective strategies or barriers, guiding management. Surgical history, addiction, and medication lists are secondary.
Question 3 of 5
Which action by the client indicates to the nurse preoperative teaching has been effective?
Correct Answer: A
Rationale: Using the incentive spirometer correctly prevents atelectasis, a key preoperative teaching goal. PCA use is postoperative, naming agents is unnecessary, and hourly ambulation is excessive.
Question 4 of 5
Which data indicate to the nurse the client who is one (1) day postoperative right total hip replacement is progressing as expected?
Correct Answer: D
Rationale: Clear lungs indicate no respiratory complications, expected post-hip replacement. Low urine output (20 mL/hr), paralysis/paresthesia, and mild hypotension suggest complications.
Question 5 of 5
The postoperative client is transferred from the PACU to the surgical floor. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing vital signs establishes a baseline post-PACU, per ABCs. Antiembolism hose, drain attachment, and anesthesiologist report follow.