NCLEX-PN
NCLEX Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) reports the vital signs for a first-day postoperative client as T 100.8°F, P 80, R 24, and BP 148/80. Which intervention would be most appropriate for the nurse to implement?
Correct Answer: C
Rationale: A low-grade fever (100.8°F) and tachypnea (R 24) suggest atelectasis; turning, coughing, and deep breathing prevent respiratory complications. Antibiotics, dressing changes, and ambulation are secondary.
Question 2 of 5
The charge nurse is making shift assignments. Which postoperative client should be assigned to the most experienced nurse?
Correct Answer: D
Rationale: The 80-year-old with small bowel obstruction and CHF has complex needs (fluid balance, cardiac monitoring), requiring an experienced nurse.
Tonsillectomy, hip repair, and appendectomy are less complex.
Question 3 of 5
Which statement made by the client who is postoperative abdominal surgery indicates the discharge teaching has been effective?
Correct Answer: C
Rationale: Completing antibiotics prevents infection, a key teaching point. Weekly temperature checks are excessive, pain medication is often needed, and showering is allowed sooner.
Question 4 of 5
Which technique would be most appropriate for the nurse to implement when assessing a four (4)-year-old client in acute pain?
Correct Answer: C
Rationale: The FACES pain scale (pointing to faces) is age-appropriate for a 4-year-old, per pediatric pain assessment guidelines. Simple words are vague, numeric scales are for older children, and scheduled medication is not assessment.
Question 5 of 5
The male client in the day surgery unit complains of difficulty urinating postoperatively. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Standing to void facilitates urination by using gravity, a non-invasive first step. Catheterization, IV fluids, and oral fluids are more invasive or secondary.