NCLEX-PN
NCLEX Questions on Perioperative Nursing Questions
Extract:
Question 1 of 5
Which client outcome would the nurse identify for the preoperative client?
Correct Answer: C
Rationale: Demonstrating pillow splinting for deep breathing prepares the client to prevent atelectasis, a measurable preoperative outcome. Lab reporting, complication-free periods, and advance directives are not client actions.
Question 2 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 3 of 5
The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement?
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 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 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?
Correct Answer: C
Rationale: Unrelieved pain post-narcotic may indicate complications (e.g., infection, hematoma), requiring assessment first. Additional medication, imagery, or HOB elevation follow.