NCLEX Questions on Perioperative Nursing | Nurselytic

Questions 19

NCLEX-PN

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NCLEX Questions on Perioperative Nursing Questions

Extract:


Question 1 of 5

Which intervention has priority for the nurse in the surgical holding area?

Correct Answer: A

Rationale: Verifying the surgical checklist ensures safety (e.g., site, consent), the priority in the holding area. Site prep, bathroom assistance, and restraints are secondary or intraoperative.

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 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.

Question 4 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 5 of 5

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?

Correct Answer: C

Rationale: Asking about the reaction verifies the allergy type (e.g., anaphylaxis vs. nausea), guiding safe care. Bracelet, labeling, and documentation follow verification.

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