NCLEX Practice Questions Perioperative Nursing

Extract:

Question 1 of 5

Which intervention is appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) when caring for the female client experiencing acute pain?

Correct Answer: B

Rationale: Applying an ice pack is a non-invasive task within UAP scope. Delivering medication, post-medication checks, and PCA observation require nursing judgment.

Question 2 of 5

The unlicensed assistive personnel (UAP) can be overheard talking loudly to the scrub technologist discussing a problem which occurred during one (1) of the surgeries. Which intervention should the nurse in the surgical holding area with a female client implement?

A. Close the curtains around the client's stretcher. B. Instruct the UAP and scrub tech to stop the discussion. C. Tell the surgeon on the case what the nurse overheard. D. Inform the client the discussion was not about her surgeon.

Correct Answer: B

Rationale: Instructing the UAP and tech to stop protects patient privacy and reduces anxiety, per HIPAA. Curtains, informing the surgeon, or reassuring the client are less direct.

Question 3 of 5

Which assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?

A. Loss of sensation at the lumbar (L5) dermatome. B. Absence of the client's posterior tibial pulse. C. The client has a respiratory rate of eight (8). D. The blood pressure is within 20% of the client's baseline.

Correct Answer: C

Rationale: A respiratory rate of 8 suggests respiratory depression, a serious spinal anesthesia complication. L5 numbness is expected, absent pulse suggests vascular issues, and stable BP is normal.

Question 4 of 5

The circulating nurse observes the surgeon tossing a bloody gauze sponge onto the sterile field. Which action should the circulating nurse implement first?

A. Include the sponge in the sponge count. B. Obtain a new sterile instrument pack. C. Tell the surgical technologist about the sponge. D. Throw the sponge in the sterile trashcan.

Correct Answer: C

Rationale: Telling the technologist ensures the contaminated sponge is removed from the sterile field, maintaining asepsis. Counting, new instruments, or trashing are secondary or incorrect.

Question 5 of 5

The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse implement?

A. Place the sponge back where it was. B. Tell the technician not to waste supplies. C. Do nothing because this is the correct procedure. D. Take the sponge out of the room immediately.

Correct Answer: C

Rationale: Removing a potentially contaminated sponge from the sterile field edge is correct to maintain asepsis. Replacing, criticizing, or removing it immediately is incorrect.

NCLEX Practice Questions Perioperative Nursing | Nurselytic

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