NCLEX-PN
NCLEX Questions on Perioperative Nursing Questions
Extract:
Question 1 of 5
Which problem should the nurse identify as priority for client who is one (1) day postoperative?
Correct Answer: A
Rationale: Hemorrhaging is a life-threatening risk in the first 24–48 hours post-surgery, the priority. Injury, fluid excess, and infection are secondary.
Question 2 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 3 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 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 client one (1) day postoperative develops an elevated temperature. Which intervention would have priority for the client?
Correct Answer: A
Rationale: Fever post-surgery often stems from atelectasis; deep breathing and coughing prevent respiratory complications, the priority. Hydration, wound monitoring, and urine assessment are secondary.