NCLEX-PN
NCLEX Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
Which problem would be appropriate for the nurse to identify for the preoperative client having an open reduction and internal fixation of the right ankle?
Correct Answer: B
Rationale: Knowledge deficit of postoperative care (e.g., weight-bearing, wound care) is common pre-ankle surgery, guiding teaching. Skin integrity, gas exchange, and urinary issues are postoperative or unrelated.
Question 2 of 5
The circulating nurse is planning the care for an intraoperative client. Which statement is the expected outcome?
Correct Answer: A
Rationale: The circulating nurse’s role focuses on preventing equipment-related injuries (e.g., burns, pressure sores) intraoperatively. Infection, vital signs, and recovery are broader concerns.
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
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 5 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.