NCLEX-PN
NCLEX Practice Questions Perioperative Nursing Questions
Extract:
Question 1 of 5
Which statement explains the nurse's responsibility when obtaining informed consent for the client undergoing a surgical procedure?
Correct Answer: D
Rationale: The nurse ensures voluntary consent, verifying understanding and no coercion, per ethical standards. Detailed information, legal consultation, and risk lists are the HCPās role.
Question 2 of 5
The nurse is conducting an interview with a 75-year-old client admitted with acute pain. Which question would have priority when assisting with pain management?
Correct Answer: A
Rationale: Asking about past pain control identifies effective strategies or barriers, guiding management. Surgical history, addiction, and medication lists are secondary.
Question 3 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?
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 4 of 5
The client in the surgery holding area identifies the left arm as the correct surgical site, but the operative permit designates surgery to be performed on the right arm. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,C
Rationale: Reviewing the chart verifies the correct site, notifying the surgeon addresses the discrepancy, and calling a time-out ensures team confirmation. Correcting the permit or marking the wrong site is unsafe.
Question 5 of 5
The circulating nurse is positioning clients for surgery. Which client has the greatest potential for nerve damage?
Correct Answer: D
Rationale: The lateral position risks brachial plexus or peroneal nerve damage due to pressure on dependent limbs, especially during prolonged surgery like nephrectomy. Other positions have lower nerve risks.