NCLEX questions: Perioperative Nursing Test with 100% Verified Answers
1. The nurse has just re- 1.
assessed the condition of Urine output should be maintained at a min-
a postoperative client who imum of 30mL/hour for an adult. An output
was admitted 1 hour ago to of less than that for each of 2 consecutive
the surgical unit. The nurse hours should be reported to the health care
plans to monitor which para- provider.
meter most carefully during
the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3. Blood pressure of 114/70
4. Serous drainage on the
surgical dressing
2. A postoperative client asks 1.
the nurse why it is so im- Postoperative respiratory problems are at-
portant to deep-breathe and electasis, pneumonia and pulmonary emboli.
cough after surgery. When Pneumonia is the inflammation of lung tissue
formulating a response, the that causes productive cough, dyspnea, and
nurse incorporates the un- lung crackles and can be caused by the re-
derstanding that retained tention of pulmonary secretions.
pulmonary secretions in a
postoperative client can lead
to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism
3. The nurse is developing a 3.
plan of care for a client The nurse would assist the client to void im-
scheduled for surgery. The mediately before surgery so that the bladder
nurse should include which will be empty. Oral hygiene is allowed, but the
activity in the nursing care client should not swallow any water. The client
plan for the client on the day usually has a restriction of food and fluids for 6
of surgery? to 8 hours before surgery instead of 24 hours.
1. Avoid oral hygiene and A slight increase in BP and pulse is common
rinsing with mouthwash during the preoperative period due to anxiety.
2. Verify that the client has
1/6
, NCLEX questions: Perioperative Nursing Test with 100% Verified Answers
not eaten for the last 24
hours
3. Have the client void im-
mediately before going into
surgery
4. Report immediately any
slight increase in BP or pulse
4. A client with a perforated 4.
gastric ulcer is scheduled Every effort should be made to obtain permis-
for surgery. The client can- sion from a responsible family member to per-
not sign the operative con- form surgery if the client is unable to sign the
sent form because of seda- consent form. A telephone consent must be
tion from opioid analgesics witnessed by two persons who hear the family
that have been administered. member's oral consent. The two witnesses
The nurse should take which then sign the consent with the name of the
most appropriate action in family member, noting that an oral consent
the care of this client? was obtained. Consent is not informed if it
1. Obtain a court order for the is obtained from a client who is confused,
surgery. unconscious, mentally incompetent, or under
2. Have the charge nurse sign the influence of sedatives. In an emergency
the informed consent imme- the client may not be able to sign and family
diately members may not be available. In this situa-
3. Send the client to surgery tion, a health care provider is permitted legal-
without the consent form be- ly to perform surgery without consent, but
ing signed tin this case it is not an emergency. Agency
4. Obtain a telephone con- policies regarding informed consent should
sent from a family member, always be followed.
following agency policy
5. A preoperative client ex- 3.
presses anxiety to the nurse Explanations should begin with the infor-
about upcoming surgery. mation that the client knows. By providing
Which response by the nurse the client with individualized explanations of
is most likely to stimulate fur- care and procedures, the nurse can assist
ther discussion between the the client in handling anxiety and fear for
client and the nurse? a smooth preoperative experience. Clients
1. "If it's any help, everyone is who are calm and emotionally prepared for
nervous before surgery."
2/6
1. The nurse has just re- 1.
assessed the condition of Urine output should be maintained at a min-
a postoperative client who imum of 30mL/hour for an adult. An output
was admitted 1 hour ago to of less than that for each of 2 consecutive
the surgical unit. The nurse hours should be reported to the health care
plans to monitor which para- provider.
meter most carefully during
the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3. Blood pressure of 114/70
4. Serous drainage on the
surgical dressing
2. A postoperative client asks 1.
the nurse why it is so im- Postoperative respiratory problems are at-
portant to deep-breathe and electasis, pneumonia and pulmonary emboli.
cough after surgery. When Pneumonia is the inflammation of lung tissue
formulating a response, the that causes productive cough, dyspnea, and
nurse incorporates the un- lung crackles and can be caused by the re-
derstanding that retained tention of pulmonary secretions.
pulmonary secretions in a
postoperative client can lead
to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism
3. The nurse is developing a 3.
plan of care for a client The nurse would assist the client to void im-
scheduled for surgery. The mediately before surgery so that the bladder
nurse should include which will be empty. Oral hygiene is allowed, but the
activity in the nursing care client should not swallow any water. The client
plan for the client on the day usually has a restriction of food and fluids for 6
of surgery? to 8 hours before surgery instead of 24 hours.
1. Avoid oral hygiene and A slight increase in BP and pulse is common
rinsing with mouthwash during the preoperative period due to anxiety.
2. Verify that the client has
1/6
, NCLEX questions: Perioperative Nursing Test with 100% Verified Answers
not eaten for the last 24
hours
3. Have the client void im-
mediately before going into
surgery
4. Report immediately any
slight increase in BP or pulse
4. A client with a perforated 4.
gastric ulcer is scheduled Every effort should be made to obtain permis-
for surgery. The client can- sion from a responsible family member to per-
not sign the operative con- form surgery if the client is unable to sign the
sent form because of seda- consent form. A telephone consent must be
tion from opioid analgesics witnessed by two persons who hear the family
that have been administered. member's oral consent. The two witnesses
The nurse should take which then sign the consent with the name of the
most appropriate action in family member, noting that an oral consent
the care of this client? was obtained. Consent is not informed if it
1. Obtain a court order for the is obtained from a client who is confused,
surgery. unconscious, mentally incompetent, or under
2. Have the charge nurse sign the influence of sedatives. In an emergency
the informed consent imme- the client may not be able to sign and family
diately members may not be available. In this situa-
3. Send the client to surgery tion, a health care provider is permitted legal-
without the consent form be- ly to perform surgery without consent, but
ing signed tin this case it is not an emergency. Agency
4. Obtain a telephone con- policies regarding informed consent should
sent from a family member, always be followed.
following agency policy
5. A preoperative client ex- 3.
presses anxiety to the nurse Explanations should begin with the infor-
about upcoming surgery. mation that the client knows. By providing
Which response by the nurse the client with individualized explanations of
is most likely to stimulate fur- care and procedures, the nurse can assist
ther discussion between the the client in handling anxiety and fear for
client and the nurse? a smooth preoperative experience. Clients
1. "If it's any help, everyone is who are calm and emotionally prepared for
nervous before surgery."
2/6
