NCLEX PRE AND POST OPERATIVE NCLEX EXAM-
NCLEX 2025 QUESTIONS AND ANSWERS AND
RATIONALE GRADED A+
What are the three perioperative phases of care - ans -1. Preoperative phase
Intraoperative Phase
Postoperative Phase
what are the different classifications of surgery? - ans -Facilitating a diagnosis, A
cure,
Repair, Reconstructive or Cosmetic
Palliative, and Rehabilitative
what are key elements of the chart that should accompany the patient to
surgery? - ans -bring the completed medical record (w/ preoperative checklist and
verification form) with the surgical consent and all lab reports and nurses' records
What is the purpose of withholding foods and fluid before surgery? - ans -Surgery
and anesthesia tends to make people throw up. If there is no food or fluid prior to
surgery, they are less likely to throw up.
what is the role of the anesthesiologist? - ans -(They assess prior to surgery, select
and administer anesthesia, manage technical problems, and supervise the
patients condition; BP, R, P, T, ECG, ABG's)
What is the role of the circulatory nurse - ans -Manages OR, Protects patient
safety, Monitors surgical team
Checks OR conditions, Verifies consent, Coordinates team, Promotes cleanliness,
Ensures proper temperature, lighting and aseptic techniques, Fire safety, Time
out.
What is the role of the scrub nurse - ans -Prepares sterile field, Sets up sterile
tables, Prepares sutures, ligatures and special equipment, Assists surgeon and
surgical assistants during procedure, Anticipates instruments and supplies
, required (sponges, drains, etc.), Counts needles, sponges and instruments post
procedure, Labels tissue specimens and submits to lab.
what are the 9 basic principals of surgical asepsis - ans -All materials in contact
with surgical area must be sterile
Surgical team must be in sterile gowns (the sleeves are considered sterile from 2
inches above elbow to cuff
Sterile drapes are used to create a sterile field
Sterile supplies must be on a sterile field and kept sterile when passed to the
surgeon
Scrubbed people can contact only sterile areas, if they go to an unsterile area they
are considered unsterile
Sterile fields must be kept in view at all times. at least a 1 ft distance must be kept
from the sterile field in order to keep sterile field uncontaminated
If a sterile field is breached it is considered contaminated
The sterile field must be continually monitored and maintained. any undoubtful
sterility must be considered unsterile,
The route administration of hyperoxia is not recommended to reduce surgical site
infections
What is general anesthesia? What are the risks and roles of the nurse? - ans -
Stage One: Beginning anesthesia
Patient experiences - Ringing, roaring, buzzing in ears
Noises are exaggerated; even low voices or minor sounds seem loud and unreal
Stage Two: Excitement
Struggling, shouting, talking, singing, laughing, or crying
(Avoided if administered smoothly and quickly)
Pupils dilate, respirations become irregular
Stage Three: Surgical Anesthesia.
Anesthetic vapor or gas is supported by IV agents if necessary
Pupils are small, but reactive to light, Respirations = regular, PR and Vol. are
normal
Skin pink or slightly flushed
Stage may be maintained for hours
Stage Four: Medullary depression (Too far, do not want this stage)
Too much anesthesia has been administered.
Respirations = shallow
NCLEX 2025 QUESTIONS AND ANSWERS AND
RATIONALE GRADED A+
What are the three perioperative phases of care - ans -1. Preoperative phase
Intraoperative Phase
Postoperative Phase
what are the different classifications of surgery? - ans -Facilitating a diagnosis, A
cure,
Repair, Reconstructive or Cosmetic
Palliative, and Rehabilitative
what are key elements of the chart that should accompany the patient to
surgery? - ans -bring the completed medical record (w/ preoperative checklist and
verification form) with the surgical consent and all lab reports and nurses' records
What is the purpose of withholding foods and fluid before surgery? - ans -Surgery
and anesthesia tends to make people throw up. If there is no food or fluid prior to
surgery, they are less likely to throw up.
what is the role of the anesthesiologist? - ans -(They assess prior to surgery, select
and administer anesthesia, manage technical problems, and supervise the
patients condition; BP, R, P, T, ECG, ABG's)
What is the role of the circulatory nurse - ans -Manages OR, Protects patient
safety, Monitors surgical team
Checks OR conditions, Verifies consent, Coordinates team, Promotes cleanliness,
Ensures proper temperature, lighting and aseptic techniques, Fire safety, Time
out.
What is the role of the scrub nurse - ans -Prepares sterile field, Sets up sterile
tables, Prepares sutures, ligatures and special equipment, Assists surgeon and
surgical assistants during procedure, Anticipates instruments and supplies
, required (sponges, drains, etc.), Counts needles, sponges and instruments post
procedure, Labels tissue specimens and submits to lab.
what are the 9 basic principals of surgical asepsis - ans -All materials in contact
with surgical area must be sterile
Surgical team must be in sterile gowns (the sleeves are considered sterile from 2
inches above elbow to cuff
Sterile drapes are used to create a sterile field
Sterile supplies must be on a sterile field and kept sterile when passed to the
surgeon
Scrubbed people can contact only sterile areas, if they go to an unsterile area they
are considered unsterile
Sterile fields must be kept in view at all times. at least a 1 ft distance must be kept
from the sterile field in order to keep sterile field uncontaminated
If a sterile field is breached it is considered contaminated
The sterile field must be continually monitored and maintained. any undoubtful
sterility must be considered unsterile,
The route administration of hyperoxia is not recommended to reduce surgical site
infections
What is general anesthesia? What are the risks and roles of the nurse? - ans -
Stage One: Beginning anesthesia
Patient experiences - Ringing, roaring, buzzing in ears
Noises are exaggerated; even low voices or minor sounds seem loud and unreal
Stage Two: Excitement
Struggling, shouting, talking, singing, laughing, or crying
(Avoided if administered smoothly and quickly)
Pupils dilate, respirations become irregular
Stage Three: Surgical Anesthesia.
Anesthetic vapor or gas is supported by IV agents if necessary
Pupils are small, but reactive to light, Respirations = regular, PR and Vol. are
normal
Skin pink or slightly flushed
Stage may be maintained for hours
Stage Four: Medullary depression (Too far, do not want this stage)
Too much anesthesia has been administered.
Respirations = shallow
