Preoperative Nursing-NCLEX questions and answers

Which preoperative assessment finding requires immediate attention before surgery A. History of seasonal allergies B. Recent onset chest pain ️️ C. Mild fatigue D. Occasional headache Which lab is most critical to review before elective surgery A. Hemoglobin and hematocrit ️️ B. Serum amylase C. Vitamin D levels D. Lipid panel Which medication must be clarified with the surgeon preoperatively due to bleeding risk A. Acetaminophen B. Aspirin ️️ C. Albuterol D. Multivitamins Which patient teaching is essential before a laparoscopic procedure A. Deep breathing exercises ️️ B. Limiting fluids indefinitely C. Avoiding oral hygiene D. Restricting mobility Which vital sign abnormality postpones elective surgery A. Blood pressure 120/80 B. Heart rate 50 with dizziness ️️ C. Respiratory rate 16 D. Temperature 36.7°C Which assessment identifies risk for postoperative complications A. History of smoking ️️ B. Occasional headaches C. Mild seasonal allergies D. Routine vaccinations Which preoperative lab indicates risk for infection A. WBC count ️️ B. Platelet count C. Hemoglobin D. Electrolytes Which action reduces risk of surgical site infection A. Preoperative shower with antiseptic ️️ B. Avoiding preoperative hygiene C. Using standard soap only D. Skipping hair removal Which preoperative finding requires notifying the anesthesiologist A. History of mild eczema B. Previous malignant hyperthermia reaction ️️ C. Occasional constipation D. Seasonal allergies Which patient is at highest risk for aspiration during surgery A. NPO 8 hours ️️ B. NPO 12 hours C. NPO 16 hours D. NPO 24 hours Which assessment is priority for older adult before surgery A. Cognitive status ️️ B. Hair color C. Height D. Skin tone Which medication is commonly held preoperatively to prevent intraoperative hypotension A. Beta-blockers B. ACE inhibitors ️️ C. Antibiotics D. Analgesics Which finding requires preoperative blood typing and crossmatch A. Elective dental procedure B. Anticipated significant blood loss ️️ C. Routine skin biopsy D. Outpatient imaging Which preoperative teaching reduces risk of postoperative pneumonia A. Incentive spirometry ️️ B. Avoid coughing C. Limit hydration D. Delay ambulation Which lab is essential before thyroid surgery A. TSH, T3, T4 ️️ B. Serum amylase C. Lipid panel D. Vitamin B12 Which finding requires preoperative ECG A. History of chest pain or arrhythmia ️️ B. Occasional headache C. Mild fatigue D. Seasonal allergies Which preoperative assessment identifies risk for DVT A. Obesity and immobility ️️ B. Occasional muscle soreness C. Mild seasonal allergies D. Frequent urination Which medication increases risk for perioperative bleeding A. Metformin B. Warfarin ️️ C. Lisinopril D. Vitamin C Which patient education reduces postoperative urinary retention A. Early ambulation ️️ B. Restricting fluids C. Avoiding voiding before surgery D. Skipping bladder training Which preoperative intervention reduces anxiety A. Providing detailed procedure information ️️ B. Limiting communication C. Avoiding questions D. Skipping teaching Which finding is a contraindication for elective surgery A. Active respiratory infection ️️ B. Seasonal allergies C. Mild fatigue D. Routine blood pressure 120/80 Which lab is critical for a patient with diabetes before surgery A. Fasting blood glucose ️️ B. Lipid profile C. Vitamin D D. Serum amylase Which preoperative assessment identifies risk for postoperative nausea and vomiting A. History of motion sickness ️️ B. Mild seasonal allergies C. Hair color D. Height Which patient requires antibiotic prophylaxis preoperatively A. Clean, elective hernia repair B. Cardiac valve replacement ️️ C. Skin lesion removal D. Eye exam Which assessment finding requires delaying surgery A. NPO 8 hours B. Fever and productive cough ️️ C. Stable vital signs D. Mild fatigue Which action reduces preoperative risk for pulmonary complications A. Teaching deep breathing and coughing exercises ️️ B. Restricting fluids C. Avoiding oral care D. Limiting ambulation Which preoperative patient requires a coagulation profile A. History of hypertension B. Taking anticoagulants ️️ C. Mild seasonal allergies D. Routine check-up Which finding increases risk of perioperative hypothermia A. Advanced age ️️ B. Normal BMI C. Routine labs D. Hair color Which preoperative assessment is priority for patient with obstructive sleep apnea A. Airway evaluation ️️ B. Eye exam C. Hearing test D. Skin assessment Which medication should be held on the day of surgery to reduce bleeding risk A. Aspirin B. Acetaminophen C. Insulin D. Multivitamins Which preoperative lab assesses renal function A. BUN and creatinine B. CBC C. Serum amylase D. Lipid panel Which patient education reduces risk of postoperative ileus A. Early ambulation B. Fasting beyond NPO C. Avoiding movement D. Delaying bowel prep Which preoperative assessment identifies risk for allergic reaction A. History of latex allergy B. Occasional headache C. Seasonal allergies D. Mild fatigue Which intervention prevents preoperative hypoglycemia A. Check fasting glucose B. Skip breakfast C. Restrict hydration D. Delay insulin