Preoperative Nursing-NCLEX questions practice Graded A+ Correct Answers
A 51 year old woman with a dx of breast cancer has been scheduled for a unilateral mastectomy. Which of the
following categorizations of surgical procedures are represented in this case?
a. diagnostic
b. constructive
c. reconstructive
d. palliative
e. ablative - ansA, E
A 54 year old female pt has been scheduled for a bunionectomy which will be conducted on an ambulatory
basis. Which of the following characteristics applies to this type of surgery?
a. the pt will be admitted the day of surgery and return home the same day
b. the surgery is classified as urgent rather than elective
c. the surgery will be conducted using moderate sedation rather than general anesthesia
d. the pt must be previously healthy with low surgical risks - ansA
A PACU nurse has received a semiconscious patient form the operating room and reviews the chart for orders
related to positioning of the patient. There are no specific orders on the chart related to specific orders for the
patient's position. in this situation, in what position will the nurse place the patient?
a. supine
b. prone
c. side-lying
d. trendelenburg - ansC
A patient is returning to the floor after orthopedic surgery is complaining of nausea. the nurse is aware that an
appropriate intervention is to do which of the following?
a. avoid strong smelling foods
b. hold all meds
, c. provide clear liquids with a straw
d. avoid oral hygiene until nausea subsides - ansA
A pediatric nurse is preparing a child for cleft palate repair surgery. The nurse recognizes that this type of
surgery is categorized as which of the following?
a. constructive surgery
b. transplantation surgery
c. palliative surgery
d. reconstructive surgery - ansA
A pt had an open cholecystectomy 36 hours earlier, and the nurse's assessment this morning confirms that the
pt has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this
assessment finding?
a. increase the rate of the pts IV infusion
b. contact the physician to come assess the pt
c. administer a cleansing enema
d. monitor the pt closely and promote fluid intake - ansD
A pt has presented to a clinic for a presurgical consult, during which the pt has expressed concern about having
to fast before surgery. Current recommendations for preop fasting include which of the following?
a. pts generally must eat or drink nothing after midnight the night before surgery
b. new recommendations allow eating and drinking until just prior to anesthetic being administered
c. pts can usually eat or drink up to 2 hours prior to surgery
d. preop fasting is still often recommended, even though it is medically unnecessary - ansC
Following a successful coronary artery bypass graft, a 71 year old male pt has been transferred to the PACU.
What is the priority for the pt's nursing care during this stage of recovery?
a. protecting and maintaining airway
b. positioning the pt to prevent skin breakdown
A 51 year old woman with a dx of breast cancer has been scheduled for a unilateral mastectomy. Which of the
following categorizations of surgical procedures are represented in this case?
a. diagnostic
b. constructive
c. reconstructive
d. palliative
e. ablative - ansA, E
A 54 year old female pt has been scheduled for a bunionectomy which will be conducted on an ambulatory
basis. Which of the following characteristics applies to this type of surgery?
a. the pt will be admitted the day of surgery and return home the same day
b. the surgery is classified as urgent rather than elective
c. the surgery will be conducted using moderate sedation rather than general anesthesia
d. the pt must be previously healthy with low surgical risks - ansA
A PACU nurse has received a semiconscious patient form the operating room and reviews the chart for orders
related to positioning of the patient. There are no specific orders on the chart related to specific orders for the
patient's position. in this situation, in what position will the nurse place the patient?
a. supine
b. prone
c. side-lying
d. trendelenburg - ansC
A patient is returning to the floor after orthopedic surgery is complaining of nausea. the nurse is aware that an
appropriate intervention is to do which of the following?
a. avoid strong smelling foods
b. hold all meds
, c. provide clear liquids with a straw
d. avoid oral hygiene until nausea subsides - ansA
A pediatric nurse is preparing a child for cleft palate repair surgery. The nurse recognizes that this type of
surgery is categorized as which of the following?
a. constructive surgery
b. transplantation surgery
c. palliative surgery
d. reconstructive surgery - ansA
A pt had an open cholecystectomy 36 hours earlier, and the nurse's assessment this morning confirms that the
pt has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this
assessment finding?
a. increase the rate of the pts IV infusion
b. contact the physician to come assess the pt
c. administer a cleansing enema
d. monitor the pt closely and promote fluid intake - ansD
A pt has presented to a clinic for a presurgical consult, during which the pt has expressed concern about having
to fast before surgery. Current recommendations for preop fasting include which of the following?
a. pts generally must eat or drink nothing after midnight the night before surgery
b. new recommendations allow eating and drinking until just prior to anesthetic being administered
c. pts can usually eat or drink up to 2 hours prior to surgery
d. preop fasting is still often recommended, even though it is medically unnecessary - ansC
Following a successful coronary artery bypass graft, a 71 year old male pt has been transferred to the PACU.
What is the priority for the pt's nursing care during this stage of recovery?
a. protecting and maintaining airway
b. positioning the pt to prevent skin breakdown
