N120 HESI Case Study: Perioperative
Care Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
Which information is most critical for the nurse to verify before transporting a patient to the
operating room?
A. Last pain score
✔✔B. Signed informed consent
C. Family contact details
D. Room assignment
A patient scheduled for surgery states, “I ate breakfast an hour ago.” What is the nurse’s priority
action?
A. Proceed with preparation
✔✔B. Notify the surgical team
C. Document and continue
D. Encourage ambulation
Which finding would require delaying surgery?
A. Mild anxiety
B. Blood pressure 130/80
✔✔C. Active respiratory infection
D. NPO for 8 hours
1
,Which action by the nurse best supports patient safety during transfer to the OR table?
A. Asking the patient to help move
✔✔B. Using a transfer device
C. Allowing the patient to slide independently
D. Removing monitoring equipment
Which assessment is most important immediately after induction of anaesthesia?
A. Skin integrity
B. Pain level
✔✔C. Airway patency
D. Bowel sounds
Which nursing action reduces the risk of surgical site infection?
A. Shaving the site the night before
✔✔B. Using aseptic technique
C. Applying lotion to the skin
D. Covering the site loosely
Which patient statement indicates a need for further teaching about postoperative deep
breathing?
A. “I should take slow deep breaths.”
✔✔B. “I’ll avoid coughing to protect the incision.”
2
,C. “I’ll use the incentive spirometer.”
D. “I should do this regularly.”
Which position helps prevent pressure injuries during long surgery?
A. Extreme flexion
✔✔B. Neutral alignment with padding
C. Prone without supports
D. Trendelenburg without padding
Which vital sign change is most concerning in the PACU?
A. Mild tachycardia
B. Slight drowsiness
✔✔C. Decreasing oxygen saturation
D. Mild shivering
Which nursing intervention is priority for a patient with nausea after anaesthesia?
A. Encourage fluids immediately
✔✔B. Administer prescribed antiemetic
C. Provide solid food
D. Place patient flat
Which assessment finding suggests urinary retention postoperatively?
A. Frequent voiding
3
, B. Clear urine
✔✔C. Suprapubic fullness
D. Increased urine output
Which patient is at highest risk for delayed wound healing?
A. Young adult
B. Well-nourished patient
✔✔C. Patient with poor nutrition
D. Short procedure patient
Which action is part of the perioperative “time-out”?
A. Counting instruments
✔✔B. Verifying patient, procedure, and site
C. Starting IV antibiotics
D. Positioning the patient
Which sign may indicate internal bleeding after surgery?
A. Warm skin
B. Normal pulse
✔✔C. Decreasing blood pressure
D. Increased urine output
Which nursing action best promotes early mobility?
4
Care Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
Which information is most critical for the nurse to verify before transporting a patient to the
operating room?
A. Last pain score
✔✔B. Signed informed consent
C. Family contact details
D. Room assignment
A patient scheduled for surgery states, “I ate breakfast an hour ago.” What is the nurse’s priority
action?
A. Proceed with preparation
✔✔B. Notify the surgical team
C. Document and continue
D. Encourage ambulation
Which finding would require delaying surgery?
A. Mild anxiety
B. Blood pressure 130/80
✔✔C. Active respiratory infection
D. NPO for 8 hours
1
,Which action by the nurse best supports patient safety during transfer to the OR table?
A. Asking the patient to help move
✔✔B. Using a transfer device
C. Allowing the patient to slide independently
D. Removing monitoring equipment
Which assessment is most important immediately after induction of anaesthesia?
A. Skin integrity
B. Pain level
✔✔C. Airway patency
D. Bowel sounds
Which nursing action reduces the risk of surgical site infection?
A. Shaving the site the night before
✔✔B. Using aseptic technique
C. Applying lotion to the skin
D. Covering the site loosely
Which patient statement indicates a need for further teaching about postoperative deep
breathing?
A. “I should take slow deep breaths.”
✔✔B. “I’ll avoid coughing to protect the incision.”
2
,C. “I’ll use the incentive spirometer.”
D. “I should do this regularly.”
Which position helps prevent pressure injuries during long surgery?
A. Extreme flexion
✔✔B. Neutral alignment with padding
C. Prone without supports
D. Trendelenburg without padding
Which vital sign change is most concerning in the PACU?
A. Mild tachycardia
B. Slight drowsiness
✔✔C. Decreasing oxygen saturation
D. Mild shivering
Which nursing intervention is priority for a patient with nausea after anaesthesia?
A. Encourage fluids immediately
✔✔B. Administer prescribed antiemetic
C. Provide solid food
D. Place patient flat
Which assessment finding suggests urinary retention postoperatively?
A. Frequent voiding
3
, B. Clear urine
✔✔C. Suprapubic fullness
D. Increased urine output
Which patient is at highest risk for delayed wound healing?
A. Young adult
B. Well-nourished patient
✔✔C. Patient with poor nutrition
D. Short procedure patient
Which action is part of the perioperative “time-out”?
A. Counting instruments
✔✔B. Verifying patient, procedure, and site
C. Starting IV antibiotics
D. Positioning the patient
Which sign may indicate internal bleeding after surgery?
A. Warm skin
B. Normal pulse
✔✔C. Decreasing blood pressure
D. Increased urine output
Which nursing action best promotes early mobility?
4
