PERIOPERATIVE NURSING ACTUAL EXAM
SCRIPT 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉Upon assessment, a client reports that he drinks five to six bottles
of beer every evening after work. Based upon this
information, the nurse is aware that the client may require which of
the following?
A) Larger doses of anesthetic agents and larger doses of
postoperative analgesics
B) Larger doses of anesthetic agents and lower doses of
postoperative analgesics
C) Lower doses of anesthetic agents and lower doses of
postoperative analgesics
D) Lower doses of anesthetic agents and larger doses of
postoperative analgesics. Answer: Ans: A
Feedback:
Clients with a large habitual intake of alcohol require larger doses of
anesthetic agents and postoperative analgesics,
increasing the risk for drug-related complications.
◉The telemetry unit nurse is reviewing laboratory results for a
client who is scheduled for an operative procedure later in
,the day. The nurse notes on the laboratory report that the client has
a serum potassium level of 6.5 mEq/L, indicative of
hyperkalemia. The nurse informs the physician of this laboratory
result because the nurse recognizes hyperkalemia
increases the client's operative risk for which of the following?
A) Cardiac problems
B) Infection
C) Bleeding and anemia
D) Fluid imbalances. Answer: Ans: A
Feedback:
Hyperkalemia or hypokalemia increases the client's risk for cardiac
problems. A decrease in the hematocrit and
hemoglobin level may indicate the presence of anemia or bleeding.
An elevated white blood cell count occurs in the
presence of infection. Abnormal urine constituents may indicate
infection or fluid imbalances.
◉The nurse is providing education to a client regarding pain control
after surgery. What time does the nurse inform the
client is the best time to request pain medication?
A) Before the pain becomes severe
B) When the client experiences a pain rating of "10" on a 1-to-10
pain scale
, C) When there is no pain, but it is time for the medication to be
administered
D) After the pain becomes severe and relaxation techniques have
failed. Answer: Ans: A
Feedback:
If a pain medication is ordered p.r.n., the client should be instructed
to ask for the medication before the pain becomes
severe.
◉A client 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) Provide clear liquids with a straw.
C) Avoid oral hygiene until the nausea subsides.
D) Hold all medications.. Answer: Ans: A
Feedback:
Nursing care for a xlient with nausea includes avoiding strong
smelling foods, providing oral hygiene, administering
prescribed medications (especially medications ordered for nausea
and vomiting), and avoiding use of a straw.
◉In order to prevent the possibility of venous stasis, a nurse is
teaching a surgical client how to perform leg exercises.
SCRIPT 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉Upon assessment, a client reports that he drinks five to six bottles
of beer every evening after work. Based upon this
information, the nurse is aware that the client may require which of
the following?
A) Larger doses of anesthetic agents and larger doses of
postoperative analgesics
B) Larger doses of anesthetic agents and lower doses of
postoperative analgesics
C) Lower doses of anesthetic agents and lower doses of
postoperative analgesics
D) Lower doses of anesthetic agents and larger doses of
postoperative analgesics. Answer: Ans: A
Feedback:
Clients with a large habitual intake of alcohol require larger doses of
anesthetic agents and postoperative analgesics,
increasing the risk for drug-related complications.
◉The telemetry unit nurse is reviewing laboratory results for a
client who is scheduled for an operative procedure later in
,the day. The nurse notes on the laboratory report that the client has
a serum potassium level of 6.5 mEq/L, indicative of
hyperkalemia. The nurse informs the physician of this laboratory
result because the nurse recognizes hyperkalemia
increases the client's operative risk for which of the following?
A) Cardiac problems
B) Infection
C) Bleeding and anemia
D) Fluid imbalances. Answer: Ans: A
Feedback:
Hyperkalemia or hypokalemia increases the client's risk for cardiac
problems. A decrease in the hematocrit and
hemoglobin level may indicate the presence of anemia or bleeding.
An elevated white blood cell count occurs in the
presence of infection. Abnormal urine constituents may indicate
infection or fluid imbalances.
◉The nurse is providing education to a client regarding pain control
after surgery. What time does the nurse inform the
client is the best time to request pain medication?
A) Before the pain becomes severe
B) When the client experiences a pain rating of "10" on a 1-to-10
pain scale
, C) When there is no pain, but it is time for the medication to be
administered
D) After the pain becomes severe and relaxation techniques have
failed. Answer: Ans: A
Feedback:
If a pain medication is ordered p.r.n., the client should be instructed
to ask for the medication before the pain becomes
severe.
◉A client 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) Provide clear liquids with a straw.
C) Avoid oral hygiene until the nausea subsides.
D) Hold all medications.. Answer: Ans: A
Feedback:
Nursing care for a xlient with nausea includes avoiding strong
smelling foods, providing oral hygiene, administering
prescribed medications (especially medications ordered for nausea
and vomiting), and avoiding use of a straw.
◉In order to prevent the possibility of venous stasis, a nurse is
teaching a surgical client how to perform leg exercises.
