HESI RN PERIOPERATIVE NURSING ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. The perioperative nurse is preparing a patient
for surgery and notes that the patient has not
signed the informed consent form. The surgeon
has already explained the procedure. What is
the nurse’s most appropriate action?
A. Have the patient sign the consent form
immediately
B. Notify the surgeon to obtain the patient’s
, signature
C. Ask the patient’s family member to sign the
consent form
D. Proceed with preoperative preparation
without consent
B
The nurse must ensure that informed consent
is obtained by the physician performing the
procedure. The nurse can witness the signature
but cannot obtain the consent. The surgeon
must explain the procedure, risks, benefits, and
alternatives before the patient signs.
2. A patient is scheduled for surgery and states, “I
am allergic to latex.” Which nursing
intervention is most important?
A. Document the allergy in the chart only
B. Notify the surgical team and prepare a latex-
free environment
C. Administer diphenhydramine preoperatively
D. Apply a latex identification band
B
A latex allergy requires immediate notification
, of the entire surgical team and preparation of
a latex-free environment to prevent
anaphylaxis during the procedure. All supplies
and equipment must be latex-free.
3. During the intraoperative phase, the circulating
nurse observes that the sterile field has been
contaminated by an unsterile item. What is the
priority action?
A. Continue the procedure if the item is only on
the edge
B. Remove the item and continue
C. Inform the team and replace the
contaminated item and any affected sterile
items
D. Cover the contaminated area with a sterile
drape
C
Any break in sterile technique requires
immediate correction. The contaminated item
and any items that may have come in contact
with it must be removed and replaced to
prevent surgical site infection.
, 4. The nurse is assessing a patient in the post-
anesthesia care unit (PACU) who has a
respiratory rate of 8 breaths per minute and is
difficult to arouse. Which medication should the
nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Atropine
D. Neostigmine
A
Respiratory depression and sedation are signs
of opioid overdose. Naloxone is an opioid
antagonist used to reverse the effects of
opioids, including respiratory depression.
5. A patient undergoing surgery is at risk for
hypothermia. Which nursing intervention is
most effective in preventing intraoperative
hypothermia?
A. Keeping the operating room doors open for
ventilation
B. Using warmed intravenous fluids and forced-
air warming devices
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. The perioperative nurse is preparing a patient
for surgery and notes that the patient has not
signed the informed consent form. The surgeon
has already explained the procedure. What is
the nurse’s most appropriate action?
A. Have the patient sign the consent form
immediately
B. Notify the surgeon to obtain the patient’s
, signature
C. Ask the patient’s family member to sign the
consent form
D. Proceed with preoperative preparation
without consent
B
The nurse must ensure that informed consent
is obtained by the physician performing the
procedure. The nurse can witness the signature
but cannot obtain the consent. The surgeon
must explain the procedure, risks, benefits, and
alternatives before the patient signs.
2. A patient is scheduled for surgery and states, “I
am allergic to latex.” Which nursing
intervention is most important?
A. Document the allergy in the chart only
B. Notify the surgical team and prepare a latex-
free environment
C. Administer diphenhydramine preoperatively
D. Apply a latex identification band
B
A latex allergy requires immediate notification
, of the entire surgical team and preparation of
a latex-free environment to prevent
anaphylaxis during the procedure. All supplies
and equipment must be latex-free.
3. During the intraoperative phase, the circulating
nurse observes that the sterile field has been
contaminated by an unsterile item. What is the
priority action?
A. Continue the procedure if the item is only on
the edge
B. Remove the item and continue
C. Inform the team and replace the
contaminated item and any affected sterile
items
D. Cover the contaminated area with a sterile
drape
C
Any break in sterile technique requires
immediate correction. The contaminated item
and any items that may have come in contact
with it must be removed and replaced to
prevent surgical site infection.
, 4. The nurse is assessing a patient in the post-
anesthesia care unit (PACU) who has a
respiratory rate of 8 breaths per minute and is
difficult to arouse. Which medication should the
nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Atropine
D. Neostigmine
A
Respiratory depression and sedation are signs
of opioid overdose. Naloxone is an opioid
antagonist used to reverse the effects of
opioids, including respiratory depression.
5. A patient undergoing surgery is at risk for
hypothermia. Which nursing intervention is
most effective in preventing intraoperative
hypothermia?
A. Keeping the operating room doors open for
ventilation
B. Using warmed intravenous fluids and forced-
air warming devices
