, NCLEX-PN – Perioperative Nursing Practice
Questions & Rationales – 2025 Exam Prep (Select
All That Apply)
The nurse is checking a client's surgical incision and notes an increase in the amount of drainage, a
separation of the incision line, and the appearance of underlying tissue. Which actions should the
nurse take to deal with this event? Select all that apply.
Apply a sterile dressing soaked with normal saline to the wound.
Notify the registered nurse (RN) and primary health care provider (PHCP) at once.
The nurse has admitted a client to the clinical nursing unit following a right mastectomy. Which
interventions should be included in the plan of care? Select all that apply.
Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
The nurse is changing the abdominal dressing on a client following a suprapubic prostatectomy. A
wound drain is in place in the abdominal wound. Which nursing action would be appropriate during
the dressing change?
Checking the wound site for drainage from the drain
The nurse is caring for a postoperative client who has a Jackson-Pratt drain inserted into the surgical
wound. Which actions should the nurse take in the care of the drain? Select all that apply.
Check the drain for patency.
Check that the drain is decompressed.
Observe for bright red, bloody drainage.
Maintain aseptic technique when emptying.
Empty the drain when it is half full and every 8 to 12 hours.
Intravenous (IV) lactated Ringer's (LR) solution is prescribed for a postoperative abdominal surgery
client. A nursing student is caring for the client, and the nursing instructor asks the student about why
this IV solution is prescribed. Which student response is correct?
"LR is isotonic to plasma and contains electrolytes"
The nurse is caring for a client who is scheduled for surgery. The client states concern about the
surgical procedure. How should the nurse initially address the clients concerns?
Questions & Rationales – 2025 Exam Prep (Select
All That Apply)
The nurse is checking a client's surgical incision and notes an increase in the amount of drainage, a
separation of the incision line, and the appearance of underlying tissue. Which actions should the
nurse take to deal with this event? Select all that apply.
Apply a sterile dressing soaked with normal saline to the wound.
Notify the registered nurse (RN) and primary health care provider (PHCP) at once.
The nurse has admitted a client to the clinical nursing unit following a right mastectomy. Which
interventions should be included in the plan of care? Select all that apply.
Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
The nurse is changing the abdominal dressing on a client following a suprapubic prostatectomy. A
wound drain is in place in the abdominal wound. Which nursing action would be appropriate during
the dressing change?
Checking the wound site for drainage from the drain
The nurse is caring for a postoperative client who has a Jackson-Pratt drain inserted into the surgical
wound. Which actions should the nurse take in the care of the drain? Select all that apply.
Check the drain for patency.
Check that the drain is decompressed.
Observe for bright red, bloody drainage.
Maintain aseptic technique when emptying.
Empty the drain when it is half full and every 8 to 12 hours.
Intravenous (IV) lactated Ringer's (LR) solution is prescribed for a postoperative abdominal surgery
client. A nursing student is caring for the client, and the nursing instructor asks the student about why
this IV solution is prescribed. Which student response is correct?
"LR is isotonic to plasma and contains electrolytes"
The nurse is caring for a client who is scheduled for surgery. The client states concern about the
surgical procedure. How should the nurse initially address the clients concerns?
