NCLEX questions: Perioperative Nursing Questions
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: The nurse has just reassessed the condition of a postoperative client who was
admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most
carefully during the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3. Blood pressure of 114/70
4. Serous drainage on the surgical dressing
Ans: 1.
Urine output should be maintained at a minimum of 30mL/hour for an adult. An output of
less than that for each of 2 consecutive hours should be reported to the health care
provider.
Quiz: A postoperative client asks the nurse why it is so important to deep-breathe and
cough after surgery. When formulating a response, the nurse incorporates the
understanding that retained pulmonary secretions in a postoperative client can lead to
which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism
o
o
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, Ans: 1.
Postoperative respiratory problems are atelectasis, pneumonia and pulmonary emboli.
Pneumonia is the inflammation of lung tissue that causes productive cough, dyspnea, and
lung crackles and can be caused by the retention of pulmonary secretions.
Quiz: The nurse is developing a plan of care for a client scheduled for surgery. The
nurse should include which activity in the nursing care plan for the client on the day of
surgery?
1. Avoid oral hygiene and rinsing with mouthwash
2. Verify that the client has not eaten for the last 24 hours
3. Have the client void immediately before going into surgery
4. Report immediately any slight increase in BP or pulse
Ans: 3.
The nurse would assist the client to void immediately before surgery so that the bladder
will be empty. Oral hygiene is allowed, but the client should not swallow any water. The
client usually has a restriction of food and fluids for 6 to 8 hours before surgery instead of
24 hours. A slight increase in BP and pulse is common during the preoperative period due
to anxiety.
Quiz: A client with a perforated gastric ulcer is scheduled for surgery. The client cannot
sign the operative consent form because of sedation from opioid analgesics that have been
administered. The nurse should take which most appropriate action in the care of this
client?
1. Obtain a court order for the surgery.
2. Have the charge nurse sign the informed consent immediately
3. Send the client to surgery without the consent form being signed
o
o
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in the number given.
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: The nurse has just reassessed the condition of a postoperative client who was
admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most
carefully during the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3. Blood pressure of 114/70
4. Serous drainage on the surgical dressing
Ans: 1.
Urine output should be maintained at a minimum of 30mL/hour for an adult. An output of
less than that for each of 2 consecutive hours should be reported to the health care
provider.
Quiz: A postoperative client asks the nurse why it is so important to deep-breathe and
cough after surgery. When formulating a response, the nurse incorporates the
understanding that retained pulmonary secretions in a postoperative client can lead to
which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Ans: 1.
Postoperative respiratory problems are atelectasis, pneumonia and pulmonary emboli.
Pneumonia is the inflammation of lung tissue that causes productive cough, dyspnea, and
lung crackles and can be caused by the retention of pulmonary secretions.
Quiz: The nurse is developing a plan of care for a client scheduled for surgery. The
nurse should include which activity in the nursing care plan for the client on the day of
surgery?
1. Avoid oral hygiene and rinsing with mouthwash
2. Verify that the client has not eaten for the last 24 hours
3. Have the client void immediately before going into surgery
4. Report immediately any slight increase in BP or pulse
Ans: 3.
The nurse would assist the client to void immediately before surgery so that the bladder
will be empty. Oral hygiene is allowed, but the client should not swallow any water. The
client usually has a restriction of food and fluids for 6 to 8 hours before surgery instead of
24 hours. A slight increase in BP and pulse is common during the preoperative period due
to anxiety.
Quiz: A client with a perforated gastric ulcer is scheduled for surgery. The client cannot
sign the operative consent form because of sedation from opioid analgesics that have been
administered. The nurse should take which most appropriate action in the care of this
client?
1. Obtain a court order for the surgery.
2. Have the charge nurse sign the informed consent immediately
3. Send the client to surgery without the consent form being signed
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
