NCLEX-PN Perioperative
1. A client has been taking prednisone for 3 years. She is scheduled for abdominal
hysterectomy. The nurse plans care realizing that postoperativelythe client is at risk for which
conditions? Select all that apply.: Increased riskfor dehiscence
Increased likelihood of surgical site infection
2. A client has just returned to a nursing unit after an above-knee amputation of the right leg.
The nurse should plan to place the client in which position?: - Supine, with the residual limb
supported with pillows
3. A surgeon is performing an abdominal hysterectomy. Before the surgeryis completed, the
operating room nurse counts the sponges and notes that the sponge count is not correlating
with the preoperative count. Which actionby the nurse is important?: Informing the surgeon of
the situation
4. A client who had knee surgery 4 days ago reports to the home health nurse that he has not
had a bowel movement since before the surgery. Whichquestions would assist the nurse in the
collection of data regarding the client'sproblem? Select all that apply.: "What have you been
eating and drinking since
the surgery?"
"Have you been experiencing any urge to move your bowels?"
"What kind and how often have you been taking medications for pain?"
5. The nurse administers scopolamine as prescribed to a client in preparationfor surgery. The
nurse monitors the client for adverse/side effects related to the administration of this
medication. Which should the nurse determine is anexpected side effect of this medication?:
Client complaints of a dry mouth
6. The nurse is developing a plan of care for a client who is scheduled for surgery. The
nurse should include which activities in the nursing care plan for the client on the day of
surgery? Select all that apply.: Have the client voidbefore surgery.
Determine that the client has signed the informed consent for the surgical procedure.
7. The nurse is conducting preoperative teaching with a client about the use of an incentive
spirometer. The nurse should include which piece of information in discussions with the
client?: The best results are achieved whensitting up or with the head of the bed elevated 45 to
90 degrees.
8. The nurse is preparing a client for a right below-the-knee amputation. Thenurse
anticipates that the client is likely to experience which psychosocial problems in the
, perioperative period? Select all that apply.: Grief
Anxiety
Altered body image
9. A client who had abdominal surgery complains of feeling as though "some-thing gave way"
in the incisional site. The nurse removes the dressing and notes the presence of a loop of
bowel protruding through the incision. Whichnursing interventions should the nurse take?
Select all that apply.: Notify theregistered nurse immediately.
Document the client's complaint with the exact times.
Place a sterile saline dressing and ice packs over the wound. Prepare the client for wound
closure by notifying surgery department.
Instruct the client to remain quiet and reassure the situation is being taken care of.
10. Following a surgical procedure, the nurse applies sequential compression devices to both
lower extremities and turns the machine on. The nurse imple- ments this intervention for which
purpose?: To prevent thrombosis formation inthe veins
11. A client with arthritis is scheduled for a surgical knee joint replacement. The client will be
admitted to the hospital on the day of the surgical procedure,and the nurse is reinforcing
instructions with the client regarding preparationfor the surgical procedure. Which client
statement indicates an understandingof the preoperative instructions?: "I cannot drink or eat
anything after midnight on the night before surgery."
12. The nurse is caring for a postoperative client who is wearing an abdominal binder following
abdominal surgery. Which interventions should the nurse in- clude in relationship to prescribed
dressing change? Select all that apply.: Situp for coughing while splinting the incision.
Remove the binder to change the abdominal dressing as prescribed and reapply.
13. The nurse is caring for a client following a total abdominal hysterectomy.The nurse
anticipates that which postoperative outcome will be the priority inthe first 24 hours following
surgery?: Pain
14. The nurse is explaining the concept of a time-out in the perioperative area. Which
statement best describes the purpose of a time-out?: To allow thesurgical team a chance to
verbally verify its agreement about the client's name, thesurgical procedure, and the site
1. A client has been taking prednisone for 3 years. She is scheduled for abdominal
hysterectomy. The nurse plans care realizing that postoperativelythe client is at risk for which
conditions? Select all that apply.: Increased riskfor dehiscence
Increased likelihood of surgical site infection
2. A client has just returned to a nursing unit after an above-knee amputation of the right leg.
The nurse should plan to place the client in which position?: - Supine, with the residual limb
supported with pillows
3. A surgeon is performing an abdominal hysterectomy. Before the surgeryis completed, the
operating room nurse counts the sponges and notes that the sponge count is not correlating
with the preoperative count. Which actionby the nurse is important?: Informing the surgeon of
the situation
4. A client who had knee surgery 4 days ago reports to the home health nurse that he has not
had a bowel movement since before the surgery. Whichquestions would assist the nurse in the
collection of data regarding the client'sproblem? Select all that apply.: "What have you been
eating and drinking since
the surgery?"
"Have you been experiencing any urge to move your bowels?"
"What kind and how often have you been taking medications for pain?"
5. The nurse administers scopolamine as prescribed to a client in preparationfor surgery. The
nurse monitors the client for adverse/side effects related to the administration of this
medication. Which should the nurse determine is anexpected side effect of this medication?:
Client complaints of a dry mouth
6. The nurse is developing a plan of care for a client who is scheduled for surgery. The
nurse should include which activities in the nursing care plan for the client on the day of
surgery? Select all that apply.: Have the client voidbefore surgery.
Determine that the client has signed the informed consent for the surgical procedure.
7. The nurse is conducting preoperative teaching with a client about the use of an incentive
spirometer. The nurse should include which piece of information in discussions with the
client?: The best results are achieved whensitting up or with the head of the bed elevated 45 to
90 degrees.
8. The nurse is preparing a client for a right below-the-knee amputation. Thenurse
anticipates that the client is likely to experience which psychosocial problems in the
, perioperative period? Select all that apply.: Grief
Anxiety
Altered body image
9. A client who had abdominal surgery complains of feeling as though "some-thing gave way"
in the incisional site. The nurse removes the dressing and notes the presence of a loop of
bowel protruding through the incision. Whichnursing interventions should the nurse take?
Select all that apply.: Notify theregistered nurse immediately.
Document the client's complaint with the exact times.
Place a sterile saline dressing and ice packs over the wound. Prepare the client for wound
closure by notifying surgery department.
Instruct the client to remain quiet and reassure the situation is being taken care of.
10. Following a surgical procedure, the nurse applies sequential compression devices to both
lower extremities and turns the machine on. The nurse imple- ments this intervention for which
purpose?: To prevent thrombosis formation inthe veins
11. A client with arthritis is scheduled for a surgical knee joint replacement. The client will be
admitted to the hospital on the day of the surgical procedure,and the nurse is reinforcing
instructions with the client regarding preparationfor the surgical procedure. Which client
statement indicates an understandingof the preoperative instructions?: "I cannot drink or eat
anything after midnight on the night before surgery."
12. The nurse is caring for a postoperative client who is wearing an abdominal binder following
abdominal surgery. Which interventions should the nurse in- clude in relationship to prescribed
dressing change? Select all that apply.: Situp for coughing while splinting the incision.
Remove the binder to change the abdominal dressing as prescribed and reapply.
13. The nurse is caring for a client following a total abdominal hysterectomy.The nurse
anticipates that which postoperative outcome will be the priority inthe first 24 hours following
surgery?: Pain
14. The nurse is explaining the concept of a time-out in the perioperative area. Which
statement best describes the purpose of a time-out?: To allow thesurgical team a chance to
verbally verify its agreement about the client's name, thesurgical procedure, and the site
