NCLEX - Perioperative Nursing Care
UPDATED ACTUAL Exam Questions and
CORRECT Answers
OBTAINING INFORMED CONSENT - CORRECT ANSWER - • The surgeon is
responsible for obtaining informed
consent
• No sedation to client before signing informed
consent
• Minors and older clients may need parent/legal
guardian to sign
• The nurse may witness the client signature
• Nurse needs to documents the witnessing of the
signature
PREOPERATIVE CHECKLIST - CORRECT ANSWER - • ID bracelet
• Allergies
• Pre-Op checklist
• H&P; consultations
• Consent forms
• Lab tests; EKG; chest X-ray
• Blood type & screen
• Void before surgery
• Remove jewelry, make-up & prostheses
• Document where valuable are
• Document last time client ate/drank
, MEDICAL CONDITIONS THAT INCREASE SURGERY RISKS - CORRECT
ANSWER - • Bleeding disorders (thrombocytopenia /hemophilia)
• Diabetes mellitus
• Chronic pain
• Heart disease (MI, dysrhythmia, CHF, peripheral
vascular disease)
• Obstructive sleep apnea
• Upper respiratory infection
• Liver disease
• Fever
• Chronic respiratory disease (emphysema,
bronchitis, asthma)
• Immunological disorders (leukemia, AIDS,
chemotherapy)
• Abuse of street drugs
SUBSTANCES THAT EFFECT THE SURGICAL CLIENT - CORRECT ANSWER -
ANTIBIOTICS: potentiate anesthesia
ANTI-CHOLINERGICS: increase potential for confusion
ANTICOAGULANTS: alter normal clotting factors (should be discontinued 48 hours before
surgery)
ANTI-CONVULSANTS: alter metabolism of anesthesia
ANTI-DEPRESSANTS: lower BP
ANTI-DYSRHYTHMICS: reduce cardiac contractility
UPDATED ACTUAL Exam Questions and
CORRECT Answers
OBTAINING INFORMED CONSENT - CORRECT ANSWER - • The surgeon is
responsible for obtaining informed
consent
• No sedation to client before signing informed
consent
• Minors and older clients may need parent/legal
guardian to sign
• The nurse may witness the client signature
• Nurse needs to documents the witnessing of the
signature
PREOPERATIVE CHECKLIST - CORRECT ANSWER - • ID bracelet
• Allergies
• Pre-Op checklist
• H&P; consultations
• Consent forms
• Lab tests; EKG; chest X-ray
• Blood type & screen
• Void before surgery
• Remove jewelry, make-up & prostheses
• Document where valuable are
• Document last time client ate/drank
, MEDICAL CONDITIONS THAT INCREASE SURGERY RISKS - CORRECT
ANSWER - • Bleeding disorders (thrombocytopenia /hemophilia)
• Diabetes mellitus
• Chronic pain
• Heart disease (MI, dysrhythmia, CHF, peripheral
vascular disease)
• Obstructive sleep apnea
• Upper respiratory infection
• Liver disease
• Fever
• Chronic respiratory disease (emphysema,
bronchitis, asthma)
• Immunological disorders (leukemia, AIDS,
chemotherapy)
• Abuse of street drugs
SUBSTANCES THAT EFFECT THE SURGICAL CLIENT - CORRECT ANSWER -
ANTIBIOTICS: potentiate anesthesia
ANTI-CHOLINERGICS: increase potential for confusion
ANTICOAGULANTS: alter normal clotting factors (should be discontinued 48 hours before
surgery)
ANTI-CONVULSANTS: alter metabolism of anesthesia
ANTI-DEPRESSANTS: lower BP
ANTI-DYSRHYTHMICS: reduce cardiac contractility
