NCLEX Perioperative UPDATED Exam
Questions and CORRECT Answers
Following a surgical procedure, the nurse applies sequential compression devices to both lower
extremities and turns the machine on. The nurse implements this intervention for which purpose?
- CORRECT ANSWER - To prevent thrombosis formation in the veins
The nurse is preparing a client for a right below-the-knee amputation. The nurse anticipates that
the client is likely to experience which psychosocial problems in the perioperative period? Select
all that apply. - CORRECT ANSWER - Grief
Anxiety
Altered body image
A client returns from the recovery room following an abdominal surgical procedure. Following
the arrival of the client to the nursing unit, the nurse observed the client has a patent airway.
Which is the next nursing assessment? - CORRECT ANSWER - Vital signs
A client arrives to the surgical nursing unit after surgery. What should be the initial nursing
action after surgery? - CORRECT ANSWER - Assess patency of the airway.
The nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. Which client data are pertinent and should be reported to the
primary health care provider before the surgery? Select all that apply. - CORRECT
ANSWER - Is allergic to penicillin
Quit smoking 3 months earlier
Wonders if the surgery could cause incontinence
History of deep venous thrombosis in right leg 10 years earlier
A client has been taking prednisone for 3 years. She is scheduled for abdominal hysterectomy.
The nurse plans care realizing that postoperatively the client is at risk for which conditions?
Select all that apply. - CORRECT ANSWER - Increased risk for dehiscence
Increased likelihood of surgical site infection
, The nurse is caring for a postoperative client who has been NPO and the primary health care
provider (PHCP) has prescribed a clear liquid diet. When planning to initiate this diet, which
priority item should the nurse place at the client's bedside? - CORRECT ANSWER -
Suction equipment
The nurse is caring for a postoperative client who had a pelvic exenteration. The primary health
care provider has changed the client's diet from nothing by mouth (NPO) to clear liquids. The
nurse checks for which information before administering the clear liquids? Select all that apply. -
CORRECT ANSWER - Presence of bowel sounds
Whether the client has passed flatus
The nurse is reviewing the preoperative prescriptions of a client with a colon tumor who is
scheduled for abdominal perineal resection. The nurse notes that the primary health care provider
has prescribed neomycin sulfate orally for the client. Which is the rationale for prescribing this
medication? - CORRECT ANSWER - To decrease the bacteria in the bowel
The nurse is monitoring an adult client for postoperative complications. Which is most indicative
of a potential postoperative complication that requires further observation? - CORRECT
ANSWER - A urinary output of 20 mL/hour
Which types of nourishment should the nurse include when initiating a prescribed clear liquid
diet for a postoperative client who has a gag reflex after surgery under general anesthesia? Select
all that apply. - CORRECT ANSWER - Coffee
Ice chips
Beef broth
Lemon flavored gelatin
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. - CORRECT
ANSWER - Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
Questions and CORRECT Answers
Following a surgical procedure, the nurse applies sequential compression devices to both lower
extremities and turns the machine on. The nurse implements this intervention for which purpose?
- CORRECT ANSWER - To prevent thrombosis formation in the veins
The nurse is preparing a client for a right below-the-knee amputation. The nurse anticipates that
the client is likely to experience which psychosocial problems in the perioperative period? Select
all that apply. - CORRECT ANSWER - Grief
Anxiety
Altered body image
A client returns from the recovery room following an abdominal surgical procedure. Following
the arrival of the client to the nursing unit, the nurse observed the client has a patent airway.
Which is the next nursing assessment? - CORRECT ANSWER - Vital signs
A client arrives to the surgical nursing unit after surgery. What should be the initial nursing
action after surgery? - CORRECT ANSWER - Assess patency of the airway.
The nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. Which client data are pertinent and should be reported to the
primary health care provider before the surgery? Select all that apply. - CORRECT
ANSWER - Is allergic to penicillin
Quit smoking 3 months earlier
Wonders if the surgery could cause incontinence
History of deep venous thrombosis in right leg 10 years earlier
A client has been taking prednisone for 3 years. She is scheduled for abdominal hysterectomy.
The nurse plans care realizing that postoperatively the client is at risk for which conditions?
Select all that apply. - CORRECT ANSWER - Increased risk for dehiscence
Increased likelihood of surgical site infection
, The nurse is caring for a postoperative client who has been NPO and the primary health care
provider (PHCP) has prescribed a clear liquid diet. When planning to initiate this diet, which
priority item should the nurse place at the client's bedside? - CORRECT ANSWER -
Suction equipment
The nurse is caring for a postoperative client who had a pelvic exenteration. The primary health
care provider has changed the client's diet from nothing by mouth (NPO) to clear liquids. The
nurse checks for which information before administering the clear liquids? Select all that apply. -
CORRECT ANSWER - Presence of bowel sounds
Whether the client has passed flatus
The nurse is reviewing the preoperative prescriptions of a client with a colon tumor who is
scheduled for abdominal perineal resection. The nurse notes that the primary health care provider
has prescribed neomycin sulfate orally for the client. Which is the rationale for prescribing this
medication? - CORRECT ANSWER - To decrease the bacteria in the bowel
The nurse is monitoring an adult client for postoperative complications. Which is most indicative
of a potential postoperative complication that requires further observation? - CORRECT
ANSWER - A urinary output of 20 mL/hour
Which types of nourishment should the nurse include when initiating a prescribed clear liquid
diet for a postoperative client who has a gag reflex after surgery under general anesthesia? Select
all that apply. - CORRECT ANSWER - Coffee
Ice chips
Beef broth
Lemon flavored gelatin
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. - CORRECT
ANSWER - Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
