NCLEX Practice Questions Perioperative Nursing

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Question 1 of 5.

When informed consent is obtained for surgery, who must explain the surgical procedure to the client?

A. Physician

B. Nurse on the surgical unit

C. Anesthesiologist

D. Operating room nurse

Explanation: The physician is responsible for explaining the surgical procedure to ensure the client understands the risks, benefits, and nature of the surgery, as required for informed consent.

Question 2 of 5.

A client who is about to have surgery asks the nurse why it is necessary to be shaved in that area. The best response for the nurse to provide is that hair is removed to:

A. enhance vision of the surgical field.

B. reduce the chance of infection as the skin is opened.

C. prevent postoperative discomfort from adhesive tape.

D. prevent itching in the postoperative period.

Explanation: Shaving reduces the risk of infection by removing hair that could harbor bacteria near the surgical site, though the practice is debated.

Question 3 of 5.

An adult has returned to the surgical floor following an abdominal cholecystectomy and an uneventful stay in the postanesthesia room. Which nursing action should be the highest priority?

A. Encourage the client to take deep breaths.

B. Ask the client to flex and extend her feet.

C. Assist the client in performing range-of-motion exercises.

D. Irrigate the client's T-tube with normal saline.

Explanation: Encouraging deep breathing prevents respiratory complications, a priority after cholecystectomy due to the incision's proximity to the diaphragm.

Question 4 of 5.

An adult client is admitted to the postanesthesia care unit following an abdominoperineal resection. Which action should the nurse take initially?

A. Assess respiratory function.

B. Monitor IV fluids.

C. Check abdominal and perineal dressings.

D. Apply antithromboembolic stockings.

Explanation: Assessing respiratory function is the initial priority to ensure airway patency and adequate oxygenation post-anesthesia.

Question 5 of 5.

The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement?

A. Notify the surgeon about the client's request to wear the medal.

B. Tape the medal to the client and allow the client to wear the medal.

C. Request the family member take the medal prior to surgery.

D. Explain taking the medal to surgery is against the policy.

Explanation: Taping the medal ensures safety (no loose objects) while respecting the client's spiritual needs, per patient-centered care. Notification, removal, or policy citation are less accommodating.

Question 1 of 5.

When informed consent is obtained for surgery, who must explain the surgical procedure to the client?

A. Physician

B. Nurse on the surgical unit

C. Anesthesiologist

D. Operating room nurse

Question 2 of 5.

A client who is about to have surgery asks the nurse why it is necessary to be shaved in that area. The best response for the nurse to provide is that hair is removed to:

A. enhance vision of the surgical field.

B. reduce the chance of infection as the skin is opened.

C. prevent postoperative discomfort from adhesive tape.

D. prevent itching in the postoperative period.

Question 3 of 5.

An adult has returned to the surgical floor following an abdominal cholecystectomy and an uneventful stay in the postanesthesia room. Which nursing action should be the highest priority?

A. Encourage the client to take deep breaths.

B. Ask the client to flex and extend her feet.

C. Assist the client in performing range-of-motion exercises.

D. Irrigate the client's T-tube with normal saline.

Question 4 of 5.

An adult client is admitted to the postanesthesia care unit following an abdominoperineal resection. Which action should the nurse take initially?

A. Assess respiratory function.

B. Monitor IV fluids.

C. Check abdominal and perineal dressings.

D. Apply antithromboembolic stockings.

Question 5 of 5.

The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement?

A. Notify the surgeon about the client's request to wear the medal.

B. Tape the medal to the client and allow the client to wear the medal.

C. Request the family member take the medal prior to surgery.

D. Explain taking the medal to surgery is against the policy.

Question 1 of 5.

When informed consent is obtained for surgery, who must explain the surgical procedure to the client?

A. Physician

B. Nurse on the surgical unit

C. Anesthesiologist

D. Operating room nurse

Question 2 of 5.

A client who is about to have surgery asks the nurse why it is necessary to be shaved in that area. The best response for the nurse to provide is that hair is removed to:

A. enhance vision of the surgical field.

B. reduce the chance of infection as the skin is opened.

C. prevent postoperative discomfort from adhesive tape.

D. prevent itching in the postoperative period.

Question 3 of 5.

An adult has returned to the surgical floor following an abdominal cholecystectomy and an uneventful stay in the postanesthesia room. Which nursing action should be the highest priority?

A. Encourage the client to take deep breaths.

B. Ask the client to flex and extend her feet.

C. Assist the client in performing range-of-motion exercises.

D. Irrigate the client's T-tube with normal saline.

Question 4 of 5.

An adult client is admitted to the postanesthesia care unit following an abdominoperineal resection. Which action should the nurse take initially?

A. Assess respiratory function.

B. Monitor IV fluids.

C. Check abdominal and perineal dressings.

D. Apply antithromboembolic stockings.

Question 5 of 5.

The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement?

A. Notify the surgeon about the client's request to wear the medal.

B. Tape the medal to the client and allow the client to wear the medal.

C. Request the family member take the medal prior to surgery.

D. Explain taking the medal to surgery is against the policy.

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