NCLEX Practice Questions Perioperative Nursing
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Question 1 of 5.
Which data indicate to the nurse the client who is one (1) day postoperative right total hip replacement is progressing as expected?
A. Urine output was 160 mL in the past eight (8) hours.
B. Paralysis and paresthesia of the right leg.
C. T 99.0°F, P 98, R 20, and BP 100/60.
D. Lungs are clear bilaterally in all lobes.
Explanation: Clear lungs indicate no respiratory complications, expected post-hip replacement. Low urine output (20 mL/hr), paralysis/paresthesia, and mild hypotension suggest complications.
Question 2 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 3 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 4 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 5 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.