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NCM 112 - Prelims NCLEX Qs (PRE-Op and ONCO) Exam Questions and Answers
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NCM 112 - Prelims NCLEX Qs (PRE-Op and ONCO) Exam Questions and Answers
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NCM 112 - Prelims NCLEX Qs (PRE-Opand ONCO)
A patient is now in the recovery room after having vaginal surgery. Due to the positioning of the
procedure, you would want to assess for what while the patient is in recovery?
A. Bowel Sounds
B. Dysrhythmia
C. Homan's Sign
D. Hemoglobin Level - Answer -C. Homan's Sign
After surgery your patient is semi-comatose with vital signs within normal limits. As the nurse, what
position would be best for this patient?
A. Semi-Fowlers
B. Prone
C. Low-Fowlers
D. Side positioning preferably on the left side - Answer -D. Side positioning preferably on the left side
Placing the patient onto their side preferably the left will help decrease the risk of aspiration and
promote cardiovascular circulation.
,After surgery your patient starts to shiver uncontrollably. What nursing intervention would you do
FIRST?
A. Apply warm blankets & continue oxygen as prescribed
B. Take the patient's rectal temperature
C. Page the doctor for further orders
D. Adjust the thermostat in the room - Answer -A. Apply warm blankets & continue oxygen as prescribed
The nurse is monitoring the patient who is 24 hours post-opt from surgery. Which finding requires
intervention?
A. BP 100/80
B. 24-hour urine output of 300 ml
C. Pain rating of 4 on 1-10 scale
D. Temperature of 99.3' F - Answer -B. 24-hour urine output of 300 ml
A patient is 6 days post-opt from abdominal surgery. The patient is to be discharged later today. The
patient uses the call light and asks you to come to his room and look at his surgical site. On arrival, you
see that approximately 2 inches of internal organs are protruding through the incision. What
intervention would you NOT do?
A. Put the patient in prone position with knees extended to put pressure on the site
B. Cover the wound with sterile normal saline dressing
C. Monitor for signs of shock
D. Notify the MD and administer as prescribed antiemetic to prevent vomiting - Answer -A. Put the
patient in prone position with knees extended to put pressure on the site
The patient is experiencing wound evisceration. The patient should be placed in low Fowler's position
with the knees bent to prevent abdominal tension
,A patient reports he hasn't had a bowel movement or passed gas since surgery. On assessment, you
note the abdomen is distended and no bowel sounds are noted in the four quadrants. You notify the
MD. What non-invasive nursing interventions can you perform without a MD order?
A. Insert a nasogastric attached to intermittent suction
B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor intake & output
D. Encourage at least 3000 ml of fluids per day - Answer -C. Encourage ambulation, maintain NPO status,
and monitor intake & output
This patient is most likely experiencing a paralytic ileus which is failure for the bowels to move its
contents. The only correct non-invasive option is to encourage ambulation, maintain NPO status, and
monitor intake & output. Inserting a NG tube or administering IV fluids is invasive and requires a MD
order.
What is a potential postoperative concern regarding a patient who has already resumed a solid diet?
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite - Answer -B. Failure to pass stool within 48 hours of eating solid
foods
After a patient resumes solid food, they should have a bowel movement within 48 hours. The patient
may be experiencing constipation and appropriate interventions must be followed.
A nurse is developing a care plan for a patient who is at risk for developing pneumonia after surgery.
Which of the following is not an appropriate nursing intervention?
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
B. Encourage patient to use the incentive spirometer device 10 times every 1-2 hours while awake
C. Encourage early ambulation and patient to eat meals in beside chair
, D. Repositioning every 3-4 hours - Answer -D. Repositioning every 3-4 hours
If the patient is unable to reposition themselves or ambulate, they must be repositioned every 1 to 2
hours minimally.
When assessing your patient who is post-opt, you notice that the patient's right calf vein feels hard,
cord-like, and is tender to the touch. The patient reports it is aching and painful. What would NOT be an
appropriate nursing intervention for this patient?
A. Allow the patient to dangle the legs to help increase circulation and alleviate pain
B. Instruct the patient to not sit in one position for a long period of time
C. Elevate the extremity 30 degrees without allowing any pressure on affected area
D. Administer anticoagulants as ordered by MD - Answer -A. Allow the patient to dangle the legs to help
increase circulation and alleviate pain
A patient is recovering from surgery. The patient is very restless, heart rate is 120 bpm and blood
pressure are 70/53, skin is cool/clammy. As the nurse you would?
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose
This is an emergency situation and is more than likely experiencing a hemorrhage of some type. -
Answer -B. Notify the MD
This is an emergency situation and is more than likely experiencing a hemorrhage of some type.
A patient is taking Aspirin 325 mg PO by mouth daily. The patient is scheduled for surgery in a week.
What education do you provide the patient with before surgery?
A. Educate the patient to take the scheduled dose of Aspirin the day of surgery to help prevent blood
clots
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