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NCLEX Questions. Perioperative Care Questions and Answers 2024
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NCLEX Questions. Perioperative Care
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NCLEX Questions. Perioperative CareThe nurse measures the client's blood pressure, pulse, and capillary refill prior to
sending the client to the operating room. Which concept related to perioperative care is
the nurse implementing?
A. Quality control
B. Perfusion
C. Infection control
D. Safety - answer Answer: B
Rationale: The concept of perfusion is related to perioperative care. Nurses must be
aware of the client's hemodynamic status and understand the guidelines for perfusion.
The client's hemodynamic status is measured through blood pressure, pulse, and
capillary refill. Measuring blood pressure, pulse, and capillary refill does not directly
support the concepts of safety, quality control, or infection control.
The nurse is discussing the challenges when caring for a pediatric surgical client. Which
is the biggest challenge that must be included?
A. Reducing the risk of pneumonia
B. Preventing skin tears
C. Preventing hypothermia
D. Reducing the risk of venous thromboembolism - answerAnswer: C
Rationale: For the pediatric client, temperature regulation may be the biggest challenge.
Preventing skin tears due to fragile skin, reducing the risk of pneumonia, and reducing
the risk of venous thromboembolism due to inactivity are concerns for nursing care of
the older client having a surgical procedure.
A preoperative client asks if blood products will be used during the procedure. Which
laboratory value should the nurse explain is used to determine the client's need for
blood products? (Select all that apply.)
A. Platelets
B. Hematocrit
C. Hemoglobin
D. Prothrombin time
E. Red blood cell count - answerAnswer: A, B, C, E
Rationale: The diagnostic tests of platelets, hematocrit, hemoglobin, and red blood cell
count are used to determine if a blood transfusion is needed during the surgical
procedure. Prothrombin time is used to determine the client's risk for bleeding.
While preparing medications for a client scheduled for surgery, the nurse observes that
medications are scheduled for 0800 hours, analyzes the medication vial, and reviews
the client's armband. Which right of medication administration is the nurse performing?
(Select all that apply.)
, A. Right time
B. Right client
C. Right teaching
D. Right medication
E. Right assessment - answerAnswer: A, B, D
Rationale: The rights of medication administration include right time, right client, and
right medication. Right teaching and right assessment are not considered a part of the
basic rights of medication administration.
A 78-year-old client is scheduled for surgery. Which intervention should the nurse make
a priority when planning this client's care? (Select all that apply.)
A.Preventing infection
B. Promoting skin integrity
C. Ensuring adequate oral intake
D. Maximizing respiratory function
E. Maintaining a normal body temperature - answerAnswer: A, B, D, E
Rationale: Lifespan considerations for an older client having surgery include maintaining
skin integrity, preventing surgical infections, preventing the development of pneumonia,
and maintaining a normal body temperature. Oral intake is not a specific lifespan
consideration for an older client having surgery.
The nurse assessed an 80-year-old client who is scheduled for surgery and becomes
concerned that the client is at risk for a postoperative complication. Which assessment
finding caused the nurse's concern?
A. Practices deep breathing and coughing
B. Bowel sounds audible in all four quadrants
C. Wears an anti-embolism stockings
D. Skin friable over bony prominences - answerAnswer: D
Rationale: Friable skin increases the older client's risk for developing pressure ulcers,
which could be exacerbated during the surgical case. This is the information that the
nurse should communicate to the intraoperative nurse. Wearing antiembolism stockings
prevents the development of venous thromboembolism. Audible bowel sounds indicate
an intact gastrointestinal system. Practicing deep breathing and coughing helps prevent
the development of postoperative respiratory complications.
During the preoperative assessment the client tells the nurse, "I had a cup of black
coffee this morning." Which intervention should be the nurse's priority?
A. Administer the preoperative medication.
B. Instruct the client to refrain from further intake.
C. Notify the surgeon.
D. Document the fluid intake in the medical record. - answerAnswer: C
Rationale: The nurse should notify the surgeon with the information if the client has had
anything to eat or drink within 8 hours prior to surgery because this increases the
client's risk of aspiration. The surgical procedure will be cancelled, especially if the
surgery is elective. The client should not be given the preoperative medication until the
surgeon is notified of the fluid intake. The nurse needs to do more than document the
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