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Adults I. Perioperative Nursing Care NCLEX Questions with Accurate Answers
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Adults I. Perioperative Nursing Care NCLEX Questions
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Adults I. Perioperative Nursing CareNCLEX Questions
An overweight patient is scheduled for a laparoscopic cholecystectomy at an outpatient
surgery setting. the nurse knows that...
A. surgery will involve multiple small incisions
B. this setting is not appropriate for this procedure
C. surgery will involve removing a piece of the liver
D. the patient will need special preparations because of obesity - answer A
The patient tells the nurse in the preoperative setting that she has noticed that she has
a reaction when wearing rubber gloves. What is the MOST appropriate intervention?
A. Notify the surgeon so that the case can be cancelled.
B. Ask additional questions to asses for a possible latex allergy.
C. Notify the OR staff immediately so that latex-free supplies can be used.
D. No intervention is needed because the patient's rubber sensitivity has no bearing on
surgery. - answerB
A 59 year old man scheduled for a herniorrhaphy in 2 days reports that he take ginkgo
daily. What is the priority intervention?
A. Inform the surgeon, since the procedure may have to be rescheduled.
B. Notify the anesthesia care provider, since this herb interferes with anesthetics.
C. Ask the patient if he has noticed any side effects from taking this herbal supplement.
D. Tell the patient to continue to take the herbal supplement up to the day of the
surgery. - answer
A 17yr old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from court for verification. Which intervention is most
appropriate?
A. Witness the permit after consent is obtained from the surgeon.
B. Call a parent/guardian to sign the permit, since the patient is under 18.
C. Obtain verbal consent, since written consent is not necessary for emancipated
minors.
D. Investigate your state's nurse practice act related to emancipated minors and
informed consent. - answerA
, A priority nursing intervention to assist a preoperative patient in coping with fear of post-
op pain would be to...
A. inform the patient that pain medication will be available.
B. teach the patient to use guided imagery to help manage pain.
C. describe the type of pain expected with the patient's particular surgery
D. explain the pain management plan, including the use of a pain rating scale. -
answerD
A patient is scheduled for surgery requiring general anesthesia at an ambulatory
surgical center. The nurse asks when he ate last. He replies he had a light breakfast a
couple of hours before coming to the surgery center. What should the nurse do first?
A. Tell the patient to come back tomorrow, since he ate a meal.
B. Proceed with the preoperative checklist, including a site identification.
C. Notify the anesthesia care provider when and what the patient last ate.
D. Have the patient void before administering any preoperative medications. - answerC
A patient who normally takes 40 units of glargine insulin (long-acting) at bedtime asks
the nurse what to do about her dose the night before surgery. The best response would
be to have her...
A. skip her insulin altogether the night before the surgery.
B. get instructions from her surgeon or HCP on any insulin adjustments.
C. take her usual dose at bedtime and eat a light breakfast in the morning.
D. eat a moderate meal before bedtime and then take half of her usual insulin dose. -
answerB
Preoperative considerations for older adults include (select all that apply)
A. only using large-print educational materials
B. speaking louder for patients with hearing aids
C. recognizing that sensory deficits may be present
D. providing warm blankets to prevent hypothermia
E. teaching important information early in the morning - answerC, D
Proper attire for the semirestricted area of the surgery department is:
A. street clothing
B. surgical attire and head cover
C. surgical attire, head cover, and mask.
D. street clothing with the addition of shoe covers - answerB
Activities that the nurse might perform in the role of a scrub nurse during surgery
include (select all that apply)
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