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Perioperative NCLEX questions and Answers Rated A+
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Perioperative NCLEX questions
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Perioperative NCLEX questionsA 26-year-old client comes into the clinic prior to a tonsillectomy. Which action is priority
during this phase of surgery?
a. Intraoperative consent signed
b. Intraoperative medication
c. Preoperative assessment
d. Postoperative assessment – answer c. Preoperative assessment
The client is in the preoperative phase of surgery and must be assessed and prepared
for surgery. The client may have labs drawn, medication administered, and consent
forms signed. The intraoperative phase is the actual surgery; the client is anesthetized,
prepped, draped, and surgery performed. The postoperative phase is the recovery
phase of surgery where the client continues to recover until maximum health is
achieved.
A 76-year old client is to undergo a hernia repair. The nurse knows that in order to aid in
the healing process, the perioperative nurse must assist the client with which concept
during what surgical phase?
a. Perfusion therapy during the intraoperative phase
b. Wound healing during the postoperative phase
c. Wound healing during the preoperative and intraoperative phase
d. Infection during the postoperative phase - answerc. Wound healing during the
preoperative and intraoperative phase
Inadequate control of stress and coping mechanisms can prolong the perioperative
healing process and a client's prognosis. Perioperative care includes assessing client
stress and coping mechanisms during the preoperative phase and reassessing
following the procedure. Postoperative infections may occur as a result of improper
wound care or hospital acquired infections may occur as a result of infection control
protocols not being followed. Adequate perfusion enhances wound healing and
perioperative recovery. Nurses providing intraoperative and postoperative care must
follow infection protocols.
, A 65-year old client is having neck surgery. Which nursing diagnosis does the nurse
include for this client?
a. Risk for burns
b. Risk for fluid volume: Deficient
c. Ineffective pain control
d. Risk for fluid volume: Excess - answerb. Risk for fluid volume: Deficient
Risk for Fluid Volume: Deficient is related to any blood loss during the client's surgery
and NPO status. Risk for Burns is unrelated; there is no indication for Fluid Volume:
Excess or Ineffective Pain Control.
An 18-year old client is admitted to the emergency room for an emergency
appendectomy. The nurse knows that which assessment is priority with each
perioperative phase
a. Medication assessment
b. Pain assessment
c. History and physical
d. Systems assessment - answerd. Systems assessment
While the other assessments are important, a systems assessment is priority and can
be completed with each perioperative phase, making sure the client remains at baseline
throughout.
A 43-year old client is undergoing a CABG. What priority understanding does the nurse
have about perioperative documentation?
a. If it was not written, it was not done
b. It includes all steps of the nursing process
c. It's a legal document subject to internal review
d. It keeps the nurse and patient safe - answerb. It includes all steps of the nursing
process
All answers are correct; however, the priority understanding of perioperative
documentation is that it includes all steps of the nursing process including assessment,
diagnosis, identified outcomes, planning, implementation, and evaluation.
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