2025 ATI MED SURG MASTERY
;PERIOPERATIVE NCLEX EXAM WITH
QUESTIONS AND RATIONLESS
VERIFIED ANSWERS
A patient is to have a left inguinal hernia repair at the outpatient surgical clinic.
Preoperatively, it is most important for the nurse to determine whether the
a. patient has had any experience with outpatient surgery in the past.
b. patient's medical plan covers outpatient surgery.
c. patient plans to stay overnight at the surgical center.
d. patient has someone available for transportation and care at home.
The nurse is assessing a 36-year-old woman who has been admitted for knee
surgery. Which information obtained during the preoperative assessment should
be reported to the surgeon before surgery?
a. The patient's lack of knowledge about postoperative pain control measures
b. The patient's statement that her last menstrual period was 8 weeks previously
c. The patient's history of a postoperative infection following a prior
cholecystectomy
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d. The patient's concern that she will be unable to care for her children
postoperatively
During the preoperative assessment of a patient scheduled for a colon resection,
the patient tells the nurse about using St. John's wort to prevent depression. The
nurse should alert the staff in the postanesthesia recovery area that the patient
may
a. have more postoperative bleeding than expected
b. take longer to recover from the anesthesia
c. have hypertensive episodes
d. experience increased pain
The nurse asks a hospitalized patient to sign the operative permit as directed in
the health care provider's preoperative orders. The patient tells the nurse, "I do
not really understand what is involved in the surgery." The nurse should
a. postpone the consent form signing and notify the holding room staff that
the
health care provider needs to discuss the surgery with the
patient.
b. explain what the planned surgical procedure entails before having the
patient sign the consent form.
c. have the patient sign the form and ask the health care provider to visit the
patient before surgery to further explain the procedure.
d. Have the patient sign the from and then Notify the health care provider
that the informed consent process is not complete.