CJE Readiness -Review (Pre/Post-Op
NCLEX) Questions and Answers.
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
What does a positive Homan's sign indicate? - Answer DVT
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
Why would a semi-comatose be placed in a left side positioning position? - Answer because
of the increased risk of aspiration and the promotion of 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
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
, 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 anti-emetic to prevent vomiting - Answer a
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
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
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
How many mL of water should men and women drink a day? - Answer men = 3,700 mL;
women = 2,700 mL
NCLEX) Questions and Answers.
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
What does a positive Homan's sign indicate? - Answer DVT
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
Why would a semi-comatose be placed in a left side positioning position? - Answer because
of the increased risk of aspiration and the promotion of 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
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
, 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 anti-emetic to prevent vomiting - Answer a
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
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
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
How many mL of water should men and women drink a day? - Answer men = 3,700 mL;
women = 2,700 mL
