NR 226 NCLEX ANSWERS Ch 50
1. The nurse is precepting a student nurse and explains that perioperative nursing care occurs:
a) Before, during, and after surgery. Correct
b) In preadmission testing.
c) During the surgical procedure.
d) In the post anesthesia care unit.
2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an
assessment and reviews the patient’s laboratory tests and allergies. In which perioperative nursing phase would
this work be completed?
a) Perioperative
b) Preoperative Correct
c) Intraoperative
d) Postoperative
3. The nurse is caring for a patient in the post anesthesia care unit. The patient has developed profuse bleeding
from the surgical site, and the surgeon has determined the need to return to the operative area. This procedure
would be classified as:
a) Elective.
b) Urgent.
c) Emergency. Correct
d) Major.
4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status
classification by the American Society of Anesthesiologist of P3. Which of the following assessments would
support this classification?
a) Denial of any major illnesses or conditions
b) Normal, healthy patient
c) History of hypertension, 80 pounds overweight, history of asthma Correct
d) History of myocardial infarction that limits activity
, 5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled
to receive moderate sedation (conscious sedation) during the procedure. Moderate sedation is used routinely
for procedures that require:
a) Performance on an outpatient basis.
b) A depressed level of consciousness. Correct
c) Loss of sensation in an area of the body.
d) The patient to be immobile.
6. The nurse is caring for a patient in the post anesthesia care unit who has undergone a left total knee arthroplasty.
The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block.
Which assessment would be an expected finding for a patient with this type of regional block?
a) Decreased pulse at the left posterior tibia
b) Left toes cool to touch and slightly cyanotic
c) Sensation decreased in the left leg Correct
d) Patient report of pain in the left foot
7. The nurse is preparing a patient for surgery. Aims of assessment before surgery include:
a) Establishing a patient’s baseline of normal function. Correct
b) Planning for care after the procedure.
c) Educating the patient and family about the procedure.
d) Gathering appropriate equipment for the patient’s needs.
8. The nurse is completing a medication history for the surgical patient in preadmission testing. Which of the
following medications should the nurse instruct the patient to hold in preparation for surgery?
a) Ibuprofen Correct
b) Acetaminophen
c) Vitamin C
d) Miconazole
9. The nurse is caring for a potential surgical patient in the preadmission testing unit. The medication history
indicates that the patient is currently taking warfarin (Coumadin). Which of the following actions should the
nurse take?
a) Consult with the physician regarding a radiological examination of the chest.
b) Consult with the physician regarding an international normalized ratio (INR). Correct
c) Consult with the physician regarding blood urea nitrogen (BUN).
d) Consult with the physician regarding a complete blood count (CBC).
1. The nurse is precepting a student nurse and explains that perioperative nursing care occurs:
a) Before, during, and after surgery. Correct
b) In preadmission testing.
c) During the surgical procedure.
d) In the post anesthesia care unit.
2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an
assessment and reviews the patient’s laboratory tests and allergies. In which perioperative nursing phase would
this work be completed?
a) Perioperative
b) Preoperative Correct
c) Intraoperative
d) Postoperative
3. The nurse is caring for a patient in the post anesthesia care unit. The patient has developed profuse bleeding
from the surgical site, and the surgeon has determined the need to return to the operative area. This procedure
would be classified as:
a) Elective.
b) Urgent.
c) Emergency. Correct
d) Major.
4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status
classification by the American Society of Anesthesiologist of P3. Which of the following assessments would
support this classification?
a) Denial of any major illnesses or conditions
b) Normal, healthy patient
c) History of hypertension, 80 pounds overweight, history of asthma Correct
d) History of myocardial infarction that limits activity
, 5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled
to receive moderate sedation (conscious sedation) during the procedure. Moderate sedation is used routinely
for procedures that require:
a) Performance on an outpatient basis.
b) A depressed level of consciousness. Correct
c) Loss of sensation in an area of the body.
d) The patient to be immobile.
6. The nurse is caring for a patient in the post anesthesia care unit who has undergone a left total knee arthroplasty.
The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block.
Which assessment would be an expected finding for a patient with this type of regional block?
a) Decreased pulse at the left posterior tibia
b) Left toes cool to touch and slightly cyanotic
c) Sensation decreased in the left leg Correct
d) Patient report of pain in the left foot
7. The nurse is preparing a patient for surgery. Aims of assessment before surgery include:
a) Establishing a patient’s baseline of normal function. Correct
b) Planning for care after the procedure.
c) Educating the patient and family about the procedure.
d) Gathering appropriate equipment for the patient’s needs.
8. The nurse is completing a medication history for the surgical patient in preadmission testing. Which of the
following medications should the nurse instruct the patient to hold in preparation for surgery?
a) Ibuprofen Correct
b) Acetaminophen
c) Vitamin C
d) Miconazole
9. The nurse is caring for a potential surgical patient in the preadmission testing unit. The medication history
indicates that the patient is currently taking warfarin (Coumadin). Which of the following actions should the
nurse take?
a) Consult with the physician regarding a radiological examination of the chest.
b) Consult with the physician regarding an international normalized ratio (INR). Correct
c) Consult with the physician regarding blood urea nitrogen (BUN).
d) Consult with the physician regarding a complete blood count (CBC).
