PRACTICE-NCLEX-EXAM-Perioperative
PRACTICE NCLEX EXAM
(Quizlet, Nurseslab, RNPedia, &
Brainscape)
Perioperative Nursing
1. The nurse requests a client to sign the surgical consent form for an emergency
appendectomy. Which statement by the client indicates that further teaching is
needed?
a. “I will be glad when this is over so that I can go home.”
b. “I will not be able to eat or drink anything prior to my surgery.”
c. “I need to practice relaxing by listening to my favorite music.”
d. “I will need to get up and walk as soon as possible.”
2. The nurse in the holding area of the surgery department is interviewing a client who
requests to keep his religious medal on during surgery. Which intervention should the
nurse implement?
a. Notify the surgeon about the client’s request to wear the medal.
b. Tape the medal to the client and allow the client to wear the medal.
c. Request that the family member take the medal prior to surgery.
d. Explain that taking the medal to surgery is against the policy.
3. The nurse must obtain surgical consent forms for the following clients who are
scheduled for surgery. Which client would not be able to consent to surgery?
a. The 65-year-old client who cannot read or write.
b. The 30-year-old client who does not understand English.
c. The 16-year-old client who has a fractured ankle.
d. The 80-year-old client who is not oriented to the day.
4. When preparing a client for surgery, which intervention should the nurse implement
first?
a. Check the permit for the spouse’s signature.
b. Take and document intake and output.
c. Administer the “on call” sedative.
d. Complete the preoperative checklist.
5. When interviewing the surgical client in the holding area, which information should the
nurse report to the health-care provider? Select all that apply.
a. The client has loose, decayed teeth.
b. The client is experiencing anxiety.
c. The client smokes two packs of cigarettes a day.
d. The client has had a chest x-ray that does not show infiltrates.
e. The client reports using herbs.
6. Which nursing task can the nurse delegate to the unlicensed nursing assistant (NA)?
a. Complete the preoperative checklist.
b. Assess the client’s preoperative vital signs.
c. Teach the client about coughing and deep breathing.
d. Assist the client to remove clothing and jewelry.
7. When completing the assessment for the client in the day surgery unit, the client
states, “I am really afraid of having this surgery. I’m afraid of what they will find.”
,PRACTICE-NCLEX-EXAM-Perioperative
Which statement would be the best therapeutic response by the nurse?
a. “Don’t worry about your surgery. It is safe.”
b. “Tell me why you’re worried about your surgery.”
, PRACTICE-NCLEX-EXAM-Perioperative
c. “Tell me about your fears of having this surgery.”
d. “I understand how you feel. Surgery is frightening.”
8. The 68-year-old client scheduled for intestinal surgery does not have clear fecal
contents after three tap water enemas. Which intervention should the nurse implement
first?
a. Notify the surgeon of the client’s status.
b. Continue giving enemas until clear.
c. Increase the client’s IV fluid rate.
d. Obtain stat serum electrolytes.
9. The nurse is caring for a client scheduled for abdominal surgery. Which interventions
should the nurse include in the plan of care? Select all that apply.
a. Perform range-of-motion exercises.
b. Discuss how to cough effectively.
c. Explain how to perform deep-breathing exercises.
d. Teach ways to manage postoperative pain.
e. Discuss events that occur in the post-anesthesia care unit.
10.The client is scheduled for total hip replacement. Which behavior indicates to the nurse
the need for further preoperative teaching?
a. The client uses the diaphragm and abdominal muscles to inhale through the
nose and exhale through the mouth.
b. The client takes three slow, deep, breaths and coughs forcefully after inhaling
for the third time.
c. The client uses the incentive spirometer and inhales slowly and deeply so that
the piston rises to the preset volume.
d. The client gets out of bed by lifting straight upright from the waist and then
swings both legs along the side of the bed.
11.While completing the preoperative assessment, the male client tells the nurse that he
is allergic to codeine. Which intervention should the nurse implement first?
a. Apply an allergy bracelet on the client’s wrist.
b. Label the client’s allergies on the front of the chart.
c. Ask the client what happens when he takes the drug.
d. Document the allergy on the medication administration record.
12.Which laboratory result would require immediate intervention by the nurse for the
client scheduled for surgery?
a. Calcium 9.2 mg/dL.
b. Bleeding time 2 minutes.
c. Hemoglobin 15 gm/dL.
d. Potassium 2.4 mEq/L.
13.Which activities are the circulating nurse’s responsibilities in the operating room?
a. Monitor the position of the client, prepare the surgical site, and ensure the
client’s safety.
b. Give preoperative medication in the holding area and monitor the client’s
response to anesthesia.
c. Prepare sutures; set up the sterile field; and count all needles, sponges, and
instruments.
d. Prepare the medications to be administered by the anesthesiologist and
PRACTICE NCLEX EXAM
(Quizlet, Nurseslab, RNPedia, &
Brainscape)
Perioperative Nursing
1. The nurse requests a client to sign the surgical consent form for an emergency
appendectomy. Which statement by the client indicates that further teaching is
needed?
a. “I will be glad when this is over so that I can go home.”
b. “I will not be able to eat or drink anything prior to my surgery.”
c. “I need to practice relaxing by listening to my favorite music.”
d. “I will need to get up and walk as soon as possible.”
2. The nurse in the holding area of the surgery department is interviewing a client who
requests to keep his religious medal on during surgery. Which intervention should the
nurse implement?
a. Notify the surgeon about the client’s request to wear the medal.
b. Tape the medal to the client and allow the client to wear the medal.
c. Request that the family member take the medal prior to surgery.
d. Explain that taking the medal to surgery is against the policy.
3. The nurse must obtain surgical consent forms for the following clients who are
scheduled for surgery. Which client would not be able to consent to surgery?
a. The 65-year-old client who cannot read or write.
b. The 30-year-old client who does not understand English.
c. The 16-year-old client who has a fractured ankle.
d. The 80-year-old client who is not oriented to the day.
4. When preparing a client for surgery, which intervention should the nurse implement
first?
a. Check the permit for the spouse’s signature.
b. Take and document intake and output.
c. Administer the “on call” sedative.
d. Complete the preoperative checklist.
5. When interviewing the surgical client in the holding area, which information should the
nurse report to the health-care provider? Select all that apply.
a. The client has loose, decayed teeth.
b. The client is experiencing anxiety.
c. The client smokes two packs of cigarettes a day.
d. The client has had a chest x-ray that does not show infiltrates.
e. The client reports using herbs.
6. Which nursing task can the nurse delegate to the unlicensed nursing assistant (NA)?
a. Complete the preoperative checklist.
b. Assess the client’s preoperative vital signs.
c. Teach the client about coughing and deep breathing.
d. Assist the client to remove clothing and jewelry.
7. When completing the assessment for the client in the day surgery unit, the client
states, “I am really afraid of having this surgery. I’m afraid of what they will find.”
,PRACTICE-NCLEX-EXAM-Perioperative
Which statement would be the best therapeutic response by the nurse?
a. “Don’t worry about your surgery. It is safe.”
b. “Tell me why you’re worried about your surgery.”
, PRACTICE-NCLEX-EXAM-Perioperative
c. “Tell me about your fears of having this surgery.”
d. “I understand how you feel. Surgery is frightening.”
8. The 68-year-old client scheduled for intestinal surgery does not have clear fecal
contents after three tap water enemas. Which intervention should the nurse implement
first?
a. Notify the surgeon of the client’s status.
b. Continue giving enemas until clear.
c. Increase the client’s IV fluid rate.
d. Obtain stat serum electrolytes.
9. The nurse is caring for a client scheduled for abdominal surgery. Which interventions
should the nurse include in the plan of care? Select all that apply.
a. Perform range-of-motion exercises.
b. Discuss how to cough effectively.
c. Explain how to perform deep-breathing exercises.
d. Teach ways to manage postoperative pain.
e. Discuss events that occur in the post-anesthesia care unit.
10.The client is scheduled for total hip replacement. Which behavior indicates to the nurse
the need for further preoperative teaching?
a. The client uses the diaphragm and abdominal muscles to inhale through the
nose and exhale through the mouth.
b. The client takes three slow, deep, breaths and coughs forcefully after inhaling
for the third time.
c. The client uses the incentive spirometer and inhales slowly and deeply so that
the piston rises to the preset volume.
d. The client gets out of bed by lifting straight upright from the waist and then
swings both legs along the side of the bed.
11.While completing the preoperative assessment, the male client tells the nurse that he
is allergic to codeine. Which intervention should the nurse implement first?
a. Apply an allergy bracelet on the client’s wrist.
b. Label the client’s allergies on the front of the chart.
c. Ask the client what happens when he takes the drug.
d. Document the allergy on the medication administration record.
12.Which laboratory result would require immediate intervention by the nurse for the
client scheduled for surgery?
a. Calcium 9.2 mg/dL.
b. Bleeding time 2 minutes.
c. Hemoglobin 15 gm/dL.
d. Potassium 2.4 mEq/L.
13.Which activities are the circulating nurse’s responsibilities in the operating room?
a. Monitor the position of the client, prepare the surgical site, and ensure the
client’s safety.
b. Give preoperative medication in the holding area and monitor the client’s
response to anesthesia.
c. Prepare sutures; set up the sterile field; and count all needles, sponges, and
instruments.
d. Prepare the medications to be administered by the anesthesiologist and
